The Medical Staff Specialist works independently and in collaboration with the Medical Staff Services Officer to assist with all functions of the Medical Staff Services Department at St. Peter’s Health.
Works with contracted credentialing firm to coordinate functions of the credentialing, re-credentialing and privileging processes as outlined in the Medical Staff Bylaws Maintains credential files for all members of the Medical Staff and Allied Health Professional Staff Oversees the maintenance of current and accurate Medical Staff and Allied Health Professional Staff databases Validates provider demographics, licensure information and all other elements of medical staff credentialing file that is submitted by contracted credentialing firm Compiles individual practitioner profiles for use at initial appointment and reappointment to include biographical data, participation in medical staff activities/requirements Coordinates the proctoring process including facilitating proctor assignment with Medical Staff Department Chairs, periodic assessments, and notification of advancement Compiles letters for the Chief of Staff to sign notifying practitioners of their appointment, granting of additional privileges, reappointment and/or advancement to the Medical Staff or Allied Health Professional Staff, and the privileges granted Ensures all current provider privileges/scope of practice are available for viewing on the credentialing software by the appropriate departments in the organization Coordinates Continuous Assessments and Focused Assessments for Medical Staff and Allied Health Professional Staff Works with Medical Staff to develop and maintain performance metrics that are meaningful and meet regulatory requirements, updating the measures as needed Maintains monthly medical staff meeting calendar and manages invites for each department and committee meeting Prepares agendas, minutes, and announcements for Medical Staff Department and Committee meetings, and ensures the appropriate follow up is completed Coordinates meeting room space and food reservations for meetings Maintains electronic files such as reports, meeting documents, and miscellaneous correspondence Maintains the “Unassigned Patient List” Oversees data entry and data integrity of the Electronic Health Record (EHR) Provider Dictionary Coordinates delegated credentialing audits to ensure all practitioner files meet delegation criteria Interprets, explains and follows all regulatory guidelines, including Medical Staff Bylaws, Fair Hearing Plan, Rules and Regulations and medical staff policies Maintains knowledge of standards of DNV-GL, CMS and State and Federal regulations related to medical staff organization and assists with accreditation survey preparation for Medical Staff Services Participates in implementation and maintenance of credentialing software Works closely with contracted credentialing firm to ensure provider information is kept current and processes remain streamlined Ensures medical staff lounge is adequately stocked and arranged for an exceptional experience for medical staff Development and maintenance of Provider Support Program Assumes other related responsibilities to support the needs of Medical Staff ServicesKNOWLEDGE/EXPERIENCE: 3 years’ previous hospital experience preferred. Previous credentialing experience highly preferred. Familiarity with DNV-GL and CMS standards preferred. Knowledge of Microsoft applications required. Knowledge of Adobe Acrobat Professional preferred.
EDUCATION: Bachelor’s Degree required. Equivalent relevant experience may be considered.
LICENSE/CERTIFICATION/REGISTRY: Current NAMSS CPCS and/or CPMSM certification preferred; ability to obtain certification within five (5) years of meeting eligibility requirements
Aptitudes: Demonstrated ability to achieve cognitive, organization and emotional maturity to deal effectively with multiple tasks, stresses, deadlines, difficult situations and/or customers required. Demonstrated interpersonal/communication skills necessary for effective, non-judgmental, and empathetic patient care and customer relations required. Demonstrated organizational skills required. Demonstrated high quality of attention to detail and ability to multi-task required. Demonstrated ability to work autonomously required. Demonstrated ability to receive feedback and ability to adapt to a changing environment required, which requires flexibility in scheduling and department assignments.