We have other current jobs related to this field that you can find below
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Community Care Facilitator
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Central Islip, New York, United States EAC Network Full timeJob OverviewPosition Type: Full TimeEducation Requirement: High School Diploma or EquivalentCompensation: $28.00 per hourTravel Requirement: Up to 50%Category: Human ServicesAbout EAC Network:EAC Network is a dedicated non-profit organization committed to empowering and supporting individuals in need through a variety of programs across the region.Role...
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Surgery - Thoracic Physician
1 month ago
Central, United States Medicus Healthcare Solutions Full timeMedicus is collaborating with a medical center in south-central Arizona that has an opportunity for a Cardiothoracic Surgeon to assist their team.Opportunity Highlights:Schedule: 8-hour shifts + call coverageLevel I trauma facilityMust be board-certifiedPaid travel & expensesIf you are interested, please apply to learn more.SGL - 70101 Dedicated recruiter...
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Surgery - Thoracic Physician
4 weeks ago
Central, United States Medicus Healthcare Solutions Full timeMedicus is collaborating with a medical center in south-central Arizona that has an opportunity for a Cardiothoracic Surgeon to assist their team.Opportunity Highlights:Schedule: 8-hour shifts + call coverageLevel I trauma facilityMust be board-certifiedPaid travel & expensesIf you are interested, please apply to learn more.SGL - 70101 Dedicated recruiter...
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Cardiothoracic Surgery Specialist
5 days ago
Central, Arizona, United States Medicus Healthcare Solutions Full timeMedicus Healthcare Solutions is currently seeking a skilled Cardiothoracic Surgeon to join a dynamic medical team in a reputable healthcare facility.Position Overview:This role involves:- Engaging in 8-hour shifts with on-call responsibilities- Working within a Level I trauma center- Ensuring board certification is maintained- Enjoying paid travel and...
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Central, United States Catapult Healthcare Full timeGeneral Neurologist Needed in Central Eastern ArizonaLocation Central Eastern Arizona Practice Type- General Neurologist Start Date As soon as credentialing is completeWe have an immediate need for a General Neurologist for a hospital located in Central Eastern Arizona. Below are additional details:Job Description- Hours: Full Time - Forty (40) hours weekly-...
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Radiology Technologist
1 month ago
Central City, United States Bryan Health Full timeGENERAL SUMMARY Performs diagnostic x-ray procedures under the supervision of a qualified physician. Uses x-ray technology and techniques to assist in the diagnosis of patient medical conditions for patients throughout the age continuum. PRINCIPAL JOB FUNCTIONS: Commits to the mission, vision, beliefs and consistently demonstrates our core values. Performs...
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Locum Physician
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Locum Physician
6 days ago
Central Point, United States Aya Locums Full timeAya Locums has an immediate opening for a 13-week locum Urology Physician job in Medford, OR paying $250/hr - $275/hr.Job ResponsibilitiesAssess patients, document medical histories and address patient inquiries and concerns.Diagnose and manage injuries, illnesses and medical conditions.Conduct, analyze and interpret diagnostic tests and communicate results...
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Cardiac Rehabilitation RN
2 days ago
Central City, United States Bryan Health Full timeGENERAL SUMMARY: Responsible for identifying patient needs and priorities for care through assessment, planning for and delegating care based on patient's needs, executing therapeutic physician-and nurse-initiated interventions, and evaluating the patient's response to care and progress toward outcomes. Whenever possible, includes the family or significant...
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CT Surgery Opportunity in South-Central AZ
2 months ago
Central, AZ, United States Medicus Healthcare Solutions Full timeMedicus is collaborating with a medical center in south-central Arizona that has an opportunity for a Cardiothoracic Surgeon to assist their team.Opportunity Highlights:Schedule: 8-hour shifts + call coverageLevel I trauma facilityMust be board-certifiedPaid travel & expensesIf you are interested, please apply to learn more.SGL - 70101 Dedicated recruiter...
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Otolaryngology Physician
4 weeks ago
Central, SC, United States Medicus Healthcare Solutions Full timeA medical center in central South Carolina has an opening for an Otolaryngologist to provide locum coverage.About the Opening:Schedule: 24-hour call shifts, specific datesLevel II trauma center, operates as a level 1 trauma centerA mix of ENT and facial traumaEMR: EpicMust be board-certified or board-eligiblePaid travel & lodgingIf you are interested, please...
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Nurse Practitioner
4 months ago
Central Bridge, United States Albany Medical Center Full timeCentral Bridge, NY, United StatesDepartment/Unit:Surgery AdministrationWork Shift:Day (United States of America)The Nurse Practitioner (NP) is a nurse who, through clinical experience, study and supervised practice in patient care at the masters or doctoral level, has gained expertise in a specific specialty area of patient care services. The NP demonstrates...
