Clinical Onboarding and Credentialing Specialist

1 month ago

Farmington, United States Centria Healthcare Full time

Every child deserves the brightest future and Centria Autism Services is on a mission to help children with Autism Spectrum Disorder (ASD) have the best developmental experience possible while acquiring the skills to succeed in the world on their own terms. Too many children with ASD are untreated or under-treated and Centria is committed to reaching every child in need and their families with interventions based on the principles of Applied Behavior Analysis that meet - and exceedbest practices. Our Optimal Outcomes Model(TM) looks at the whole-child, engages families in aspirational treatment planning and leverages team-based care to allow BCBA's to focus on clinical issues and support Centria's dedication to quality, family satisfaction and developmental outcomes. Founded in 2009, Centria now operates in 13 states and is working hard to develop approaches to sustain quality while reaching tens of thousands of children across the country; we use data-driven analytics and sophisticated software platforms to constantly evaluate our quality and performance, and develop new approaches to supporting our clients and their families on their journey.

See what it's like...

Centria Healthcare was founded in 2009 and grew two business lines to lead the state of Michigan. In 2014 we took on Autism and have since grown to be the largest provider in the nation. We blended an entrepreneurial spirit with a proven and effective care delivery system to create an unmatched client experience. We look for dedicated, hard-working, sharp individuals with a desire to go above and beyond.

Thank you for showing interest in Centria Autism Services. Our mission as a company is "to help every child living with autism to develop, pursue, and achieve their goals and dreams through high quality ABA therapy and support"

Position Summary

This role is responsible for facilitating all aspects of onboarding and credentialing for clinical and field-based personnel. The Clinical Onboarding and Credentialing Specialist will organize, maintain, and verify all aspects of the process and maintain current clinical and field-based staff files. Additionally, they will provide a positive customer service experience to team members, including clinical and field staff and payors, by being the point of contact and assisting them with related inquiries

Success Measures

Success measures include adherence to Centria policies, flawless execution of tasks, and meeting or exceeding personal qualitative and/or quantitative key performance indicator (KPI) metrics such as customer satisfaction, meeting targeted onboarding and credentialing timelines, and maintaining at or below metrics provided for credentialing denials.

Duties and Responsibilities

The below reflects the essential functions considered necessary for a Clinical Onboarding and Credentialing Specialist and shall not be construed as a detailed description of all work requirements inherent in the job or assigned by supervisory personnel. This job description is used as a guide only and not inclusive of all responsibilities and job duties.

Onboarding 30%

  • Manage candidate applications, associated pre-hire requirements, and maintain detailed records in CareConnect and the HRIS platform.
  • Communicate regulations, policies, and procedures to team members, including clinical and field
  • Engage candidates and assist with setting schedules and expectations, enrolling them in required courses, and tracking activity completion.
  • Track the candidate's daily progress against their schedule for onboarding and escalate any delay concerns to the appropriate party.
  • Partner with the Recruiting and Operations teams regarding candidate and team member
Credentialing 50%
  • Assist clinical and field staff in applying/registering for certifications, licensure, , needed for credentialing.
  • Obtain and review certifications, licenses, and other required credentialing documents to maintain up-to-date personnel files.
  • Submit and follow up with payor credentialing applications via phone, email, or proprietary
  • Partner with the Family Financial Navigation (FFNT) and Billing teams to resolve any potential or outstanding claim issues related to credentialing.
  • Set up new service location addresses or markets in collaboration with the Contracting team.
  • Create applicable internal and external accounts, as needed.
Customer Service 10%
  • Serve as a resource for team members with questions regarding Centria guidelines, payor requirements, etc.
  • Follow-up via email or service desk with team members within 24 hours and maintain a customer satisfaction rating above 90%.
Projects 10%
  • Participate in major projects and the implementation of new initiatives and
  • Assist with ad hoc reports as needed
Qualifications

Education
  • Associate Degree
  • Bachelor's Degree, preferred
Work Experience
  • 1+ years of administrative or customer service experience
  • Data entry experience, preferred
Equipment and Technology Requirements
  • Basic computer skills
  • Working knowledge of laptop/desktop PC
  • Proficiency in Microsoft Suite
  • Proficiency in G Suite
Other Competency Requirements

An initial assessment of competency will be completed during the interview period and evaluated on an ongoing basis.
  • Ability to follow written instructions
  • Ability to use computers and computer/software programs
  • Ability to communicate expressively and receptively
Knowledge and Skills
  • Proficiency in PC software, especially spreadsheet programs;
  • Effective communication skills, both written and verbal, with internal and external stakeholders;
  • Ability to build rapport with team members, including clinical and field staff, explain complicated information in an approachable and easily understood manner, effectively handle challenging phone conversations, and represent the Centria brand;
  • Ability to organize, prioritize, and handle multiple tasks, adhere to established deadlines, and produce work that consistently meets or exceeds team benchmarks;
  • Proven adaptability with a willingness to work both collaboratively and individually to achieve desired business outcomes;
  • Excellent interpersonal and listening skills;
  • Demonstrated strong work ethic with attention to detail, accuracy, and quality;
  • Established track record of generating error-free
Working Conditions
  • Centria's office hours are Monday through Friday from 8:30 AM - 6:00
  • Additional time or occasional shift in schedule may be required to complete the above work or meet company
  • Overtime is not a planned part of this role; if required, overtime must be pre-approved in writing by a leader in the department.

