- Integra Partners (Troy, MI)
- …maintaining accreditation activities for the Utilization Management (UM) and Credentialing departments. This includes supporting NCQA accreditation, implementing ... reviews, and preparing reports. This role ensures that UM and Credentialing programs meet accreditation standards and achieve high-quality outcomes. The position… more
- Henry Ford Health System (Jackson, MI)
- Credentialing Specialist - Medical Staff Affairs - Days Location: Henry Ford Health Jackson Department: Medical Staff Affairs Schedule: Full Time Days About the ... functions. Key Responsibilities Coordinate and oversee the Medical Staff Affairs office operations . Collaborate with the CVO on credentialing and recredentialing… more
- UNC Health Care (Chapel Hill, NC)
- …Summary: Responsible for the coordination/processing of all applications for credentialing /recredentialing of practitioners to UNC Hospitals Medical Staff and Allied ... Health Professional Staff, in accordance with JCAHO, NCQA , and other regulatory standards. Communicates with a wide...and maintains practitioner data in SMS (PRDOC) and ECHO credentialing systems use of these databases to generate a… more
- Henry Ford Health System (Jackson, MI)
- …ensuring providers meet standards and regulations, processing Network credentialing applications, maintaining relationships between payors, clinics, and providers, ... verifying compliance with contractual obligations. The role performs further credentialing functions including resolving claims issues, assisting with onboarding new… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …with CPR's Director and Clinical Lead, Operations Lead, Senior Credentialing Manager/ Compliance Consultant, Risk Specialist , Exception Review Specialists ... your true colors to blue. The Role:The Peer Review Specialist is responsible for monitoring the quality of the...care possible. The Team:As an integral part of the Credentialing & Peer Review (CPR) Team, the Peer Review… more
- Atlantic Health System (Morristown, NJ)
- …Professional in Medical Services Management) required. + CPCS (Certified Provider Credentialing Specialist ) preferred. Key Competencies: + Executive presence ... excellence. Position Summary: + Provide system-level strategic leadership for all credentialing and privileging operations , including hospitals and ambulatory… more
- Cleveland Clinic (Middleburg Heights, OH)
- …the specialty area of breastfeeding. Collaboration with breast feeding medicine pediatric specialist on site as well as other pediatric providers. Knowledge and ... procedures used to identify pathophysiologic processes as privileged by CCF Credentialing Board. + Performs routine procedures such as injections, immunizations,… more
- Cleveland Clinic (Cleveland, OH)
- …procedures used to identify pathophysiologic processes as privileged by CCF Credentialing Board. + Performs routine procedures such as injections, immunizations, ... complex illness and injury which may include assisting surgeons in conducting operations and taking initiative in performing evaluation and therapeutic procedures in… more
- Cleveland Clinic (Cleveland, OH)
- …procedures used to identify pathophysiologic processes as privileged by CCF Credentialing Board. + Performs routine procedures such as injections, immunizations, ... complex illness and injury which may include assisting surgeons in conducting operations and taking initiative in performing evaluation and therapeutic procedures in… more
- Cleveland Clinic (Cleveland, OH)
- …procedures used to identify pathophysiologic processes as privileged by CCF Credentialing Board. + Performs routine procedures such as injections, immunotherapy, ... complex illness and injury which may include assisting surgeons in conducting operations and taking initiative in performing evaluation and therapeutic procedures in… more
- Cleveland Clinic (Cleveland, OH)
- …is currently seeking a motivated and qualified Physician Assistant, Clinical Nurse Specialist , or Nurse Practitioner (Adult or Family certified) for a full-time ... procedures used to identify pathophysiologic processes as privileged by CCF Credentialing Board. + Performs routine procedures such as injections, immunizations,… more
- Cleveland Clinic (Akron, OH)
- …complex illness and injury which may include assisting surgeons in conducting operations and taking initiative in performing evaluation and therapeutic procedures in ... response to life-threatening situations, as privileged by CCAG Credentialing Board._** **_Performs specialized procedures following approval by CCAG Credentialing… more
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