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8 Credentialing Specialist jobs match your search criteria.

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Job Description: Credentialing Specialist Credentialing Specialist Location: Brooklyn, NY Salary:  Experience: 1.0 year(s) Job Type: Temporary / Consulting Job ID: U1014549       About the Opportunity An established healthcare company located in Brooklyn is actively seeking a self-motivated and diligent professional, with a proven Credentialing background, for a promising Specialist role on their staff. In this role, the Credentialing Specialist will be an intergral member of the facility's credentialing team. Apply today! Company Description Healthcare Facility Job Description The Credentialing Specialist will be responsible for: Maintaining compliance with regulatory and accrediting bodies Participating in the development and implementation of credentialing processes and procedures Credentialing of physicians and allied health professionals Collecting and maintaining an accurate practitioner database and analyzing verifications Required Skills High school diploma or equivalent 1-2 years of credentialing experience Demonstrated proficiency in data entry, Microsoft Word and Excel Proficient in credentialing software, e.g. Cactus, IntelliSoft, Vistar, and Morrisey Knowledge of hospital functions and medical terminology Strong organizational skills Excellent oral and written communication skills Strong interpersonal skills Desired Skills College degree 5 years of hospital credentialing experience

Job Description: Credentialing Specialist Credentialing Specialist Location: Hartford County, CT Salary:  Experience: 1.0 year(s) Job Type: Temporary / Consulting Job ID: U1009083       About the Opportunity A premier healthcare provider headquartered in the Greater Hartford Area is actively seeking a self-motivated and diligent Credentialing Specialist for a promising opportunity on their staff. This is an excellent opportunity for a qualified candidate to advance their career with a widely respected healthcare provider located in Connecticut. Apply today! Company Description Healthcare Provider Job Description The Credentialing Specialist will be responsible for: Timely collection of credentialing and application information in provider files Credentialing new physicians as they are added to the network Reviewing all required documents to ensure compliance is necessary Completing other tasks as necessary Required Skills 1 year of previous medical staff credentialing experience Demonstrated knowledge of credentialing procedures, policies and terminology Strong proficiency in Microsoft Office Suite Excellent verbal and written communication skills Proficient in Microsoft Office Detail-oriented Highly organized Desired Skills Strong analytical and problem-solving skills

Job Description: Credentialing Specialist Credentialing Specialist Location: Farmington, CT Salary:  Experience: 2. year(s) Job Type: Temporary / Consulting Job ID: U1008627       About the Opportunity A Connecticut-based healthcare company is looking to fill an immediate need with the addition of a new Credentialing Coordinator to their staff. In this role, the Credentialing Coordinator will be responsible for ensuring that the credentialing / re-credentialing process of practitioners and Health Delivery Organizations (HDO) is carried out efficiently and effectively to meet State and Federal standards, and in accordance with NCQA and Corporate policies. Apply today! Company Description Healthcare Company Job Description The Credentialing Coordinator will be responsible for: Establishing and maintaining a system for timely processing of credentialing and re-credentialing files in accordance with the company, CMS and NCQA policies Ensuring that providers/HDOs on the company's participating panel are in compliance with the company policies and NCQA and state and federal regulatory standards Maintaining current knowledge of NCQA, State and Federal requirements Performing data entry in and maintaining currency of the database for tracking practitioner / HDO credentialing and re-credentialing information Initiating and conducting primary source verification of provider credentials Reviewing credentialing and re-credentialing applications against CCI credentialing standards to determine if candidates are appropriate for the company's practitioner panel and processes applications accordingly Assembling all verified information and prepares files for presentation to the Medical Director and/or the company's Quality Improvement Committee for approval or recommendation to not credential Maintaining communications with provider offices to promote relationships imperative to process Modifying and designing reports and queries to demonstrate the effectiveness of the credentialing / re-credentialing process Required Skills 2+ years of previous experience in a Health Insurance environment, preferably in provider relations or credentialing Associate's Degree or an equivalent combination of education and experience Computer savvy Working knowledge of Amisys Advanced Solid knowledge of Medical terminology Great interpersonal skills Excellent communication skills (written and verbal) Strong attention to detail Highly organized Able to multitask efficiently and effectively Desired Skills Experience in Provider Relations or Credentialing Knowledge of NCQA and CMS requirements

