Credentialing Manager jobs in Tennessee

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Estimation Supervisor
  • Management Business Solutions
  • Brentwood, TN
  • Management Business Solutions is seeking an Estimator - Commercial Construction for our client in Nashville, TN . This candidate will have previous experience in either a pre-construction or ...
  • yesterday

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Wound Care Nurse (PRN)
  • TriStar Summit Medical Center
  • Hermitage, TN
  • ... American Nurses Credentialing Center (ANCC). This designation demonstrates TriStar Summit ... Qualifications Case Manager ADVANCED WOUND CARE CENTER POSITION SUMMARY: Under the supervision of ...
  • 2 days ago

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RN Supervisor, Bed Management
  • Ascension, A17
  • Murfreesboro, TN
  • We Are Hiring RN Supervisor, Bed Management, Full Time Days Saint Thomas Rutherford Hospital ... Required Credential(s): * Licensed Registered Nurse credentialed from the Tennessee Board of ...
  • 2 days ago

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Medical Assistant (Bilingual)
  • Ascension, A15
  • Nashville, TN
  • Performs basic materials management functions to include ordering and stocking of supplies. Assists ... Required Credential(s): * BLS Provider credentialed from the American Heart Association (AHA ...
  • 3 days ago

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Medical Assistant
  • Ascension, A15
  • Lebanon, TN
  • Performs basic materials management functions to include ordering and stocking of supplies. Assists ... Required Credential(s): * BLS Provider credentialed from the American Heart Association (AHA ...
  • 4 days ago

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Sterile Processing Supervisor
  • Ascension, A17
  • Murfreesboro, TN
  • Central Service Tech credentialed from the International Association of Healthcare Central Service Material Management (IAHCSMM) obtained prior to hire date or job transfer date. Incs hired prior to ...
  • 4 days ago

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Operating Room Nurse - Main OR
  • Ascension, A23
  • Nashville, TN
  • ... condition and managing overall nursing care of patient before, during and after procedure ... Required Credential(s): * BLS Provider credentialed from the American Heart Association (AHA ...
  • 4 days ago

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Part Time OR Night Charge Nurse - Operating Room Nurse - Operating Room Charge Nurse
  • Ascension, A20
  • Nashville, TN
  • ... and managing overall nursing care of patient before, during and after procedure. * Prepares ... Required Credential(s): * BLS Provider credentialed from the American Heart Association (AHA ...
  • 4 days ago

Tennessee borders eight other states: Kentucky and Virginia to the north; North Carolina to the east; Georgia, Alabama, and Mississippi on the south; Arkansas and Missouri on the Mississippi River to the west. Tennessee is tied with Missouri as the state bordering the most other states. The state is trisected by the Tennessee River. The highest point in the state is Clingmans Dome at 6,643 feet (2,025 m). Clingmans Dome, which lies on Tennessee's eastern border, is the highest point on the Appalachian Trail, and is the third highest peak in the United States east of the Mississippi River. The ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Credentialing Manager jobs
$40,333 to $80,760

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