Credentialing Manager jobs in New Jersey

Director of Credentialing (FT) - Medical Group, Support Services - Somerset, NJ
  • RWJBarnabas Health
  • Trenton, NJ
  • Credentialing, Somerset, Somerset, NJ 08873 Job Summary The Director of Credentialing for the ... Manages and maintains department budget. * Completes managerial duties as it relates to staffing ...
  • 11 hours ago

Travel Nurse Recruiter
  • Maxim Healthcare Group
  • Mantua, NJ
  • In addition, the Travel Nurse Recruiter reports the process to management, and acts as the liaison ... credentials to determine if the candidate meets the hiring criteria set by the business line
  • 13 hours ago

Credentialing Specialist
  • Morris County, NJ
  • Credentialing Specialist- Morris County, NJ * Verification of licenses, affiliations, peer references, OIG, SAM, NPDB, claims histories, etc. * Maintain data in medical staff software * Obtain ...
  • 2 days ago

Office Assistant/Recruiter
  • Towne Nursing
  • Howell Township, NJ
  • Ensure all new hires have the proper credentials * Manage records and information * Heavy data entry * Heavy inbound/outbound phone calls Qualifications: * Previous experience in administrative ...
  • 2 days ago

Healthcare/Pharmaceutical Recruiter
  • Aerotek
  • Cherry Hill, NJ
  • Duties: • Manage full lifecycle recruiting process from open requisition to offer stage ... and credentials for appropriate skills, experience, and knowledge in relation to position ...
  • 5 days ago

RN/SW Supervisor
  • Horizon Blue Cross Blue Shield
  • Newark, NJ
  • Manages, analyzes and coordinates the daily activities of the unit to ensure departmental productive goals are met with regards to quality timeliness, accuracy and consistency of medical decisions
  • 5 days ago

  • Applebee's
  • Newton, NJ
  • ... manage time effectively while meeting all job responsibilities Maintains a positive work environment for team members and guests during each shift Enthusiastic and professional attitude must be ...
  • 6 days ago

LPN Med Care Manager
  • Sunrise Senior Living
  • Marlboro, NJ
  • ... Manager is responsible for providing the highest degree of quality care and services by ... N, LVN or state specific licensed nurse credential - In states where appropriate, must maintain ...
  • 6 days ago

New Jersey is bordered on the north and northeast by New York (parts of which are across the Hudson River, Upper New York Bay, the Kill Van Kull, Newark Bay, and the Arthur Kill); on the east by the Atlantic Ocean; on the southwest by Delaware across Delaware Bay; and on the west by Pennsylvania across the Delaware River. New Jersey is often broadly divided into three geographic regions: North Jersey, Central Jersey, and South Jersey. Some New Jersey residents do not consider Central Jersey a region in its own right, but others believe it is a separate geographic and cultural area from the Nor...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Credentialing Manager jobs
$50,066 to $100,238

Credentialing Manager
Maintains a thorough understanding of medical staff bylaws, Joint Commission standards, hospital organization and policies, medical staff rules and regulations, national practitioner data bank regulations and procedures, credentialing and privilege delineation procedures and medico-legal issues.
March 04, 2021
Assists in the development and implementation of medical record practices policies and procedures to ensure the timely, quality, and accurate delivery of medical record services.
February 23, 2021
Provides day to day supervision of site-specific medical record services and staff consistent with established policy and regulatory requirements, and statutes governing health information management practices.
February 17, 2021
Manage operations for the credentialing and recredentialing process to satisfactorily meet all standards as required by HMSA policies and procedures, state and federal regulatory requirements and all relevant accreditation standards pertaining to the credentialing for HMSA providers in all lines of business including commercial, Medicare, Medicaid and ACA products.
February 10, 2021
Review and update departmental policies and procedures to ensure compliance with NCQA, CMS and other regulatory agencies.
February 09, 2021
Monitor Medicaid and Medicare sanctioning reports to ensure compliance with Health Care Financing Administration (HCFA) requirements regarding prohibition of excluded provider participation.
January 31, 2021
Prepares,reviews and submits credentialing applications as determined by state, federalor accrediting agency guidelines and standards for review, recommendations anddecision by the appropriate organizational committee or body.
January 30, 2021
Plans and directs program for orientation of new medical staff members to the hospital environment and duties and responsibilities of medical staff membership.
January 28, 2021
Develops strong knowledge of the credentialing software, and full capabilities, to maximize its use and understands the functionality of the claims software, as it relates to the credentialing process.
December 12, 2020
Manages the processes of region-wide, complex information systems needs in project areas such as new business operating models, innovative approaches to IT solutions support, market research of emerging or available product functionality and operational readiness assessment.
September 13, 2020