Medical Staff Credentialing Director jobs in Hawaii

Medical Staff Credentialing Director is responsible for all aspects of the verification process for medical staff incumbents. Provides regulatory oversight and guidance to the credentialing process. Being a Medical Staff Credentialing Director maintains working knowledge and ensures continuing compliance with state, federal, and institutional standards and guidelines. Develops and implements policies and protocols related to medical staff verifications and ensures that the organization and staff are in accordance with organizational and industry standards. Additionally, Medical Staff Credentialing Director analyzes reports on applications and credential status to identify trends and improve the credentialing process. Presents files to the credentialing committee and may act as a liaison to state medical licensure boards regarding the status of license applications. Requires a bachelor's degree. May require Certified Provider Credentialing Specialist (CPCS). Typically reports to senior management. The Medical Staff Credentialing Director typically manages through subordinate managers and professionals in larger groups of moderate complexity. Provides input to strategic decisions that affect the functional area of responsibility. May give input into developing the budget. To be a Medical Staff Credentialing Director typically requires 3+ years of managerial experience. Capable of resolving escalated issues arising from operations and requiring coordination with other departments. (Copyright 2024 Salary.com)

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Medical Staff Services Coordinator
  • Kaiser Permanente
  • Wailuku, HI OTHER
  • Job Summary:

    The Medical Staff Services Coordinator will partner in leading the Team by processing credentialing files efficiently, identifying best practices, and participating in ongoing improvements. They will lead in the development of processes to meet the needs of the departments assigned scope of work. The Medical Staff Services Coordinator will be responsible for partnering with Leadership to ensure compliance with the Medical Staff Bylaws, The Joint Commission, and other regulatory standards.


    Essential Responsibilities:


    • Oversee Credentialing Expirable Process.

    • Follows and ensures the workflow processes to manage the Expirable for Medical Licenses, DEA/CSR Certifications,

    • Board Certifications, Certificates of Insurance, and Life Supports, ensuring renewals occur timely.

    • Coordinate team activity to ensure all expirable are renewed in a timely manner.

    • Provide activity and volume reports monthly.

    • Assist in the creation of delineation of privilege forms and systems to process privileges.

    • Provides support with Hospital Privileging.

    • Participates in Department Internal Audits to ensure compliance.

    • Reviews elements of completed credentialing files for compliance with department guidelines and data entry.

    • Documents findings and confirms corrections prior to file submission to Department Chairs and Credentials Committee.

    • Identifies areas needed for clarification and/or training opportunities.

    • Assist with the review of processes and workflows for the Department, identifying Best Practices.

    • Reviews and processes credentialing applications for completeness following department guidelines and Follows system workflows and published timelines.

    • Assist with investigating, and documenting adverse issues identified.

    • Holds all information in strict confidentiality according to the documented signed confidentiality agreement.

    • Obtains accurate and complete primary source verifications for required elements.

    • Maintains accurate information in the department database and other systems.

    • Assist with Medical Staff Meeting Management and CME Activities.

    • Reports any ongoing monitoring of License Sanctions, OIG and Sam Sweeps and Continuous NPDB Queries when issues are reported or discovered on practitioners with membership and or privileges of the Medical Staff.

    • Assists in the onboarding and ongoing training of new and existing staff.

    • Other duties as assigned.

  • 2 Days Ago

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Medical Staff Services Specialist
  • Kaiser Permanente
  • Wailuku, HI OTHER
  • Job Summary: Under the direction of the Director of Medical Staff Services, coordinates internal and external activities of the Medical Staff including, but not limited to credentialing and privilegin...
  • 22 Days Ago

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Fqhc Medical Director - 60% Administrative In Honolulu W/$275k+ Salary
  • Enterprise Medical Recruiting
  • Hawaii, HI FULL_TIME
  • A Federally Qualified Health Center (FQHC) seeks a Medical Director with strong interpersonal skills in Honolulu, Hawaii.Opportunity Details7 sites, all within 5 miles of Honolulu.The group has around...
  • 1 Day Ago

