Medical Staff Specialist bei Effingham Hospital, Inc.

Description

JOB SUMMARY

The Medical Staff Specialist provides coordination and organizational support to the Chief Medical Officer, Medical Staff Department Heads, and Chairpersons of Medical Staff Committees while performing confidential and time-sensitive functions of medical staff services. The Medical Staff Specialist will be responsible for managing all aspects of medical credentialing and privileging processes, ensuring compliance with regulatory requirements, facilitating effective communication between medical staff members and clinicians, administration, and other relevant departments, coordinating and managing meetings for medical staff services, as well as peer review monitoring and tracking.

Key Responsibilities:

Communication and Collaboration:

• Serve as the primary point of contact for medical staff practitioners regarding credentialing, privileging, meeting coordination inquiries, and issues.
• Respond to email communications professionally and timely.
• Collaborate with department chairs, medical directors, chiefs, administration, practitioners, and other departments within the organization to ensure effective communication and coordination of activities. 

Compliance Regulatory Monitoring and Requirements:

• Ensure compliance with state, federal, and accrediting agency regulations relating to medical staff credentialing and privileges.
• Maintain comprehensive knowledge of relevant regulations and accreditation standards and implement necessary updates and changes as required.
• Monitor compliance with established policies, processes and procedures, and bylaws through regular audits, assessments, and evaluations.
• Review and revise existing policies, procedures, and processes annually and as needed.

Credentialing and Privileging:

• Oversee the credentialing process for all medical staff members and clinicians, including physicians, advanced practice practitioners, and allied health professionals.
• Process credentialing applications and Board approvals, complete appropriate checklists, and follow-up on pertinent documentation and requests.
• Verify and maintain accurate and up-to-date documentation, including licensure, certifications, malpractice insurance, education, training credentials, peer references, and hospital affiliations.
• Perform background checks, primary source verifications, and evaluation of malpractice claims.
• Coordinate the privilege process, including the review and approval of clinical privileges based on qualifications and scope of practice.

Database Management:

• Utilize credentialing software to manage electronic files and track credentialing and privileged activities.
• Generate reports and analyze data related to medical staff credentialing and privilege processes. 

Meeting Coordination:

• Coordinate and meetings related to medical staff services, including conference room reservations, scheduling, and meeting reminders, placing catering orders, agenda and packet preparation, meeting minutes, and PowerPoint presentations.
• Ensure timely distribution of meeting materials and follow-up on action items.

Peer Review Monitoring and Tracking:

• Assist in the monitoring and tracking of peer review activities, including case reviews, quality improvement initiatives, and peer evaluation processes.
• Maintain confidentiality and integrity in handling peer review information.

Quality Improvement:

• Participate in quality improvement initiatives related to medical staff credentialing, privileging, and peer review processes.
• Identify opportunities for process improvement and implement strategies to enhance efficiency and accuracy. 

Requirements

Minimum Level of Education: Requires High School Diploma. Preferred education level equivalent to completion of two years of college or technical school. This position requires analytical skills and the ability to formulate computerized reports.

Formal Training: Must have Medical Staff Office experience and a good working knowledge of Microsoft Office Suite, Outlook, Excel, Word, and PowerPoint.

Licensure, Certification, Registration: CPCS and/or CPMSM Certification Preferred.

Work Experience: Three (3) to five (5) years of work-related experience.

Computer Skills: Proficiency in Microsoft Office Suite (Outlook, Excel, Word, and PowerPoint). Medical Credentialing Software Application is a plus.