St. Charles Health System

St. Charles Health System offers a wide range of health-care services to residents across central Oregon. Headquartered in Bend, Oregon, St. Charles Health Syst

Credentialing Coordinator

Location

Oregon + 13 moreAll locations: Oregon | Arizona | Arkansas | Florida | Idaho | Missouri | Montana | Nevada | New Mexico | North Carolina | Oklahoma | Tennessee | Utah | Wisconsin

Posted

1 day ago

Salary

$25 - $37 / hour

Seniority

Senior

Bachelor Degree

Job Description

Credentialing Coordinator

St. Charles Health System

Credentialing Coordinator Location: United States, Oregon, Arizona, Arkansas, Florida, Idaho, Missouri, Montana, Nevada, New Mexico, North Carolina, Oklahoma, Tennessee, Utah, and Wisconsin. Full-time Remote Job Description: Pay range: $25.18 - $37.77 per hour, based on experience. In addition, this role is eligible to work remotely from an approved state by St. Charles (please refer to the list). If you do not reside in an approved listed state (or do not plan to relocate to an approved listed state) we request, you do not apply for this particular position. Approved states by St. Charles: Oregon, Arizona, Arkansas, Florida, Idaho, Missouri, Montana, Nevada, New Mexico, North Carolina, Oklahoma, Tennessee, Utah, and Wisconsin. This full-time position comes with a comprehensive benefits package that includes medical, dental, vision, a 403(b) retirement plan, and a generous Earned Time Off (ETO) program. ST. CHARLES HEALTH SYSTEM JOB DESCRIPTION TITLE: Credentialing Coordinator REPORTS TO POSITION: Credentialing Manager DEPARTMENT: Medical Staff Services DATE LAST REVIEWED: May 2025 OUR VISION: Creating America's healthiest community, together OUR MISSION: In the spirit of love and compassion, better health, better care, better value OUR VALUES: Accountability, Caring and Teamwork DEPARTMENT SUMMARY: The Medical Staff Services (MSS) Department of St. Charles Health System is the gatekeeper of patient safety within the healthcare industry. The professionals working in Medical Staff Services serve as the experts in matters of credentialing/ privileging and medical staff governance within the healthcare community. This foundation is the basis upon which safe and quality care can be assured for patients. POSITION OVERVIEW: The Credentialing Coordinator coordinates the processes for medical staff/advanced practice professional credentialing, privileging, delegated payer, and allied health professional credentialing to ensure that legal and regulatory requirements are met at all St. Charles Health System's facilities. Exercises judgment and discretion in recognizing legal implications and patient safety issues through the credentialing and privileging functions. Collects and prepares detailed information to report potential quality of care issues and behavioral problems to ensure safety and quality for all patients who receive care within St. Charles Health System. This position does not directly manage any other caregivers. ESSENTIAL FUNCTIONS AND DUTIES: Complies with internal and external policies, guidelines and standards. Verifies and collects documents that support providers have met and maintain the eligibility threshold for their privileges. Finds, investigates and reports any possible flags, patterns of negligent patient care, and negative behavior and notes all findings. Processes initial and reappointment applications and privileging requests as defined by internal and external policies, procedures and guidelines. Must be knowledgeable of the Medical Staff Bylaws and Rules and Regulations, The Joint Commission, CMS, and NCQA guidelines, URAC and Oregon State Law. Ensures processes are coordinated timely and accurately in compliance with schedules. Organizes and maintains provider files including obtaining current/updated copies of essential documents, loading/scanning all documents which contain confidential and peer protected data and documents. Updates individual files in company credentialing software and databases while adhering to the established data entry conventions. Interfaces and maintains professional relationships with applicants, Medical Staff leadership, state professionals and licensing bodies, and other partnering St. Charles leadership and departments as needed. Creates accurate credentialing reports with proper information so the Medical Staff Credentialing Committees can review and make appropriate recommendations to St. Charles Health System governing bodies for medical staff membership and privileging approvals, denials, suspensions or revocations. Creates accurate delegated payer credentialing reports for the Medical Director (or designee) and the Delegated Payer Credentialing committee. Maintains provider records for auditing, and maintains close communication with all appropriate practitioners to ensure that files are returned on time, records are up-to-date, consistent and complete. Tracks status of responses, identifies any discrepancies in information and conducts follow up if applicable. Collaborates with provider to