Credentialing Auditor Job at CHRISTUS Health (Irving)

Director of Rehabilitation

Aegis Therapies, one of the nation’s leading providers of rehabilitation and wel...

Location

United States , Geneva

Salary:

110000.00 USD / Year

Aegis Therapies

Expiration Date

Until further notice

Requirements

Possess and maintain a current license in the state of practice
Physical Therapy / Physical Therapy Assistant, Occupational Therapy / Occupational Therapy Assistant, or Speech-Language Pathology program
Minimum 1 year of experience as a treating therapist or therapy assistant
Minimum 1 year of therapy management experience
Currently Credentialed Documentation Auditor (CDA) or ability to become credentialed within six (6) months

Job Responsibility

Healthcare management leadership
Inspire others and make a meaningful impact
Shape therapy department
Lead team to success

What we offer

Support, local clinical mentorship, clinical education and unlimited CEUs
Create your own career path: clinically, management, etc.
Flexible schedule, paid time off, plus one paid CEU day
Licensure and professional membership reimbursement
Interdisciplinary collaboration for providing the best patient care
Medical, dental, vision within 30 days or less
Salaried Position
National opportunity to transfer while maintaining employment status
Multiple settings nationwide: CCRC, SNF, Assisted Living, Outpatient Clinics, Home Health

Fulltime

Director of Rehabilitation

A Continuing Care Retirement Community (CCRC) offering a diverse setting with a ...

Location

United States , Highlands Ranch

Salary:

Not provided

Aegis Therapies

Expiration Date

Until further notice

Requirements

Possess and maintain a current license in the state of practice
Physical Therapy / Physical Therapy Assistant, Occupational Therapy / Occupational Therapy Assistant, or Speech-Language Pathology program
Minimum 1 year of experience as a treating therapist or therapy assistant
Minimum 1 year of therapy management experience
Currently Credentialed Documentation Auditor (CDA) or ability to become credentialed within six (6) months

Job Responsibility

Inspiring others and making a meaningful impact
Leading a team to success
Shape your therapy department
Healthcare management leadership

What we offer

Support, local clinical mentorship, clinical education and unlimited CEUs
Create your own career path: clinically, management, etc.
Flexible schedule, paid time off, plus one paid CEU day
Licensure and professional membership reimbursement
Interdisciplinary collaboration for providing the best patient care
Medical, dental, vision within 30 days or less
Salaried Position
National opportunity to transfer while maintaining employment status
Multiple settings nationwide: CCRC, SNF, Assisted Living, Outpatient Clinics, Home Health

Fulltime

Director of Rehabilitation

As a Director of Rehabilitation, you'll step into a healthcare management leader...

Location

United States , South Beloit

Salary:

110000.00 USD / Year

Aegis Therapies

Expiration Date

Until further notice

Requirements

Possess and maintain a current license in the state of practice
Physical Therapy / Physical Therapy Assistant, Occupational Therapy / Occupational Therapy Assistant, or Speech-Language Pathology program
Minimum 1 year of experience as a treating therapist or therapy assistant
Minimum 1 year of therapy management experience
Currently Credentialed Documentation Auditor (CDA) or ability to become credentialed within six (6) months

Job Responsibility

Inspiring others and making a meaningful impact
Leading a team to success
Shaping the therapy department
Healthcare management leadership

What we offer

Support, local clinical mentorship, clinical education and unlimited CEUs
Create your own career path: clinically, management, etc.
Flexible schedule, paid time off, plus one paid CEU day
Licensure and professional membership reimbursement
Interdisciplinary collaboration for providing the best patient care
Medical, dental, vision within 30 days or less
Salaried Position
National opportunity to transfer while maintaining employment status
Multiple settings nationwide: CCRC, SNF, Assisted Living, Outpatient Clinics, Home Health

Fulltime

Director of Rehabilitation

A Continuing Care Retirement Community (CCRC) offering a diverse setting with a ...

