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Medical Staff Credentialing Specialist II -Atlantic Health Hackettstown Medical Center

$30.21 - $49.87 per hour

Atlantic Health

30% Credentialing and Privileging

  • Conducts comprehensive initial and recredentialing primary source verification of education, clinical training, licensure, work history, hospital/healthcare affiliations, malpractice claims history, peer references, and other elements as required per the bylaws and policies to ensure competency.
  • Identifies, investigates, and resolves discrepancies or adverse findings related to the practitioners to support informed decision-making by medical staff leadership and committees. This includes thorough review and follow-up on a broad range of adverse or potentially concerning information, such as prior or current disciplinary actions (e.g., suspended, restricted, or revoked privileges), terminations or resignations in lieu of termination from employment or medical staff membership, documented professional misconduct or behavioral concerns, malpractice claims history and patterns, licensure actions or sanctions, and criminal history.
  • Conducts detailed analysis of findings to distinguish isolated or non-substantive issues from patterns that may indicate risk, ensuring appropriate context is obtained through primary source verification, reference feedback, and collaboration with internal and external stakeholders. Escalates significant or unresolved concerns in accordance with established policies and supports the development of clear, objective summaries for review by clinical leadership, Credentials Committees, and the Medical Executive Committee.
  • Ensures all investigations are handled consistently, confidentially, and in compliance with regulatory and accreditation standards, supporting defensible and well-informed privileging and appointment decisions.
  • Processes clinical privileging requests in alignment with established clinical criteria. Reviews and evaluates each request to ensure the privileges sought are appropriate based on the practitioner’s documented clinical training, experience, and current competence. Verifies that all eligibility requirements for both core and special privileges are met, including confirmation of specialized training, certifications, case volume, and demonstrated competency where applicable.
  • Ensures all supporting documentation is complete and obtained through primary sources and escalates any discrepancies or concerns to clinical leadership for further review.
  • Supports the development of accurate, defensible privilege recommendations for consideration by Medical Staff leadership and governing committees.

25% Regulatory Compliance & File Management

  • Electronically routes credentialing files to Department Chiefs/Chairs or designees for review and recommendations regarding Medical Staff membership and clinical privileges across assigned hospitals upon completion of the file audit.
  • Manages credentialing workflows to ensure compliance with Joint Commission, CMS, and NCQA standards, maintaining strict adherence to required timelines. Tracks applications from intake through final Board action, ensuring all verifications, documentation, and privilege evaluations are complete, accurate, and audit-ready, while proactively addressing delays and escalating issues as needed.
  • Coordinates and monitors practitioner files through all review and approval stages, including Credentials Committee, Medical Executive Committee, and Governing Board. Ensures accurate documentation of committee actions and supports the development of clear, defensible recommendations for leadership review.
  • Executes timely post-approval actions to operationalize practitioner status. Updates the credentialing system to reflect approved membership and privileges, prepares and distributes Board approval communications to practitioners and applicable leadership, and coordinates with IT and operational teams to ensure EMR access and full activation for clinical practice.

25% Administrative and Operational Support

  • Provides support to practitioners throughout the credentialing and privileging process, guiding them through complex requirements and ensuring a positive onboarding experience.
  • Serves as a primary point of contact, clearly explaining requirements, assisting with document collection, and helping navigate potentially burdensome or time-intensive steps.
  • Proactively communicates status updates, outstanding items, and anticipated timelines, keeping applicants informed and engaged throughout the process.
  • Anticipates and addresses questions or barriers early to prevent delays, ensuring a transparent, efficient, and provider-centered experience from application through final approval.
  • Collaborates with clinical departments, HR, legal, and external entities (e.g., licensing boards, malpractice carriers) to facilitate timely information exchange and resolve issues that may impact credentialing decisions.
  • Coordinates day-to-day activities of the Medical Staff Office, including managing communications, scheduling, document preparation, and responding to routine inquiries from providers and internal stakeholders.

20% Performance & Continuous Improvement

  • Independently manages productivity and quality metrics, ensuring high standards of accuracy and efficiency.
  • Monitors workflows and outcomes to identify trends, gaps, and opportunities for process improvement, contributing to ongoing optimization efforts.
  • Supports standardization and continuous improvement initiatives to enhance efficiency, strengthen compliance, and advance a high-quality, provider-centered credentialing program.
  • High School Diploma Required. Associate's or Bachelor's degree in Business, Finance, Healthcare, or related field preferred.
  • Minimum 3 years of credentialing experience in a hospital or integrated healthcare system.
  • Experience with Credentialing Software Data Base Systems (e.g., Verity Credential Stream, Echo, MDStaff)
  • Demonstrated ability to analyze complex information, exercise sound judgment, and manage competing priorities.
  • Strong knowledge of Joint Commission, CMS, and NCQA standards.
  • Excellent communication and training skills with the ability to provide constructive feedback.
  • CPCS or CPMSM strongly preferred