Physical Demands

While performing the duties of this job, physical requirements such as bending, reaching, lifting, pushing, or pulling up to 30 pounds may be required. This role will require sitting most ofthe day as well as walking and standing periodically. This role may require close visual acuity on computer screens or monitors and the ability to analyze data and figures on a screen.

We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, Veteran status, or disability status. This job description is not intended to be an exhaustive list of qualifications, skills, efforts, duties, responsibilities, or working conditions associated with the position. Centria reserves the right to amend this job description at any time, with or without written notice.

  • Clinical Informatics Specialist/Registered Nurse, RN

    4 weeks ago

    Farmington, United States Maine Medical Center Full time

    Description MaineHealth CorporateProfessional - ClinicalReq #: 9048 For a limited time, MaineHealth is offering up to $10,000 Sign-on bonus for all eligible Registered Nurses with 1-2 years of experience and $20,000 for experienced Registered Nurses with greater than 2 years of experience! o Eligible candidates are hired (offer accepted) into a Full or...

  • Behavior Technician Onboarding Specialist

    2 weeks ago

    Farmington Hills, Michigan, United States Centria Healthcare Full time

    Company OverviewCentria Healthcare is a leading provider of autism services, committed to helping children with Autism Spectrum Disorder (ASD) achieve their full potential. With a strong focus on quality and family satisfaction, our team works tirelessly to develop innovative approaches to supporting individuals with autism.About the RoleThis role is...

  • Clinical Care Specialist

    4 hours ago

    Farmington, New Mexico, United States Protouch Staffing Full time

    Clinical Care SpecialistEstimated Salary: $73,000 - $92,000 per yearAbout the RoleWe are seeking a skilled Clinical Care Specialist to join our team at Protouch Staffing in Farmington, NM. This is a full-time opportunity with a competitive benefits package and sign-on bonus.Key ResponsibilitiesProvide high-quality patient care in the Emergency...

  • Clinical Coordinator Specialist

    17 hours ago

    Farmington, Connecticut, United States Bastion Health Full time

    Job OverviewBastion Health is seeking a skilled Clinical Care and Health Coaching Specialist to join our team. This role involves coordinating and managing patient care within a healthcare setting, fostering meaningful relationships with patients, families, physicians, and fellow healthcare professionals.

  • Clinical Psychiatric Specialist

    2 weeks ago

    Farmington, Connecticut, United States Cambridge Medical Professionals Full time

    Job DescriptionWe are seeking a skilled Clinical Psychiatric Specialist to join our team at Cambridge Medical Professionals. This is an exciting opportunity for a dedicated professional to provide exceptional care and services to patients in various settings.Key ResponsibilitiesConduct geropsychiatry assessments and develop treatment plans for elderly...

  • Travel Nurse RN Specialist

    3 weeks ago

    Farmington, Connecticut, United States ARMStaffing Full time

    Company Overview:ARMStaffing is a leading healthcare staffing agency dedicated to providing top-notch nurses to medical facilities across the country.Salary: The estimated salary for this position ranges from $120,000 to $180,000 per year, depending on location and experience.Job Description:We are seeking an experienced RN - CVOR nurse to join our team in...

  • Clinical Liaison Specialist

    1 day ago

    Farmington, Michigan, United States FC Compassus LLC Full time

    About FC Compassus LLC">FC Compassus LLC is a leading healthcare provider that offers comprehensive hospice care services. As a Clinical Liaison Specialist, you will play a crucial role in promoting our company's philosophy and values.">Key Responsibilities:Develop and maintain relationships with community partners, hospitals, and facilities to drive growth...

  • Clinical Telehealth Specialist

    2 weeks ago

    Farmington, Maine, United States The Fortus Group, Inc. Full time

    Job SummaryThe Fortus Group, Inc. is seeking a skilled Clinical Telehealth Specialist to provide high-quality patient care using telehealth technology in Farmington, ME.This role requires collaboration with healthcare teams to deliver effective patient care and communicate effectively with patients and families to understand their needs and...

  • Clinical Information Systems Specialist

    16 hours ago

    Farmington, Maine, United States Maine Health Full time

    About the RoleAs a Clinical Informatics Specialist/Registered Nurse, RN at MaineHealth, you will be responsible for integrating healthcare science, computer science, and information science to analyze, plan, develop, train, implement, evaluate, and maintain Clinical Information Systems across the organization. Additionally, you will plan, develop, implement,...

