Credentialing Quality Control Coordinator

Overview

Remarkable Care. Remarkable Careers.

Why become a Credentialing Quality Control Coordinator at Novant Health?

• Recognized for Surgical Care Excellence Award and recognition as one of America's 100 Best Hospitals for Joint Replacement and Orthopedic Surgery in 2023.
• Blue Distinction Center designations for Knee and Hip Replacement and Spine Surgery; 21 Certified Zero Harm Awards from the South Carolina Hospital Association for preventing surgical errors.
• Top ratings in heart and stroke care:
  American Heart Association recognizes Novant Health for exceptional patient outcomes in heart failure award.

• Schedule:
  
  8:30am-5:00pm M-F, (3 days at HHMC and 2 days at CCMC) Day Shift, Full-Time
• Category:
  Administrative
• Department:
  Medical Staff Services
• Location:
  
  Hilton Head Medical Center - Hilton Head, SC

Remarkable Care. Remarkable Careers.

Why become a Credentialing Quality Control Coordinator at Novant Health?

• Recognized for Surgical Care Excellence Award and recognition as one of America s 100 Best Hospitals for Joint Replacement and Orthopedic Surgery in 2023.
• Blue Distinction Center designations for Knee and Hip Replacement and Spine Surgery; 21 Certified Zero Harm Awards from the South Carolina Hospital Association for preventing surgical errors.
• Top ratings in heart and stroke care:
  American Heart Association recognizes Novant Health for exceptional patient outcomes in heart failure award.

Job Summary:

Responsible for reviewing and accepting credentialing and re-credentialing applications for physicians and advanced practice professionals according to the standards set by the Novant Health PROAC and Credentialing Council, affiliated entities’ Medical Staff Bylaws, applicable regulatory agency standards and State and Federal law. Provides guidance to help support practitioners and practice managers in the application and credentialing process. Performs other duties as assigned.

Novant Health is committed to improving the health of its communities, one person at a time. We have a strong focus on innovation and research offering best-in-class technology and clinical care. We are committed to providing high-quality, affordable healthcare to all our patients as well as equipping our workforce with the tools and support needed.

Come join a remarkable team where quality care meets quality service, in every dimension, every time.

Novant is the responsibility of every Novant Health team member to deliver the most remarkable patient experience in every dimension, every time.

• Our team members are part of an environment that fosters teamwork, team member engagement and community involvement.
• The successful team member has a commitment to leveraging diversity and inclusion in support of quality care.
• All Novant Health team members are responsible for fostering a safe patient environment driven by the principles of "First Do No Harm".

• Education:
  
  High School Diploma or GED, required. 4 Year / Bachelors Degree, preferred.
• Experience:
  
  Minimum of three years  experience in performing hospital or managed care credentialing, required.
• Licensure/Certification:
  • Certified Provider Credentialing Specialist (CPCS), required.
  • Nat l Assoc Medical Staff Svcs as a Certified, required.
  • Provider Credentialing Specialist (cont below)
• Additional Skills (required):
  Must have certification by the National Association Medical Staff Services as a Certified Provider Credentialing Specialist and/or Certified Professional in Medical Services Management within 5 years of employment.
• Additional Skills (preferred):
  Knowledge of regulatory requirements for NCQA, TJC, AAAHC, CMS as well as federal and state enrollment programs. Knowledge of hospital privileging processes.

At Novant Health, we believe remarkable care starts with compassion for our patients, our communities, and each other. We value belonging, courage, personal growth, and teamwork, creating a space where everyone is respected, supported, and safe to show up as their full selves.

Job Opening

138670