Director, Credentials Verification Office (CVO)

This enterprise position provides best practice administrative management services for all aspects of credentialing verification.

The director is responsible for overseeing the strategic and daily activities of the Department and serves as a liaison between CVO and the Medical Staff Office(s).

Essential Functions:

Plans, implements, organizes and directs a comprehensive, enterprise-wide credentialing verification program.


* Establishes, influences and implements policies, procedures and systems to accomplish the credentials verification and enrollment process.


* Directs all aspects of a credentialing verification system.


* Researches, selects controls and maintains credentialing software.


* Leads a comprehensive and technologically driven verification process to ensure continuity, accuracy, completeness and timeliness.


* Protects the integrity and security of the database.


* Provides guidance on accreditation, regulatory issues, national standards and best practices.

Plans and manages the operations of CVO.


* Hires, trains, evaluates and develops staff.


* Establishes and monitors shares departmental metrics and key performance indicators.


* Establishes reliable methods, checklists and other work products to ensure consistency in

performance and compliance with regulatory and accrediting agencies.


* Creates and monitors a departmental budget.


* Promotes ongoing education.

Promotes and directs the use of process improvement tools and thinking to create greater value.


* Collaborates with key stakeholders on managing an ongoing reporting process that is accurate and timely.


* Focuses on creating and aligning goals in support of the organization's Mission.

Serves as liaison between CVO, Medical Staff Services, practice leaders and other customers.


* Manages requests for customized reports and other information.


* Provides guidance on accreditation, regulatory issues, national standards and best practices.


* Additional miscellaneous duties and responsibilities, as may be assigned from time to time by employee's.

Requirements:

Bachelor's Degree preferred- In lieu of the educational requirements, previous work history in credentialing and years of experience may be considered.

MD Staff software experience is preferred.

Experience in Medical Staff credentialing and privileging is required.

Certification by the National Association Medical Staff Services as a Certified Professional In Medical Staff Services Management (CPMSM) or a Certified Provider Credentials Specialist (CPCS).

required

About Us

Nemours Children's Health is an internationally recognized children's health system.

With more than 1.7 million patient encounters annually, we provide medical care in five states through two freestanding state-of-the-art children's hospitals - Nemours Children's Hospital, Delaware and Nemours Children's Hospital, Florida.

Our pediatric network includes ...