Under general supervision coordinatesprocessing of applications, appointments, privileging staff and healthprofessionals.

Responsiblefor credentialing / privileging physicians and other healthcare professionals,managing meetings, resolving issues and complaints, ensuring healthcareproviders adhere to quality regulations and policies, maintaining credentials / privileges.

May delegate responsibilities and / orprovide notification to others as to status of the above functions. Collects and inputs call schedules, coordinates physicianorientation, works with medical staff committees on agenda / minutes, and supportof other medical staff functions.

Organizesand oversees the credentialing approval process for medical staff and alliedhealth professionals, including new staff applications and privileges, reappointmentsand updated privileges, primary source verification of licensure, education,training, etc.

Maintains and validates this information as necessary in primaryphysician database.

Preparesagendas and related materials for highest level medical staff committees.Prepares and keeps permanent record of proceedings (minutes) and actions ofeach committee.

Assures expeditious follow-through on action items and policychanges. Disseminates information accordingly. Assures overall continuity ofmedical staff activities.

Withthe department manager and other department leaders, plans, develops andimplements long and short- term goals for medical staff as approved by the medicalstaff committee.

Dealssensitively and professionally with physicians regarding problems and queries.

Actsas liaison between the Chief of Staff, medical staff, all hospital medical,nursing and administrative departments, and related health care agencies byanswering questions, exchanging and gathering information and resolvingoperational problems.

Reviews and responds torequests, making determinations on appropriate demographic data to share withother hospitals and organizations for verifications, peer reviews, etc.

Participatesin audits by providing reports and statistics for surveyors, regulatingagencies and accrediting bodies, other hospitals as well as internally.

Coordinatesannual medical staff elections.

Manages the design, development, and evaluationin collaboration with the department chairs for the initial focused and ongoingprofessional review of all providers with clinical privileges.

Maintainsa working knowledge of the Medical Staff Bylaws, Rules and Regulations,manuals, policies and procedures. Assists in development and interpretation ofthese to medical staff and departments.

Coordinatescommittee activities, including initial committee appointments, arrangementsfor meetings and the required follow-up necessary to ensure that objectives areaccomplished.

Maintains all confidential committee files.

Qualifications : Required :

Required :

• 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.

Last updated : 2024-07-10