Professionals who work in healthcare - doctors, nurses, technicians, therapists, and so on - must be certified to work with patients, and these certifications and credentials typically require ongoing education and re-certification over time. Clinics, hospital groups, and large healthcare organizations generally employ a credentialing manager who oversees the maintenance and upkeep of such certifications.
The job of a credentialing manager is far more involved than simply maintaining a database of certifications; they also confirm certifications and credentials of all new employees to ensure they match existing guidelines within the organization's jurisdiction. They will typically require hard copies of certain credentials and may be required to sign paperwork to confirm the existence and witnessing of those credentials.
Those in this position also advise all current personnel on new certification requirements and may be required to arrange time for seminars, continuing education classes, or assisting personnel in maintaining the credentials required for their positions. Credentialing managers also create detailed staff-credential reports to be available upon request to all licensing authorities and hospital executive board members.
Some healthcare institutions prefer that their credentialing managers be certified medical staff members themselves, while others prefer candidates with university degrees in healthcare management or business management with crossover education in health services. Credentialing managers must often have practical or supervisory experience in healthcare management, as well. Those in this position generally work in office environments during traditional weekly business hours.
Credentialing Manager Tasks
Supervise staff and give technical direction.
Ensure credentialing processes are in compliance with professional standards, bylaws, state and federal regulatory requirements.
Oversee day-to-day operational credentialing and privileging activities.