Coord, Medical Staff PD

Job Summary:

Responsible for coordinating all medical staff activities and acting as a liaison between the medical staff and administration. Provides oversight for credentialing and privilege and is responsible for the timely and accurate processing of all applications and related documents.

Job Responsibilities:

• Coordinates all medical staff activities including meeting preparation and post meeting follow-up to include agenda formulation premeeting preparation of materials and notices documentation of proceedings meeting minutes maintenance of records and follow up on action items which are tracked to completion.
• Manages assesses and analyzes the credentialing and privileging processes. Responsible for timely and accurate processing of applications reappointments and database management. The ability to analyze/assess verified information and data on both initial applications reappointments and Ongoing Professional Practice Evaluation (OPPE) to assure appropriate qualifications and current clinical competence is met. File maintenance of initial applications with updated profiles tracking progress of application; timely oversight on provisional members regarding proctoring.
• Creates and prepares reports to document the findings conclusions recommendations and actions taken at various medical staff committees to include peer review committees with timely follow-up with action items. Reviews the effectiveness of the actions taken.
• Provides education and assistance in the development of mechanisms to assess physician performance. Identifies potential risks and consults on disciplinary action when appropriate using knowledge of regulatory agency requirements medico legal history medical staff issues respective hospital departmental section rules regulations bylaws or policies and procedures.
• Establishes and maintains courteous cooperative relations when interfacing with the medical staff administration ancillary departments physician office staff and other healthcare providers. Interacts and coordinates with Quality Assurance Medical Records Risk Management and fellow medical staff professionals as it relates to medical review functions and reappointment or reappraisal.
• Initiates and formulates annual review of department or section rules and regulations for compliance with medical staff hospital wide rules and regulations or bylaws and outside regulatory bodies for assigned areas of responsibility. Creates analyzes and maintains department or section related rules and regulations and clinical privilege forms. Assesses clinical privilege forms related to areas of responsibilities for appropriate bundling qualifications current clinical competence reappointment maintenance criteria and clarity to assist with the credentialing/privileging process.
• Maintains and adheres to all processes as identified in regulatory agency standards medical staff bylaws rules and regs and governing body bylaws to assure patient quality and safety and a successful passing of The Joint Commission survey with no areas of improvement identified. Communicates standards to counterparts to assist in achieving compliance and participation in related survey processes.
• Assists the Medical Staff Services Director in identifying opportunities for improvement or special projects and acts as a facilitator in implementing.
• Performs other duties as assigned.

Skills:

Required Skills & Experience:

• Broad knowledge of accreditation standards medico legal issues and state and federal regulations.
• Outstanding interpersonal and communication skills with ability to work independently and achieve results.
• Excellent computer skills in Microsoft Word Excel PowerPoint Teams and Zoom.
• Ability to analyze data prepare reports and manage credentialing processes.
• Organizational skills to manage multiple tasks set priorities and ensure timely follow-through.
• Decision-making and problem-solving abilities with sound judgment.
• Service orientation with professionalism courtesy and commitment to customer service.
• Ability to build partnerships and maintain effective working relationships.
• Able to efficiently utilize Microsoft Teams and Zoom for hybrid meeting management.

Preferred Skills & Experience:

• Minimum Two (2) years of medical staff services experience.

Education:

Required Education:

• High School Education/GED or equivalent.

Preferred Education:

• Associates Degree in Medical Staff Services Management (MSSM) or equivalent.

Required Certifications & Licensure:

• Certified Provider Credentialing Specialist (CPCS