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Supervisory Health System Specialist (Credentialing and Privileging Manager)

Company: Veterans Affairs, Veterans Health Administration
Location: West Haven
Posted on: June 5, 2021

Job Description:

The incumbent serves as a Supervisory Health Systems Specialist (organizational title is Credentialing and Privileging Manager) and is assigned to the Medical Staff Office, which is under the Chief of Staff (COS) at a VAMC. [ "This position is responsible for working collaboratively with local and VISN leadership to identify and/or implement best practices and advising VAMC leadership of all program requirements pertaining to the C&P program. The incumbent will ensure quality assurance and provide oversight for the VAMC C&P program. The C&P Manager is also responsible to ensure that the Medical Staff Bylaws/Rules and Regulations are reviewed and updated annually (or as needed) to reflect regulations or accreditation standards. Some duties may include: C&P Manager serves as the VAMC's Senior Technical Advisor and as the primary consultant and liaison to the VISN C&P Officer. Monitors and audits the VAMC C&P program utilizing VetPro reports, mandatory auditing and reporting tools. Services as the administrator for NPDB, Federation of Medical Boards and our providers database Provides direct technical and administrative supervision to employees in the C&P office Provides consultation and oversight in FPPE, OPPE, VA policies, regulations and accreditation health care industry standards Serves as the primary consultant for the facility's C&P program Ensures quality assurance in the C&P program, including monitoring and auditing C&P program, managing national level reporting, providing regularly scheduled committee reports Utilization credentialing system including knowledge of the credentialing and privileging process, documentation of primary source verifications, and how to audit credentialing files and reporting functions. C&P Manager is also responsible to ensure that the Medical Staff Bylaws/Rules and Regulations are reviewed and updated annually (or as needed) to reflect regulations or accreditation standards. Coordinates annual committee review of clinical privileges and scope of practice forms, provides SME guidance to credentialing, privileging, adverse privileging actions, NPDB reporting, and SLB reporting Serves as the primary consultant for the facility's Credentialing and Privileging Program, ensures that C&P requirements are completed prior to patient care activites National Practitioner Databank reporting and queries results; prepares Federal and State Medical Boards reports; tracks State Licensing Board reporting; communicates telehealth provider requirements; manages VetPro access levels and training; assists with Joint Commission surveys, and Office of Inspector General and Government Accountability Office reviews. Work Schedule: Monday - Friday 07:30 am -4:00 pm\nTelework: Available\nVirtual: This is not a virtual position.\nPosition Description/PD#: Supervisory Health System Specialist (Credentialing and Privileging Manager)/PD99874A\nFinancial Disclosure Report: Not required" ]

Keywords: Veterans Affairs, Veterans Health Administration, West Haven , Supervisory Health System Specialist (Credentialing and Privileging Manager), Other , West Haven, Connecticut

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