Location: Chicago, IL
Hospital: Rush University Medical Center
Department: Medical Staff Office
Work Type: Full Time (Total FTE between 0.9 and 1.0)
Shift: Shift 1
Work Schedule: 8 Hr (7:30:00 AM - 4:00:00 PM)
Work Location: First 90 days - Employee will work fully onsite. After 90 days of employment, general schedule will be - 1 week in month employee will work onsite and 3 weeks in month employee will work remote.
Rush offers exceptional rewards and benefits learn more at our Rush benefits page .
Summary:
Acts as Senior Credentialing Coordinator for Medical Staff Services operations. Supervises and coordinates Medical staff credentialing activities; responsible for providing varied clerical support for the Medical Staff Office, including data entry and physician database maintenance (ECHO); credentialing processes and other duties that support various Medical Staff Office activities. Supports the Director and serves as effective liaison between the Medical Staff and Medical Center Administration; provides insight into Medical Staff organization, bylaws, rules and regulations, State and Federal Regulatory Agencies, accreditation compliance and other critical matters that affect the healthcare environment. Exemplifies the Rush mission, vision and values and acts in accordance with Rush policies and procedures.
Other information:
Required Job Qualifications:
• Bachelor’s Degree or equivalent from an accredited college or 5 years credentialing experience in medical staff services.
• Certified by the National Association Medical Staff Services (NAMSS) or willing to achieve certification within 3 three years.
Responsibilities:
• Oversees, initiates, administers, verifies, compiles, manages and maintains confidential research required for credentialing of initial applicants (Physicians, Dentists, Podiatrists, etc., and Advanced Practice Providers.
• Process according to established legal, State and Federal agency, State licensing board, and TJC standards.
• Prepares and reports all research and forwards to departmental chairpersons, Medical Staff committees, and to the board for review and action.
• Coordinates tracks and monitors flow of information to ensure the timely processing and notification of applicants in accordance to guidelines outlines in the Medial Staff Bylaws.
• Manages, implements, coordinates, monitors, and maintains effective credentialing processes intended to appropriately credential physicians and advanced practice providers for reappointment and/or clinical privileges. Monitors the process by auditing credentials files, medical staff committee and department meetings to ensure timely and appropriate appointment and privileging activities.
• Provides accurate and timely reports to the medical staff and departments regarding all aspects of the credentialing privileging process, including all related reports.
• Initiates Credentials/MEC agenda and materials in preparation for committee review.
• Provides support to credentials committee and peer review committees as assigned in conjunction with the Director of Medical Staff Services.
• Keeps current with all accreditation standards and legal requirements related to medical staff affairs ensuring that operations conform to current and appropriate regulations and guidelines.
• Analyzes and reviews providers files and reports to Director any applicant issues /discrepancies identified. Forwards appropriate information to department chairman/legal affairs and/or risk management when appropriate.
• Provides mentoring, training and direction of credentialing duties and responsibilities, as well as processes to credentials coordinator to ensure efficient utilization and turn-around time. Acts as a resource to credentialing coordinator.
• Oversight of tracking compliance of credentialing expirables and annual mandates.
• Establishes timeline and trends benchmarks for onboarding and temporary privilege performance metrics.
• Leads preparations for various special events, social events including Annual & Biannual/Faculty & Medical staff meetings/Dinner and physician orientations.
• Develops and revises credentialing forms as necessary.
• Senior point person for external/internal accreditation requests to provide provider data
• Oversees entire faculty onboarding process to include agenda/tracking and File, scan and upload data for providers as needed.
• Supports the hospital philosophy, mission and values and adheres to the ICARE values.
• Administrative Support:
• Maintain office operations for Medical Staff Services Department to include oversight of phone coverage; mailbox and provider locker assignment and upkeep.
Rush is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, and other legally protected characteristics.
