Medical Staff Coordinator - Administrator II

This position is open to current Colorado residents only.

The Colorado Mental Health Hospital in Fort Logan (CMHH-FL) is one of two state hospitals serving our community. The vision of CMHH-FL is to provide the highest quality mental health services to persons with complex serious and persistent mental illness within the resources available. Our mission is to support those individuals in achieving their recovery goals and reaching their full potential. CMHH-FL provides inpatient treatment to adult patients generally between the ages of 18-59. The hospital currently has 138 adult inpatient beds and over six treatment milieus that serve civil and forensic individuals. Medical services occupational therapy neuropsychological-rehabilitation services and trauma-informed care services are available for all patients throughout the hospital.

Through our core values listed below CMHH-FL staff are committed to:

• Individual dignity and respect
• Person-centered evidence-based care
• Trauma-informed recovery
• Multidisciplinary collaboration
• Diversity and inclusion
• Strong family and community partnerships

This position makes recommendations and provides professional assistance to the Chief of Medical Staff in managing the organized medical staff. It is accountable for the management of the overall activities of the medical staff including activities designed to ensure the provision of high-level professional performance by physicians and other medical staff members and to ensure CMHHIFL compliance with stringent external standards such as the Joint Commission and the Centers for Medicare and Medicaid Services by collecting organizing analyzing and interpreting data and comprehending committee goals policies procedures rules and regulations etc. to conceptualize the complexity of issues and interpret circumstances in a variety of situations. The position ensures physicians and other licensed medical providers have the appropriate license credentials and privileges to practice in the hospital. It ensures compliance with Medical Staff Bylaws and that the delineation of privileges and ongoing review and evaluation of clinicians performance occur promptly and effectively. It interprets and implements the Bylaws Rules and Regulations of the medical staff by collecting organizing and interpreting data.
Other duties are as follows:

Management of Medical Staff Credentialing Privileging and Appointments:

• Independently manage and supervise the credentialing/re-credentialing process including new applicants initial appointments temporary appointments and reappointments for all medical staff.
• Investigate and verify references licensure training experience education certification board appointments National Practitioners Data Bank status and other professional qualifications for applicants and reappointments.
• Ensure privileged applications are processed appropriately timely and according to all regulatory requirements. Responsible for knowing and applying standards and regulations related to the credentialing process.
• Develops and ensures internal processes to track license and credential expiration dates and renewal dates.
• Make recommendations to the Credentials Committee regarding appointments reappointments and changes to medical staff status.
• Meets with Joint Commission CMS 27-65 and CDPHE surveyors during review of medical staff credentialing files and speaks to credentialing and medical staff processes.
• Facilitates the hiring of new contract and faculty physicians by obtaining necessary faculty appointment documentation.
• Interprets revises and updates Medical Staff Bylaws in collaboration with medical staff leadership.
• Develops credentialing and privileging plans and processes for both peer and ongoing record reviews ensuring such reviews are completed in a timely manner reports are generated for feedback and credentialing files are updated with necessary data.

• Maintains an in-depth understanding of all hospital policies and procedures that impact the medical staff advising and offering strategic guidance to the Medical Staff and Medical Executive Committee (MEC) when various actions or changes are being considered.
• Assists with policy and procedure development and revision.
• Tracks and organizes reporting from all Medical Executive Committee (MEC) subcommittees ensuring timely reporting to the MEC.
• Organizes all Medical Executive Committee (MEC) functions by setting up and coordinating meetings preparing materials and notices before meetings and documenting proceedings.
• Responsible for reviewing and analyzing applicable rules and regulations regarding the Medical Staff Bylaws to determine if and when appropriate action is necessary.
• Assists with preparing the quarterly Governing Body Report.

• Coordinate medical student rotations by working with medical schools to obtain contracts with the
  Colorado Department of Human Services ascertain CMHHIFL preceptors work with school coordinators to schedule
  rotations.
• Orient students to CMHHIFL policies and procedures. Work with CDHS to ascertain the required
  Background checks fingerprints and drug screens are completed for the students.

• Provides orientation and training to all new physicians on hospital policies procedures expectations and Physician Practice Protocols.
• Manages orientation for students including informing them of applicable hospital procedures and preceptors expectations.

