JOB SUMMARY: Ensures credentialing and privileging activities comply with requirements of regulatory and accrediting agencies including the Centers for Medicare/Medicaid Services, the Joint Commission, and the National Committee for Quality Assurance, federal and state laws and delegated credentialing agreements independently. Executes the Medical Staff Office Quality Assurance Program.
Audits credentials files and verifies information entered in information systems.
Maintains and analyzes quality data, identifies trends, and recommends corrective actions.
Coordinates external audit engagements and responding to complex inquiries.
Prepares and submits material for external audits and Corrective Action Plans.
Serves as primary contact for VHAN.
The responsibilities listed are a general overview of the position and additional duties may be assigned.
DISCRETION & PRIVACY (ADVANCED): - The ability to use and keep information confidential in a secure setting.
DATA ENTRY (ADVANCED): - The ability to transcribe information from the original source into an electronic system according to written and verbal instructions efficiently and accurately.
ANALYTICAL SKILLS (ADVANCED): - The process of identifying, evaluating, interpreting and organizing data. It includes sorting through data to identify patterns and establish relationships for decision making.
CVO POLICIES AND PROCEDURES (INTERMEDIATE): - Knowledge, adherence and application of CVO policies and procedures.
PROCESS DEVELOPMENT (ADVANCED): - Identifies, analyzes and improves upon existing business processes for optimization and to meet standards of quality.
Organizational Impact: Independently performs non-routine tasks that significantly impact team and other related teams.
Problem Solving/ Complexity of work: Gathers and analyzes data to solve problems that arise with little or no precedent.
Breadth of Knowledge: Applies advanced job knowledge and has developed a breadth of skills in other areas.
Team Interaction: Serves as a lead for the team by providing expertise and guidance to team members.
Vanderbilt University Medical Center is home to Vanderbilt University Hospital, The Monroe Carell Jr. Children’s Hospital at Vanderbilt, the Vanderbilt Psychiatric Hospital and the Vanderbilt Stallworth Rehabilitation Hospital. These hospitals experienced more than 61,000 inpatient admissions during fiscal year 2015. Vanderbilt’s adult and pediatric clinics treated nearly 2 million patients during this same period. Vanderbilt University Hospital and the Monroe Carell Jr. Children’s Hospital at Vanderbilt are recognized again this year by U.S. News & World Report’s Best Hospitals as among the nation’s best with 18 nationally ranked specialties. Vanderbilt University Medical Center is world renowned because of the innovation, work ethic and collegiality of its employees. From our health care advances to our compassionate care, Vanderbilt owes its accomplishments and reputation to staff and faculty who bring skill and drive and innovation to the medical center day after day. World-leading academic departments and comprehensive centers of excellence pursue scientific discoveries and transformational educational and clinical advances across the entire spectrum of health and disease.As t...he largest employer in middle Tennessee, we welcome those who are interested in ongoing development in a caring, culturally sensitive and professional atmosphere. Most of us spend so much of our lives at work, we want to be part of maintaining a workplace in which people support one another and encourage reaching for excellence. Many high-achieving employees stay at Vanderbilt because of the professional growth they experience and because of their appreciation of Vanderbilt’s benefits, public events and discussions, athletic opportunities, beautiful setting and, above all, sense of community and purpose.Vanderbilt and its employees share a set of mutual expectations that have been created with productivity, legality, fairness and safety always in mind. We believe that our investment in training and compensating employees multiplies in value when we enable individuals to deliver their best performance for the benefit of us all.