At Atlantic Health, our promise to our communities is; Anyone who enters one of our facilities will receive the highest quality care delivered at the right time, at the right place, and at the right cost. This commitment is also echoed in the respect, development and opportunities we give to our more than 22,000 team members. Headquarters in Morristown, New Jersey, we are one of the leading non-profit health care systems in the nation. Our facilities and sites of care include:

  • Atlantic Health Morristown Medical Center, Morristown, NJ
  • Atlantic Health Overlook Medical Center, Summit, NJ
  • Atlantic Health Newton Medical Center, Newton, NJ
  • Atlantic Health Chilton Medical Center, Pompton Plains, NJ
  • Atlantic Health Hackettstown Medical Center, Hackettstown, NJ
  • Atlantic Health Goryeb Children's Hospital, Morristown, NJ
  • Atlantic Health CentraState Healthcare System, Freehold, NJ
  • Atlantic Medical Group
  • Atlantic Visiting Nurse
  • Atlantic Mobile Health
  • Atlantic Rehabilitation

We have more than 900 community-based healthcare providers affiliated through Atlantic Medical Group.

We have received awards and recognition for the services we have provided to our patients, team members and communities. Below are just a few of our accolades:

  • Chosen for 17 years by Fortune as one of the magazine’s “100 Best Companies to Work For."
  • Atlantic Health Morristown and Atlantic Health Overlook Named by Newsweek as two of the “World’s Best Hospitals” in 2026.
  • Atlantic Health Morristown and Atlantic Health Overlook ranked within the top three hospitals in New Jersey by U.S. News & World Report’s 2025-2026 Best Hospital rankings.
  • Atlantic Health scored four “A” grades by The Leapfrog Group in its Fall 2025 Hospital Safety Grades, performance measures reflecting errors, accidents, injuries and injections, as well as systems hospitals have in place to prevent harm.
  • Atlantic Health Morristown and Atlantic Health Overlook are New Jersey's only hospitals to be named among America's 50 Best hospitals by Healthgrades in 2026.
  • Named by Becker's Healthcare as one of the "165 Top Places to Work in Healthcare – 2026.
  • Atlantic Health Morristown, Atlantic Health Overlook, Atlantic Health Chilton and Atlantic Health Newton all Forbes Top Hospitals for 2026.
  • Named by Newsweek as one of America’s Greatest Workplaces for Inclusion & Diversity 2025.
  • Atlantic Health rated LEVEL 9 - 2025 CHIME Digital Health Most Wired.

Hackettstown Medical Center has been providing care to the community since 1973, primarily serving Warren, Sussex and Morris Counties in New Jersey. From preventive services and outpatient testing, to care for minor injuries and life-threatening illness, we offer a wide range of services to keep our local population healthy. Hackettstown Medical Center maintains several designations, including Primary Stroke Center from both the New Jersey Department of Health & Senior Services and The Joint Commission’s advanced certification program; accreditations from the American College of Radiology for mammography, nuclear medicine and ultrasound; sleep disorder center accreditation from the American Academy of Sleep Medicine; and Quality of Care recognition for our cardiopulmonary department from the American Association for Respiratory Care. In addition, we provide education, screenings, support groups and wellness programs for people of all ages through our Center for Healthier Living.

Atlantic Health offers a competitive and comprehensive Total Rewards package that supports the health, financial security, and well-being of all team members. Offerings vary based on role level (Team Member, Director, Executive). Below is a general summary, with role-specific enhancements highlighted:

Team Member Benefits

  • Medical, Dental, Vision, Prescription Coverage (22.5 hours per week or above for full-time and part-time team members)
  • Life & AD&D Insurance.
  • Short-Term and Long-Term Disability (with options to supplement)
  • 403(b) Retirement Plan: Employer match, additional non-elective contribution
  • PTO & Paid Sick Leave
  • Tuition Assistance, Advancement & Academic Advising
  • Parental, Adoption, Surrogacy Leave
  • Backup and On-Site Childcare
  • Well-Being Rewards
  • Employee Assistance Program (EAP)
  • Fertility Benefits, Healthy Pregnancy Program
  • Flexible Spending & Commuter Accounts
  • Pet, Home & Auto, Identity Theft and Legal Insurance

____________________________________________

Note: In Compliance with the NJ Pay Transparency Act (effective Sunday, June 1, 2025), all job postings will include the hourly wage or salary (or a range), as well as this summary of benefits. Final compensation and benefit eligibility may vary by role and employment status and will be confirmed at the time of offer.

EEO STATEMENT

Atlantic Health, Inc. is an equal employment opportunity employer and federal contractor or subcontractor and therefore abides by applicable laws to protect applicants and employees from discrimination in hiring, promotion, discharge, pay, fringe benefits, job training, classification, referral, and other aspects of employment, on the basis of race, color, religion, sex (including pregnancy, gender identity and sexual orientation), national origin, citizenship status, disability, age, genetics, or veteran status.

Vacancy posted a month ago
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