Looking For Compliance and Credentialing Specialist with WFH

SJob Summary:

The Compliance and Credentialing Specialist will oversee the onboarding and credentialing processes for new healthcare hires with agency clients. This role ensures each candidate meets all necessary regulatory, client, and company-specific requirements. The specialist will be responsible for verifying and maintaining compliance documentation, ensuring credential accuracy, and supporting efficient onboarding. Responsibilities may vary based on client-specific onboarding processes.

Key Responsibilities

Credentialing and Onboarding:

• Manage the credentialing process for new healthcare hires, including verification of licenses, certifications, background checks, health screenings, and other required credentials.
• Ensure all documentation meets compliance standards based on federal, state, and client-specific regulations.
• Verify and maintain credentialing checklists, including but not limited to:

1) Resumes, 2)Skill checklist, 3) Area-Specific Exams (Medication/Pharmacology, Dysrhythmia) etc.

• Work closely with candidates to collect, review, and address any missing or deficient documentation, including scheduling authorization forms for missing health items/drug screens and running backgrounds.

Compliance and Regulation:

• Ensure all credentialing processes adhere to industry standards, including HIPAA, JCAHO, and OSHA regulations.
• Monitor compliance requirements and update processes to reflect regulatory changes.
• Maintain accurate, audit-ready records for internal and external reviews.

Database and Record Management:

• Maintain and update electronic records within the companys credentialing and compliance systems.
• Track credential expiration dates and ensure timely renewals and re-verifications.
• Ensure confidentiality and security of all personnel and credentialing records.

Communication and Coordination:

• Collaborate with recruitment, human resources, and placement teams to ensure candidates meet compliance before deployment.
• Provide clear and timely communication with candidates regarding credentialing requirements, deficiencies, and updates.
• Serve as the primary contact for client agencies regarding compliance and credentialing inquiries.