The Credentialing Analyst will maintain high standards of accountability and operate on the principles of a High-Reliability Organization in an effort to achieve safety, quality, and efficiency goals.This individual acquires and maintains relevant compliance documentation for Healthcare Provider candidates on assignment with client facilities by partnering with internal sales and clinical teams, creating urgency with candidates and reinforcing Joint Commission, federal, state and AMN mandates in order to achieve compliance for on-time start date ultimately impacting fill rate, market share and revenue.
Review healthcare providers' submitted requirements including licensure, certifications, screens and other critical documents using the data platform system to determine healthcare provider (HP) document status versus requirements needed for specific assignment in order to pursue outstanding requirements.
Communicate timely updates of HP document status with all internal stakeholders via the data platform system, email, phone, etc. to facilitate a team approach to gathering all required documents.
Create urgency with healthcare providers via email and phone, to encourage timely and accurate document submission by establishing target dates and monitoring document submission progress in order to deliver comprehensive documentation to the client facility for an on-time assignment start date.
Coordinate response to assigned client regulatory audits, TJC/TWSM/NCQA documentation, and other requests by client facilities by completing the requests with accuracy and within the established/provided timelines.
Coordinate with 3rd party vendors to determine appropriate dates, times, and locations for HP candidates to complete necessary compliance steps including drug screens, background checks, immunizations, etc.
Facilitate quick book (QB) process for assigned facilities by taking lead role to collaborate with Account Managers, Recruiters, and the Housing department in order to determine reasonable start dates.
Collaborate with Contracts Credentialing Analyst to review all incoming new client contracts or contract revisions for Credentialing requirements, for assigned facilities in order to identify unique requirements.
Negotiate with client facility to reconsider unusual or uncustomary requirements by emphasizing the value and experience of Quality Services Department with client facilities in order to minimize disruption of placements and optimize fill rate.
Consult clients on Credentialing best practices by making recommendations on requirements expectations and realistic start dates to streamline submission and placement processes in order to increase fill rate of qualified HPs.
Maintain up-to-date and accurate facility database including updated contact information, new requirements, and client correspondence by following up regularly with clients in order to optimize service coverage and prevent gaps in service delivery.
Research new requirements (by The Joint Commission, OSHA, and others) that may impact the industry in order to present proposals to leadership that clarify appropriate action plans that will address the requirements with the least resources and expense.
Education, Certifications & Experience:
High School diploma or equivalent
College degree, or equivalent combination of education & experience
4 years customer service experience or equivalent combination of education and experience
1 to 3 years previous experience in hospital setting
AMN Healthcare is anEEO/AA/Disability/ProtectedVeteran Employer
We encourage minority and female applicants to apply
AMN Healthcare is committed to fostering and maintaining a diverse team that reflects the communities we serve. Our commitment to the inclusion of many different backgrounds, experiences and perspectives enables our innovation and leadership in the healthcare services industry.
We value professionalism in everything we do - this includes the professional presence we project as we interactwith internal and external customers.