• Manages internal and external projects assigned by the Chief Medical Officer/Chief of Psychiatry/Medical Staff Administrator.
• Develops and maintains databases tracking progress and provides regular updates.

• This position obtains and maintains a purchasing card (P-Card) to purchase items for the medical office.
• This position follows all policies and procedures relating to being an authorized P-Card user.

• Help to support the Chief of Psychiatry Medical Staff Office pharmacy and other programs under the Chief Medical Officer when needed.
• Additionally this position is a unit time manager for the KRONOS timekeeping system actively tracks monthly and bi-monthly employee time and processes appropriate paperwork for leave time per CDHS requirements.
• Any other duties that may be needed for this position to complete to meet the mission and vision of the agency.

Experience Only:

• Five (5) years of relevant experience in an occupation related to the work assigned to this position

OR

• A combination of related education in Health Administration and/or relevant experience in an occupation related to the work assigned equal to five (5) years

• Certification preferred (CPCS or CPMSM).

• A minimum of 3 years of comprehensive experience as a medical staff services professional within a hospital setting.

• Must have working knowledge of Medical Staff credentialing basic Medical Staff organizational structure and regulatory agency requirements.

• Ability to maintain confidentiality and adhere to HIPAA regulations.

• Knowledge of quality improvement processes.

• PC skills including Google Suite.

• Problem-solving and analytical skills.

• Knowledge of medical terminology.

• Excellent organizational skills ability to work independently and ability to work under pressure.

• Excellent phone and public relations skills as well as the ability to communicate both verbally and in writing with all levels of personnel.
• Excellent attention to detail.
• Previous state employee

• Former State employees who were disciplined or resigned in lieu of termination must:

1. Disclose that information on the application.

2. Provide an explanation why the prior termination or resignation should not disqualify the applicant from the current position.

3. Provide the employee number from the applicants prior State employment. Absent extraordinary circumstances prior disciplinary termination or resignation in lieu of termination and failure to provide this information will disqualify the applicant from future State employment with CDHS.

• Full Background check:DHS employees (all Direct contact with vulnerable persons):
  CBI name check and fingerprint check ICON Colorado court database Medicare fraud database Reference
  Checks Professional License verification (licensure requirements) Drug Screen PREA (Division of Youth Services)
  Trails check (direct contact with children) CAPS (direct contact with adults Mental Health Institutes Regional
  Centers Veterans Community Living Centers)

• Vaccinations as required by the State of Colorado
  
  

Appeal Rights:

If you receive notice that you have been eliminated from consideration for this position you may file an appeal with the State Personnel Board or request a review by the State Personnel Director.
You will find the appeals process the official appeal form and how to deliver it on theState Personnel Boardwebsite. An appeal or review must be submitted on theofficial appeal form(Adobe PDF) signed by you or your representative. This form must be delivered to the State Personnel Board by email () postmarked in US Mail or hand delivered (1525 Sherman Street 4th Floor Denver CO 80203) or faxed (303.866.5038) within ten (10) calendar days from your receipt of notice or acknowledgement of the departments action.
Contact the State Personnel Board for assistance at ; or refer to 4 Colorado Code of Regulations (CCR) 801-1 State Personnel Board Rules and Personnel Directors Administrative Procedures Chapter 8 Resolution of Appeals and Disputes within theRuleswebpage.
Benefits:If your goal is to build a career that makes a difference consider joining the dedicated people of theColorado Department of Human Services(CDHS). Our professionals strive to design and deliver high quality human and health services that improve the safety independence and well-being of the people of Colorado. In addition to a great location and rewarding and meaningful work we offer:

• Strong secure yet flexible retirement benefits including aPERA Defined Benefit Plan or PERA Defined Contribution Planplus 401(k) and 457 plans

• Medicalanddentalhealth plans

• Employer supplementedHealth Savings Account

• Paid life insurance

• Short- and long-term disability coverage

• 11 paid holidays per year plus vacation and sick leave

• State of ColoradoEmployee BenefitHub Resource Center

• Employee Wellness program

• Excellent work-life programs such as flexible schedules training and more

• Remote work arrangements for eligible positions

• *Some positions may qualify for thePublic Service Loan Forgiveness Program.

How to apply to the State of Colorado(Youtube Video Runtime 3:59 Closed Captions Available)

The Assessment Process

For additional recruiting questions please contact recruiters email