Assistant Director

2 days ago

Red Bank, New Jersey, United States Physicians Practice Enhancement LLC Full time
Job Summary

We are seeking a highly skilled Assistant Director to join our provider enrollment and credentialing team at Physicians Practice Enhancement LLC.

The successful candidate will work closely with the Director of Operations to coordinate and supervise the work of all employees, ensuring the smooth operation of our business activities.

The Assistant Director will be responsible for administering the physician and mid-level payer enrollment and hospital privilege credentialing applications process, preparing and submitting credentialing applications and supporting documentation, and tracking the progress of all pending applications.

Key Responsibilities:

  • Assist in departmental work queues and tracking reports to ensure timely submission of credentialing documents
  • Screening practitioners' applications and supporting documentation to ascertain their eligibility
  • Collecting information from the National Practitioner Data Bank (NPDB), the applicant and their malpractice insurer, and other Primary Source Verifications
  • Ensuring all information is entered in our data system accurately and in a timely manner
  • Assist with NCQA recertification process
  • Develop and implement standardized guidelines
  • Provide leadership, training, and review credentialing to assist in the evaluation performance of credentialing leads and specialists
  • Manage, identify, research, resolve, and report any issues involving daily workflow and quality of work to the Director of Operations
  • Work with Director of Operations to ensure compliance guidelines are established consistently throughout the organization
  • Participate in and/or support the Orientation of newly hired staff members
  • Maintain both internal and external customer and client relationships as required and manage expectations related to the performance of deliverables and non-standard issue resolution
  • Maintain compliance with Federal and State regulations
  • Assist in conducting weekly, bi-weekly, monthly credentialing calls with clients and team members
  • Budget Management for department
  • Process Improvement for department
  • Assist in training of new hire staff
  • Oversee credentialing data needed for onboarding, contracting, and other related purposes
  • Work closely with providers and practice managers to obtain missing documentation pertaining to the onboarding and reappointment process
  • Maintain provider information and demographics for all providers
  • Respond to internal and external inquiries on routine credentialing and contracting matters
  • Monitor and advise clients on expirations including but not limited to: Medical License, DEA, CDS, COI, Board Certification
  • Maintain quarterly health plan rosters
  • Create and maintain provider CAQH
  • Maintain workflow processes for all commercial and government payors

Requirements:

  • Credentialing: 7 years (Preferred)
  • Provider Enrollment: 7 years (Preferred)
  • Microsoft suites (Excel, Outlook) 5 years (Preferred)
  • Managed Health Plan Provider Enrollment: 3 years (Preferred)
  • Leadership: 3 years (Preferred)
  • National Committee for Quality Assurance (NCQA) Standards, state regulations, and Joint Commission on Accreditation of Healthcare Organizations (JCAHO) standards (Preferred)
  • Credential Stream platform
  • PECOS: 5 years (preferred)

  • Assistant Director

    2 weeks ago

    Red Bank, New Jersey, United States Physicians Practice Enhancement LLC Full time

    Job Title: Assistant DirectorWe are seeking an experienced Assistant Director to join our provider enrollment and credentialing team at Physicians Practice Enhancement LLC.Job SummaryThe Assistant Director will work closely with the Director of Operations to coordinate and supervise the work of all employees. This role requires strong leadership and...

  • Health and Wellness Director

    4 weeks ago

    Red Bank, New Jersey, United States Mira Vie at Tinton Falls Full time

    Job Title: Director of Health and WellnessWe are seeking a highly skilled and compassionate Director of Health and Wellness to join our team at Mira Vie at Tinton Falls. As a key member of our community, you will be responsible for overseeing the health and wellbeing of our residents, ensuring their needs are met, and providing exceptional...

