Region Manager Credentialing Verification Office
US-CO-Centennial
mountain-commonspirit_external
Req #: 91455
Type: Full-Time
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Overview: CommonSpirit Health Mountain Region is committed to building healthier communities, advocating for those who are poor and vulnerable, and innovating how and where healing can happen-both inside our hospitals and out in the community. With locations throughout Colorado, Utah, and Kansas, we deliver the same high standard of care to our employees as we do to our patients. Our 20 hospitals, emergency and urgent care centers, home care and hospice, Flight for Life ColoradoTM , telehealth and over 240 physician practices and clinics offer endless opportunities! Here, you can grow your career and impact the people in the communities you serve. CommonSpirit Health is one of the nation's largest nonprofit, faith-based health systems, with a team of over 150,000 employees and 25,000 physicians and advanced practice clinicians. CommonSpirit operates more than 2,200 care sites and 140 hospitals, serving some of the most diverse communities across the nation, letting humankindness lead the way. Responsibilities: You have a purpose, unique talents and now is the time to embrace it, live it and put it to work. We value incredible people with incredible skills - but your commitment to a greater cause is something we value even more. This is the heartbeat of our organization and your time will be spent in a supportive, team environment with resources to help you flourish and leaders who care about your success. Provides oversight, and support to the Region Credentials Verification Office. Responsible for all credentialing verification activities to ensure that processes meet state, federal, and accreditation standards, in addition to responsibilities as delineated in the policies of the Hospital, the Bylaws, Rules & Regulations of the Medical Staff. Serves as the leader for the Department and shall uphold the common values of Collaboration, Justice, Stewardship, and Excellence. Performs other duties as assigned in an effective competent manner. Promotes credentialing staff compliance with regulatory and accreditation agencies by continuously monitoring the operations of the Credentials Verification Office and effectively initiating organizational/system change when needed or required. Applies the principles of continuous quality improvement in delivery of services, through assessment and monitoring of provider files, processes, and data base systems. Implements change as required.Develops and/or updates departmental policies that support and direct organizational practices to ensure compliance. Overall management of the Credentials Verification Office functions including resources, and staff development. Responsible for provisioning new provider access to systems and issue resolution regarding network access. Must be available to guide practitioners through the online application process and clearly communicate requirements. Qualifications: In addition to bringing humankindness to the workplace each day, qualified candidates will need the following: * Minimum of seven (7) years of experience in a Credentialing Verification Office, with at least one (1) year in a supervisory capacity. * Bachelor's degree preferred. In lieu of educational requirements, previous work history and years of experience may be considered. * Certified Professional Medical Services Management (CPMSM) and/or Certified Provider Credentialing Specialist (CPCS) Certification preferred, however will be required to obtain certification within three (3) years. Physical Requirements - Sedentary work - prolonged periods of sitting and exert up to 10 lbs. force occasionally.
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