Location

United States , Kirkwood

Salary:

110000.00 USD / Year

Aegis Therapies

Expiration Date

Until further notice

Requirements

Possess and maintain a current license in the state of practice
Physical Therapy / Physical Therapy Assistant, Occupational Therapy / Occupational Therapy Assistant, or Speech-Language Pathology program
Minimum 1 year of experience as a treating therapist or therapy assistant
Minimum 1 year of therapy management experience
Currently Credentialed Documentation Auditor (CDA) or ability to become credentialed within six (6) months

Job Responsibility

Overall clinical quality, integrity, service excellence, financial and operational viability of rehabilitation program
Ensure client and company expectations are met
Plan, develop, implement, and monitor appropriate provision, documentation, billing of clinical services and customer relations
Identify and implement growth opportunities across the CCRC community and evaluate effectiveness of employees and ongoing programs

What we offer

Support, local clinical mentorship, clinical education and unlimited CEUs
Create your own career path: clinically, management, etc.
Flexible schedule, paid time off, plus one paid CEU day
Licensure and professional membership reimbursement
Interdisciplinary collaboration for providing the best patient care
Medical, dental, vision within 30 days or less
National opportunity to transfer while maintaining employment status
Multiple settings nationwide: CCRC, SNF, Assisted Living, Outpatient Clinics, Home Health

Fulltime

Area Manager Outpatient Services

Area Manager, Outpatient Therapy, Senior Living Communities in MN. Responsible f...

Location

United States , St. Paul

Salary:

Not provided

Aegis Therapies

Expiration Date

Until further notice

Requirements

Graduate from Physical Therapy/Physical Therapy Assistant, Occupational Therapy/Occupational Therapy Assistant or Speech-Language Pathology program
Must possess and maintain a current license in the state of practice
Minimum five (5) year experience as treating therapist in outpatient or home health environment
Minimum three (3) years multi-site therapy management experience
Experience in sales and marketing
Currently Credentialed Documentation Auditor (CDA) or ability to become credentialed within six (6) months
Valid driver’s license in the state of practice
Ability to travel as needed to manage multiple locations and for sales and marketing
Occasionally with overnight stays
Must agree to be the Rehab Agency Administrator

Job Responsibility

Responsible for the overall clinical quality, integrity, service excellence, growth and financial viability of Outpatient rehabilitation programs within assigned clinic or clinics in a geography
Manages all services provided at assigned locations, including outpatient and home health therapy and wellness
Plans, develops, implements and monitors appropriate provision, documentation, billing of clinical services and customer relations
Identifies and implements marketing opportunities to increase referrals at assigned locations
Identifies opportunities for new clinics
Evaluates effectiveness of employees and ongoing programs
Managing 30 employees, ten+ locations
Responsible for managing the Wellness Program
Influence the vision of rehab department, lead your team and ensure customers are happy
Creating strategies to improve your clinical metrics and marketing your rehab department to create continued growth

Fulltime

Credentialing Specialist II

The Credentialing Specialist II is responsible for managing their workload, addr...

Location

United States , Los Angeles

Salary:

55245.00 - 82867.00 USD / Year

L.A. Care Health Plan

Expiration Date

Until further notice

Requirements

High School Diploma/or High School Equivalency Certificate
At least 1 year of credentialing or credentialing related experience
At least 1 year of experience in a healthcare/ managed care environment
Ability to audit data and make changes as appropriate with proper documentation
Ability to audit, retrieve files/documents from our IPA and medical groups at any given time
Strong knowledge of the oversight process and ability to apply requirements as per policies and procedures and instruct delegates which includes the Adds, Change, Delete (ACD) process and primary source verifications of all required elements i.e. Board Certification, License, DEA, CHDP, M/M Sanctions
Confidentiality is crucial
Professional computer skills
Excellent communication skills (both verbal and written), high aptitude, and a facility for working on a variety of projects which require the ability to prioritize and re-prioritize, quality assurance review of credentialing files, or have a strong ability to learn

Job Responsibility

Managing workload, addressing all functions for initial and re-credentialing of Health Delivery Organizations (HDOs) and initial and re-credentialing of applicants in accordance with departmental policies and procedures, National Committee for Quality Assurance (NCQA), Centers for Medicare and Medicaid Services(CMS), California Department of Health Care Services (DHCS) requirements
Ensuring data accuracy of incoming applications and re-credentialing review forms, monitoring data into Visual Cactus
Committee preparation which includes reporting, analysis, and meeting monthly deadlines
Maintaining all expiries current
Recommending removal from the network for providers or practitioners identified as having any expired documents per policies and procedures
Ensuring provider and practitioner data is accurate and current in our Cactus database
Ensuring all applications are complete and conducts primary source verifications, identifies potential adverse events, requesting additional supporting documentation, data entry into CACTUS, prepares files for auditors QA before presenting to Credentialing Committee for decision, generating 60 day letter, scanning into Dynafile and notification to PNO
Conducting Quality review of profiles, contract, W9 received from delegates through the PCDW application to ensure practitioner meets all regulatory requirements before being added into the network
Monitoring expiring monthly primary source verifications, scans updates into Dynafile and updates data in CACTUS, works with Auditors when potential adverse events, and/or expiring are not renewed, to review and initiate next steps
Educating and disseminating credentialing information & regulations to delegated entities

