MEDICAL STAFF CREDENTIALING SPECIALIST - FULL TIME - DAY

JFK Johnson Rehabilitation Institute; Hackensack (NJ); On-site; USD 50,000 - 65,000; Full time

Job summary

An established industry player is seeking a Medical Staff Credentialing Specialist to join their dynamic team. This full-time role involves ensuring compliance with healthcare regulations and standards while supporting the medical staff's credentialing process. You will play a crucial role in maintaining high standards of patient care and regulatory adherence. The organization values collaboration, offering excellent benefits and a supportive work environment. If you are detail-oriented and passionate about healthcare compliance, this is an exciting opportunity to advance your career in a leading healthcare institution.

Benefits

Tuition Reimbursement

Employee Discounts

Scheduling Flexibility

Comprehensive Health Benefits

Qualifications

• 5+ years of experience in a hospital setting required.
• Excellent written and verbal communication skills are essential.
• Ability to work autonomously and set priorities.

Responsibilities

• Maintain knowledge of Joint Commission and regulatory requirements.
• Prepare files for Joint Commission surveys and audits.
• Conduct audits to ensure compliance with credentialing standards.

Skills

Critical Thinking

Problem Solving

Communication Skills

Regulatory Compliance Knowledge

Education

High School Diploma or GED

Bachelor's Degree in Related Field

Tools

Microsoft Office

Google Suite

Accreditation Manager Software

Job description

MEDICAL STAFF CREDENTIALING SPECIALIST - FULL TIME - DAY

Join to apply for the MEDICAL STAFF CREDENTIALING SPECIALIST - FULL TIME - DAY role at JFK Johnson Rehabilitation Institute

MEDICAL STAFF CREDENTIALING SPECIALIST - FULL TIME - DAY

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Join to apply for the MEDICAL STAFF CREDENTIALING SPECIALIST - FULL TIME - DAY role at JFK Johnson Rehabilitation Institute

Medical Staff Credentialing Specialist - Full Time - Day

HACKENSACK UNIVERSITY MED CNTR Hackensack, New Jersey

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• Requisition # 2025-162977
• ShiftDay
• StatusFull Time with Benefits
  
  

Overview

Our team members are the heart of what makes us better. At Hackensack Meridian Health we help our patients live better, healthier lives — and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It’s also about how we support one another and how we show up for our community. Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change.

Come join our Amazing team here at Hackensack Meridian Health! We offer EXCELLENT benefits, Scheduling Flexibility, Tuition Reimbursement, Employee Discounts and much more!!!

The Medical Staff Office Credentialing Specialist is responsible for reviewing Medical Staff regulatory compliance with Centers for Medicare and Medicaid, NJ Department of Health guidelines, and The Joint Commission standards, as well as adherence to the Medical and Dental Staff Bylaws, Rules and Regulations, and Policies.

Responsibilities

A day in the life of a Medical Staff Office Credentialing Specialist at Hackensack Meridian Health includes:

• Maintain current knowledge of Joint Commission and other regulatory requirements.
• Preparation of files to present to the Joint Commission surveyor at triennial survey, all Disease Specific Certifications, and to the State Department of Health when requested.
• Score compliance for Joint Commission preparedness through Accreditation Manager software.
• Conduct annual report related to CMS audit to Corporate Compliance.
• Attend all Joint Commission Steering Committee meetings and report on Medical Staff standards compliance.
• Conduct audits to ensure Joint Commission compliance pertaining to providers’ credentials files.
• Monitor and send Focused Professional Practice Evaluation forms to Department Chairs when the six-month monitoring period is coming to a close. Send follow-up Focused Professional Practice Evaluation forms to the department for any providers whose initial review resulted in a recommendation for continued monitoring.
• Distribute departmental Ongoing Professional Practice Evaluation review spreadsheets to Chairs.
• Monitor compliance of required Ongoing Professional Practice Evaluation submissions, sending reminders as needed.
• Send Ongoing Professional Practice Evaluation and Focused Professional Practice Evaluation status reports to Chairs regularly.
• Based on Department Chair feedback following the Ongoing Professional Practice Evaluation process, distribute clinical assessment forms to low-volume providers and follow up to ensure compliance.
• Distribute Ongoing Professional Practice Evaluation forms to Allied Health Professionals and obtain Department Chair’s signatures on all Allied Health Professional’s Ongoing Professional Practice Evaluations.
• Post Board of Trustees meeting, review relevant Credential Committee meeting minutes to launch Focused Professional Practice Evaluation for all new providers and additional privileges, as well as allied health professional Joint Protocol and Supervising Agreement changes.
• Assist Legal and Risk departments with all requested documents for information pertaining to current or former members of the medical staff.
• Administer and score conscious sedation test for physicians seeking conscious sedation privileges.
• Prepare a list for conscious sedation monitoring at reappointment after verifying that the requirement of attestation has been met.
• Enter all open Ongoing Professional Practice Evaluations for providers being reappointed into the reappointment workflow.
• Review monthly reports to ensure compliance with privileges that require life support certification. If certification has lapsed, deactivate the privilege and reactivate when renewal is submitted.
• Process all medical staff name changes (obtain legal document, verify all licenses, NPI, insurance, submit ticket to DTS).
• Monitor stock of lab coats for the physician lab coat program. Order monthly to replenish. Check and organize the delivery of laundered coats twice a week. Order personalized coats for Chairs as needed. Approve invoices.
• Assists with physician voting activities that include, but are not limited to, Castle Connolly Top Doctors, Castle Connolly Top Hospitals, US News and World Report Top Hospitals, New Jersey Monthly Top Doctors, and others as needed.
• Verifies providers’ malpractice insurance coverage with insurance carriers.
• Assists with numerous physician social and administrative functions hosted by the medical center.
• Actively participates in the efficient operation of the department, including answering the Medical Staff Office phone as needed.
• Other duties and/or projects as assigned.
• Adheres to HMH Organizational competencies and standards of behavior.
  
  

Qualifications

Education, Knowledge, Skills, and Abilities Required:

• High School diploma, general equivalency diploma (GED), and/or GED equivalent programs.
• Minimum of 5 years of experience in a hospital setting.
• Ability to work autonomously, set priorities, and make decisions independently.
• Demonstrates critical thinking and problem-solving skills.
• Demonstrates tactfulness and discretion.
• Excellent written and verbal communication skills.
• Proficient computer skills that include but are not limited to Microsoft Office and/or Google Suite platforms.
  
  

Education, Knowledge, Skills, And Abilities Preferred

• Bachelor’s degree in a related field.
• Experience in a hospital setting working with senior leadership or a Department Chair.
• Familiarity with hospital operations and regulatory bodies (e.g., The Joint Commission).
• Knowledge of medical terminology.
  
  

HACKENSACK MERIDIAN HEALTH (HMH) IS AN EQUAL OPPORTUNITY EMPLOYER

All qualified applicants will receive consideration for employment without regard to age, race, color, creed, religion, sex, sexual orientation, gender identity or expression, pregnancy, breastfeeding, genetic information, refusal to submit to a genetic test or make available to an employer the results of a genetic test, atypical hereditary cellular or blood trait, national origin, nationality, ancestry, disability, marital status, liability for military service, or status as a protected veteran.

Our Network

Hackensack Meridian Health (HMH) is a Mandatory Influenza Vaccination Facility

As a courtesy to assist you in your job search, we would like to send your resume to other areas of our Hackensack Meridian Health network who may have current openings that fit your skills and experience.

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Awards We’ve Received

2023

US News & World Report 2023

• HUMC - #1 Hospital in NJ & #5 in NY Metro Area
  
  

2023

US News & World Report 2023

• Joseph M. Sanzari Children’s Hospital - #1 Children’s Hospital in NJ
  
  

2023

US News & World Report 2023

• JSUMC - #6 Hospital in NJ
  
  

2022

2023

2023 & 2022 Magnet Designations

for 9 HMH Institutions

2022

Newsweek 2022 Best Hospitals USA

• HUMC - #57
  
  

2022

Newsweek 2022 America’s Best Addiction Treatment Centers

Blake Recovery Center at Carrier Clinic - #2

2023

Diversity Inc. 2023

Top Hospital and Health Systems

2022

Becker’s Hospital Review 2022

• Top Places to Work in Healthcare
  
  

JOBS FOR YOU

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• Patient Care Technician - Cardiac Observation - F/T with Benefits Evening JFK University Medical Center Edison, New Jersey
• Orthopedics Service Coordinator/Registered Nurse - OR - F/T Days JFK University Medical Center Edison, New Jersey
• Registered Nurse - Telemetry/Oncology - F/T Days JERSEY SHORE UNIVERSITY MEDICAL CENTER Borough of Neptune City, New Jersey
• Nurse Practitioner Care Management Transition OCEAN MEDICAL CENTER Brick, New Jersey
• Nurse Practitioner Heart Failure Inpatient RARITAN BAY MEDICAL CENTER- PERTH AMBOY Perth Amboy, New Jersey
• Mental Health Technician - Behavioral Health - Raritan Bay - Full Time Days RARITAN BAY MEDICAL CENTER- PERTH AMBOY Perth Amboy, New Jersey
• Medical Assistant - Gastroenterology - Physician Practice HMH PHYSICIAN SERVICES, INC. Avenel, New Jersey
• Mental Health Technician - Acute Behavioral Care Unit - Full Time Days HMH CARRIER CLINIC INC Belle Mead, New Jersey
• Security Officer - Full Time - Evening HMH CARRIER CLINIC INC Belle Mead, New Jersey
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WE KEEP GETTING BETTER

At Hackensack Meridian Health, we help our patients live better, healthier lives – and we help one another succeed. Here, competitive benefits are just the beginning. It’s also about how our team members support one another and how we show up for our community. Together, we’re ready to transform health care and advance our mission to serve as a leader of positive change.

Join us and let’s keep getting better together.

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Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Health Care Provider

• Industries

  Hospitals and Health Care

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