Position Summary:

Under general supervision coordinates processing of applications, appointments, privileging staff and health professionals. Responsible for credentialing/ privileging physicians and other healthcare professionals, managing meetings, resolving issues and complaints, ensuring healthcare providers adhere to quality regulations and policies, maintaining credentials/privileges. May delegate responsibilities and/or provide notification to others as to status of the above functions. Collects and inputs call schedules, coordinates physician orientation, works with medical staff committees on agenda/minutes, and support of other medical staff functions. 

Essential Functions and Responsibilities:

1.      Organizes and oversees the credentialing approval process for medical staff and allied health professionals, including new staff applications and privileges, reappointments and updated privileges, primary source verification of licensure, education, training, etc. Maintains and validates this information as necessary in primary physician database.

2.      Prepares agendas and related materials for highest level medical staff committees. Prepares and keeps permanent record of proceedings (minutes) and actions of each committee. Assures expeditious follow-through on action items and policy changes. Disseminates information accordingly. Assures overall continuity of medical staff activities.

3.      Coordinates the management the credentialing database and associated modules, ensuring accuracy of data and reporting to downstream systems. Monitors critical data for extensive analysis and report generation.

4.      With the department manager and other department leaders, plans, develops and implements long and short- term goals for medical staff as approved by the medical staff committee.

5.      Deals sensitively and professionally with physicians regarding problems and queries.

6.      Acts as liaison between the Chief of Staff, medical staff, all hospital medical, nursing and administrative departments, and related health care agencies by answering questions, exchanging and gathering information and resolving operational problems.

7.      Reviews and responds to requests, making determinations on appropriate demographic data to share with other hospitals and organizations for verifications, peer reviews, etc. Participates in audits by providing reports and statistics for surveyors, regulating agencies and accrediting bodies, other hospitals as well as internally.

8.      Audit disciplinary reports, OIG reports, and other reports as required and initiate the formal complaint procedure when applicable.

Qualifications:

Required:

·         High School Diploma or equivalent

·         Five years of medical staff/credentialing or health care setting experience.

OR

·         Associate degree in business or related field.

·         Two years of medical staff/credentialing or health care setting experience.

 Preferred:

·         Bachelor’s degree in business, health care administration or related field.

·         Certification by the National Association Medical Staff Services (NAMSS) as a Certified Professional in Medical Services Management (CPMSM) or a Certified Provider Credentialing Specialist (CPCS).

Equal Opportunity Employer of Minorities/Females/Disabled/Veterans.

  Additional Information Schedule: Full-time Requisition ID: 25000155 Daily Work Times: 7:30a - 4p Hours Per Pay Period: 80 On Call: No Weekends: No