Major Responsibilities:Implements, coordinates, monitors, and maintains effective credentialing processes for the process of appointment, reappointment and credentialing for the designated medical staff organizations. Ensures these are executed by according to policy, to ensure compliance with bylaws, policies, and rules and regulations of the medical staff and accreditation and legal requirements.Serves as resource person on credentialing/privileging, bylaws, policies governing medical practice, and other related matters to the medical staff.Assists in the development and implementation of medical staff policies and procedures as needed and updates as appropriate relating to credentialing.Assists in the development and implementation of medical staff policies and procedures as needed and updates as appropriate relating to credentialing.Provides support regarding issues involving Medical Staff Professionalism including wellness, corrective action and fair hearing processes.Provides accurate and timely reports to the medical staff, governing council and system governing board regarding all aspects of the credentialing and privileging process including any related reports.Develops and implements departmental workflows, policies and procedures, standards of practice, manuals, forms, etc., as needed and updates as appropriate.Manages operations of the Medical Staff Services Department and provides oversight and direction to staff. This includes appropriate staffing, and the hiring of staff as needed.Performs human resources responsibilities for staff which includes coaching on performance, completes performance reviews and overall staff morale. Recommends hiring, compensation changes, promotions, corrective action decisions, and terminations.Responsible for understanding and adhering to the organization's Code of Ethical Conduct and for ensuring that personal actions, and the actions of employees supervised, comply with the policies, regulations and laws applicable to the organization's business.
Licensure, Registration, and/or Certification Required:Credentialing Specialist, Certified Provider (CPCS) issued by the National Association Medical Staff Services (NAMSS), or Medical Services Management, Certified Professional (CPMSM) issued by the National Association Medical Staff Services (NAMSS).
Education Required:Bachelor's Degree in Health Care Administration or related field.
Experience Required:Typically requires 3 years of experience in medical staff services, credentialing, physician relations, regulatory, with experience as a lead or senior level staff.
Knowledge, Skills & Abilities Required:Excellent interpersonal and communication skills including both verbal and written. Ability to use of variety of software and credentialing database. Demonstrated time management and task delegation skills.Ability to work as a team member in a fast paced environment with multiple tasks requiring completion within short timeframes. Position requires high degree of judgment and ability to think independently,
Physical Requirements and Working Conditions:Operates all equipment necessary to perform the job.May be required to travel, therefore may be exposed to inclement weather and adverse road conditions.
This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.