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Clinical Privileging Analyst Senior

Advocate Aurora Health
Milwaukee, WI Full Time
POSTED ON 3/11/2025
AVAILABLE BEFORE 6/12/2025

Department :

10116 Advocate Aurora Health Corporate - Administration : Medical Staff Services

Status : Full time

Benefits Eligible : Hou rs Per Week :

Schedule Details / Additional Information :

Hybrid model with on-site work at St Lukes Medical Center and majority of time remote work. Monday through Fridays generally 8 to 4 : 30. No holidays or weekends.

Responsible for the development and maintenance of clinical privileging criteria. Focus is on the creation of uniform privileging criteria across the unified medical staff. Facilitates maintenance of privilege delineations to assure that they reflect current clinical practices and industry standards. Assists in the development of corresponding privileging evaluation. Serves as a resource for the evaluation of submitted criteria to support a clinician's clinical privilege requests.

Supports in the development, evaluation, and decision making involved with Clinical Privileging.

Works with management and physician leadership to perform environmental surveillance that identifies new requirements or industry trends that may impact methods of operation of the clinical privileging function or internal partners.

Support medical staff services professionals with the evaluation of submitted case logs and supporting documentation provided by clinicians in support of their clinical privilege requests.

Facilitates maintenance of privilege delineation to assure that they reflect current clinical practices and industry standards.

Responsible for liaison and coordination with credentialing / privileging software vendor and information technology, when modification to software set up, operating procedures or management approach are required to optimize operational leverage and business process task integration with the software.

Licenses & Certifications

Credentialing Specialist, Certified Provider (CPCS) issued by the National Association Medical Staff Services (NAMSS), and Registered Nurse license issued by the state in which the team member practices.

Degrees

Bachelor's Degree in Nursing.

Required Functional Experience

Typically requires 5 years of experience in Nursing, medical staff, quality, risk, utilization management, and / or care management.

Knowledge, Skills & Abilities

Ability to interact effectively with leadership and medical staff professionals, internal staff and representatives of public agencies and businesses inspiring confidence and credibility of process and work product. Excellent written and oral communication skills. Demonstrated ability to compose letters, policy statements, procedure manuals and reports on own initiative; ability to organize complex statistical and narrative reports, charts and exhibits into a complete document suitable for publication and distribution. Ability to manage multiple priorities and / or projects and tasks in a fast-paced, dynamic and complex environment. Flexibility to accommodate unstructured situations and changing priorities. Demonstrated ability to handle multiple tasks with short timelines, to prioritize and organize work, and to complete assignments in a timely, accurate manner. Proficiency in software applications to include use of menu driven, word-processing and spreadsheet applications. Extensive experience in Microsoft Word. Ability to edit material and ensure correct punctuation, spelling and grammar. Ability to work independently and use independent judgment. Excellent customer relations skills.

Pay Range

23.65 - $35.50

Our Commitment to You :

Advocate Health offers a comprehensive suite of Total Rewards : benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more - so you can live fully at and away from work, including :

Compensation

  • Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and / or training
  • Premium pay such as shift, on call, and more based on a teammate's job
  • Incentive pay for select positions
  • Opportunity for annual increases based on performance

Benefits and more

  • Paid Time Off programs
  • Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
  • Flexible Spending Accounts for eligible health care and dependent care expenses
  • Family benefits such as adoption assistance and paid parental leave
  • Defined contribution retirement plans with employer match and other financial wellness programs
  • Educational Assistance Program
  • About Advocate Health

    Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation's largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.

    Salary : $6

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