All the benefits and perks you need for you and your family:
Benefits from Day One
Whole Person Wellbeing Resources
Our promise to you:
Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.
Location: 410 South 11th St, Lake Wales, FL 33853
The community you’ll be caring for: AdventHealth Lake Wales
AdventHealth Lake Wales is a licensed 160-bed hospital, with 24-hour emergency care and outpatient services including imaging, rehab, lab and wound care, that has been serving the community and surrounding areas.
As a part of the AdventHealth network patients will have greater access to a wide range of innovative therapies, new research, leading-edge technology and an extensive team of medical specialists.
Lake Wales is located in Central Florida in between Orlando and Tampa and is home to the Historic Bok Tower Gardens and Bird Sanctuary.
The role you’ll contribute:
The Credentials Manager is responsible for the system medical staff credentialing and privileging operations. He/she provides direct supervision to a professional support staff in administering all aspects of the credentialing services with a strong emphasis on the delivery of quality, efficiency and superior service. The Credentials Manager possesses and maintains current knowledge of the Medical Staff Bylaws and Policies, Rules and Regulations, Joint Commission standards and other regulatory requirements, Department Policies and Procedures, and hospital policies and procedures. The Credentials Manager implements these policies and standards to ensure that credentialing operations are in compliance in order to further patient safety, maintain hospital accreditation, and protect the hospital from liability. Works with the officers of the Medical Staff, department chairpersons, and administration to support and enhance the functions of the organized medical staff and to fulfill the mission and goals of Florida Hospital. Actively seeks to model the achievement of excellence and the delivery of outstanding customer service. Accepts responsibility for the cultivation and maintenance of relationships that are equally respectful to all and that value diversity. Promotes teamwork by personally adopting principles of caring and integrity.
The value you’ll bring to the team:
CORE Values: Demonstrates Florida Hospital’s core values of Integrity, Compassion, Balance, Excellence, Stewardship and Teamwork.
Management of Credentialing Staff and Support Staff
Manages and administers all Credentialing and Privileging operations including processing of Medical Staff and Allied Health applications and the channeling of applications and requests through appropriate Medical Staff leadership and committees. Supervises the performance of the Credentialing Coordinators, Specialists and other credentialing staff for appropriate and timely assessment of appointment and reappointment to the Medical Staff, credentialing and recredentialing of Allied Health Professionals, delineation of clinical privileges, and associated credentialing functions.
Activities within this function include, but are not limited to, assignment of work responsibilities, meeting with support staff weekly to review of applications in process, to identify issues, provide leadership for resolutions and to monitor quality of processes and systems. Evaluate problem applications provide appropriate guidance to staff and physician leaders. Informs Director to provide awareness and to achieve commonality for resolution if necessary. Assess systems and develop improved processes, while remaining in compliance with credentialing guidelines, state and federal statutes, standards and regulations. Train and provide guidance on an on-going basis with emphasis on education in credentialing, standards, privileging, bylaws, rules and regulations and enhancement of customer service. Oversee correspondence issued by support staff pertaining to Medical Staff credentialing matters. Delegate tasks for committee meeting preparation and coordination, and special projects, as deemed appropriate. Manage staff’s vacation and PDO time to allow for adequate coverage. Determine the qualifications and competence of credentialing staff. Interviews and selects credentialing staff. Directs, provides and/or delegates to the Sr. Credentials Coordinator, the orientation and training of new credentialing staff. Reports to Director credentialing data, significant issues, process improvement, staffing performance and planning.
Performs employee evaluations on a 90-day/annual basis in accordance with Florida Hospital policy to evaluate performance, address concerns, and set goals. Employee feedback, whether positive or educational, is provided at minimum on a quarterly basis, or more frequently if necessary . Revises job descriptions and develops standards of performance as appropriate.
Management of Delegated Credentialing Functions
Manage the Credentialing Coordinators and Specialists who provide delegated credentialing verification services for Florida Hospital Health Care System and Centra Care Medical Staff in accordance with their respective bylaws and policies.
Provides the same oversight to staffing as described under #2 for these functions
Administers Various Aspects of Department Planning
Works jointly with department management to establishing department goals in the areas of finance, diversity, Christian service, Performance Improvement, Employee Engagement, and other areas. Develops Departmental Policies and Procedures and Standard Operating Procedures related to the Credentials Operations and staff.