Job Description: Microbiology Specialist Microbiology Specialist Location: Upstate New York Salary:  Experience: 0.0 year(s) Job Type: Temporary / Consulting Job ID: U1014644       About the Opportunity Bridge Travel Healthcare, a division of The Execu|Search Group specializing in travel healthcare, has multiple opportunities for Microbiology Specialists looking to work within a hospital setting in the greater New York Area. New graduates are encouraged to apply! Our Bridge Travel Healthcare team specializes in connecting qualified candidates with new opportunities nationwide. Whether you are a new graduate or an experienced professional, we will help guide you through the hiring process to find the opportunity best suited for you.   We also offer a competitive benefits plan that provides our travel professionals with a number of the following benefits and incentives: Free, fully furnished, private housing at leading rental communities within close proximity to the facility Travel reimbursement and tax-free travel allowance to get you to and from your new therapy assignment Lucrative completion & renewal bonus Loyalty and referral program rewards Licensure assistance and reimbursement A comprehensive insurance/health benefits package including medical, dental, and more, starting on day one of employment Continuing education to help you enhance your credentials and stay current in technological and research advances in the healthcare field 24-hour support and personalized service Eligibility for paid time off (PTO) Company Description Bridge Travel Healthcare - A division of The Execu|Search Group Job Description The Microbiology Specialist will ensure exceptional care services are readily accessible to patients at all times. Required Skills Bachelor's Degree in Laboratory Science New York State Clinical Laboratory Technologist License 1 year of training in an approved Medical Technology program or equivalent as per New York State Department of Health Standards and Laws 0-2 years of experience working within a clinical microbiology laboratory Parasitology, Molecular and Mycobacteriology experience Ability to read, write and communicate in English Strong computer experience Desired Skills Experience in Micro tests 1 year of experience Computer experience

Job Description: Advanced Practice Nurse Advanced Practice Nurse Location: Delray Beach, FL Salary: $50-$60 per hour Experience: 5.0 year(s) Job Type: Temporary / Consulting Job ID: U991231       About the Opportunity A healthcare center in Delray Beach, FL, has an exciting opportunity for a Nurse Practitioner (NP) to join their growing staff. In this role, the Nurse Practitioner will serve as the clinical expert for assigned nursing areas. They will work collaboratively with all healthcare disciplines by utilizing a team approach. Company Description Healthcare Center Job Description The Nurse Practitioner (NP) will: Work collaboratively with medical staff Assist with the treatment of both acute and chronic conditions Ensure continuity between clinical practice and standards of care Facilitate patient preparation for procedures, reaching plan of care goals, and all other patient care initiatives progressing towards discharge Required Skills Florida ARNP License Master's Degree in Nursing Science with Board Certification through American Nurses Credentialing Center or the Academy of Nurse Practitioners 5+ years of experience in critical care nursing or 1 year of experience as a Nurse Practitioner BLS/ACLS Certification Telemetry proficiency Desired Skills 5+ years as a Nurse Practitioner

