Credentialing Manager jobs in Ohio

Credentialing Representative
  • US Acute Care Solutions
  • Canton, OH
  • The Credentialing Representative is responsible for gathering and verifying clinicians' information ... Partner with Provider Enrollment, Risk Management, Legal and Scheduling to validate and supplement ...
  • 3 hours ago

OMNI Experience Supervisor $500 sign on bonus Job
  • BJ's Wholesale Club, Inc.
  • Akron, OH
  • Directly manages and assesses Team Member performance, provides actionable feedback and coaches, teaches, and develops talent. Assists in hiring, training, and performance management of all Omni team ...
  • 19 hours ago

Quality Manager / System Testing Engineer
  • Eclipse Compliance Testing
  • Solon, OH
  • ... right credentials and are interested in working for one of the most unique companies serving the exciting gaming and amusement industries, please forward your resume, in confidence, to info ...
  • 20 hours ago

Grants Account Manager, Psychology (Part-Time)
  • Ohio University
  • Athens, OH
  • Job Title Grants Account Manager, Psychology (Part-Time) Applications Accepted From University Wide ... Pay is commensurate with experience and credentials and is accompanied by an excellent retirement ...
  • 2 days ago

Citizens Branch Manager II
  • Citizens
  • Swanton, OH
  • For Multi-Site locations qualified candidate will be skilled in remote or multi-unit management Education, Certifications and/or Other Professional Credentials: * Associate's or Bachelor's degree ...
  • 3 days ago

LPN Med Care Manager
  • Sunrise Senior Living
  • Dayton, OH
  • ... 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 ...
  • 3 days ago

Quality Analyst
  • US Tech Solutions
  • Marengo, OH
  • This role is responsible for supporting the Quality Risk Management (QRM), Data Integrity (DI) programs. * This role will also plan and execute Compliance readiness plan as needed. * The scope of ...
  • 6 days ago

Quality Analyst
  • Software Guidance & Assistance
  • Cincinnati, OH
  • Responsibilities This role is responsible for supporting the Quality Risk Management (QRM) ,Data Integrity (DI) programs. This role will also plan and execute Compliance readiness plan as needed. The ...
  • 6 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
$44,216 to $88,524

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