Providence Health & Services Regional Credentialing Office Supervisor in Portland, Oregon
Providence is calling a Regional Credentialing Office Supervisor (1.0 FTE, Days) to the Groth Building in Portland, OR.
We are seeking a Regional Credentialing Office Supervisor who will fill a key position in providing supervision of credentialing staff. Key to the position is accountability and responsibility for assuring that all professional staff and allied health practitioners are credentialed in accordance with professional staff bylaws, policies and procedures, The Joint Commission (TJC) standards as well as state and federal rules. The position manages all processes related to timely and appropriate verifications of all aspects of credentialing and privileging matters, and serves as a resource to credentialing staff. The knowledge and use of credentialing software, and creation/ analysis of reports is important to the role. The Supervisor monitors productivity of the team and leads in managing quickly changing priorities for all assignments. In addition, the position provides training to staff on department credentialing processes and develops training guides for Credentialing Department tasks.
In this position you will have the following responsibilities:
Provides supervisory responsibilities to Regional credentialing staff.
Promotes positive department working conditions with ongoing evaluation of processes and offers suggestions for improvement. Offers and accepts constructive coaching in positive and courteous manner.
Participates in budgeting of resource allocation and establishes weekly and monthly targets for appropriate workload distribution and manages fluctuating volume needs and special requests.
Partners with Medical Staff administration leaders to utilize audits and assure appropriate timely and completion of credentialing files.
Ensure files for professional staff and allied health professionals are current and policies and procedures have been followed to obtain required documentation, verification, appropriate approvals, privilege entry and Board approval notification.
Oversees the processing of applications through the hospital review process and committee meeting structure.
Assures all applications are processed completely and in a timely manner.
Assists in auditing files in preparation for and during regulatory surveys (TJC, NCQA, CMS, etc.).
Responsible for the timely coordination of and collaborating with Medical Staff Coordinators in preparing final Credentials Report for the Oregon Community Ministry Board.
Maintains working knowledge of the ByLaws and Policies & Procedures of the Professional Staff, Providences rules and regulations, Allied Health Professional policies, as well as other policies and procedures pertaining to credentialing.
Demonstrates abilities to understand complex processes, issues, time-sensitive deadlines, and leads in coordinating orientation and training for all members of the team.
Oversees the process for contacting Department Chairs and Credentials Committee Members regarding review of credentials files. Serves as resource to the reviewers for any questions that may arise and coordinates the processing of applications through the hospital review process and committee meeting structure.
Works with administrative leaders to make recommendations for credentialing forms as needed.
Participates in efforts to continually make improvements for credentialing processes. Ensures appropriate implementation of new credentialing software and ongoing development efforts as related to regulatory agency requirements for credentialing.
Oversees the credentialing team as primary interface with Credentials Committee Chairs and other key professional staff leaders around professional staff issues. Serves as information resource in credentialing to medical staff and allied health professionals.
Understands and utilizes tones, tones and behaviors that demonstrates safety in a high reliable organization.
Creates and maintains credentialing guides, instructions, resources and training guides supporting Credentialing Office tasks.
Supports refocusing of workload/priorities when necessary in order to meet project deadlines.
Independently coordinates, prioritizes and completes numerous ongoing and special projects. Completes projects thoroughly, accurately, and timely, utilizing critical thinking skills.
Must be able to work independently and offer guidance to co-workers.
Provides regular workload/productivity reports to administrative leaders.
Required qualification for this position include:
Bachelor's degree in Health or Business Administration -OR- equivalent education/experience.
2 years leadership experience required with progressively responsible roles.
3 years recent experience in credentialing.
Experience in medical staff/provider services, project management and administrative support.
Strong leadership experience with participative leadership style.
Has experience with strong focus on customer service and producing positive outcomes.
Demonstrates experience with and use of credentialing software programs.
Demonstrates experience in medical staff affairs, credentialing, and privileging.
Certified Professional Medical Staff Services Management (CPMSM) and/or Certified Provider Credentialing Specialist (CPCS); OR must become certified within 3 years.
About Providence in Oregon
As the largest healthcare system and largest private employer in Oregon, Providence offers exceptional work environments and unparalleled career opportunities.
The Providence Experience begins each time our patients or their families have an encounter with a Providence team member and continues throughout their visit or stay. Whether you provide direct or indirect patient care, we want our patients to feel that they are in a welcoming place where they can be comfortable and free from anxiety. Our employees create the Providence Experience through simple, caring behaviors such as acknowledging and welcoming each visitor, introducing ourselves and Providence, addressing people by name, providing the duration of estimated wait times and updating frequently if timelines change, explaining situations in a way that puts patients at ease, carefully listening to their concerns, and always thanking people for trusting Providence for their healthcare needs. At Providence, our quality vision is simple,
"Providence will provide the best care and service to every person, every time."
Providence is consistently ranked among the top 100 companies to work for in Oregon. It is also home to two of our award-winning Magnet medical centers. Providence hospitals and clinics are located in numerous areas, ranging from the Columbia Gorge to the wine country to sunny southern Oregon to charming coastal communities to the urban setting of Portland. If you want a vibrant lifestyle while working with a team highly committed to the art of healing, choose from our many options in Oregon.
We offer a full comprehensive range of benefits - see our website for details
As expressions of God’s healing love, witnessed through the ministry of Jesus, we are steadfast in serving all, especially those who are poor and vulnerable.
Providence Health & Services is a not-for-profit Catholic network of hospitals, care centers, health plans, physicians, clinics, home health care and services guided by a Mission of caring the Sisters of Providence began over 160 years ago. Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.
Job Category: Non-Clinical Lead/Supervisor/Manager
Req ID: 244655