CarePoint Health System
CarePoint Health is one of New Jersey's leading health care systems comprised of three long-standing and highly-regarded hospitals – Bayonne Medical Center, Christ Hospital, and Hoboken University Medical Center. CarePoint united these three area hospitals to provide 360-degree coordinated care by integrating the medical facilities and physician networks associated with these institutions. With over 4,500 employees, CarePoint is the largest private employer in Hudson County, New Jersey, and each year provides care to over 300,000 individuals.
CarePoint prides itself on its patient-focused approach to care delivery, with an emphasis on preventative medicine, health education, and disease management. Leveraging its vast network of physicians and healthcare experts, CarePoint is quickly becoming recognized as a leader in the broader healthcare landscape as it pioneers creative solutions to address urgent population health needs.
About the Job
The successful candidate will be able to: Lead, coordinate, and monitor the review and analysis of practitioner applications and accompanying documents, ensuring applicant eligibility. Conduct thorough background investigation, research, and primary source verification of all components of the application file. Identify issues that require additional investigation and evaluation, validate discrepancies, and ensure appropriate follow-up. Prepare credentials file for completion by other healthcare organizations, ensuring file completion within time periods specified. Respond to inquiries from other healthcare organizations, interface with internal and external customers on day-to-day credentialing issues as they arise. Utilize the Cactus credentialing database, optimizing efficiency, and perform query, report, and document generation; submit and retrieve National Practitioner Database reports in accordance with the Health Care Quality Improvement Act. Monitor the initial, reappointment, and expirable process for all medical staff, Allied Health Professional staff, Other Health Professional staff, and delegated providers, ensuring compliance with regulatory bodies (Joint Commission, NCQA, URAC, CMS, federal and state), as well as Medical Staff Bylaws, Rules and Regulations, policies and procedures, and delegated contracts. Perform miscellaneous job-related duties as assigned. Requirements
Degree in business or health-related field desired. Previous experience in a Credentialing position required. CPMSM and/or CPCS Certification by the National Association Medical Staff Services required or obtained within two years of employment. Affiliation with the National Association Medical Staff Services and the State Association Medical Staff Services strongly encouraged. Must have excellent organizational, time management, customer service, and oral & verbal communications skills. Ability to focus on detail while responding to multiple tasks simultaneously and work effectively in a goal-oriented team environment. Must be able to maintain confidentiality of proprietary information related to all aspects of the position, hospital, medical staff, and allied health professional staff. Excellent interpersonal skills, including the ability to communicate clearly, professionally, both verbally and in writing with a broad range of professionals and people of varying education and backgrounds. Proficiency in Cactus is critical. Proficiency in data entry, typing, and computer skills using a variety of software programs including Microsoft Word, Excel, Access, Outlook, PowerPoint, and Cactus. Willingness to maintain a flexible work schedule as needed. Ability to adapt to changing schedules, deadlines, and demands, and a heavy workload. What We Offer
Competitive pay. Medical, dental, and vision insurance. 401k with Company match. Generous paid time off. Paid Holidays. Tuition Reimbursement. Advancement and career development opportunities. CarePoint Health is an Equal Opportunity Employer encouraging diversity in the workplace. All qualified applicants will receive consideration for employment without regard to race, color, national origin, gender, age, religion, disability, sexual orientation, veteran status, marital status, or any other characteristic protected by law.
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The successful candidate will be able to: Lead, coordinate, and monitor the review and analysis of practitioner applications and accompanying documents, ensuring applicant eligibility. Conduct thorough background investigation, research, and primary source verification of all components of the application file. Identify issues that require additional investigation and evaluation, validate discrepancies, and ensure appropriate follow-up. Prepare credentials file for completion by other healthcare organizations, ensuring file completion within time periods specified. Respond to inquiries from other healthcare organizations, interface with internal and external customers on day-to-day credentialing issues as they arise. Utilize the Cactus credentialing database, optimizing efficiency, and perform query, report, and document generation; submit and retrieve National Practitioner Database reports in accordance with the Health Care Quality Improvement Act. Monitor the initial, reappointment, and expirable process for all medical staff, Allied Health Professional staff, Other Health Professional staff, and delegated providers, ensuring compliance with regulatory bodies (Joint Commission, NCQA, URAC, CMS, federal and state), as well as Medical Staff Bylaws, Rules and Regulations, policies and procedures, and delegated contracts. Perform miscellaneous job-related duties as assigned. Requirements
Degree in business or health-related field desired. Previous experience in a Credentialing position required. CPMSM and/or CPCS Certification by the National Association Medical Staff Services required or obtained within two years of employment. Affiliation with the National Association Medical Staff Services and the State Association Medical Staff Services strongly encouraged. Must have excellent organizational, time management, customer service, and oral & verbal communications skills. Ability to focus on detail while responding to multiple tasks simultaneously and work effectively in a goal-oriented team environment. Must be able to maintain confidentiality of proprietary information related to all aspects of the position, hospital, medical staff, and allied health professional staff. Excellent interpersonal skills, including the ability to communicate clearly, professionally, both verbally and in writing with a broad range of professionals and people of varying education and backgrounds. Proficiency in Cactus is critical. Proficiency in data entry, typing, and computer skills using a variety of software programs including Microsoft Word, Excel, Access, Outlook, PowerPoint, and Cactus. Willingness to maintain a flexible work schedule as needed. Ability to adapt to changing schedules, deadlines, and demands, and a heavy workload. What We Offer
Competitive pay. Medical, dental, and vision insurance. 401k with Company match. Generous paid time off. Paid Holidays. Tuition Reimbursement. Advancement and career development opportunities. CarePoint Health is an Equal Opportunity Employer encouraging diversity in the workplace. All qualified applicants will receive consideration for employment without regard to race, color, national origin, gender, age, religion, disability, sexual orientation, veteran status, marital status, or any other characteristic protected by law.
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