obtain any missing items and will provide a status update on the application and/or privileges. Maintains working knowledge of Medical Staff governance and flow of information throughout the Medical Staff Structure and the Health System's leadership to ensure patient safety. Maintains and protects the confidential records of the credentialing and privileging processes which may be required in subsequent internal investigations and/or external legal disputes. Handles and protects sensitive peer protected and confidential information with the highest level of integrity. Exercises a high degree of independent judgment and initiative in response to complex, sensitive issues, decision making, and descretion. Requires limited direction and guidance. Addresses moderately difficult problems. Conducts all activities with the highest standards of professionalism and confidentiality. All written, email, and verbal communications must be conducted in a professional, courteous, collaborative and timely manner. Serves as an organizational resource for data information related to the Health System's organized medical staff providers. Supports the vision, mission and values of the organization in all respects. Supports Lean principles of continuous improvement with energy and enthusiasm, functioning as a champion of change. Provides and maintains a safe environment for caregivers, patients and guests. Complies with all applicable laws, regulations, policies and procedures, supporting the organization's corporate integrity efforts by acting in an ethical and appropriate manner, reporting known or suspected violation of applicable rules, and cooperating fully with all organizational investigations and proceedings. Delivers customer service in a manner that promotes goodwill, is timely, efficient and accurate. May perform additional duties of similar complexity within the organization, as required or assigned. EDUCATION Required: High school diploma or GED Preferred: Bachelor's Degree LICENSURE/CERTIFICATION/REGISTRATION Required: N/A Preferred: Certified Professional Medical Services Management (CPMSM) and/or Certified Provider Credentialing Specialist (CPCS) EXPERIENCE Required: Minimum of 2 years' experience in a healthcare setting Preferred: Medical staff services coordinator or credentialing coordinator/payer credentialing experience PERSONAL PROTECTIVE EQUIPMENT Must be able to wear appropriate Personal Protective Equipment (PPE) required to perform the job safely. N/A to this position. ADDITIONAL POSITION INFORMATION: Skills: General: Communication/Interpersonal Demonstrates St. Charles Health System values of Accountability, Caring and Teamwork in every interaction. Must have excellent communication skills and ability to interact with a diverse population and professionally represent St. Charles Health System. Ability to effectively interact and communicate with all levels within St. Charles Health System and external customers/clients/potential employees. Strong team working and collaborative skills. Ability to effectively reach consensus with a diverse population with differing needs. Ability to manage facilitation and consensus building among health care professionals and agencies and achieve expected results. Ability to work under pressure in a fast-paced environment. Organizational Ability to multi-task and work independently. Attention to detail. Excellent organizational skills, written and oral communication, and customer service skills, particularly in dealing with stressful personal interactions. Strong analytical, problem solving and decision-making skills. Mathematical Skills: Performs basic math (add, subtract, multiply and divide) calculations. Language Skills: Read, write, speak, and understand English. Computer Basic experience in computer applications necessary to record time, obtain work directions, and complete assigned eLearning. Intermediate to advanced proficiency in Microsoft applications (Outlook, Word, Excel, and Access), database management, and document preparation. PHYSICAL REQUIREMENTS: Continually (75% or more): Use of clear and audible speaking voice and the ability to hear normal speech level. Frequently (50%): Sitting, standing, walking, lifting 1-10 pounds, keyboard operation. Occasionally (25%): Bending, climbing stairs, reaching overhead, carrying/pushing or pulling 1-10 pounds, grasping/squeezing. Rarely (10%): Stooping/kneeling/crouching, lifting, carrying, pushing or pulling 11-15 pounds, operation of a motor vehicle. Never (0%): Climbing ladder/step-stool, lifting/carrying/pushing or pulling 25-50 pounds, ability to hear whispered speech level. Exposure to Elemental Factors Never (0%): Heat, cold, wet/slippery area, noise, dust, vibration, chemical solution, uneven surface. Blood-Borne Pathogen (BBP) Exposure Category No Risk for Exposure to BBP Schedule Weekly Hours: 40 Caregiver Type: Regular Shift: First Shift (United States of America) Is Exempt Position? No Job Family: COORDINATOR CLERICAL Scheduled Days of the Week: Monday-Friday Shift Start & End Time: 7:00 a.m.

