Health System Specialist

Found in: beBee S US - 2 weeks ago

Bay Pines, United States Department Of Veterans Affairs Full time
Summary

The incumbent is assigned to the Medical Staff Office (Clinical Staff Affairs), which is aligned under the Chief of Staff at a VA Medical Center (VAMC) and is responsible for providing administrative and technical direction and support to the credentialing and privileging (C&P) operations. The C&P Specialist is aligned to and supervised by the C&P Manager/Section Chief.



Duties

  • Keeps leadership and administrative staff informed of program changes, new regulatory requirements, and policies and procedures.
  • Assists in drafting local credentialing processes and Medical Staff Bylaws in compliance with all applicable regulations.
  • Maintains confidentiality of information in accordance with the Privacy Act.
  • Provides guidance and instruction to hospital staff in completing the required documentation of establishing clinical privileges for Licensed Independent Providers.
  • Responsible for researching reference information, collecting relevant data and making informed decisions based on analysis of critical information.
  • Develops and provides routine and special reports as requested.
  • Enters data into an electronic credentialing (VetPro) computer system accurately and ensures all time-sensitive suspense dates are met to complete LIP and Non LIP Credentialing assignments.
  • Investigates all red flags and related discrepancies to determine the accuracy of documentation.
  • Receives, reviews and analyzes reports detecting problem areas requiring further investigation.
  • Assures application packages and other documents meet technical requirements per specialty of provider and assures application folder and database account, including the purchasing of primary source verifications through the purchase card/fiscal operating procedures.
  • Provides quality control checks on data. Conducts audits of various credentialing documents such as FPPE, OPPE, Provider Exit Review forms, and participates in the annual self assessment and other regulatory reviews.
  • Prepares agendas for meetings and ensures those involved are notified of expectations, including Executive Committee of the Medical Staff.
  • Provides technical assistance and training to providers, staff and management.
  • Advises and consults on credentialing and clinical privileging for the organization. Serves as the SME for the field of credentials and clinical privileging.
This is an OPEN CONTINUOUS ANNOUNCEMENT and will remain open until April 12, 2024. The initial cut-off date for referral of eligible applications will be November 24, 2023, with subsequent cut-off dates every 2 weeks. Eligible applications received after that date will be referred at regular intervals or as additional vacancies occur on an as-needed basis until positions are filled.

Work Schedule: Monday to Friday 8:00 - 4:30pm. Telework Ad-hoc
Position Description Title/PD#: Health System Specialist - Credentialing and Privileging Specialist - Chief of Staff Office/PD99876-A
Permanent Change of Station (PCS): Approved
Physical Requirements: The work is mostly sedentary. Occasionally, light physical effort may be required, such
as that involved with walking, stair climbing, carrying of light office items, and pushing a cart of files or boxes.

  • Health System Specialist

    Found in: beBee jobs US - 2 weeks ago

    Bay Pines, Florida, United States Department Of Veterans Affairs Full time

    Summary The incumbent is assigned to the Medical Staff Office (Clinical Staff Affairs), which is aligned under the Chief of Staff at a VA Medical Center (VAMC) and is responsible for providing administrative and technical direction and support to the credentialing and privileging (C&P) operations. The C&P Specialist is aligned to and supervised by the C&P...

  • Program Support Assistant

    Found in: Talent US 2 C2 - 7 days ago

    Bay Pines, United States Veterans Health Administration Full time

    Summary The Program Support Assistant (Credentialing Specialist) is assigned to the Credentialing and Privileging Office, which is under the Chief of Staff at a VA Medical Center (VAMC) and is responsible for providing administrative and technical direction and support to the credentialing operations. The Credentialing Specialist is aligned to and...

  • Supervisory Medical Support Assistant

    Found in: Talent US 2 C2 - 7 days ago

    Bay Pines, United States Veterans Health Administration Full time

    Summary The Supervisory Medical Support Assistant (MSA) is responsible for the supervision of the medical support staff, Lead Medical Support, Advanced Medical Support Assistants (AMSA) and Medical Support Assistants (MSA). The Supervisory MSA conducts program analysis studies and evaluations for the situations that affect the orderly and efficient...

  • Billing Specialist

    Found in: Appcast US C2 - 1 week ago

    Coos Bay, United States Pride Health Full time

    Title: Billing SpecialistDuration: 3+ Months Location: Coos Bay, OR 97420 Job DescriptionDemonstrates working knowledge of American National Standards Institute (ANSI) edits, National Correct Coding Institute (CCI) edits, Medically Unlikely Edits (MUE), and other regulatory and/or payer-specific billing requirements.Demonstrates working knowledge of 837i and...

  • Billing Specialist

    Found in: Appcast Linkedin GBL C2 - 2 weeks ago

    Coos Bay, United States Pride Health Full time

    Title: Billing SpecialistDuration: 3+ Months Location: Coos Bay, OR 97420 Job DescriptionDemonstrates working knowledge of American National Standards Institute (ANSI) edits, National Correct Coding Institute (CCI) edits, Medically Unlikely Edits (MUE), and other regulatory and/or payer-specific billing requirements.Demonstrates working knowledge of 837i and...

  • Billing Specialist

    1 week ago

    Coos Bay, United States Pride Health Full time

    Title: Billing SpecialistDuration: 3+ Months Location: Coos Bay, OR 97420 Job DescriptionDemonstrates working knowledge of American National Standards Institute (ANSI) edits, National Correct Coding Institute (CCI) edits, Medically Unlikely Edits (MUE), and other regulatory and/or payer-specific billing requirements.Demonstrates working knowledge of 837i and...

