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Stefanie Gaffney Recognized for Work on Re-credentialing Committee

Cardinal Innovations Healthcare — June 21, 2019 — 4 min read

Having worked for a provider in the past, Cardinal Innovations Healthcare Senior Re-Credentialing Specialist Stefanie Gaffney knows the importance of good customer service when she's ensuring providers have all of the proper credentials in place.

“I saw the other side of Cardinal Innovations and, admittedly, it was a little frustrating at times feeling like we were jumping through hoops and meeting certain requirements," she said. “Now having worked on this side for seven years, I see all that goes into helping to ensure our members achieve the best possible outcomes. I'm proud to be a part of Cardinal Innovations."

As the Senior Re-Credentialing Coordinator, Gaffney tracks each clinician associated with a contracted provider to ensure they are re-credentialed in a timely manner. This includes notifying clinicians that their credentials are due to expire and explaining the steps they need to take and information Cardinal Innovations needs to be able to re-credential them. This also includes processing re-credentialing applications and checking licensure boards, background checks, and other required items.

“Being a person the providers talk to frequently, I am often one of the first they call with a claims/taxonomy/license issue or other general questions so this job also involves a lot of customer service and assistance to providers and clinicians," she said.

Jennifer Johnson, the Compliance Manager in Cardinal Innovations' Network Management Department, has worked closely with Gaffney.

“Over the years, I have referred to her as 'lifesaver.' She's smart as a whip, dogged and thorough in her work," Johnson said. “She works very hard to make sure our clinicians have their credentials in place, and serves as the Assistant to the Chair on the Re-credentialing Committee. If you request something of Stefanie, she turns it into a goal and then exceeds it."

As a part of the Re-credentialing Committee, Gaffney prepares the agenda, takes minutes, schedules follow ups and drafts credentialing denial and termination letters.

“I make it a point to always be available to the credentialing team as well as others in Network and throughout Cardinal Innovations to assist in any way possible whether it be a question such as 'Is this person credentialed,' or, 'How many Nurse Practitioners (NPs) have we credentialed this year,' " she said. “My job allows us to ensure Cardinal Innovations has good qualified clinicians serving our members." 

Before joining Cardinal Innovations in July 2012, Gaffney worked for Daymark Recovery Services from 2005-2012 in a number of roles including Substance Abuse Prevention Team Leader with at-risk youth, Transition Coordinator for the Day Treatment Program with kids moving from the day treatment program back to their home schools, and Adult Case Manager. 

“My first job out of school was writing service plans and goals for adults with mental health and substance use disorder diagnoses living in group homes in New York," she said. “I saw many overcome barriers, obstacles, and stigma, and move on to their own independent living situations. It was so inspiring as some had been living in group homes and other institutionalized living situations for most of their lives. After that, I never considered a career in a different field and could not see myself working in a job where I was not helping others in some way."

Outside of work, Gaffney is focused on raising her children to be kind and compassionate, she said. “I try to find the teachable moments in their lives and encourage open-mindedness," she said.

Gaffney said the thing that keeps her inspired to work in the behavioral health field are the possibilities.

“Despite what their diagnosis or situation may be, those with (intellectual and developmental disabilities) IDD, mental health and substance use disorders can overcome barriers and obstacles," she said. “Cardinal Innovations works hard for their members and with providers to help make this possible.  I am working to ensure properly credentialed and qualified clinicians are a part of that." 

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