  • Pharmacy Clinical Specialist

    1 day ago

    Farmington, Michigan, United States Ascension Full time

    As a Pharmacy Clinical Specialist at Ascension, you will be an integral part of our team, working in specialized areas such as nuclear medicine, oncology, and cardiology. Your primary responsibility will be to ensure the accurate selection, dosing, administering, and dispensing of medication orders.You will serve as a subject matter expert in pharmacy...

  • Clinical Travel Nurse CVOR Specialist

    2 weeks ago

    Farmington, Connecticut, United States GetMed Staffing, Inc. Full time

    GetMed Staffing, Inc. is a leading healthcare recruiter specializing in travel nursing assignments. We are currently seeking an experienced Clinical Travel Nurse CVOR Specialist to join our team for a 13-week assignment in Connecticut.About the AssignmentThis exciting opportunity allows you to gain diverse experiences while working as a travel nurse RN CVOR....

  • Clinical Nurse Specialist

    2 weeks ago

    Farmington, Michigan, United States BJC HealthCare Full time

    Job OverviewWe are seeking a highly skilled Clinical Nurse Specialist to join our Med Surgical Unit at Parkland Health Center, a part of BJC HealthCare. This is an exciting opportunity for a dedicated nurse to take on a leadership role and make a meaningful impact on patient care.About the RoleAs a Clinical Nurse Specialist, you will be responsible for...

  • Clinical Nurse Specialist

    3 days ago

    Farmington, Michigan, United States Corewell Health Full time

    Are you ready to take your nursing career to the next level? Join us at Corewell Health as a Clinical Nurse Specialist and become an integral part of our dynamic team! As a leader in patient care, you will be responsible for developing and implementing evidence-based practice guidelines to improve patient outcomes.About the JobThis is a part-time evening...

  • Clinical Specialist in Rehabilitation Care

    2 weeks ago

    Farmington, Maine, United States LRS Healthcare - Lab Full time

    About the JobLRS Healthcare - Lab is seeking a dedicated Clinical Specialist in Rehabilitation Care for a 13-week assignment in Farmington, Maine.Job SummaryWe are looking for a skilled Physical Therapist to join our team and provide high-quality care to patients. As a travel therapist, you will have the opportunity to work with diverse patient populations...

  • Travel Physical Therapist Specialist

    3 weeks ago

    Farmington, Michigan, United States CompHealth Inc. Full time

    CompHealth Inc. is a leading healthcare staffing agency with 45 years of experience.We're seeking a skilled Physical Therapist to join our team for a 13-week assignment in Farmington, Maine.This opportunity promises to be one of your favorites if you enjoy working in Northern New England, adult settings, and collaborating with a wonderful clinical...

  • Clinical Nurse Specialist in Acute Dialysis

    4 days ago

    Farmington, Michigan, United States DAVITA Full time

    About DaVitaAt DaVita, we strive to be a community first and a company second. We want all teammates to experience DaVita as 'a place where I belong.' Our goal is to embed Diversity & Belonging into everything we do in our Village, so that it becomes part of who we are.We believe that every individual can make a difference in the lives of others. As an equal...

  • Perinatal Specialist

    2 weeks ago

    Farmington, Maine, United States Weatherby Healthcare. Full time

    At Weatherby Healthcare, we're committed to helping you build a fulfilling career as a Perinatal Specialist. With multiple positions available, you can choose the path that best suits your goals.We require our Perinatal Specialists to have an active state license and BLS certification. The ideal candidate will be able to work in a fast-paced environment,...

  • Travel Nurse Case Management Specialist

    2 weeks ago

    Farmington, New Mexico, United States Travel Nurses, Inc. Full time

    We are seeking a skilled and dedicated Case Management RN to join our team in Farmington, New Mexico. This 13-week contract requires a nurse with 1-2 years of recent experience in case management and the ability to be flexible and adaptable in new environments.About the RoleThis is a travel nursing opportunity that offers a competitive salary, including a...

  • Clinical Utilization Management Specialist

    3 weeks ago

    Farmington, Michigan, United States San Juan Regional Medical Center Full time

    Job Title: Clinical Utilization Management Specialist - Travel RNWe are seeking a skilled Travel Nurse RN to join our team at San Juan Regional Medical Center. This is an exciting opportunity to work in the beautiful Four Corners region of New Mexico, Arizona, Colorado, and Utah.About Our Hospital:San Juan Regional Medical Center is a leading healthcare...

  • Travel Nurse

    2 weeks ago

    Farmington, NM, United States Travel Nurses, Inc. Full time

    Travel Nurses, Inc. is seeking a travel nurse RN PCU - Progressive Care Unit for a travel nursing job in Farmington, New Mexico. Job Description & Requirements ~ Specialty: PCU - Progressive Care Unit ~ Discipline: RN ~ Duration: 13 weeks ~36 hours per week ~ Shift: 12 hours, nights ~ Employment Type: Travel Job Description We are looking for...