  • Nursing Director

    3 days ago

    Red Bank, New Jersey, United States Incredible Health Full time

    Incredible Health is actively hiring for a Director of Nursing position in the Red Bank, NJ area. The ideal candidate will have experience in nursing leadership and a strong background in operating room nursing. Responsibilities include leading a team of nurses, managing patient care, and ensuring high-quality patient outcomes. The successful candidate will...

  • Director of Affordable Housing Development and Management

    4 weeks ago

    Red Bank, New Jersey, United States HABcore Inc. Full time

    Job SummaryThe Director of Property Development and Management will oversee the development and management of affordable housing projects, ensuring compliance with regulations and efficient use of resources. This role requires strong leadership skills, experience in project management, and knowledge of affordable housing finance and development processes.The...

  • Director, Casualty Claims Management

    4 weeks ago

    Red Bank, New Jersey, United States Markel Full time

    Job SummaryWe are seeking a highly skilled and experienced Director, Casualty Claims to oversee and direct multiple teams of casualty claims managers and executive claims specialists. The successful candidate will be responsible for the resolution of claims within the casualty claims division, conveying the organization's objectives and priorities to staff,...

  • Director, Casualty Claims Management

    4 weeks ago

    Red Bank, New Jersey, United States Markel Full time

    Job SummaryWe are seeking a highly skilled and experienced Director, Casualty Claims to oversee and direct multiple teams of casualty claims managers and executive claims specialists. The successful candidate will be responsible for the resolution of claims within the casualty claims division, conveying the organization's objectives and priorities to staff,...

  • Maintenance Associate

    1 month ago

    Red Bank, New Jersey, United States Arbor Terrace Shrewsbury Full time

    Arbor Terrace Shrewsbury is seeking a skilled Maintenance Assistant to join our team. As a Maintenance Assistant, you will play a vital role in ensuring the upkeep and maintenance of our community. Your responsibilities will include painting and making small repairs to get empty apartments ready for new residents, supporting the Maintenance Director with...

  • Nurse Manager

    3 days ago

    Red Bank, New Jersey, United States Incredible Health Full time

    Incredible Health is actively hiring for a Registered Nurse position in the Red Bank, NJ area. The successful candidate will serve as a Telemetry Assistant Manager, overseeing a team of nurses and ensuring high-quality patient care. Key responsibilities include: * Managing a team of nurses in a fast-paced hospital environment * Coordinating patient care and...

  • Respiratory Therapist

    9 minutes ago

    Red Bank, New Jersey, United States Hackensack Meridian Health Full time

    Job Summary:As a Registered Respiratory Therapist at Hackensack Meridian Health, you will play a vital role in providing high-quality respiratory care to our patients. Under the supervision of the Director of Respiratory Services, Technical Supervisor, Shift Supervisors, you will be responsible for administering all aspects of Respiratory Care Therapy and...

  • Speech Language Pathologist

    4 weeks ago

    Red Bank, New Jersey, United States RedBank Center for Rehabilitation and Healing Full time

    Speech Language Pathologist Job SummaryWe are seeking a highly skilled Speech Language Pathologist to join our team at Red Bank Center for Rehabilitation and Healing. As a Speech Language Pathologist, you will play a critical role in providing diagnostic and therapeutic services to evaluate, treat, and document care for residents with impaired ability to...

  • Licensed Practical Nurse

    3 weeks ago

    Red Bank, New Jersey, United States Mira Vie at Tinton Falls Full time

    Job Title: Licensed Practical NurseWe are seeking a skilled Licensed Practical Nurse (LPN) to join our team at Mira Vie at Tinton Falls. As a LPN, you will play a vital role in providing high-quality care to our residents.Job Summary:The LPN/LVN is responsible for assessing resident health status, developing care plans, and providing hands-on care and...

  • Speech Language Pathologist

    3 weeks ago

    Red Bank, New Jersey, United States RedBank Center for Rehabilitation and Healing Full time

    Speech Language Pathologist Job SummaryRed Bank Center for Rehabilitation and Healing is seeking a skilled Speech Language Pathologist to join our team. As a Speech Language Pathologist, you will play a vital role in providing diagnostic and therapeutic services to evaluate, treat, and document care for residents with impaired ability to swallow or...

