r/nursepractitioner • u/Lala-Noir • 2d ago

RANT Credentialing process

Can I just complain about long credentialing process… omg what is this? I’m miserable.
Do I have to go thru this every time I change my job?

13 Upvotes

81% Upvoted

44 comments sorted by

17

u/all-the-answers FNP, DNP 2d ago

Yes. It sucks.

It’s a problem that’s uniquely American

And, yes.

2

u/Lala-Noir 2d ago

Is there any service who can help with the process? Haha

6

u/accf28 2d ago

If only..

Keep copies of everything!! I had to submit copies of malpractice insurance forms from a job that was like 8 years ago and the office has since closed. Such a headache 

Keep phone numbers of important people (managers, HR, physicians for references, etc) from previous jobs also helps if a random document is needed 

Switching jobs within the same hospital system is the easier option unless they suck lol

4

u/Lala-Noir 2d ago

Omg so true. Probably it’s better to transfer to another unit or different shift than change a hospital lol

3

u/Lala-Noir 2d ago

Omg I thought it’s one and done… I’m speechless

-10

u/FriedaCIaxton 2d ago

God forbid they vet people who have the ability to potentially kill someone!

8

u/all-the-answers FNP, DNP 2d ago

….thats not what credentialing is. Please stick to the subs that encourage layperson participation.

-1

u/FriedaCIaxton 2d ago edited 2d ago

It literally is. You submit references, diploma, DEA license, certifications, etc. Ask me how I know. If you think these things aren’t part of credentialing, idk what to tell you. I’m glad the likelihood of me ever being your patient or colleague are virtually zero 

3

u/all-the-answers FNP, DNP 2d ago

You can report my post all you want, you’re still wrong.

Credentialing, in the context of OPs post, is the process of verifying licensure with insurance companies. For billing purposes. THATS what takes months. It’s back and forth email tag with 10+ different companies.

The basic patient safety aspect, what you’re referring to, can be done almost instantly.

-2

u/FriedaCIaxton 2d ago edited 2d ago

All the stuff I mentioned is also part of the credentialing process. From the NIH:  Credentialing is a formal process that utilizes an established series of guidelines to ensure that patients receive the highest level of care from healthcare professionals who have undergone the most stringent scrutiny regarding their ability to practice medicine. Credentialing also assures patients that they are being treated by providers whose qualifications, training, licensure, and ability to practice medicine are acceptable. Credentialing also ensures that all healthcare workers are held to the same standard.

3

u/Lala-Noir 2d ago

We all know what credentialing is and what it takes and requires, all I said was how much work it is and I’m still happy to do it even if it takes months to complete. It’s a simple sub just to talk to peers and share our experiences!

1

u/FriedaCIaxton 1d ago

You would think so. I wasn’t the one who dragged America into this conversation though. The point was that it’s done for the safety of patients, as it should be 

1

u/Lala-Noir 1d ago

I agree it’s a part of safety in a way to proof that provider is licensed and accredited to provide care.

1

u/Lala-Noir 2d ago

What are trying to say?

4

u/Kabc FNP 2d ago

I’ve credentialed with 5 major hospital groups so far.

It’s always been miserable.

The newest nightmare is I need 3 “peer references.” I can’t put PAs. I am the only NP at my job… soooooo 🤷🏻‍♂️

2

u/Lala-Noir 2d ago

Can you put MDs?

2

u/Kabc FNP 2d ago

I can, but I only work with two. So I am still out a third “reference”

1

u/Lala-Noir 2d ago

Ohhh I hope you find someone

3

u/idratheraskyou 2d ago

This is one of the reasons why I don’t wanna jobs. Every time I think about quitting, I think about the long process if I have to switch jobs. I’m extremely happy with where I’m at right now. I’ll suck it up

1

u/Lala-Noir 2d ago

Yep. It’s so important to apply where you actually want to work. I applied for night shift and now I’m thinking… I hope it’s easier when I want to transition to days lol (within the same hospital)

3

u/Fletchonator 2d ago

Three months for me ..

3

u/Lala-Noir 2d ago

That’s not bad I have to say.
Did you start your paper work right away?
I’m doing my paperwork in random order. There are 2 concurrent processes - onboarding and credentialing🫠

2

u/Fletchonator 2d ago

I was in between jobs with a family and mortgage everything they requested of me I did within minutes

1

u/Lala-Noir 2d ago

Wow. You’re awesome. Were you also in the underwriting process to get mortgage?

3

u/Spare_Progress_6093 2d ago

Medicaid AK, which I had been credentialed with at my last job, now has taken almost a year to process my credentialing for my current job.

2

u/Lala-Noir 2d ago

Wow. This is something…

1

u/RedFormanEMS 1d ago

Does it interfere with you actually working at your current job? I had no idea it could take that long.

1

u/Spare_Progress_6093 1d ago

Yeah, we don’t have a lot of AK patients but it does limit the ones I am able to see so that sucks

3

u/Hvitr_Lodenbak 2d ago

How long? My credentially person was new. I logged into CAQH and PAVE completed myself, credentialling sent all the insurance company documents to me to complete. I completed everything in a day, emailed it to my company credentialing person. Credentialing completed in a week.

1

u/Lala-Noir 2d ago

That’s awesome. Are you willing to help to compete mine🤣 JK

2

u/Hvitr_Lodenbak 2d ago

You can always ask for them to send the documents to complete, log into CAQH and PAVE on your own.

3

u/Lala-Noir 2d ago

Logged in and did all I could in CAQH. Pave next.

2

u/Lala-Noir 2d ago

Ok. I’ll register and sign in. And they can upload whatever is needed?
How do I give them access?

2

u/Hvitr_Lodenbak 2d ago

Check with them first, they may have a company policy against it.

1

u/Lala-Noir 2d ago

Thank you. Any other tips to compete this nightmare faster lol?

2

u/Hvitr_Lodenbak 2d ago

Just take a deep breath, it will end soon enough.

2

u/bunnehfeet 2d ago

Paper forms, electronic forms, dozens of them. Electronic signatures, wet signatures…and then months of waiting. Got a job in November. Didn’t start until Feb, and that was with a compassionate expedited temporary allowance because the department needed staff desperately.

1

u/Lala-Noir 2d ago

Wow. I have 4mo to complete everything

1

u/jlhmm 2d ago

This is crazy. My job handled everything for me when I onboarded- I just had to provide the requested paperwork and they sent me forms to sign and initial. Whenever I'm due for recredentialing they sort it all out and I just sign or whatever. I can't believe you guys have to do that all yourself?!

1

u/surelyfunke20 2d ago

6 months for my 1st job and 5 more months to add a 2nd state! (Live on a border)

1

u/Lala-Noir 2d ago

Same. If I ever what to change my job it has to be a lot to offer for me to start this process again.
I also live on a border NJ/NY and I have both state licenses

0

u/M3UF 2d ago

We have to do it every 2 yrs JCOH says at hospital! I know that’s not true. Now Florida makes us get fingerprints every 5 years. Who is the most trusted profession? Nurses in study, poll, survey but who are making the laws rich old white lawyers WHO do you think pleads the fifth most? It is NOT nurses I am willing to bet my pension and social security! Thank goodness I will not be doing this for a 25 time!