Medical Staff Services Manager

3 weeks ago

Holmdel, New Jersey, United States Hackensack Meridian Health Full time
Job Summary

We are seeking a highly skilled and experienced Medical Staff Services Manager to join our team at Hackensack Meridian Health. The successful candidate will be responsible for directing and leading all areas of Medical Staff services support and the credentialing process.

Key Responsibilities
  • Provides direction and leadership in all areas of Medical Staff services support and the credentialing process.
  • Assists Medical Staff Leadership in development, implementation, and adherence to Medical Staff organization governing structure and documents, as well as adherence to accrediting body and state/federal regulatory requirements.
  • Manages appropriate and timely assessment of appointments and reappointment to the Medical Staff, delineation of clinical privileges, and associated credentialing functions.
  • Works closely with Medical Staff to assure accuracy of appointment and reappointment documentation.
  • Maintains integrity of systemwide computer-based physician information system, communicates with tech support, MHS Information Systems Dept., and Medical Staff users as necessary.
  • Effectively manages projects and personnel in systems development.
  • Develops and implements annual goals in accordance with the goals of the organization and in accordance with regulatory and licensing entities as they relate to the credentialing and privileging process.
  • Develops and implements departmental policies and procedures related to the daily operations of the department as monitored by the supervisor.
  • Supervises staff to ensure that they are performing job duties accurately and in accordance with the timelines established by departmental policy and medical staff bylaws/policy as monitored by supervisor.
  • Organizes and maintains medical staff credentials files as evidenced by survey results, documentation, supervisor observation.
  • Holds staff meetings to review and resolve problems, provide information, identify opportunities for improvement, and develop any necessary action plan for problem resolution as monitored by supervisor and documentation.
  • Develops capital and operating budget for Credentials Department; meets budgetary guidelines as monitored by monthly financial reports.
  • Maintains on-going relationship with credentialing software representatives, implements software updates, and makes recommendations regarding updates needed to ensure efficiency and compliance with privileging processes.
  • Develops and uses query function of credentialing software to produce reports as requested by internal and external customers.
  • Ensures credentialing and privileging processes and documents meet regulatory standards and the needs of the organization.
  • Revises delineation of privilege forms to conform with the revised Joint Commission standards of criteria-based core competency privileging compliance with privileging process as monitored by supervisor.
  • Revises and maintains forms used in the appointment, reappointment, and provisional period in accordance with regulatory requirements as monitored through document review.
  • Demonstrates working knowledge of standards and regulations and makes recommendations needed to the medical staff policies, bylaws, and/or the privileges process in order to ensure compliance as monitored.
  • Establishes a process for ensuring that physician profiles and any other information relating to competency and behavior are submitted to the Department Chairs at the time of reappointment as evidenced by feedback from the Chairs.
Requirements
  • Bachelor's degree or over 10 years prior credentialing experience.
  • Minimum of 3 years managerial experience or equivalent experience.
  • NAMSS Certification preferred.

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