As a member of the Quality Outcomes Management Team, directs the medical staff services program that includes credentialing & privileging & medical staff business affairs, & is responsible for working closely w/ all of the hospital-based medical services, committees, individuals, & outside regulatory agencies.
Essential Functions:
- Oversees the development, design, & coordination of Service Area (SA) wide Medical Staff Office in collaboration w/ Chiefs of the appropriate functions
- Coordinates respective accreditation surveys (NCQA, CALS/The Joint Commission) & ensures compliance w/ regulatory agency standards
- Develops, implements, monitors, & revises policies & procedures for the Office of Medical Staff Services
- Coordinates link between medical staff affairs, quality improvement, risk management, & continuing medical staff education based on outcomes
- Manages day-to- day activities of the Medical Staff Office functions throughout the SA, including coaching, counseling, disciplinary actions, & budgeting
- Periodically meets w/ the Quality Leader to review activities at the medical centers & medical office buildings & to discuss policy recommendations for approval
- Supports Executive Committee(s), including agenda preparation, minutes, & follow-up
Qualifications:
Basic Qualifications:
- Four (4) years in a hospital setting with a minimum of two (2) years supervisory experience required.
- Experience in word processing, MIDAS and data base management.
- Previous experience with CALS accreditation survey process; Participation in NCQA, The Joint Commission accreditation process.
- Bachelor's degree in Health Science or equivalent experience.
- CPCS (Certified Provider Credentialing Specialist) and/or CPMSM (Certified
- Training in principles and tools of TQM/CQI.
- Knowledge of credentialing and privileging and experience with medical staff functions.
- Participation in NCQA and The Joint Commission accreditation process.
Professional Medical Services Management), preferred.
- Excellent written, verbal communication, organizational and strong interpersonal skills required.
- Must be able to work in a Labor/Management Partnership environment.
External hires must pass a background check/drug screen.
We are proud to be an equal opportunity/affirmative action employer.