Related Categories

Related Job Pages

More Learning and Development Jobs

Technology and Digital Strategies Librarian III

Case Western Reserve University

Case Western Reserve University is a leading, private institution of higher education and research serving more than 11,500 undergraduate and graduate students

Title: Technology and Digital Strategies Librarian 3 Location: Cleveland United States Full/Part Time Full-Time Regular/Temporary Regular Job Description: Salary Grade Case Western Reserve University is committed to providing a transparent estimate of the salary range available for this position at the time of its posting. The salary range is between $65,780 and $83,212, depending on qualifications, experience, department budgets, and industry data. Employees receive more than just a paycheck. University employees enjoy a comprehensive benefits package that includes excellent healthcare, retirement plans, tuition assistance, paid time off, and a winter recess. Job Description POSITION OBJECTIVE The Kelvin Smith Library (KSL) of Case Western Reserve University seeks an enthusiastic, innovative, and collaborative individual to serve as the Technology & Digital Strategies Librarian (TDSL). Reporting to the Associate University Librarian for Creation & Curation services, the TDSL coordinates library technology and digital strategies to include the catalog and discovery systems, storage, desktop support, and related infrastructure. The TDSL serves as a library liaison to the Universitys central IT department (UTech) to provide a single point of contact and oversees the work of two UTech personnel who support the work of this position. The TDSL works with all CWRU libraries and affiliated libraries to ensure catalog and discovery system services as needed. The Kelvin Smith Library is deeply committed to promoting a culture of empathy, collaboration, and respect where all people are welcome, heard, empowered, and valued. ESSENTIAL FUNCTIONS - Provide direction, support, and training for all aspects of the Library Services Platform (Ex Libris Product Suite) for CWRU campus and affiliate libraries. Utilize a significant level of expertise within library technology and digital systems; maintain knowledge about emerging trends and techniques for these technologies and systems. (35%) - Serve as the Librarys liaison to UTech for the purchase, implementation, and support of all technology and digital storage solutions, including administrative, public, and lab computing. Manage a dedicated technology budget and approve technology purchases. Supervise two UTech personnel assigned to support Kelvin Smith Library technology operations. Collaboratively establish prioritization of work and communicate performance results with UTech supervisors. (20%) - Provide leadership for the planning and development of technology strategies across the array of library and IT platforms that support our mission. (13%) - Test, troubleshoot, and resolve problems related to library systems, working with managers and staff across the libraries. Assist staff in the libraries with questions and problems related to system functionality (7%) - Carry out or support a variety of large and/or complex data loading, extraction, and manipulation or transformation processes for a range of library uses and with a variety of data types, including but not limited to catalog/bibliographic data, holdings and item data, user data, etc. Coordinate and lead data clean-up and enhancement projects (6%) - Contributes to the library, the institution, and the profession through sustained and progressive scholarship, creative expression, and service at the state or regional level; contributions will support the advancement of librarianship and increase service to the University and community. Keeps abreast of the role and application of trends for libraries in higher education (6%) - Contributes to a work environment that promotes and maintains an environment and culture of empathy, collaboration, and respect (6%) - Serves as OhioLINK Lead Implementer providing communication, coordination and technical oversight in cooperation with the OhioLINK statewide consortium. (6%) NONESSENTIAL FUNCTIONS Perform other duties as assigned. (1%) CONTACTS Department: Work with Kelvin Smith Library staff and leadership on policy and planning of resources, services, and operations. Frequently collaborate with staff at all levels of the organization to support the provision of excellent library services and resources. (66+%) University: Consult regularly with UTech to ensure efficient and effective design and implementation of technology-based solutions. Consult and collaborate with Case Western Reserve University Library directors and key staff to ensure effective Library Services Platform design and management. (31-45%) External: Engage with affiliate libraries (Cleveland Institute of Music) for purposes of efficient and effective Library Services Platform support. Direct collaboration with OhioLINK for Library Services Platform and other technology operations and supported technologies. Occasional collaboration with colleagues in OhioLINK and other academic libraries. Coordination with external technology and platform vendors to ensure optimization and support for all library operations. (16-30%) SUPERVISORY RESPONSIBILITY Oversee the work of two Utech staff and may oversee non-exempt staff, student employees, and temporary full or part-time workers. QUALIFICATONS Librarian level: Appointment to the level of Librarian 3 assumes that all requirements of the level will be met and sustained, that the individual will demonstrate continued and outstanding growth in the profession, and perform existing duties and responsibilities at the highest level. Librarian levels are outlined in the librarian handbook. Experience: Six years of appropriate experience may be required or preferred Education: A Masters degree in Library/Information Science, or an advanced degree in a related discipline, plus 3 to 6 years of relevant library experience. REQUIRED SKILLS - Evidence of professional contributions and/or professional service at the state, regional, national, or international level); notable contributions to advance librarianship and increase service to the academic community. - Demonstrated experience with library services platforms, e-resource management systems and principles, digital repositories and preservation strategies, and other library technologies. These include general practices and standards for library technical services workflows (cataloging, metadata, acquisitions,) - Evidence of managing and optimizing complex desktop, storage, and networked technologies - Ability to manage and forecast a budget. - Can use advanced techniques and technology to innovate, including artificial intelligence - Excellent communication, interpersonal, and customer service skills. - Collaborative with the ability to effectively interact with colleagues, supervisors, and customers virtually and in person. - Ability to work in and contribute to an environment of empathy, collaboration, and respect. - Demonstrated history of successful support, education, and advocacy for all students, aligned with the values, mission, and messaging of the university, while adhering to the staff policy on conflict of commitment and interest. - Ability to meet consistent attendance. - Ability to interact with colleagues, supervisors, and customers face-to-face. - Willingness to learn and utilize Artificial Intelligence (AI). WORKING CONDITIONS. General office/library environment. This position is hybrid eligible in accordance with CWRUs hybrid program and the needs of the library. Hybrid Eligibility This position is eligible for hybrid work arrangement up to two remote days per week at the discretion of the department. New employees may begin a hybrid schedule upon approval from the supervisor, successful completion of an orientation period and signing the remote work checklist certification form. EEO Statement Case Western Reserve University is an equal opportunity employer. All applicants are protected under federal and state laws and university policy from discrimination based on race, color, religion, sex, sexual orientation, gender identity or expression, national or ethnic origin, protected veteran status, disability, age and genetic information.

