esponsible for facility credentialing function for Physicians, Hospital, Pharmacy, Medical Diagnostic Service Providers in accordance with internal policies and government regulatory requirements for Healthcare providers. Core Responsibilities: Perform credentialing and re-credentialing activities of all providers and practitioners, Pharmacy, Hospital, HMO, Medical Diagnostic Centres; involves detailed review of documents and data in compliance with regulatory standards (NDPR and Healthcare regulatory agencies-MDCN, MLSCN,PCN,RRBN,MRTB) Complete and process credentialing applications for verification, approve or follow up or rejection. Work with Operational leadership, managers, and IT team in maintaining coverage schedule and ensuring patients and providers use the system at all times. 24/7 system check for new registrations and approval and verification and checking with regulators for approval. Work closely with providers, hospital medical staff offices, pharmacy, Medical Laboratories, Imaging centres, Diagnostic centres, HMO, Partners and internal staff for onboarding processing and use of the services. Ensure all providers are paid timely and ensure patients use the system for teleconsultations and support deployment of the telemedicine equipment.  Follow up on all open items. Provide primary source verification/ongoing review of credentialing files. Present credentialing files to Compliance for review and approval; meet all Regulatory requirements. Perform physical and real time video verification for each provider before approval Effectively support other system administrative assistants, especially for high priority meetings, deadlines and deliverables Demonstrate a sense of urgency, initiative, responsiveness, and attention to detail. Routinely handle internal and external inquiries by screening calls, answering questions, and redirecting to appropriate personnel. Special projects and other duties as assigned

Our client, a nationwide Senior Living organization, is in need of an experienced Licensed Nursing Home Administrator (NHA) to join the leadership team of a prominent Senior Living Continuing Care Community. The Administrator manages day to day operations of the Skilled Nursing and Assisted Living departments and reports directly to the Executive Director. The Administrator assists in ensuring regulatory compliance, staff oversight, maintaining and increasing the census, customer service satisfaction, and meeting or exceeding budgetary parameters.Responsibilities:Development and monitoring of quality assessment and assurance for delivery of proper care incontinuing care departmentsEnsuring facility service and quality standards are in compliance with federal, state, and local, regulationsOversee and audit nursing services to establish and enforce policies that aim towards improving overall high-quality deliver of careResponsible for directing and evaluating all operations and staff functionsQualifications:MD Licensed Nursing Home Administrator license required (LNHA)2+ years of administrative/management experience in similar setting (Skilled Nursing Facility (SNF), Rehabilitation, Assisted Living, Senior Living, Memory Care, Nursing Home, Retirement Community, CCRC) preferred

ATTENTION DALLAS & FORT WORTH: IDR is seeking multiple Facility Administrators to join their clients growing teams in multiple locations! This is your chance to join a rapidly growing organization as a permanent member of our clients team! As the Dialysis Admin you will be responsible for overall daily management and operations of the Dialysis Clinic!

• Performs in-depth financial interviews with patient, family, relatives and friends in hospital, office setting or by telephone, to determine patients and / or legally responsible relative’s ability to pay for services rendered. Furnishes hospital rates.• Facilitates processing of patients’ application for third party benefits including, but not limited to Medicaid and Medicare, when necessary guide patient / family to appropriate department in hospital / outside agency.• Reviews and abstracts medical charts to obtain pertinent information for accurately completing third-party reimbursement (billing) forms for Medicare, Medicaid, hospital plans, etc. indicating proper treatment, discharge diagnosis, and overall patient information.• Contacts outside agencies, organizations and individuals to obtain necessary information inquiring about potential sources of reimbursement such as liability carriers, hospital insurance, workman’s compensation, etc. and interacts with agencies including social services and home care services, with reference to patient admissions and maximization of hospital revenue.