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Medical Director With Fqhc In Honolulu, Hi - 80% Administrative + Loan Repay
  • Enterprise Medical Recruiting
  • Hawaii, HI FULL_TIME
  • A Federally Qualified Health Center (FQHC) seeks Medical Director with strong interpersonal skills in Honolulu, Hawaii.Opportunity Details7 sites all within 5 miles of Honolulu.Group has around 30 pro...
  • 4 Days Ago

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Staff Physician, Comprehensive Weight Management
  • The Queen's University Medical Group
  • Honolulu, HI FULL_TIME
  • JOB SUMMARY/RESPONSIBILITIES:Provides clinical services for the Comprehensive Weight Management Program on Oahu and/or Neighbor Island CWMP Clinics through direct patient care. Works with the Director...
  • 26 Days Ago

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Staff Psychologist, Comprehensive Weight Management Program (Call-In)
  • The Queen's University Medical Group
  • Honolulu, HI OTHER
  • Company DescriptionThe Queen’s Health System is a non-profit healthcare organization with four hospitals, over 70 specialty health care locations, and labs throughout the Pacific region, including Haw...
  • 23 Days Ago

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Medical Director
  • Prisma Health
  • Columbia, SC
  • South Carolina Children’s Advocacy Medical Response System - Medical Director Columbia, SC The University of South Carol...
  • 5/7/2024 12:00:00 AM

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Medical Director
  • Norway Veterinary Hospital
  • Norway, ME
  • Description Joining a clinic with its own unique identity is like a cross-country car ride with your ears flapping in th...
  • 5/7/2024 12:00:00 AM

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Medical Director
  • Family HealthCare Network
  • Visalia, CA
  • Job Description Description of Primary Responsibilities Provides overall management and direction to departmental/divisi...
  • 5/7/2024 12:00:00 AM

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Medical Director
  • All Creatures Veterinary Hospital
  • Vallejo, CA
  • Description Position at All Creatures Veterinary Hospital Join our team as a Medical Director and play a pivotal role in...
  • 5/7/2024 12:00:00 AM

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Medical Director
  • Theoria Medical
  • Martin, TN
  • Position Type: Part-time, exempt Compensation:Up to $400,000 annually + monthly Medical Director Stipend Job Highlights ...
  • 5/7/2024 12:00:00 AM

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Medical Director/Senior Medical Director
  • GQR
  • The Director/Senior Medical Director, reporting to the Chief Medical Officer, plays a pivotal role in steering clinical ...
  • 5/4/2024 12:00:00 AM

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Medical Director
  • Genmab
  • At Genmab, we’re committed to building extra[not]ordinary futures together, by developing antibody products and pioneeri...
  • 4/25/2024 12:00:00 AM

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Medical Director
  • CAI
  • Harrisburg, PA
  • Medical Director Req number: R1741 Employment type: Full time Worksite flexibility: Hybrid Job Summary As the Medical Di...
  • 1/25/2024 12:00:00 AM

Hawaii (/həˈwaɪi/ (listen) hə-WY-ee; Hawaiian: Hawaiʻi [həˈvɐjʔi]) is the 50th and most recent state to have joined the United States, having received statehood on August 21, 1959. Hawaii is the only U.S. state located in Oceania, the only U.S. state located outside North America, and the only one composed entirely of islands. It is the northernmost island group in Polynesia, occupying most of an archipelago in the central Pacific Ocean. The state encompasses nearly the entire volcanic Hawaiian archipelago, which comprises hundreds of islands spread over 1,500 miles (2,400 km). At the southea...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Staff Credentialing Director jobs
$167,326 to $217,636

Medical Staff Credentialing Director in Hialeah, FL
The Medical Staff Services Facility Specialist is also responsible for the accuracy and integrity of the credentialing and clinical privileging database system.
January 09, 2020
Medical Staff Credentialing Director in Worcester, MA
Consult applicable state laws when determining how to maintain or store credentialing files and other peer review documents.
January 27, 2020
Medical Staff Credentialing Director in Abilene, TX
The Director of Medical Staff Credentialing will oversee, supervise, and direct the day to day operations of the medical staff credentialing and hospital privileges department.
November 30, 2019