Ohio
$65.8K - $83.2K / year
ContractRemoteTeam 11-50

Role Description This is an independent contractor opportunity seeking motivated Learning And Development Specialists that are looking for more independence, flexibility, and portability to join our rapidly expanding Global Company. We operate in the Personal Development and Leadership sector, marketing and selling award-winning eLearning courses and destination events globally. This independent performance-based role will suit someone who likes to make their own decisions, is highly driven, and has some serious goals to fulfill. We pride ourselves in building good working relationships with our clients, providing ongoing support and coaching. Our programs are designed to empower individuals to grasp their thought processes better, leading to significantly improved decision-making and outcomes across various aspects of life and goal achievement. The right candidate will believe in the value of continual growth and enjoy communicating and interacting with people all over the world, as well as enjoy time and location flexibility. Full training is provided; therefore, no specific experience in this industry is required. Responsibilities - Design and deliver marketing campaigns to attract new clients - Source and qualify leads - Conduct professional scripted interviews - Provide guidance and support to team members - Engage in online training and company-wide team development calls - Gain personal experience with our courses and events for product familiarity Qualifications - Minimum 5+ years experience in a FT paid business role - Strong interest in personal growth - Excellent written and verbal communication skills - Ability to work independently and as part of a team - Self-motivated, big thinker to create success for yourself Requirements - Self Driven - Solution-oriented problem solver - Confident and Organised - Coachable and Goal-Driven - Looking to Grow on a personal and a professional level Benefits - Top level training provided - Performance based compensation with true reward for effort - Full time or part time options (min 15 hours a week) - Work remotely with a laptop and phone - NB: Not suitable for current tertiary students or VISA seekers

Worldwide
Sutter Health logo

Credentialing Coordinator III

Sutter Health

An integrated network delivering accessible, high-quality, and life-saving healthcare when people need it most.

