Credentialing Manager jobs in Ohio

Travel Nurse RN - Cardiac Cath Lab - $2,120 per week
  • NurseFly Travel Nursing
  • Chillicothe, OH
  • OH - Device Tech RN . Education, Certifications and Credentials: 3-5 years of experience conducting ... The Staff Nurse, RN works under the direct supervision of the Nurse Manager/Assistant Nurse Manager ...
  • yesterday

Vice President Network and Provider Operations
  • CommuniCare Health Services Corporate
  • Cincinnati, OH
  • ... credentialing, sub-contracted vendor engagement and management.This position reports directly to the CEO with strong collaborative relationships across the Health Plan and the CommuniCare Family of ...
  • yesterday

Cincinnati Executive Director
  • Greenlight Fund
  • Cincinnati, OH
  • Reporting to GreenLight's Managing Director, Sites, this entrepreneurial leader will continue to build a strong, diverse coalition to support GreenLight Cincinnati and its portfolio organizations
  • 3 days ago

Assistant Nurse Manager - Lerner Tower 5th floor - Medical Cardiology
  • University Hospitals
  • Cleveland, OH
  • Qualifications Experience & Knowledge: • 3-5 years experience progressive clinical and management ... Bachelor of Science in Nursing from accredited program required Required Credentials, Licensure or ...
  • 3 days ago

Engineering Manager
  • Green Valley Recruiting
  • Van Wert, OH
  • We are working with an automotive manufacturer looking for an Engineering Manager to manage the ... credentials.
  • 3 days ago

Director of Case Management
  • Coleman Professional Services
  • Youngstown, OH
  • DIRECTOR OF CASE MANAGEMENT - Mahoning & Trumbull Counties FULL TIME City: Youngstown Coleman ... Salary based on experience and credentials. Benefits options include health, life, pension, paid ...
  • 4 days ago

Travel Nurse RN - Intermediate Care - $2,052 per week
  • NurseFly Travel Nursing
  • Cleveland, OH
  • ... credentialing feesPrivate housing or housing allowanceGroup Health insurance for you and your ... to manage illness. Due to the broad range of medical conditions Med/Surg Nurses will encounter ...
  • 5 days ago

Assistant Nurse Manager -Lerner Tower 3 Telemetry
  • University Hospitals
  • Cleveland, OH
  • ... management experience in nursing. • Demonstrates strong interpersonal skills and excellent ... Bachelor of Science in Nursing from accredited program required Required Credentials, Licensure or ...
  • 7 days ago

Ohio /oʊˈhaɪoʊ/ (listen) is a Midwestern state in the Great Lakes region of the United States. Of the fifty states, it is the 34th largest by area, the seventh most populous, and the tenth most densely populated. The state's capital and largest city is Columbus. The state takes its name from the Ohio River, whose name in turn originated from the Seneca word ohiːyo', meaning "good river", "great river" or "large creek". Partitioned from the Northwest Territory, Ohio was the 17th state admitted to the Union on March 1, 1803, and the first under the Northwest Ordinance. Ohio is historically know...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Credentialing Manager jobs
$43,348 to $86,796

Credentialing Manager
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.
February 11, 2020
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.
January 16, 2020
Review and update departmental policies and procedures to ensure compliance with NCQA, CMS and other regulatory agencies.
January 08, 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.
January 01, 2020
Monitor Medicaid and Medicare sanctioning reports to ensure compliance with Health Care Financing Administration (HCFA) requirements regarding prohibition of excluded provider participation.
December 17, 2019
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.
December 13, 2019
Plans and directs program for orientation of new medical staff members to the hospital environment and duties and responsibilities of medical staff membership.
November 18, 2019
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.
November 11, 2019
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.
November 03, 2019
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.
October 21, 2019