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Responsible for facilitation of all Medical Staff functions. Leads the credentialing and privileging processes, including critically analyzing practitioners’ data to create informed recommendations for Medical Staff leaders and committees. Participates in quality assessment and improvement activities of the Medical Staff, including peer review, Focused Professional Practice Evaluation (FPPE), Ongoing Professional Practice Evaluation (OPPE), and corrective actions. Ensures continuous adherence to regulatory requirements, accreditation standards, Medical Staff Bylaws, Medical Staff Rules and Regulations and Medical Staff and organizational policies and procedures.
Job Responsibility:
Coordinates and facilitates medical staff and advanced practice professional credentialing and privileging at the time of initial appointment and biennial reappointment
Critically analyzes data to create informed recommendations for credentialing, re-credentialing, and privileging for Medical Staff leaders and committees
Verify and analyze practitioner-specific data obtained during the credentialing and privileging for approval bodies
Identify, review and report practitioner performance data, complaints, sanctions, adverse actions, and quality of care issues
Ensures continuous knowledge of and adherence to regulatory requirements, accreditation standards, Medical Staff Bylaws and Medical Staff and organizational policies and procedures
Responsible for coordination of and survey preparation for all Medical Staff matters for regulatory surveys and audits
Reviews and implements new actions related to federal and state rulings and accrediting body standards pertaining to the functions of the Medical Staff
Develops, establishes, and enforces Medical Staff bylaws, rules and regulations, and policies that govern the activities of the Medical Staff and coordinates the activities of the self-governing organized Medical Staff
Coordinates and manages the onboarding and orientation of newly appointed practitioners to the Medical Staff
Responsible for creating monthly reports for the Governing Bodies on credentialing and privileging, and other Medical Staff actions and matters
Collaborates with the quality management department to develop and distribute quality data for the Focused Professional Practice Evaluation (FPPE) process and the Ongoing Professional Practice Evaluation (OPPE) according to regulatory requirements
Serves as a liaison between the medical staff, administration, ancillary departments and patients
Establish and maintain systems to facilitate committee meetings and communication for the Medical Staff governance structure
Requirements:
High School Graduate
Typically requires 3 years of experience in a health care setting that includes experiences in privileging and credentialing processes
Maintain upward communication with leadership regarding development within areas of assigned responsibilities and perform special projects as required or requested
Ability to represent the department effectively with supporting teams
Demonstrate problem solving, critical thinking, and process analysis skills to support teams
Possess willingness to learn and develop understanding of configuration best practices
Willingness to escalate issues that may impact team productivity or confusion on priorities
Strong knowledge of medical terminology
Excellent communication, organizational and problem solving skills
Must have proven track record of effective interactions with physicians and other health care professionals
Proficient in the use of Microsoft Office (Excel, Access, PowerPoint and Word) or similar products
Ability to work effectively with minimal supervision and manage multiple priorities
Must be able to sit for extended periods of time
Must be able to occasionally lift up to 10 lbs
Must be able to use hands with fine manipulation when using keyboard
Must hold a valid driver's license and be willing to travel between Metro Region Hospitals as needed
What we offer:
Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program
Premium pay such as shift, on call, and more based on a teammate's job
Incentive pay for select positions
Opportunity for annual increases based on performance