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Credentialing Specialist

Job in Grand Rapids, Itasca County, Minnesota, 55745, USA
Listing for: North Homes Inc
Full Time position
Listed on 2026-01-16
Job specializations:
  • Healthcare
    Healthcare Administration, Healthcare Compliance
Job Description & How to Apply Below

Description

We are seeking a detail‑oriented Part‑Time Credentialing Specialist to support our behavioral health programs by managing both provider and facility credentialing processes. This role ensures compliance with state and federal regulations, payer requirements, and accreditation standards. The ideal candidate understands the critical role credentialing plays in behavioral health service delivery and demonstrates exceptional organization and discretion. Key responsibilities of this position include:

Provider Credentialing
  • Manage initial credentialing and re‑credentialing for licensed and unlicensed behavioral health providers
  • Maintain complete and accurate provider credentialing files in accordance wort:
    • State licensing requirements
    • DHS and county contracting standards
    • Accreditation bodies (CARF, COA, etc., if applicable)
    • Payer and managed care organization requirements
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