Full TimeRemoteTeam 10,001+Since Sutter Health was founded in 1996.H1B Sponsor

Role Description This position is eligible to work from home from within the state of California. Responsible for completion of credentialing functions. Ensures program integrity and compliance with standards, federal/state requirements, and health plan credentialing requirements. Maintains relationships with health plan auditors, communicates and works with physician leaders on credentialing issues, works with other departments in multiple areas that relate to credentialing issues. Audits Credentialing Verification Organization's released files to ensure it obtains primary source verification of required physician information. Maintains database of current and accurate information concerning licensure, board certification, professional liability coverage and claims for physicians, contracted providers and Allied Health Professionals. Qualifications - HS Diploma or General Education Diploma (GED) - 2 years recent relevant experience - Knowledge of medical provider credentialing and accreditation principles, processes, procedures, and documentation. - Knowledge of computer spreadsheets and other related applications. - Ability to use independent judgment and to manage and impart confidential information. - PC skills (MS Word, MS Excel, and MS Access) and proficiency regarding data entry skills. - Organizational skills with ability to prioritize, problem solve and meet deadlines. - Ability to analyze, interpret, and draw inferences from research findings, and prepare reports. - Able to use independent judgment and to manage and impart confidential information. - Ability to analyze data/reports and to make recommendations. Requirements - Job Shift: Days - Schedule: Full Time - Shift Hours: 8 - Days of the Week: Monday - Friday - Weekend Requirements: None - Position Status: Non-Exempt - Weekly Hours: 40 - Employee Status: Regular Benefits - Yes Company Description Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans. Pay Range is $32.36 to $46.93 / hour. The compensation range may vary based on the geographic location where the position is filled. Total compensation considers multiple factors, including, but not limited to a candidate’s experience, education, skills, licensure, certifications, departmental equity, training, and organizational needs. Base pay is only one component of Sutter Health’s comprehensive total rewards program. Eligible positions also include a comprehensive benefits package.

United States
$32 - $47 / hour
InterVarsity Christian Fellowship logo

National MPD Coach I (Development)

InterVarsity Christian Fellowship

InterVarsity Christian Fellowship/USA is both an equal opportunity employer and a faith-based religious organization. We conduct hiring without regard to race, color, ancestry, national origin, citizenship, age, sex, marital status, parental status, membership in any labor organization, political ideology, or disability of an otherwise qualified individual. The status of InterVarsity Christian Fellowship/USA as an equal opportunity employer does not prevent the organization from hiring staff based on their religious beliefs so that all staff share the same religious commitment. Pursuant to the Civil Rights Act of 1964, Section 702 (42 U.S.C. 2000e 1(a)) InterVarsity Christian Fellowship/USA has the right to, and does, hire only candidates who agree with InterVarsity’s Statement of Agreement: Purpose and Doctrinal Basis because InterVarsity believes that each and every staff plays a vital role in advancing InterVarsity’s mission and purposes.

