Medical Staff Credentialing Director is responsible for all aspects of the verification process for medical staff incumbents. Provides regulatory oversight and guidance to the credentialing process. Being a Medical Staff Credentialing Director maintains working knowledge and ensures continuing compliance with state, federal, and institutional standards and guidelines. Develops and implements policies and protocols related to medical staff verifications and ensures that the organization and staff are in accordance with organizational and industry standards. Additionally, Medical Staff Credentialing Director analyzes reports on applications and credential status to identify trends and improve the credentialing process. Presents files to the credentialing committee and may act as a liaison to state medical licensure boards regarding the status of license applications. Requires a bachelor's degree. May require Certified Provider Credentialing Specialist (CPCS). Typically reports to senior management. The Medical Staff Credentialing Director typically manages through subordinate managers and professionals in larger groups of moderate complexity. Provides input to strategic decisions that affect the functional area of responsibility. May give input into developing the budget. To be a Medical Staff Credentialing Director typically requires 3+ years of managerial experience. Capable of resolving escalated issues arising from operations and requiring coordination with other departments. (Copyright 2024 Salary.com)
This recruitment is open until filled.
Bartlett Regional Hospital is searching for a Director to lead our Medical Staff Services team!
This position is eligible for relocation assistance of up to $15,000, plus 6 months of temporary housing or up to $7,000 for housing expenses. Contact Human Resources at 907-796-8418 for details.
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Job Summary:
The Director of Medical Staff Services oversees the activities of the department, which includes credentialing and privileging of Medical Staff and other providers. This function includes processing initial applications and reappointments; onboarding new providers; and monitoring expirable items (e.g., licensure, certification), continuing medical education, compliance, quality issues, sanctions, and competent practices between initial and recredentialing cycles.
The Director ensures compliance with hospital bylaws, accreditation standards, regulatory entities, and legal requirements pertaining to physicians and other providers. This includes the interpretation of evolving requirements and the development of bylaws, policies, strategies, procedures, and program initiatives to maintain compliance in credentialing, privileging, continuing medical education, and physician peer review activities.
Effective communication is critical as the Director is in frequent contact with hospital Senior Leadership; Medical Staff Leadership; Quality, Risk Management, Human Resources, Information Systems, Pharmacy, and Staff Development departments, the Director of Physician Services, hospital and Medical Staff attorneys, community stakeholders, the State Licensing Board, information systems database vendors, clinic managers, and others to consult, advise, coordinate, problem solve, and provide information and support.
The Director is responsible for coordinating and participating collaboratively in provider evaluations/investigations when Medical Staff or other providers have allegedly committed violations. The Director is responsible for maintaining the confidentiality and integrity of provider information. The Director supervises Medical Staff Professionals (MSP) in the department.
Minimum Qualifications for the Job:
Internal Hires: Pay rate will be determined based on applicable personnel rule or union contract terms.
Practice Notices: