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MEDICAL STAFF CREDENTIALING COORDINATOR- FULL TIME - DAY

JFK Johnson Rehabilitation Institute
Neptune, NJ Full Time
POSTED ON 4/15/2025
AVAILABLE BEFORE 5/12/2025
Medical Staff Credentialing Coordinator- Full Time - Day

JERSEY SHORE UNIVERSITY MEDICAL CENTER Borough of Neptune City, New Jersey

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  • Requisition # 2024-154638
  • ShiftDay
  • StatusFull Time with Benefits

Overview

“Our team members are the heart of what makes us better. At Hackensack Meridian Health we help our patients live better, healthier lives — and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It’s also about how we support one another and how we show up for our community. Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change.”

Come join our Amazing team here at Hackensack Meridian Health! We offer EXCELLENT benefits, Scheduling Flexibility, Tuition Reimbursement, Employee Discounts and much more!!

The Medical Staff Credentialing Coordinator will complete the credentialing process from initial contact with the applicant through their final appointment to the Medical and Dental Staff in compliance with its Constitution and Bylaws and Rules and Regulations, as well as with the appropriate accrediting and regulatory agencies. Credentialing Coordinator is the front line person for ensuring that we have the most qualified providers for patient safety. This position is fully On-Site, located at our Jersey Shore University Medical Center location Monday - Friday.

Responsibilities

A day in the life of a Medical Staff Credentialing Coordinator at Hackensack Meridian Health includes:

  • Monitors the initial appointment process for the Medical Staff ensuring compliance with regulatory bodies (The Joint Commission, CMS, federal and state), as well as the Medical Staff Constitution and Bylaws and Rules and Regulations.
  • Coordinates and monitors the review and analysis of practitioner applications and accompanying documents, ensuring applicant eligibility.
  • Completes thorough background investigation, research and primary source verification.
  • Identifies issues that require additional investigation and evaluation, validates discrepancies and ensures appropriate follow up.
  • In accordance with TJC standards, prepares the Focused Practice Professional Evaluation (FPPE) Plan with the Section Chief and or Department Chair.
  • Follows up on the FPPE plan to be sure all elements are completed.
  • Prepares credentials file for presentation to the Credentials Committee, flagging any issues the Committee and/or Chairman may need to be alerted to.
  • Works closely with Department Chairs, administrators, physicians and applicants to facilitate resolution of credentialing issues and concerns.
  • Serves as facilitator for the Credentials Committee, meeting with the committee chair to review agenda issues prior to meeting.
  • Assigns reviewers for each applicant prior to Credentials Committee meeting and provides files and material to reviewer. Follows up on any questions reviewer might have, obtaining additional information from applicant or outside sources.
  • Processes requests for privileges, ensuring compliance.
  • In accordance with TJC standards, conducts Ongoing Professional Practice (OPPE) every eight months using Oracle BI or the HMH selected vendor.
  • Follows up on OPPE outliers with the Section Chief and or Department Chair.
  • Responds to inquiries from other healthcare organizations, interfaces with internal and external customers on day-to-day credentialing and privileging issues as they arise.
  • Utilizes credentialing database, optimizing efficiency, and performs query, report and document generation.
  • Documents all actions of the Credentials Committee.
  • Processes all actions following approval by the Board of Trustees.
  • Processes temporary privileges for new staff members.
  • Completes and submits SMS for temporary privileges, resignations, status changes, new access etc.
  • Assists applicants and their departments with leaves of absence and resignations.
  • Assists with onboarding for new members of the medical staff.
  • Reviews Sanction sites for practitioner license/managed care actions.
  • Covers for Medical Staff Specialist-Reappointments when needed.
  • Assists with numerous physician social and administrative functions hosted by the medical center.
  • Performs other duties/projects as required.
  • Adheres to HMH Organizational competencies and standards of behavior.

Qualifications

Education, Knowledge, Skills and Abilities Required:

  • Two years credentialing experience in a Medical Staff Office with knowledge of medical credentialing and privileging procedures and standards, as well as knowledge of related accreditation and certification requirements.
  • Demonstrates reliability, tactfulness, honesty and discretion.
  • Demonstrates attention to detail and be able to prioritize multiple tasks.
  • Adapts to work schedules and frequent interruptions by demonstrating the ability to be flexible.
  • Demonstrates exemplary organizational skills while setting appropriate priorities.
  • Ability to communicate effectively, both orally and in writing.
  • Demonstrates exemplary communication skills.
  • Exemplifies excellent customer service skills.
  • Demonstrates critical thinking and problem solving skills.
  • Excellent written and verbal communication skills.
  • Proficient computer skills including but not limited to Microsoft Office and Google Suite platforms.

Education, Knowledge, Skills And Abilities Preferred

  • Associate's degree or equivalent experience
  • Knowledge of ECHO credentialing software

Licenses And Certifications Preferred

  • NAMSS certification as a Certified Professional Medical Services Management (CPMSM) or Certified Provider Credentialing Specialist (CPCS)

HACKENSACK MERIDIAN HEALTH (HMH) IS AN EQUAL OPPORTUNITY EMPLOYER

All qualified applicants will receive consideration for employment without regard to age, race, color, creed, religion, sex, sexual orientation, gender identity or expression, pregnancy, breastfeeding, genetic information, refusal to submit to a genetic test or make available to an employer the results of a genetic test, atypical hereditary cellular or blood trait, national origin, nationality, ancestry, disability, marital status, liability for military service, or status as a protected veteran.

Our Network

Hackensack Meridian Health (HMH) is a Mandatory Influenza Vaccination Facility

As a courtesy to assist you in your job search, we would like to send your resume to other areas of our Hackensack Meridian Health network who may have current openings that fit your skills and experience.

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Awards We’ve Received

2023

US News & World Report 2023

  • HUMC - #1 Hospital in NJ & #5 in NY Metro Area

2023

US News & World Report 2023

  • Joseph M. Sanzari Children’s Hospital - #1 Children’s Hospital in NJ

2023

US News & World Report 2023

  • JSUMC - #6 Hospital in NJ

2022

2023

2023 & 2022 Magnet Designations

for 9 HMH Institutions

2022

Newsweek 2022 Best Hospitals USA

  • HUMC - #57

2022

Newsweek 2022 America’s Best Addiction Treatment Centers

Blake Recovery Center at Carrier Clinic - #2

2023

Diversity Inc. 2023

Top Hospital and Health Systems

2022

Becker’s Hospital Review 2022

  • Top Places to Work in Healthcare

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WE KEEP GETTING BETTER

At Hackensack Meridian Health, we help our patients live better, healthier lives – and we help one another succeed. Here, competitive benefits are just the beginning. It’s also about how our team members support one another and how we show up for our community. Together, we’re ready to transform health care and advance our mission to serve as a leader of positive change.

Join us and let’s keep getting better together.

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Medical Staff Credentialing Coordinator- Full Time - Day

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