Sanford Health Professional Practice Specialist - Professional Practice Services in Sioux Falls, South Dakota

Job Title: Professional Practice Specialist | Professional Practice Services | Sioux Falls

City: Sioux Falls

State: South Dakota

Department : Professional Practice Services

Job Schedule: Full Time

Shift: Days

Hours Per Shift: 8 hr

JOB SUMMARY

Responsible for oversight of processes developed to process verifications and facilitate the credentialing process for initial and reappointment applications to the medical staff and allied health staff of Sanford. Overseeing the timelines and workflow processing of the reappointment cycles. Ensure the completeness and identifying issues requiring additional information or investigation on applications. Oversee the accuracy of application data entry and verification requests. Perform the final review of processed verifications for quality and content. Develop correspondence to obtain additional information is needed. Facilitate the credentials in preparation of agenda materials and follow-up of recommendations. Coordinate communication of final credentialing recommendations to all parties. Generate audits and reports to support/document the verifications and credentialing process and facilitating projects. Requires excellent organizational skills, and keen attention to detail. Must have ability to apply critical thinking skills to identify creative problem solving approaches. Must have ability to use independent judgment in executing professional decisions. Must be aware of available resources related to regulatory, licensure, and accreditation regulations related to credentialing and compliance. Must have accuracy in data entry and familiarity with database systems and access based report writing. Must be able to demonstrate appropriate conflict resolution in stressful situations. Must be skilled in establishing interpersonal and professional communication, both verbal and written, with physicians, healthcare entities, physician recruiters, external verification sources and services and delegated contractors. Holds all confidential information within the practitioner and organization files.

POSITION RESPONSIBILITIES

QUALIFICATIONS

Two years of experience in health care provider verifications and credentialing or equivocal experience in closely related field required. Graduation from a NLN or AACN accredited nursing program is strongly preferred. Graduate from an approved nursing program is acceptable. Current South Dakota RN license is required or multi-state licensure privileges. Bachelors Degree in nursing preferred.

About Sanford Health:

At Sanford Health, we are dedicated to the work of health and healing. Every day, we show that commitment by delivering the highest quality of care to the communities we serve. We are leaders in health care and strive to provide patients across the region with convenient access to expert medical care, leading-edge technologies and world-class facilities.

In addition to strong clinical care, we are also committed to research, education and community growth. We engage in medical research to not only discover innovative ways to provide care, but also cures for common diseases. We continuously seek new ways to achieve our vision of improving the human condition here in your community, across the region and around the world.

The entire team at Sanford Health recognizes the value of healthy families and communities. We continue to gain momentum and expand our reach. Together, we can make a positive difference now, and in the future.

Sanford is an EEO/AA Employer M/F/Disability/Vet. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-877-243-1372 or send an email to talent@sanfordhealth.org .

In compliance with federal law requiring employers to verify new employees' U.S. employment eligibility, Sanford participates in E-Verify. To learn more click here for English Version at https://e-verify.uscis.gov/emp/media/resourcesContents/EverifyPosterEnglish.pdf or here for Spanish Version at https://e-verify.uscis.gov/emp/media/resourcesContents/EverifyPosterSpanish.pdf .

City: Sioux Falls

State: South Dakota

Job Function: Clinical Support

Job Schedule: Full Time

Shift: Days

Req Number: req8107