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CommonSpirit Health

CVO Credentialing Coordinator

CommonSpirit Health, Englewood, Colorado, us, 80151

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Welcome To CommonSpirit Health Mountain Region

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 Colorado, 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

Coordinates credentialing activities at the region level; including data entry and physician database maintenance; credentialing processes, expiration and other duties that support provider onboarding activities. Serves as effective liaison between the provider and the facilities throughout the credentialing process.

Responsible for understanding State and Federal Regulatory Agencies requirements, accreditation compliance, and other critical matters that affect the healthcare environment. Performs other duties as assigned in an effective competent manner.

Initiates and oversees the collection of primary source information for credentialing purposes at the region level. Verifies, compiles, manages and maintains confidential research required for credentialing of initial/reappointment applicants.

Processes applications according to established legal, State and Federal agencies, State licensing board, TJC, and NCQA standards. Coordinates, tracks, and monitors flow of information to ensure the timely processing and notification of applicants in accordance with guidelines.

Conducts thorough analysis of all primary source documentation received for an assessment of qualifications/competencies.

Assures appropriate education and training including procedural documentation has been provided to support the clinical privileges requested. Identifies any potential quality of care issues, behavioral problems, and/or other issues.

Summarizes and prepares credentialing information, including information about flagged concerns, for review and decisions.

Applies the credentials evaluation process uniformly to all initial and reappointment applications to ensure compliance with CommonSpirit Health credentialing procedures.

Facilitates review, assessment, and authenticated documentation of an evaluation of each application. Serves as primary point of contact for practitioners during credentialing and re-credentialing process.

Qualifications

Minimum of 3 years of experience in a Hospital Administrative Department or Credentialing Verification Organization (CVO). Comparable healthcare work experience may be considered.

Associates degree preferred. In lieu of educational requirements, previous work history and years of experience may/will be considered.

Certified Professional Medical Services Management (CPMSM) and/or Certified Provider Credentialing Specialist (CPCS) Certification preferred.

Physical Requirements - Sedentary work; prolonged periods of sitting and exert up to 10 lbs. of force occasionally.

Your Connected Community We believe in the healing power of humanity and serving the common good through our dedicated work and shared mission to celebrate humankindness.

Our Total Reward Offerings We believe investing in our employees lets them know they truly matter. Your Total Rewards package includes compensation, benefits, retirement, wellness, leave, and other programs. Designed with your well-being in mind, we offer:

Several Medical, Dental, & Vision options.

Spending Accounts including a Dependent Care FSA that can include an employer contribution

Retirement account options with a generous employer match

Tuition Reimbursement

Student Loan Forgiveness, and so much more!

View more on our benefits HERE.

Pay Range: $21.35 - $32.51 / hour

Shift: Days

Seniority level

Mid-Senior level

Employment type

Full-time

Job function

Health Care Provider

Industries

Hospitals and Health Care

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