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View salary and benefits informationThe Medical Staff Scheduling and Coverage Coordinator works with clinical and administrative departments to project staffing needs and achieve required staffing levels. Coordinates scheduling and staffing to ensure sufficient staff coverage for all shifts within a healthcare facility. Being a Medical Staff Scheduling and Coverage Coordinator may perform other administrative functions as necessary. Utilizes and maintains staffing scheduling software/programs to schedule shifts, monitor staffing levels, and input related data. In addition, Medical Staff Scheduling and Coverage Coordinator may be more...
Oversees day-to-day activities of staff that process credentialing and recredentialing applications for health care providers. Implements department procedures to facilitate organized and up-to-date provider databases. Administers system for tracking license and certification expirations to ensure renewals are submitted in a timely fashion. Ensures that applications are properly verified and accurately uploaded into an online credentialing database system. Resolves complex questions regarding credentialing or provider database maintenance and best practices. Prepares reports on applications an more...
Coordinates with care providers and plan members with the goal of maximizing member benefits while managing costs. Assesses medical necessity of procedures and/or admissions, conducts pre-certification or authorization, and monitors compliance with established guidelines. Assists members in appeals for denied services. Interprets benefits and guides members to choose to the appropriate providers, projects and resources. Typically requires a bachelor's degree in nursing. Typically reports to a manager. Requires a valid state RN license. Typically requires 3-5 years of related experience. Gains more...
Processes credentialing and recredentialing applications for health care providers. Mails, reviews, and verifies credentialing applications. Loads and maintains provider information in an online credentialing database system. Tracks license and certification expirations for medical staff to ensure timely renewals. Handles and resolves inquiries regarding credentialing information, process, or status. Requires a high school diploma. May require Certified Provider Credentialing Specialist (CPCS). Typically reports to a supervisor. Works under moderate supervision. Gaining or has attained full pr more...
Leads the coordination between care providers and plan members with the goal of maximizing member benefits while managing costs. Oversees the assessment of medical necessity of procedures and/or admissions, conducts pre-certification or authorization, and ensures compliance with established guidelines. Assists members in appeals for denied services. Interprets benefits and guides members to choose to the appropriate providers, projects and resources. Applies the medical and reimbursement policies within the claim adjudication process. Typically requires a bachelor's degree in Nursing. Typicall more...
Responsible for all aspects of the verification process for medical staff incumbents. Provides regulatory oversight and guidance to the credentialing process. Maintains working knowledge and ensures continuing compliance with state, federal, and institutional standards and guidelines. Develops and implements policies and protocols related to medical staff verifications and ensures that the organization and staff are in accordance with organizational and industry standards. Analyzes reports on applications and credential status to identify trends and improve the credentialing process. Presents more...
Manages staff that process credentialing and recredentialing applications for health care providers. Oversees department operations to ensure compliance with all regulatory standards. Implements policies and procedures to ensure that applications are properly verified and accurately uploaded into an online credentialing database system. Analyzes reports on applications and credentialing status to identify trends and improve the credentialing process. Prepares files for the credentialing committee and may act as a liaison to state medical licensure boards regarding the status of license applica more...
The Healthcare Staff Coordinator works with clinical and administrative departments to project staffing needs and achieve required staffing levels. Coordinates scheduling and staffing to ensure sufficient staff coverage for all shifts within a healthcare facility. Being a Healthcare Staff Coordinator may perform other administrative functions as necessary. Utilizes and maintains staffing scheduling software/programs to schedule shifts, monitor staffing levels, and input related data. In addition, Healthcare Staff Coordinator may be responsible for recruiting new staff. Works under moderate sup more...
Processes credentialing and recredentialing applications for health care providers. Mails, reviews, and verifies credentialing applications. Loads and maintains provider information in an online credentialing database system. Tracks license and certification expirations for medical staff to ensure timely renewals. Handles and resolves inquiries regarding credentialing information, process, or status. May provide guidance or expertise to less experienced specialists. Requires a high school diploma. May require Certified Provider Credentialing Specialist (CPCS). Typically reports to a supervisor more...
Coordinates scheduling and staffing to ensure sufficient staff coverage for all shifts within a healthcare facility. Works with clinical and administrative departments to project staffing needs and achieve required staffing levels. Utilizes and maintains staffing scheduling software/programs to schedule shifts, monitor staffing levels, and input related data. May perform other administrative functions as necessary. May be responsible for recruiting new staff. Typically requires a high school diploma. Typically reports to a supervisor or manager. Works under moderate supervision. Gaining or has more...
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