Job Description: Utilization Management Specialist Utilization Management Specialist Location: Fort Lauderdale, FL Salary:  Experience: 1. year(s) Job Type: Temporary / Consulting Job ID: U1009554       About the Opportunity A Florida-based healthcare company is looking to fill an immediate need with the addition of a new Utilization Management Specialist to their growing staff. In this role, the Utilization Management Specialist will be responsible for calling in clinical information to obtain authorizations from insurance carriers for services provided for client's patients. Apply today! Company Description Healthcare Company Job Description The Utilization Management Specialist will be responsible for: Obtaining pre-certification and continued stay authorizations on behalf of the patient and provider, using American Society of Addiction Medicine (ASAM) criteria to review clinical information with insurance companies Performing “peer to peer” reviews and appeals with insurance company Doctors / Medical or Clinical Directors Communicating authorization information Required Skills 1+ year of related experience Bachelor's Degree in a related field or a CAP or CAC (Florida Certification Board addiction professional credentials) Solid assessment and documentation skills Patient oriented Great interpersonal skills Excellent communication skills (written and verbal) Strong attention to detail Highly organized Able to multitask efficiently and effectively Desired Skills Familiarity with ASAM criteria, Substance Abuse treatment, and HIPAA

Job Description: Inpatient Coder Inpatient Coder Location: Bridgeport, CT Salary:  Experience: 2.0 year(s) Job Type: Temporary / Consulting Job ID: U995867       About the Opportunity A premier healthcare organization in Bridgeport is looking for a Inpatient Coder to join their growing team. This is an immediate, full-time opportunity for the right candidate to continue to their career with one of the fastest growing medical centers in Connecticut. Company Description Healthcare Organization Job Description The Inpatient Coder will be responsible for: Reviewing all patient files for accuracy Coding all necessary information into the computer system so that the records will indicate all relevant data, such as: the reason that the patient was admitted; type of illness; and, breakdown of the treatment that was prescribed and received Other duties as needed Required Skills 1+ year of Inpatient Coding experience Certified Coding Specialist (CCS) credentials Computer savvy Data entry experience Solid analytical and research experience Great interpersonal skills Excellent communication skills (written and verbal) Strong attention to detail Highly organized

Job Description: Travel Behavioral Health Nurse (RN) Travel Behavioral Health Nurse (RN) Location: Camp Hill, PA Salary:  Experience: 2.0 year(s) Job Type: Temporary / Consulting Job ID: U1016150       About the Opportunity Travel Healthcare, a division of The Execu|Search Group specializing in travel healthcare, has an exciting opportunity for behavioral health Registered Nurse (RN) looking to work in Pennsylvania. Our Travel Healthcare team specializes in connecting qualified candidates with new opportunities nationwide. Whether you are a new graduate or an experienced professional, we will guide you through the hiring process and help you find the opportunity best suited for you.   We also offer a competitive benefits plan that provides our travel professionals with a number of the following benefits and incentives: Free, fully furnished, private housing at leading rental communities within close proximity to the facility Travel reimbursement and tax-free travel allowance to get you to and from your new therapy assignment Lucrative completion & renewal bonus Loyalty and referral program rewards Licensure assistance and reimbursement A comprehensive insurance/health benefits package including medical, dental, and more, starting on day one of employment Continuing education to help you enhance your credentials and stay current in technological and research advances in the healthcare field 24-hour support and personalized service Eligibility for paid time off (PTO) Inquire today to learn more about benefits and sponsorships! Company Description Travel Healthcare - A division of The Execu|Search Group Job Description If you have ever considered traveling for work, or are currently a traveler, this is an opportunity to work in the beautiful Pennsylvania, where gorgeous green scenery is just as enjoyable as the famous and exciting cities of Philadelphia and Pittsburgh. No matter what your lifestyle, there’s something for you in Pennsylvania—from historic icons like the Liberty Bell and the Gettysburg National Park to the entertaining Hershey Park. This is a full-time opportunity working within the Behavioral Health Unit of an affiliated hospital in Camp Hill, PA. The Nurse will follow a multidisciplinary approach to care and work closely with therapists, social workers, physicians and peer support specialists. Registered nurses will have a great deal of autonomy. The ideal nurse must have at least one year of prior behavioral health experience. This opportunity is available to both local and travel nurses. Learn more! Required Skills Active Pennsylvania State Registered Nurse license 2 years of prior Behavioral Health experience BLS certification Strong clinical skills and knowledge Excellent communication skills Patient-oriented Ability to multitask

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