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Nurse Practitioner
3 weeks ago
Central Bridge, United States Albany Medical Center Full timeCentral Bridge, NY, United StatesDepartment/Unit:Surgery AdministrationWork Shift:Day (United States of America)The Nurse Practitioner (NP) is a nurse who, through clinical experience, study and supervised practice in patient care at the masters or doctoral level, has gained expertise in a specific specialty area of patient care services. The NP demonstrates...
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Nurse Practitioner
4 months ago
Central Bridge, United States Albany Medical Center Full timeCentral Bridge, NY, United StatesDepartment/Unit:Surgery AdministrationWork Shift:Day (United States of America)The Nurse Practitioner (NP) is a nurse who, through clinical experience, study and supervised practice in patient care at the masters or doctoral level, has gained expertise in a specific specialty area of patient care services. The NP demonstrates...
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Medical Assistant
2 weeks ago
West Islip, NY, United States Northwell Health Full timeJob Description Job Description Performs patient care under the physician's/nurse's direct supervision. Duties include preparing patient for physician, administering, obtaining and recording diagnostic laboratory test results. Assists in coordinating organization of care to meet patient needs including preparing, organizing and filing reports into the...
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Nurse Practitioner
3 weeks ago
Central Bridge, NY, United States Albany Medical Center Full timeCentral Bridge, NY, United StatesDepartment/Unit:Surgery AdministrationWork Shift:Day (United States of America)The Nurse Practitioner (NP) is a nurse who, through clinical experience, study and supervised practice in patient care at the masters or doctoral level, has gained expertise in a specific specialty area of patient care services. The NP demonstrates...
Credentialing Coordinator
2 months ago
About Long Island Select Healthcare, Inc.
Long Island Select Healthcare Inc. (LISH) is a comprehensive network of community health centers. We are a Federally Qualified Health Center (FQHC) that provides Article 16 and 28 clinic services at 8 locations across Suffolk County, New York. We are a multi-specialty healthcare provider caring for our community through Primary and Specialty Medical Care, Dental, Behavioral Health, Audiology, Physical Therapy, Occupational Therapy and Speech Language Pathology. We currently provide care to over 7,000 patients and have an annual operating revenue of $22m.
LISH is a Forward-Thinking, Community-Oriented Organization
NYS Patient-Centered Medical Home
Chronic Care Management Program
Telemedicine & Virtual Care Services Program
Integrated Primary & Behavioral Healthcare
I. Essential Duties & Responsibilities
Helps to perform initial credentialing and re-credentialing for all providers including updating all supporting documentation, i.e., pertinent certificates, licenses, contracts, and agreements.
Assists in verifying all documentation in support of provider credentialing.
Assists in processing new enrollments for providers for Medicaid/Medicare.
Assists in filing revalidations per regulatory requirements for Medicaid/Medicare and MCO for the organization.
Assists in creating NPIs for the organization and providers; updating changes as needed.
Aids in maintenance of data base documenting status on credentialing activity.
Assists in maintenance of patient rosters for MCO membership on a monthly basis.
Assists in creating and maintenance of MCO provider portal and practice management
Assists in creating and updating provider roster templates for MCO
Assists in creating and maintenance of CAQH (Council for Affordable Quality Healthcare)
II. Competencies
Organizational and planning skills
Communication skills
Information gathering and information monitoring skills
Problem analysis and problem solving skills
Judgment and decision-making ability
Initiative
Confidentiality
Attention to detail and accuracy
Flexibility
III. Supervisory Responsibilities
N/A
IV. Qualifications
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
V. Education and/or Experience
A successful candidate must possess a high school diploma, Associates degree from an accredited institution preferred. At least 5 years of experience in credentialing for the health care sector is required. Experience may serve as substitution for the Associates degree preferred requirement.
VI. Necessary Skills & Abilities
Language Skills
Ability to read and interpret documents, such as, safety rules, operating and maintenance instructions, and procedure manuals. Ability to write routine reports and correspondence. Ability to speak effectively before groups of customers or employees of organization.
Mathematical Skills
Ability to calculate figures and amounts such as discounts, interest, commissions, proportions, percentages, area, circumference, and volume.
Reasoning Ability
Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form. Ability to deal with problems involving several concrete variables in standardized situations.
Computer Skills
To perform this job successfully, an individual should have intermediate to advanced knowledge of Microsoft Office 365 (Word, Outlook, Excel) as well as experience or familiarity with other health provider programs which may be in use.
Other Skills and Abilities
Must have excellent interpersonal skills.
VII. Physical Demands
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this Job, the employee is regularly required to sit; use hands to finger, handle, or feel; reach with hands and arms and talk or hear. The employee is frequently required to stand and walk. The employee must occasionally lift and/or move up to 25 pounds.
VIII. Travel
As needed on an infrequent basis
IX. Work Environment
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
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