Full TimeRemoteTeam 1,001-5,000

Role Description To advance the purpose of InterVarsity, this position will train, coach, and provide spiritual and emotional encouragement for new and veteran staff to reach or exceed 100% of their assigned ministry budget. Major Responsibilities - Personal: - Be a maturing disciple of Jesus Christ: growing in love for God, God's Word, God's people of every ethnicity and culture, and God's purposes in the world. - Be a maturing disciple of Jesus Christ by pursuing a vibrant relationship with the triune God through engagement with Scripture, prayer, and worship, both individually and in community. - Take initiative in personal growth, especially in the areas of emotional and spiritual health, self-awareness, and cross-cultural understanding. - Be committed to and live consistently with InterVarsity’s Frame of Reference in behavior and attitude. - Grow in understanding of, appreciation for, and personal practice of ministry partnership development yourself as a way of fundraising, understanding it can also be a venue for spiritual formation. - Train staff in MPD: - Incorporate and practice spiritual formation principles and practices throughout the ministry partnership development process. - Train the MPD core practices which include the MPD cycle (Identify, Engage, Ask, Follow up, Thank, Report) and MPD organization (using DonorElf) as part of InterVarsity’s MPD training curriculum. - During coaching sessions, continually identify skill gaps of individual coachees and offer individualized training to close those gaps. - Offer contextualized MPD training for the diversity of InterVarsity’s movement, including but not limited to gender, race & ethnicity, communication styles and geography. - Coach and lead new staff or veteran staff to full funding: - Lead staff through the spiritual and emotional practices of MPD with pastoral care. - Coach staff through the MPD cycle, using our MPD dept’s best practices and expectations. - Provide contextualized MPD coaching for the ethnic, gender and geographic diversity of the movement. - With each staff, set clear expectations, using coaching agreements. - Schedule and execute weekly coaching calls with staff to: - Set clear MPD goals based on national benchmarks. - Coach using the GROW model with situational leadership overlay. - Review DonorElf data and use to identify next steps. - Analyze prospect lists and expand networks together. - Discuss emotional blocks to MPD and identify possible solutions. - Provide accountability and encouragement. - Offer contextualized strategies for engaging with staff’s unique network. - Contribute to the effectiveness of the national MPD coaches team: - Partner with other national MPD coaches to execute MPD training and coaching. - Consult with fellow MPD coaches, providing helpful resources and advice. - Monitor, test, and update MPD best practices. - Provide regular reports to Associate Director of MPD as requested. - Contribute to our weekly team call and join our annual off-site multi-day meetings, where we connect as a team, pray, discuss coaching strategy and collaborate on serving coachees. - Attend and train at field and national meetings as requested, representing the MPD dept. - Maintain and develop personal MPD team: - Raise 100% of your ministry budget annually. - Identify individuals and churches to partner each year, actively growing your network of relationships. - Engage current and prospective partners annually. - Make asks each year, following up all asks to closure. - Individually thank all partners and communicate with donors monthly via prayer updates. - Review financial reports for accuracy and ensuring that spending is within budget. - Continue professional growth and development: - Stay current with development industry changes. - Dedicate oneself to growing in cross-cultural skills, in line with InterVarsity’s SHIFT training. - Stay current with computer software used by InterVarsity and the MPD Team. - Pursue opportunities to grow as an MPD Coach, trainer, and leader. Qualifications - Annually affirm InterVarsity’s Statement of Agreement. Abide by InterVarsity’s Code of Conduct. - Bachelor’s degree is required. - 3 – 5 years’ experience with personal fundraising. - Effective oral and written communication skills. - Ability to handle multiple projects/people at once, organize events, coaching appointments, travel, training events and the details involved. - Ability to maintain accurate records and files. - Ability to take charge of tasks and work independently without close supervision. - Ability to work under the pressure of deadlines. - Ability and willingness to hold people accountable and have difficult conversations. - Leadership skills including problem solving and strong conflict resolution skills. - Excellent relationship builder and team player who can collaborate effectively with all levels of the organization. - Open to learn new concepts, methods and skills. - A working knowledge of current Microsoft software applications (Word, Teams, SharePoint, Excel, and PowerPoint). - Demonstrated ability and commitment to work in a diverse team environment. - Ability to lift at least 35 pounds. - Willing to travel as needed. Benefits - 403(b) Retirement Savings Plan. - 403(b) matching contributions. - Dental insurance. - Employee assistance program. - Employee discounts. - Flexible work schedule. - Flexible spending accounts. - Health insurance. - Health savings account. - Life insurance. - Paid time off. - Parental leave. - Professional development assistance. - Vision insurance.

United States
$49.3K - $65.7K / year