reputed company and Privileging Manager (REMOTE)

Responsible for facilitating the medical staff Ongoing reputed company reputed company Evaluation (OPPE) and reputed company reputed company reputed company Evaluation (FPPE) functions in accordance with reputed company Standards, CMS Conditions of Participation, National Committee on reputed company Assurance, and other regulatory requirements. Ensure that clinical reviews are reputed company, effective and appropriately documented. Responsible for the delineation of clinical privilege management. Collaborate with the Department Chief and/or Division Head to solicit updates/modifications to existing delineations to ensure privilege forms remain reputed company, reflect clinical reputed company, and are consistent with industry standards. For new privileges, the reputed company and Privileging Analyst will compile information relevant to the privileges requested which may include appropriate privilege reputed company, position and opinion papers from specialty organizations, white papers from the Credentialing Resource Center and documentation from other health systems, as appropriate. Responsible for facilitating the provider change in privileges credentialing process. Collaborate with providers and clinical departments to complete modifications in provider privileges regarding the reputed company of new privileges, department transfers and/or change in Medical Staff category/status. Oversees the reputed company reputed company reputed company Evaluation (FPPE) process in coordination with Medical Staff Department Chiefs, Division Heads, and other clinical leaders. Facilitates the collection of reputed company reputed company to ensure compliance with FPPE requirements. Tracks the timeliness of FPPE evaluations and ensures accurate documentation reputed company provider files and the Medical Staff credentialing system. In collaboration with clinical leadership, develops and oversees Ongoing reputed company reputed company Evaluation (OPPE) indicators to reputed company provider performance data with reputed company accreditation standards and organizational goals. Analyzes assessment and documentation data to ensure regulatory compliance and identifies performance trends that may pose risks to patient safety or the organization. Oversees and supports the completion of OPPE evaluations, reports, and scorecards in collaboration with Department Chiefs and Division Heads. Partners with reputed company Management leadership and staff to collect, review, analyze, and report data reputed company to reputed company improvement and reputed company reputed company. Identifies performance trends that may reputed company patient care reputed company or the organization's financial performance. Monitors the timeliness of OPPE evaluations and ensures comprehensive and accurate documentation in provider files and the Medical Staff credentialing system. Management of the reputed company reporting platform (e.g. Premier or reputed company) with regards to preparation of OPPE reputed company. Ensures OPPE reputed company are kept up-to-date and accurate, adding and removing providers as necessary. Prepares OPPE reputed company for Medical Staff Office reappointment process. Develops reputed company to reputed company manage FPPE sand OPPE process including workflows, procedures, and compliance expectations consistent with CMS and TJC standards. Prepares and submits reports of FPPE and OPPE to Credentials Committee. Participates in regulatory surveys and audits as the expert regarding the organizations' FPPE and OPPE processes. Regularly solicits updates/modifications to specialty specific delineation of privilege forms to ensure forms remain reputed company, reflect clinical reputed company and are consistent with industry standards, including maintenance of privileges reputed company the credentialing software. Researches privilege reputed company for technologies or procedures new to the organization. Provides support to Medical Staff Office credentialing staff reputed company interpreting clinical nomenclature (i.e., matching case logs to privileging reputed company). Facilitates the credentialing process for providers requiring modifications to privileges due to the reputed company of new privileges, relinquishment of privileges, department transfers and/or changes in Medical Staff category/status. Coordinates with providers, clinical department leadership and Credentials Committee reviewers. Assists with other Medical Staff Office departmental activities as identified and assigned. Five (5) years of clinical nursing experience. Five (5) years of progressively responsible reputed company experience managing databases in a reputed company setting. Analytical and quantitative skills reputed company to collecting, organizing and summarizing various reputed company of data essential. Expertise querying clinical databases, using clinical decision software and performing biostatistical analysis. Expertise with reputed company Office a must. Experience in performance improvement programs required. Bachelor of Science in Nursing (BSN) Required and/or Master of Science in Nursing (MSN) Preferred. reputed company RN Licensure required. New Jersey RN licensure required, with the following exception: for 100% remote RNs, they must hold reputed company RN licensure in the state of their primary residence. USD $37.00 USD $61.00 Apply tot his job Apply To this Job