Medical Staff Credentialing Specialist II - Atlantic Health Chilton Medical Center

JOB DESCRIPTION Determines practitioner eligibility for Medical Staff and Allied Health Professional Staff membership and /or clinical privileges. Performs complex credentialing, privileging and primary source verification functions requiring advanced analytical skills, critical thinking, and independent judgment. Ensures the integrity, accuracy, and timeliness of credentialing information in compliance with regulatory and accreditation standards. Serves as a key resource to leadership, providers, and interdisciplinary stakeholders to support high-quality practitioner evaluation and patient safety. Position Summary JOB DESCRIPTION Determines practitioner eligibility for Medical Staff and Allied Health Professional Staff membership and /or clinical privileges. Performs complex credentialing, privileging and primary source verification functions requiring advanced analytical skills, critical thinking, and independent judgment. Ensures the integrity, accuracy, and timeliness of credentialing information in compliance with regulatory and accreditation standards. Serves as a key resource to leadership, providers, and interdisciplinary stakeholders to support high-quality practitioner evaluation and patient safety. Key Responsibilities Credentialing & Privileging Oversight: 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 to support informed decision-making by medical staff leadership and committees. Processes clinical privilege requests in alignment with established clinical/specialty criteria. Regulatory Compliance & File Management Manages credentialing workflows to ensure compliance with Joint Commission, CMS, and NCQA standards, maintaining strict adherence to required timelines. Monitors file progression through review and approval stages, ensuring completeness, accuracy, and audit readiness. Stakeholder Engagement & Communication Serves as a liaison to physicians, advanced practice providers, and internal/external stakeholders to communicate application status, resolve issues, and obtain required documentation. Provides guidance on medical staff bylaws, policies, and credentialing requirements, and responds to verification inquiries and organizational requests. Performance & Continuous Improvement Independently manages productivity and quality metrics, ensuring high standards of accuracy and efficiency. Contributes to process improvement initiatives, supports system optimization efforts, and participates in departmental and organizational projects. Qualifications Education/Experience High School Diploma required. Bachelor's Degree Preferred. 3 years of credentialing experience in a hospital or healthcare setting. Strong knowledge of Joint Commission, CMS, and NCQA standards. Demonstrated ability to analyze complex information, exercise sound judgment, and manage competing priorities. CPCS or CPMSM preferred About Us 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. #J-18808-Ljbffr Atlantic Health