  • Resident Experience Coordinator

    4 weeks ago

    Red Bank, New Jersey, United States Mira Vie at Tinton Falls Full time

    Job Title: Resident Experience CoordinatorWe are seeking a highly motivated and organized Resident Experience Coordinator to join our team at Mira Vie at Tinton Falls. As a key member of our community, you will be responsible for creating a welcoming and engaging environment for our residents.Job SummaryThe Resident Experience Coordinator will be responsible...

  • Local Contract Nurse RN

    3 days ago

    Red Bank, New Jersey, United States Nurses 247 Full time

    Job Title: MedSurgTele RN Medical Surgical Telemetry NurseNurses 24/7 is seeking a skilled MedSurg-Tele Nurse for a local contract nursing job in New Jersey.Job RequirementsSpecialty: Med Surg / TelemetryDiscipline: RNDuration: 12 weeksShift: 12 hours, nightsEmployment Type: Local ContractNurses 24/7 offers a competitive compensation package, including great...

  • Travel Nurse RN

    3 days ago

    Red Bank, New Jersey, United States Nurses 247 Full time

    Job Title: MedSurgTele RN Medical Surgical Telemetry NurseNurses 24/7 is seeking a skilled Medical Surgical Telemetry Nurse to join our team for a 12-week assignment in Red Bank, New Jersey.Job Description & RequirementsSpecialty: Med Surg / TelemetryDiscipline: RNDuration: 12 weeks36 hours per weekShift: 12 hours, nightsEmployment Type: TravelNurses 24/7...

  • Respiratory Therapist

    2 weeks ago

    Red Bank, New Jersey, United States Hackensack Meridian Health Full time

    Job Title: Registered Respiratory TherapistHackensack Meridian Health is seeking a skilled Registered Respiratory Therapist to join our team. As a key member of our healthcare team, you will be responsible for providing high-quality respiratory care to patients in both critical and non-critical areas.Responsibilities:Assist in the diagnosis, treatment, and...

  • Respiratory Therapist

    4 weeks ago

    Red Bank, New Jersey, United States Hackensack Meridian Health Full time

    Job Title: Registered Respiratory TherapistAt Hackensack Meridian Health, we are seeking a highly skilled Registered Respiratory Therapist to join our team. As a key member of our respiratory care team, you will be responsible for providing high-quality patient care and support in our Pulmonary Rehab and PFT departments.Responsibilities:Assist in the...

  • Respiratory Therapist

    3 weeks ago

    Red Bank, New Jersey, United States Hackensack Meridian Health Full time

    OverviewAt Hackensack Meridian Health, we're committed to delivering exceptional patient care and fostering a culture of connection and collaboration. Our team members are the heart of what makes us better, and we're seeking a skilled Registered Respiratory Therapist to join our team.ResponsibilitiesAssist in the diagnosis, treatment, and management of...

  • Respiratory Therapist

    3 weeks ago

    Red Bank, New Jersey, United States Hackensack Meridian Health Full time

    Job Title: Registered Respiratory TherapistAt Hackensack Meridian Health, we are seeking a highly skilled Registered Respiratory Therapist to join our team. As a key member of our healthcare team, you will be responsible for providing and administering all aspects of Respiratory Care Therapy and supportive equipment to patients with pulmonary...

  • Quality Improvement Specialist

    3 weeks ago

    Red Bank, New Jersey, United States Hackensack Meridian Health Full time

    Job Title: Quality Improvement SpecialistAt Hackensack Meridian Health, we are committed to delivering exceptional patient care and improving the quality of our services. We are seeking a highly skilled Quality Improvement Specialist to join our team.About the RoleThe Quality Improvement Specialist will work closely with our Regional Chief Quality & Safety...