Medical Staff Services Manager

Overview:

As the Manager of Medical Staff Services, you will be responsible for overseeing the day-to-day operations of the Medical Staff Services Office. This includes supervising staff, verifying physician credentials and information, and facilitating communication with physicians, hospitals, and various agencies involved in medical staff services.

Operational Oversight:
Plan, organize, and direct day-to-day operations of the Medical Staff Services Office.
Supervise staff, verify physician credentials, and facilitate communication with physicians, hospitals, and agencies.
Regulatory Compliance and Standards:
Establish, contribute to, and implement standards for credentialing, quality improvement, and administrative functions.
Ensure compliance with regulatory standards and provide consultative expertise to maintain adherence.
Team Collaboration and Professionalism:
Foster a collegial environment to promote teamwork within the medical staff office and with other departments.
Uphold professionalism and commitment to delivering quality service in all aspects of operations.
Financial Management and Budgeting:
Assist in developing the system medical staff service budget and manage resources within approved parameters.
Monitor operating budget and staffing levels to align with departmental goals and maintain high customer service satisfaction.
Staff Management and Development:
Supervise staff, provide performance feedback, address problems, and identify skill development opportunities.
Develop and implement departmental policies and procedures to comply with regulations and organizational needs.
Professional Development:
Participate in educational programs and professional organizations to stay updated on industry standards and practices.
Data Management and Reporting:
Manage data entry of physician information, ensuring accuracy in status and productivity reports.
Coordinate timely transmission of credentials files for review and approval, and conduct periodic evaluations of data gathering processes.

MINIMUM QUALIFICATIONS:

• Bachelor's degree in health care or management related field preferred.
• Five (5) years comprehensive Medical Staff Services in an acute care hospital, managed care or credentialing verification organization with three (3) years of supervisory experience.
• Current National Association Medical Staff Services (NAMSS) certification as a Certified Professional Medical Services Management (CPMSM) preferred.
• Those without certification must obtain it within the first year of employment.
• Must maintain active certification.

JOB DESCRIPTION:

• Plans, organizes and directs the day to day operations of Medical Staff Services Office including staff supervision, verification of physician credentials and information, communications with physicians, hospitals and various agencies involved with medical staff services.
• Accountable for establishing, contributing, and implementation of standards applicable to medical staff members relating to credentialing, quality improvement, and administrative functions for responsible hospital and system. Complies with all regulatory standards, providing consultative expertise to the Medical Staff and hospital leadership on options and permissible actions in order to meet those standards. Communication: Provides a collegial environment which fosters teamwork both within the medical staff office, with other members of the medical staff service department and medical staff members of hospital. Professionalism in all aspects and commitment to the delivery of quality service. Financial/Budgeting:Assist in the development of the system medical staff service budget and manages resources within the budget once approved. Monitor operating budge and staffing level for consistency with departmental goals while maintaining a high level of customer service satisfaction. Management Supervision: Supervises staff and manages employee performance. Provides on-going performance feedback, addresses problems, orients and trains employees, verifies competency and identifies and suggests way to develop skills. Monitors workflow. Develops and implements departmental policies and procedures to comply with medial staff bylaws, hospital bylaws, managed care policies, TJC/NCQA requirements and related state and federal regulations. Ensure all provider credentials meet the requirements as outlined by Hospital Medical Staff Bylaws, URAC,TJC and state and federal regulatory agencies. Policies and Procedures:Maintain, create and revise policy and procedures related to database management collaboratively within the department and what best meet the system medical staff functions, hospital bylaws, managed are policies, TJC/NCQA requirements, and related state and federal regulations. Professional Development: Maintains professional growth by participating in educational programs and professional organizations. Maintain knowledge of current industry standards, regulations, trends, practices, and developments. Reporting/Data Management: Manages data entry of physician information into practitioner files, status reports and productivity reports for correctness and accuracy. Evaluates software needs of credentialing database management to fulfill needs of medical staff office operations. Maintain a file audit program ensuring audit and survey preparedness. Coordinates transmittal of complete and timely credentials file through the various review committees and board approval. Periodic evaluation of data gathering process required to ensure organizational needs are consistently met.
  
  MINIMUM QUALIFICATIONS: Bachelor's degree in health care or management related field preferred. Five (5) years comprehensive Medical Staff Services in an acute care hospital, managed care or credentialing verification organization with three (3) years of supervisory experience. Current National Association Medical Staff Services (NAMSS) certification as a Certified Professional Medical Services Management (CPMSM) preferred. Those without certification must obtain it within the first year of employment..Must maintain active certification.
  
  PHYSICAL REQUIREMENTS: 1-10 lbs 0-33% of the work day (occasionally), negligible 34-66% of the workday (frequently), negligible 67-100% of the workday (constantly). Lifting 10 lbs max, carrying of small articles such as dockets, ledgers, files, small tools, occasional standing & walking, frequent sitting, close eye work (computers, typing, reading, writing), Physical demands may vary depending on assigned work area and work tasks.
  
  ENVIRONMENTAL FACTORS: Factors affecting environment conditions may vary depending on the assigned work area and tasks. Environmental exposures include, but are not limited to: Blood-borne pathogen exposure, Bio-hazardous waste. chemicals/gases/fumes/vapors, communicable diseases, electrical shock, floor surfaces, hot/cold temperatures, indoor/outdoor conditions, latex, lighting patient care/handling injuries, radiation, shift work, travel may be required, use of personal protective equipment, including respirators, environmental conditions may vary depending on assigned work area and work tasks.