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Medical Staff Credentials Specialist

3 months ago

Manchester, United States ECHN Full time

POSITION SUMMARY: Coordinates the activities of the Medical Staff Office including the onboarding and re-credentialing process for practitioners. Coordinates the activities of the ECHN Credentialing Program in compliance with state and federal regulations and Joint Commission standards. Provides executive administrative support to various medical staff departments, services, committees, medical staff meetings, and medical staff leaders. EDUCATION/CERTIFICATION: High School Diploma required.# Associate degree preferred. Prefer certification by the National Association Medical Staff Services as either a Certified Provider Credentials Specialist (CPCS) or Certification in Professional Medical Services Management (CPMSM).# If not certified in CPCS upon hire, must obtain certification within one year after eligibility.# EXPERIENCE: Three years of experience working with physicians and other leaders on a hospital medical staff or quality improvement department preferred. Experience in taking meeting minutes.# One year of hospital credentialing experience preferred. COMPETENCIES: Strong professional communication skills (written, non-verbal, verbal) required, including excellent customer service skills, always ensuring applicants to the medical staff, as well as current medical staff members are treated as high priority customers. Knowledge of State and Federal regulations, Joint Commission Standards preferred.# Related to medical staff and credentialing Computer/software: Microsoft office applications, MSO credentialing database preferred. Consistently demonstrate ECHN#s Core Values:# Teamwork, Respect and Communication through a commitment to Caring. Self-directed and self-motivational skills with strong attention to detail. Mature attitude and judgment; responsible; professional demeanor and appearance, patient and flexible. Ability to manage multiple priorities from initiation to completion. Ability to analyze, interpret and draw inferences from research findings and present recommendations to the medical staff leaders for credentialing and privileging issues. The duties of this position include professional level contact with physicians, health system executives, directors, managers, and attorneys. Must be proficient in the use of Windows based Microsoft office software applications.## Medical Terminology. Flexible schedule required to attend events/meetings in the early morning or in the evening to accommodate physician schedules.# Must have access to reliable transportation to travel between multiple work sites; and travel is required in order to perform essential duties. ESSENTIAL DUTIES and RESPONSIBILITIES: Disclaimer: Job descriptions are not intended, nor should they be construed to be, exhaustive lists of all responsibilities, skills, efforts or working conditions associated with the job.# They are intended to be accurate reflections of the principal duties and responsibilities of this position.# These responsibilities and competencies listed below may change from time to time. Job-Specific Competency Collaborates with medical staff leaders and coordinates the business functions and activities of the Medical Staff departments, services, and committees. #Independently prepares meeting agendas and reviews with appropriate medical staff leader.# Attends and participates at meetings, records minutes, drafts letters and completes all follow-up correspondence.# Handles confidential and sensitive medical staff information appropriately. Collaborates with medical staff office to coordinate the Medical Staff Department Chair and Service Chief Election process in accordance with Medical Staff Bylaws. Prepares communications to the Medical Staff and Allied Health Professional Staff related to mandatory education and/or requirements and monitors compliance including but not limited to HRO Training, Safety Absolute Education and Flu Vaccination Program.# Notifies President of the Medical Staff and Sr VPMA when non-compliance occurs and prepares suspension notices.# Communicates suspensions to the appropriate hospital departments and individuals.######## Coordinates the full medical staff meetings twice per year or as needed.# Prepares meeting agenda, attends meetings, records minutes and completes all follow-up correspondence. ## Monitors Meditech Provider Dictionary non-staff providers for office of inspector general (OIG) sanctions.# Reports actions taken against non-staff providers to the appropriate individuals in accordance with policy.# Researches and conducts primary source verification of non-staff providers# licensure, OIG sanctions and provider numbers.# Accurately enters data into the Meditech Provider Dictionary. Coordinates the activities of the Medical Staff Bylaws Committee.# Organizes pre-meetings, prepares amendments, prepares agendas, attends, and participates at meetings, records minutes and completes all follow-up including correspondence. Makes recommendations for and drafts Medical Staff policy and Medical Staff Bylaw amendments.# Supports department related functions, general office procedures and phone coverage. ##Responsible for office maintenance including monitoring and ordering of supplies, troubleshooting, and requesting repairs for office equipment, etc. Creates reports in credentialing database as needed. Creates flowcharts, diagrams, timelines, PowerPoint presentations, and Excel spreadsheets as needed. Supports department related functions, general office procedures and phone coverage. ##Responsible for office maintenance including monitoring and ordering of supplies, troubleshooting, and requesting repairs for office equipment, etc. Coordinates the ECHN medical and allied health professional staff credentialing and privileging process.# Processes requests and performs primary source verifications for appointment, reappointment, clinical privileges, and temporary privileges in accordance with Medical Staff Bylaws, Joint Commission standards, state, and federal regulations.# Creates and maintains all medical and allied health professional staff credential files in compliance with policy.# Complies with Policy on Confidentiality of Medical Staff Records and Files. Monitors monthly expiration of medical and allied health professional staff state licenses, federal and state drug control registrations, professional liability insurance and board certifications.# Collects renewed licenses, registrations, insurance, and certification documents in accordance with policy and updates database. Maintains accurate physician and allied health professional information in credentialing database, hospital database, physician referral and CHIME databases.## Creates reports using the credentialing database as requested. Participates in Joint Commission accreditation, CMS, and Connecticut State licensure inspection surveys.# Responds to inquiries from other health care institutions, managed care organizations and ECHN departments regarding medical and allied health professional staff.# Attends education seminars related to credentialing to maintain knowledge and compliance with standards and regulations. Earns continuing educational credits to maintain certification.# Networks with other credential professionals within CT and outside of CT. #