On an ongoing basis is responsible for planning and implementation of the yearly staff Education Plan. Schedules quarterly presentations according to the Plan’s listed topics and others chosen by support staff on an ongoing basis. Orients new staff and educates them on the Department Policies and Procedures.
Consultation and Support of Medical Staff
Provides consultation to Medical Staff, Allied Health Professionals, Administration and other hospital departments. Address and facilitate issues and concerns of Medical Staff leadership, Medical Staff, Allied Health Professionals, legal counsel, administration, hospital personnel and others.
Maintain current knowledge of medical staff bylaws, rules and regulations and policies and procedures, and external accrediting standards as well as state and federal regulatory requirements. Provide appropriate interpretation and clarification of standards and requirements. Provide Medical Staff leaders, Medical Staff and administration with necessary reports as required. Act as director in Director’s absence. Maintain confidentiality at all times.
Continuously safeguards the liability exposure of the Hospital and Medical Staff through the monitoring of compliance with the hospital’s medical staff Bylaws, Rules and Regulations, and Policies and Procedures. Shares responsibility with the Director for maintaining compliance with Joint Commission, AOA, NCQA and AHCA standards, Corporate Compliance, FMQAI Compliance (Florida Medical Quality Assurance) – Medicare Attestations, and any other pertinent regulations.
6. Manages Medical Staff Committees
In conjunction with Medical Staff leadership, oversees the following medical staff committees: the Medical Executive Committee, the Credentials Committee and the Allied Health Professional Review Panel. Maintains overall responsibility for these meetings which may be accomplished through the delegation of some of these to the credentialing staff.
Activities within this function include, but are not limited to, updating the composition of these three committees as provided by the Medical Staff Bylaws, Medical Staff President and appropriate chairpersons; coordination of meeting set up and notification of members; managing deadlines and agenda items; managing the preparation of agendas and providing Chairman and Director with agenda and pertinent data according to set deadlines; compilation of all meeting materials for distribution, prior to and at meetings. Summarizing meeting discussions and preparing minutes within one week of meeting. Accountable for all follow-up items, documentation and coordination of meeting actions; channeling action items, and in the event of deferral, obtaining additional information as required. Provides electronic broadcast of the Medical Executive Committee to all members of the Medical Staff within one week subsequent to approval by the Committee. Forwards recommendations and supporting material to the assigned Coordinator for Professional Affairs and Board meetings within three (3) days of Medical Executive Committee. Maintain original minutes in record books within one week of meeting, and provide to appropriate support staff for annual archiving.
7. Manages Medical Staff Clinical Privileges
Responsible for the granting of clinical privileges in accordance with the medical staff Policy on Appointment, Reappointment, and Clinical Privileges and in the Policy on Allied Health Professionals. Included is the management of temporary privileges for Medical Staff members and non-staff physicians and Allied Health Professionals. Oversees staff to compile required documentation for temporary privileges, mandated queries, verifications, and obtains necessary approvals and notifies appropriate administrators, Medical Staff and hospital personnel when privileges are granted.
Assists Medical Staff leaders in the development of new privileging guidelines. Provides guidance to support staff relative to clinical privileges and related correspondence, appropriate data entry and forms development.
Responsible for training of new physician leaders including new Department Chairmen in credentialing and privileging. Responsible for the selection and provision of credentialing and privileging materials to train and educate physician leaders.
Participates in department or system-wide committees, task forces or activities, when requested.
Stays abreast of latest developments, trends and techniques in areas of responsibility through participating in conferences, workshops, seminars and reading professional literature. Shares knowledge gained with staff and assimilates into department policies and procedures.
To ensure effective management of support staff and to ensure effective quality improvement, performs other work-related duties as necessary.
The expertise and experiences you’ll need to succeed:
Bachelor degree in health services administration and/or minimum of 5 years previous experience in Medical Staff Credentialing.
Management and supervisory experience in Credentialing and Privileging
Certified Provider Credentials Specialist (CPCS) must be obtained within the first year of employment
At AdventHealth, Extending the Healing Ministry of Christ is our mission. It calls us to be His hands and feet in helping people feel whole. Our story is one of hope — one that strives to heal and restore the body, mind and spirit. Our more than 80,000 skilled and compassionate caregivers in hospitals, physician practices, outpatient clinics, urgent care centers, skilled nursing facilities, home health agencies and hospice centers are committed to providing individualized, wholistic care.