What we offer

Paid Time Off (PTO)
Tuition Reimbursement
Retirement Plans
Medical, Dental and Vision
Wellness Program
Volunteer Time Off (VTO)

Fulltime

Sr. Internal Auditor

Location

United States , Chicago

Salary:

105000.00 - 110000.00 USD / Year

Robert Half

Expiration Date

Until further notice

Requirements

2-4 years of external auditing with a public accounting firm and/or internal auditing or accounting role with a publicly traded or privately held firm
Bachelor’s degree in Accounting with CPA and/or CIA credentials preferred
Working knowledge of the commercial real estate industry preferred
Demonstrates knowledge of IIA Professional Practices and Standards
Strong organizational skills and the ability to handle competing priorities, while meeting all deadlines
Demonstrates critical thinking, problem-solving, and negotiating skills
Demonstrates ability to collaborate and build relationships with Senior Leadership and colleagues
Strong written and oral communication skills
Manage priorities across various teams and deliverables, executing to deadlines
Apply knowledge of generally accepted accounting principles

Job Responsibility

Support the Department in ensuring the execution of a comprehensive annual audit plan
Ownership for execution of planning, fieldwork, and reporting for audit and advisory engagements
Develop risk-based audit programs and testing procedures relevant to compliance with Global/Regional/Local regulations and business objectives
Assess operating risks and efficiency of internal controls, including performing a gap analysis to identify control weaknesses with a degree of professional skepticism
Conduct interviews with auditee and communicate issues identified timely, co-developing action plans as necessary to address root causes
Ensure audit conclusions are supported, well-documented, and based on a firm understanding of the business processes, circumstances, and risks
Draft audit report to conclude on entity audited and issues identified and ensure management remediation plans are developed to address the root cause and associated risks
Assist with audit report socialization and recommendations to Senior Leadership in a clear, concise, and professional manner
Effectively track and follow-up on audit findings from report issuance to remediation to evaluate the adequacy of corrective actions
Seek to fully understand relevant risks to the firm and proactively research and showcase firm understanding of relevant laws, regulations, and best practices

What we offer

medical
vision
dental
life
disability insurance
401(k) plan

Fulltime

Sr. Internal Auditor

Location

United States , Chicago

Salary:

105000.00 - 110000.00 USD / Year

Robert Half

Expiration Date

Until further notice

Requirements

2-4 years of external auditing with a public accounting firm and/or internal auditing or accounting role with a publicly traded or privately held firm
Bachelor’s degree in Accounting with CPA and/or CIA credentials preferred
Working knowledge of the commercial real estate industry preferred
Demonstrates knowledge of IIA Professional Practices and Standards
Strong organizational skills and the ability to handle competing priorities, while meeting all deadlines
Demonstrates critical thinking, problem-solving, and negotiating skills
Demonstrates ability to collaborate and build relationships with Senior Leadership and colleagues
Strong written and oral communication skills
Manage priorities across various teams and deliverables, executing to deadlines
Apply knowledge of generally accepted accounting principles

Job Responsibility

Support the Department in ensuring the execution of a comprehensive annual audit plan
Ownership for execution of planning, fieldwork, and reporting for audit and advisory engagements
Develop risk-based audit programs and testing procedures relevant to compliance with Global/Regional/Local regulations and business objectives
Assess operating risks and efficiency of internal controls, including performing a gap analysis to identify control weaknesses with a degree of professional skepticism
Conduct interviews with auditee and communicate issues identified timely, co-developing action plans as necessary to address root causes
Ensure audit conclusions are supported, well-documented, and based on a firm understanding of the business processes, circumstances, and risks
Draft audit report to conclude on entity audited and issues identified and ensure management remediation plans are developed to address the root cause and associated risks
Assist with audit report socialization and recommendations to Senior Leadership in a clear, concise, and professional manner
Effectively track and follow-up on audit findings from report issuance to remediation to evaluate the adequacy of corrective actions
Seek to fully understand relevant risks to the firm and proactively research and showcase firm understanding of relevant laws, regulations, and best practices

What we offer

medical
vision
dental
life
disability insurance
401(k) plan

Fulltime

Credentialing Auditor

CHRISTUS Health

Location:
United States , Irving

Category:
Health and Beauty

Contract Type:
Not provided

Salary:

Job Description:

Job Responsibility:

Requirements:

Additional Information:

Job Posted:
December 24, 2025

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