Director, Credentialing Services

Director, Credentialing Services Job ID #: 33981 Location: 4916 Excelsior Blvd, St. Louis Park Position Category: Professional / Leadership Department: Credentialing 8342 Employment Type: Full Time Education Required: Bachelor's Degree Experience Required: 5+ years Union Representation: Non-Union (100) Work Schedule Monday- Friday Job Code: 1QB Hours/ Pay Period: 80 Date Posted: Apr 17, 2013

Position Summary

The Director provides strategic leadership and oversight of the Park Nicollet Health Services credentialing and privileging department to assure its integrity and compliance with the Park Nicollet, Methodist Hospital, and TRIA Orthopaedic Center ASC (TRIA) bylaws, policies and procedures, as well as JCAHO, NCQA, CMS, State and contracted payer standards, as well as direction and oversight to the Medical Staff Office at Methodist. This position directs the daily department operations to ensure continuous improvement of effective and efficient processes and procedures that support credentialing and privileging activities within financial goals. This position is responsible for the selection and supervision of credentialing staff and volunteers, and actively participates in the daily activities of the credentialing process. The Director collaborates with Medical Staff leadership and the PN Compliance areas as needed in matters relating to medical staff governance or legal concerns. Formal education and direct experience in credentialing required, including a minimum of three years direct credentialing experience in a large, teaching hospital setting. Experience in a large multi-specialty medical group practice preferred. Minimum 5 years supervisory experience required. Bachelor’s degree in business administration/management preferred. Knowledge of credentialing software required. Certified Provider Credentialing Specialist (CPCS) certification and Certified Professional in Medical Services Management (CPMSM) preferred.

Additional Information

The Organization

Rooted in suburban Minneapolis, Minnesota, Park Nicollet Health Services (PNHS) is an integrated health care delivery organization. The two largest entities that comprise PNHS are ParkNicolletMethodistHospital, a 426-bed community hospital located in St. Louis Park, and Park Nicollet Clinic, a 500-plus, physician multi-specialty group with 25 offices in Minneapolis and its southern, western, and northern suburbs. PNHS truly is an integrated system, as processes of care are designed and managed across these entities to optimize the delivery of care for the patients and communities served.

Park Nicollet Mission, Vision and Values

Mission:

Our mission is to care for and support the health, healing and learning of those we serve.

Vision:

Everyone caring, every day, creating with the individuals we serve, optimal health and greater value.

Values:

Excellence is the standard we apply to our work, achieving best possible outcomes and upholding the highest professional standards

Caring is our heartfelt motivation to serve our patients and create the best possible experience.

Stewardship is our commitment to create ever greater value with the resources entrusted to us.

Joy is what we experience when serving our patients and each other through a job well done.

Learning is the way we continually improve and create knowledge and value that can be shared. What makes us unique?

Park Nicollet Health Services is a strong, stable and organically grown multi-specialty group practice within the affluent and highly educated western TwinCity metropolitan area. PNHS has a long-standing commitment to quality, proficiency and stewardship, and has embarked on a pioneering effort to study, adopt and integrate the Toyota Production System’s Lean Methodology (Kaizen), enhancing previous gains realized from its Six Sigma efforts. Although PNHS has developed and engaged in strong business partnerships with local competitors, having a single hospital focus adds to its list of strengths and advantages. PNHS was one of the first integrated healthcare systems in the nation to adopt a unit medical record that is now electronic and ubiquitous