ADVANCED PRACTICE PROVIDER CREDENTIALING SPECIALIST - MEDICAL STAFF SERVICES Job Number: 00121506
Job Posting: Nov 28, 2018, 7:23:02 PM Closing Date: Dec 13, 2018, 5:59:00 AM Full-time Shift Start Time: 8:30 A.M. Shift End Time: 4:30 P.M.
Posting Salary : COMPETITIVE
Organization: Health and Hospital Systems
The Advanced Practice Provider Credentialing Specialist coordinates and processes health system physician and advanced practice provider (APP) initial appointments and reappointments, in accordance with Cook County Health & Hospitals System (CCHHS) policies and procedures, for practitioners located throughout CCHHS. Adheres to the organization's Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards.
· Ensures the completeness of the initial appointment and reappointment process by conducting primary source verification as applicable for licensure, education, training, affiliations, specialty board certifications, hospital affiliations and malpractice history. All applications are reviewed as required by department policies, the Medical Staff Bylaws, Rules and Regulations.
· Obtains, complies, maintains current and accurate data supporting the credentialing process
· Supports the CCHHS APP Committee: preparing agenda items, reports, record keeping, minutes etc.
· Plans and supports the APP Peer Review special meetings as required.
· Ensures a complete Collaborative and/or Supervision agreement, including tracking individual additional agreements and privileges with supervision ratio not to exceed CCHHS limitations.
· Monitors license and certification expiration to ensure timely renewals.
· Tracks compliance with Illinois Department of Professional and Federal Regulation (IDPFR) and CCHHS policies for practitioner delegated prescriptive authority.
· Tracks and monitors all Focused Professional Practice Evaluation (FPPE) and Ongoing Professional Practice Evaluation (OPPE); flagging triggers as applicable.
· High School diploma or GED ( provide at time of interview)
· Five (5) years of work experience in provider credentialing
· Three (3) years of work experience supporting a hospital medical staff Credentials Committee or subcommittee
· Two (2) years of work experience in an healthcare or managed care industry
· One (1) year of work experience with the National Committee on Quality Assurance (NCQA) and/or The Joint Commission
· Prior work experience using medical terminology
· Proficiency using Morrisey's MSO for the Web (MSOW) credentialing software product
· Intermediate proficiency with Microsoft Office Suite applications including Word and Excel
· Bachelor's degree from an accredited college or university
· Certification in Medical or Provider Credentialing OR current enrollment in a nationally recognized credentialing program i.e. Certified Provider Credentialing Specialist (CPCS) or Certified Professional Medical Services Management (CPMSM)
Knowledge, Skills, Abilities and Other Characteristics
· Knowledge of National Committee on Quality Assurance (NCQA) and The Joint Commission standards
· Must have strong interpersonal skills and the ability to communicate effectively with physicians, administrators, and CCHHS departments/staff throughout the health system.
· Demonstrated analytical and organizational, problem-solving, critical thinking, and conflict management/resolution skills
· Ability to maintain a professional demeanor and composure when challenged .
· Ability to maintain confidential information.
When applying for employment with the Cook County Health & Hospitals System, preference is given to honorably discharged Veterans who have served in the Armed Forces of the United States for not less than 6 months of continuous service
To take advantage of this preference a Veteran must :
· Meet the minimum qualifications for the position.
· Identify self as a Veteran on the employment application by answering yes to the question by answering yes to the question,
The Cook County Health & Hospitals System’s mission is to deliver integrated health services with dignity and respect regardless of a patient’s ability to pay; foster partnerships with other health providers and communities to enhance the health of the public; and advocate for policies that promote the physical, mental and social wellbeing of the people of Cook County. CCHHS is comprised of two hospitals, John H. Stroger, Jr. Hospital and Provident Hospital, a robust network of more than a dozen community health centers, the Ruth M. Rothstein CORE Center, the Community Triage Center, the Cook County Department of Public Health, Cermak Health Services, which provides health care to individuals at the Cook County Jail and the Juvenile Temporary Detention Center, and CountyCare, a Medicaid managed care health plan.The system cares for more than 300,000 patients each year and its physicians are experts in their fields, committed to providing their patients with comprehensive, compassionate and cutting-edge care. Today, CCHHS is transforming the provision of health care in Cook County by promoting community-based primary and preventive care, growing an innovative, collaborative health plan and enhancing the patient experience.
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