Directs Medical Staff Services relative to credentialing, appointment/reappointment, and evaluation of Medical Staff and Advanced Practice Professionals. Responsible for preparation, organization, and follow-up involved in maintaining hospital accreditation and compliance with state, Federal, and other external regulatory requirements as they relate to the Medical Staff Organization. Reporting to the VP of Quality and Patient Safety, the incumbent is responsible for all medical staff, adjunct professionals credentialing and support of the medical staff's self-governance as well as direct supervision of support staff.
Job Responsibilities Exhibits responsibility and accountability for assigned work and works independently. Must balance multiple tasks/projects while meeting organizational standards. Must be extremely detail-oriented and able to follow through on all assigned tasks. Ability to adapt to flexible work schedules and frequent interruptions. Plans organizes, and directs the credentialing process of the Medical Staff, Advanced Practice Professionals and Vendors to ensure that all individuals with clinical privileges are competent and maintain competency to provide patient care within the scope of their training, licensure, and clinical privileges as granted by the Medical Staff and Board of Trustees. Develops and implements department policies and procedures with regard to the credentialing process. Serves as recording secretary for the Credentials Committee and prepares Credentials reports for the Executive Committee and Board of Trustees. Ability to interpret and follow federal and state laws, as well as The Joint Commission standards and Medical Staff By-laws, policies, and procedures. Works with the By-laws Committee and Executive Committee developing amendments as needed. Educates directs, and assists Medical Staff officers, committee chairs, and other healthcare professionals in carrying out their responsibilities as outlined in the Medical Staff Bylaws, Rules, and Regulations to ensure compliance with Medical Staff documents, accrediting and licensure organizations, minimizing risk exposure thus protecting them and the organization from liability. Assists in orientation program for Medical Staff, officers, Department, and Committee chairpersons. Qualifications Bachelors Degree required A minimum of 5 years of experience in a medical staff setting required Current Certified Professional Medical Staff Management (CPMSM) and/or Certified Provider A Credentialing Specialist (CPCS) with the National Association of Medical Staff Services is preferred Knowledge of State, Federal, and JCAHO regulations. Previous credentialing and management experience in a healthcare setting is preferred. Working knowledge of The Joint Commission accreditation process and standards, health care and credentialing industry, regulatory and legal requirements, and other national standards preferred MUST HAVE ACUTE HOSPITAL CREDENTIALING EXPERIENCE MUST BE A DIRECTOR Compensation: Salary Range $100k2- 3years) $115k (10 years) - $130k_(20+ years)max
