Amy Magnus, Mha, Cpmsm, Cpcs Email & Phone Number

Houston, Texas, Us

•Lead a team of 100 employees responsible for delivering primary source verification services to customers, including, but not limited to, hospitals, surgery centers, payers, health plans, and managed care organizations• Provide leadership, direction, and strategic planning to assure CVO services are meeting the needs of the customer•Standardize, direct, and track efficiency of primary source verification services, processes and policies that demonstrate compliance with applicable laws, regulations, and accreditation bodies while achieving key performance indicators for turnaround time• Manage compliance with accreditation and regulatory standards as well as symplr CVO credentialing policies and procedures •Provide expertise in the areas of primary source verification processes, credentialing, and re-credentialing practitioners in alignment with NCQA, TJC, AAHC, DNV, URAC, CMS and any other applicable state and federal regulations • Foster a culture of continuous improvement by regularly reviewing and evaluating processes. Identify areas for further alignment, process improvement, and address any gaps or deficiencies that arise•Responsible for staffing, evaluation, and performance management of the department

Houston, Texas, Us

•Managed the CVO credentialing process for all assigned CVO customers, in accordance with accreditation standards, Federal and State laws, and symplr CVO credentialing policies and procedures•Coordinated the management of the credentialing database and associated modules, ensuring data accuracy and reporting to downstream systems•Analyzed critical data for evaluation and report generation•Monitored and reported turnaround times for processing of credentials applications, with a continued focus on the delivery of a high-quality product•Participated in the development and review of CVO policies and procedures•Analyzed accreditation standards and developed criteria to ensure compliance•Oversaw the supervision of personnel, which included work allocation, training, promotion, enforcement of internal procedures and controls, and problem resolution•Evaluated staff performance and made recommendations for personnel actions•Motivated employees to achieve peak productivity and performance•Delivered presentations to and interacted with various internal and external customers on issues pertinent to the area of specialty

Houston, Texas, Us

•Performed primary source verification in accordance with customer needs and applicable industry standards for practitioners with health care plans, hospitals, surgery centers and/or other health care institutions.•Processed, reviewed and maintained all practitioner credentialing and re-credentialing files •Entered and updated practitioner data in the credentialing database while adhering to input standards•Managed complete initial and recredentialing applications within the expected timeframes•Assured the confidentiality and integrity of all aspects of the credentialing program and process•Executed a variety of essential administrative functions for all aspects of the credentialing, and follow up processes

•Performed all aspects of credentialing, including initial appointment, reappointment, and privileging for approximately 300 physicians and Advanced Practice Professionals•Monitored and maintained current licensure, registration, board statues and certifications•Responsible for the management and minute preparation of the Medical Staff, Department of Medicine, Department of Surgery, and Credentials Committees•Acted as liaison and provided support to the members of the Medical Staff, Advanced Practice Professionals, hospital administration, and clinical departments/services regarding credentialing issues and any other aspects handled by the department•Served as the facility’s subject matter expert regarding accreditation and regulatory requirements•Oversaw the maintenance, integrity, and ongoing compliance with the Medical Staff bylaws, and medical staff policies and procedures

Gunnison, Colorado, Us

•Directed the initial credentialing and re-credentialing process for Gunnison Valley Health•Confirmed all provider information is verified and accurately recorded and maintained•Ensured compliance with The Joint Commission standards and state regulations in regard to Medical Staff•Coordinated and supported Medical Executive, Medical Staff, and Environment of Care Committees•Initiated and managed provider peer review process and monitor provider performance•Collected and oversaw the focused and ongoing provider performance evaluation data•Organized and supported the physician onboarding team•Developed and implemented the Focused and Ongoing Professional Practice Evaluation process for Gunnison Valley Health•Converted the credentialing process to a paperless system•Acted as a patient advocate and liaison for best outcomes and improved patient satisfaction•Investigated patient safety incidents, complaints, and grievances•Arranged and facilitated Root Cause Analysis investigations•Monitored and tracked reported incidents to reduce exposure, minimize injuries and assure effective post-incident documentation•Advised administration, leaders, and staff on risk prevention•Assisted legal counsel in preparation for arbitration/mediation, litigations, and employee legal actions•Maintained database and user interface for hospital-wide policy and procedure system

•Performed the clerical and administrative duties necessary to the functionality of a chiropractor's office•Guided patients, manage scheduling and educate patients with certain procedures•Recorded case history details of practice members while maintaining confidentiality, carry out progress assessment examinations and take X-rays•Arranged social and promotional events including dinners and luncheons. Negotiated vendor, caterer and service provider contracts, perform site selection and coordinate scheduling.•Managed and maintained Doctor Sims’ personal calendar•Screened emails, requests and inquiries and pass on accordingly. Managed the task of corresponding on behalf of Doctor Sims.

Master'S Degree, Health/Health Care Administration/Management

Bachelor Of Science (B.S.), Fashion Merchandising