Director Medical Staff Services

Independent Health system in greater Aspen Colorado. Seeks Director, Medical Staff Services.

This position reports to the Chief of Staff and leads a team of certified credentialing professionals supporting all privileged medical staff at the main hospital campus and 4 external clinical locations

Responsibilities

• Manages associates, oversees operational processes, and ensures that the credentialing database is functional to credential and privilege new applicants and reappointments to the Medical Staff
• Ensures that Physicians and Advanced Practice Professionals are credentialed
• Manages associates, oversees operational processes, and ensures that the credentialing database is functional to credential and privilege new applicants and reappointments to the Medical Staff
• Serves as subject matter expert in medical staff credentialing and privileging, and other medical staff processes and their associated standards, rules, and regulations
• Includes but is not limited to state licensing regulations, CMS Conditions of Participation and DNV Standards for Medical Staff
• Serves as system administrator and super user for all databases and applications used by Medical Staff Services/Credentialing
• Manages user access, training, reporting, and implementation of end-user portals
• Responsible for the accuracy and integrity of the credentialing and privileging database system
• Assures continued accreditation by maintaining accurate databases and reports
• Maintains systems and processes to catalog and track privileges granted to all practitioners working in hospitals and provider-based clinics
• Prepares and maintains cumulative reports to inform Physician Enterprise, about the status of their practitioners who have requested privileges
• Monitors credentialing and re-credentialing process to assure compliance with governance and regulatory standards, Maintains a formal process of evaluations, self-reporting, and monitoring of Physician and Credentialed Practitioner activities
• Gathers data for evaluation and analysis of confidential healthcare provider credentials for the initial appointment and reappointment processes; prepares information for presentation to the Credentials Committee for review
• Provides support to the Credentials Committee as needed
• Attends the Credentials Committee meeting, acting as resource for all credentialing actions being taken, and communicates actions forwarded to the Medical Board and Board of Directors
• Participates in other committees as assigned
• Manages department workforce in a responsible, respectful, confidential, and fiscally responsible manner including recruitment, on-boarding, orientation, supervision, leave time, performance evaluation, annual merit, and disciplinary action.
• Provides guidance, assistance, and direction in the Credentialing process; oversees adherence to Credentialing policies and processes
• Identifies training, development opportunities, staffing and other resource needs in collaboration with the department director

Required Education

· Bachelor's degree required. Master's degree preferred

Required Licensure/Certification:

· Dual certification as a CPMSM (Certified Professional Medical Staff Management) and CPCS (Certified Provider Credentialing Specialist)

Minimum Experience

· 5 years’ experience managing credentials verification and Medical Staff Services department