Vanderbilt University Medical Center Job - 31873942 | CareerArc
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Company: Vanderbilt University Medical Center
Location: Nashville, TN
Career Level: Entry Level
Industries: Healthcare, Pharmaceutical, Biotech

Description

Medical Staff Coordinator (Credentialing) Req# 1912056
JOB SUMMARY:
Completes timely and accurate credentialing and privileging of providers independently. Ensures that credentialing records comply with requirements of regulatory and accrediting agencies including Centers for Medicare/Medicaid Services, the Joint Commission, and the National Committee for Quality Assurance, federal and state laws and delegated credentialing agreements.

KEY RESPONSIBILITIES:

  • Ensures that all individuals credentialed and/or granted clinical privileges are qualified to provide services based upon the scope of their training, licensure and experience.
  • Processes privileging and status change requests through the appropriate services and committees.
  • Performs primary source verification for applicants and competency verification for privileging.
  • Collaborate with personnel in other departments and organizations.
  • Ensures appropriate documentation is maintained and that information is easily retrievable.
  • The responsibilities listed are a general overview of the position and additional duties may be assigned.


TECHNICAL CAPABILITIES:

DISCRETION & PRIVACY - The ability to use and keep information confidential in a secure setting.

DATA ENTRY - The ability to transcribe information from the original source into an electronic system according to written and verbal instructions efficiently and accurately.

ANALYTICAL SKILLS - The process of identifying, evaluating, interpreting and organizing data. It includes sorting through data to identify patterns and establish relationships for decision making.

CVO POLICIES AND PROCEDURES - Knowledge, adherence and application of CVO policies and procedures.

CORE ACCOUNTABILITIES:
  • Organizational Impact: Performs non-routine tasks that significantly impact team's performance with minimal guidance.
  • Problem Solving/ Complexity of work: Conducts research and analysis to solve some non-routine problems.
  • Breadth of Knowledge: Applies broad job knowledge and has basic job skills in other areas.
  • Team Interaction: Provides informal guidance and support to less experienced team members.
Credentialing Department: Vanderbilt Credentialing Services is the Medical Staff Office for Vanderbilt University Medical Center (VUMC). Our work includes Joint Commission and CMS credentialing and privileging for the hospitals and clinics, Credentials Verification Organization (CVO) credentialing for the Vanderbilt Health Affiliated Network (VHAN), Vanderbilt Stallworth Rehabilitation Hospital and Delegated Credentialing for 40+ managed care plans. We enjoy National Committee on Quality Assurance (NCQA) certification as a CVO. Click Here To View The VUMC Promise of Discovery Discover Vanderbilt University Medical Center: Located in Nashville, Tennessee, and operating at a global crossroads of teaching, discovery and patient care, VUMC is a community of individuals who come to work each day with the simple aim of changing the world. It is a place where your expertise will be valued, your knowledge expanded and your abilities challenged. It is a place where your diversity — of culture, thinking, learning and leading — is sought and celebrated. It is a place where employees know they are part of something that is bigger than themselves, take exceptional pride in their work and never settle for what was good enough yesterday. Vanderbilt's mission is to advance health and wellness through preeminent programs in patient care, education, and research. VUMC Recent Accomplishments Because we are committed to providing the best in patient care, education and research, we are proud of our recent accomplishments: VUMC Recent Accomplishments Because we are committed to providing the best in patient care, education and research, we are proud of our recent accomplishments:
  • US News & World Report: #1 Hospital in Tennessee, #1 Health Care Provider in Nashville, #1 Audiology (Bill Wilkerson Center), 9 adult and 9 pediatric clinical specialties ranked among the nation's best, #15 Education and Training
  • Truven Health Analytics: among the top 100 hospitals in the US
  • Becker's Hospital Review: one of the "100 Greatest Hospitals in America"
  • The Leapfrog Group: grade "A" in Hospital Safety Score
  • National Institutes of Health: among the top 10 grant awardees for medical research in the US
  • American Association for the Advancement of Science: 12 faculty members elected fellows in 2014
  • Magnet Recognition Program: Vanderbilt nurses are the only group honored in Middle Tennessee
  • Nashville Business Journal: Middle Tennessee's healthiest employer
  • American Hospital Association: among the 100 "Most Wired" medical systems in the US
*CA



Qualifications


High School Diploma or GED (or equivalent experience) and 4 years relevant experience

Licensure, Certification, and/or Registration (LCR):



    Additional Qualification Information:

    • Credentialing and privileging experience in a hospital setting is required. CPCS or CPMSM Certification can be accepted in lieu of degree.




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