Position Summary: 

This position assumes responsibility for facilitating the Medical Staff Services objectives in alignment with organizational strategic planning and provides support to Medical Staff Service activities. Promote and maintain a systematic method to support all forms of Professional Practice Evaluation (PPE) in accordance with the medical staff bylaws and policies at a system level and meet DNV accreditation standards. Primary activities are focused toward the collection and compilation of medical staff performance measurement and improvement process data, organization of reappointment quality reviews and annual policy views. This position will be responsible for preparing Focused Professional Practice Evaluation (FPPE) Scorecards at initial appointment, for additional privileges, or clinical/behavioral concerns, and Ongoing Professional Practice Evaluation (OPPE) Scorecards at reappointment.  Develop processes to keep all applicable parties informed of trends and outcomes, captures all documentation requirements according to policy, and ensures timely communication. Responsible for the management of the Clinical Professional Practice Evaluation or Peer Review. Collaborate and develop the Medical Staff peer review process with the Medical Staff Leadership, Quality and Safety, and System Manager. Provide backup for the other medical staff professionals within the department, as needed. Serve as a liaison to our employed and independent clinicians and engages in supporting the Bozeman Health Leadership to navigate the appropriate processes and meet our mission as an organization.

Qualifications:

Bachelor's Degree or equivalentTwo (2) years of related experience in medical office or health care facilityMedical Staff Credentialing experience, familiar with FPPE/OPPE processes as they relate to credentialing

Essential Job Functions:

Facilitate the processes and procedures as outlined within the Medical Staff bylaws and policies for facilitating OPPE/FPPEManagement of the Clinical Professional Practice Evaluation or Peer Review processEnsure regulatory compliance for the Medical StaffCoordinate Program Development/Process Improvement initiativesMaintain expertise in Medical Staff operationsProvide organizational support for the Medical Staff, Advanced Practice Clinicians, and medical leadership.Lead department compliance with HIPAA privacy regulationsSupport the Medical Staff Service position to prepare monthly credentialing applications for medical and advanced practice clinicians to ensure compliance with the System Credentials and Hearing Policy, Medical Staff Bylaws, and Rules and RegulationsAssist Quality, Credentials Committee Chair, and Credentials Reviewers with credentialing projects and other duties as assigned

Knowledge, Skills and Abilities

Demonstrates sound judgment, patience, and maintains a professional demeanor at all timesExercises tact, discretion, sensitivity, and maintains confidentialityPerforms essential job functions successfully in a busy and stressful environmentLearns current and new computer applications and office equipment utilized at Bozeman HealthStrong interpersonal, verbal, and written communication skillsAnalyzes, organizes, and prioritizes work while meeting multiple deadlines

Physical Requirements

Lifting, Pushing, and Pulling: Lift 30 pounds of weight (pick up supplies, move equipment, etc.) Carry equipment/supplies.Extended Hours: The role may involve working for extended periods, requiring sitting, walking, or standing for eight or more hours daily.Flexible Schedule: The position may necessitate working beyond a standard 40-hour workweek, including weekends and after-hours shifts.On-Call Availability: On-call work may be required to respond promptly to organizational, patient, or employee needs.Effective Communication: Proficient in effective communication, both in person and through various technologies.Handling Challenging Situations: The role may involve dealing with upset individuals, requiring the ability to de-escalate situations and work effectively with frustrated patients, families, or employees.Repetitive Tasks: Ability to perform repetitive tasks as needed to fulfill job responsibilities.          

Exposures

Tasks Include Potential Exposure: Job tasks may involve exposure to:

bloodborne pathogens, such as blood, bodily fluids, or tissues.radiation in settings where medical imaging procedures are performed.various chemicals and medications used in healthcare settings. Job tasks may involve handling cleaning products, disinfectants, and other substances.infectious diseases due to contact with patients in areas that may have contagious illnesses.

The above statements are intended to describe the general nature and level of work being performed by people assigned to the job classification.  They are not to be construed as a contract of any type nor an exhaustive list of all job duties performed by individuals so classified.

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