  • Peer Support Specialist

    6 days ago

    Pembroke Pines, United States Westcare Foundation, Inc. Full time

    Job DetailsJob Location Pembroke Pines - 1633 Poinciana Drive - Pembroke Pines, FLPosition Type Full TimeEducation Level High SchoolSalary Range $19.23 - $19.23 HourlyJob Category Nonprofit - Social ServicesDescription Position Summary: The Peer Support Specialist assists individuals with substance abuse and/or mental health diagnoses. Assists in developing...

  • Data Handling Specialist

    2 days ago

    Pembroke Pines, United States HPA Strategies Full time

    We are seeking a highly organized and detail-oriented Data Handling Specialist to join our team. As a Data Handling Specialist, you will be responsible for managing and processing large volumes of data, ensuring accuracy and confidentiality. You will work closely with various departments to gather, organize, and analyze data, and provide actionable insights...

  • Staff Psychologist

    Found in: beBee S US - 2 weeks ago

    Bay Pines, United States Department Of Veterans Affairs Full time

    Summary *****A recruitment/relocation incentive may be offered to highly qualified candidate(s).***** The Staff Psychologist may be assigned to any location within the BPVAHCS Mental Health & Behavioral Sciences Service (MH&BSS) continuum of care. The incumbent is expected to provide...

  • Staff Psychologist

    Found in: beBee jobs US - 7 days ago

    Bay Pines, Florida, United States Department Of Veterans Affairs Full time

    Summary *****A recruitment/relocation incentive may be offered to highly qualified candidate(s).*****The Staff Psychologist may be assigned to any location within the BPVAHCS Mental Health & Behavioral Sciences Service (MH&BSS) continuum of care. The incumbent is expected to provide psychological services and consultation with supervisors and peers, as...

  • Data Handling Specialist

    3 days ago

    Pembroke Pines, United States HPA Strategies Full time

    Job DescriptionJob DescriptionSalary: $25 per hour We are seeking a highly organized and detail-oriented Data Handling Specialist to join our team. As a Data Handling Specialist, you will be responsible for managing and processing large volumes of data, ensuring accuracy and confidentiality. You will work closely with various departments to gather, organize,...

  • Lactation Specialist

    Found in: Appcast Linkedin GBL C2 - 1 week ago

    Pembroke Pines, United States Memorial Healthcare System Full time

    The ideal candidate will be responsible for providing care to patients while adhering to compliance standards. This candidate should be able to recognize patient needs and prioritize those needs with the needs outlined by physicians.ResponsibilitiesAssure quality care by adhering to standards set by the physiciansProvide care education to patients in person...

  • Record/forms Management Specialist

    3 days ago

    Green Bay, United States State of Wisconsin Full time

    **Introduction**: The Wisconsin DNR is dedicated to working with Wisconsinites while preserving and enhancing the natural resources of Wisconsin. In partnership with individuals and organizations, DNR staff manage fish, wildlife, forests, parks, air and water resources while promoting a healthy, sustainable environment and a full range of outdoor...

  • Control Systems Engineer

    3 days ago

    Bay City, United States The Chemical Engineer Full time

    Basic Function LyondellBasell is searching for a Control Systems Engineer for the Matagorda High Density Polyethylene Facility, located in Matagorda TX.This position has the responsibility for supporting and improving the Plant DCS, basic regulatory control configuration, and applications and Safety Instrumented Systems, as well as identifying and...

  • Recreation Specialist

    1 day ago

    Oyster Bay, United States Harbor HouseOyster Bay Manor Full time

    Overview: We are seeking a dedicated and compassionate Recreation Specialist to join our team. As a Recreation Specialist, you will be responsible for planning and implementing recreational activities for individuals in assisted living and memory care settings. This is an excellent opportunity for someone who is passionate about senior care and enjoys...

  • Control Systems Engineer

    6 days ago

    Bay City, United States CareerBuilder Full time

    Basic Function LyondellBasell is searching for a Control Systems Engineer for the Matagorda High Density Polyethylene Facility, located in Matagorda TX.This position has the responsibility for supporting and improving the Plant DCS, basic regulatory control configuration, and applications and Safety Instrumented Systems, as well as identifying and...

  • Northwell Health Otolaryngology – General ENT

    1 week ago

    Bay Shore, United States Northwell Health Physician Partners Full time

    Northwell Health Otolaryngology is a premier clinical and academic department comprised of hospital-based faculty and a large network of community providers and multidisciplinary caregivers. Northwell Health, New York State’s largest health care provider and private employer, is a dynamic place to practice and maintains a true dedication to its academic...

  • Northwell Health Otolaryngology – General ENT

    Found in: beBee jobs US - 7 days ago

    Bay Shore, New York, United States Northwell Health Physician Partners Full time

    Northwell Health Otolaryngology is a premier clinical and academic department comprised of hospital-based faculty and a large network of community providers and multidisciplinary caregivers. Northwell Health, New York State s largest health care provider and private employer, is a dynamic place to practice and maintains a true dedication to its academic...

  • Specialist, Info Security Systems Engineer

    Found in: Dice One Red US C2 - 7 days ago

    Palm Bay, United States L3Harris Technologies Full time

    Job Title: Specialist, Information Security Systems Engineer Job Code: 8563 Job Location: Palm Bay, Florida Job Description: Applies current systems security engineering methods, practices and technologies to the architecture, design, development, evaluation and integration of systems and networks to maintain system security. Works closely with Government...

  • Thoracic Surgeon – South Shore University Hospital, Northwell Health

    Found in: beBee S US - 2 weeks ago

    Bay Shore, United States Northwell Health Full time

    The Department of Cardiovascular and Thoracic Surgery at Northwell Health is seeking a Thoracic Surgeon to join our faculty at South Shore University Hospital, located in Bay Shore, New York. The ideal candidate is thoracic-track fellowship trained, ABS and ABTS Board Eligible or Certified, and is skilled in minimally invasive VATS and robotic surgery for...