Medical Staff Services Manager
4 weeks ago
We are seeking a highly skilled and experienced Medical Staff Services Manager to join our team at Medstar. The successful candidate will be responsible for providing day-to-day management of the Medical Staff Services department, ensuring compliance with medical staff Bylaws, State, Federal, and regulatory agencies.
Key Responsibilities- Assist in the development of departmental goals, objectives, policies, and procedures.
- Ensure compliance with business unit policies and procedures and governmental and accreditation regulations.
- Select, train, orient, and assign department staff.
- Work with the Director to develop standards of performance, evaluate performance, and conduct performance management planning.
- Initiate or make recommendations for personnel actions.
- Maintain ongoing communication with subordinates to review programs, provide feedback, discuss new developments, and exchange information.
- Provide input into the development of departmental operating budget and manage resources according to the approved budget.
- Ensure compliance with CMS, TJC, and/or NCQA standards and practitioner credentialing regulations as mandated by State and Federal law.
- Responsible for data entry of facility-specific practitioner data within the credentialing databases.
- Utilize appropriate database tracking reports to ensure accuracy and thoroughness of imported data as well as data that may be entered manually.
- Assist with the billing, collection, and deposit of medical staff.
- Coordinate the granting of temporary privileges for medical staff and advanced practice clinicians in accordance with corporate policy and medical staff bylaws.
- Manage the initial and reappointment credentialing process at the facility level.
- Work in collaboration with the MSH CVO associates for timely receipt and accuracy of credentialing and re-credentialing applications.
- Track initial/re-credentialing applications sent, received, and in-process.
- Responsible for 100% auditing and analyzing all applications for clarity, quality, and completeness of data in accordance with policies and procedures, Joint Commission, NCQA accrediting standards, and state and federal regulatory requirements.
- May process initial/re-credentialing applications for those applications that have been deemed.
- Process all applications for modification of privileges.
- Work collaboratively with the Director, AVP, VPMA, legal, and medical staff leadership to develop, revise, and implement policies, procedures, and documents related to credentialing, privileging, and medical staff services.
- Assist the Director with the preparation of correspondence and periodic reports on a variety of matters requiring an in-depth understanding of departmental needs and activities for medical staff leadership, hospital leadership, and departmental meetings in matters relating to medical staff services, credentialing, privileging, practitioner professional practice evaluation/quality profiles, and primary source verification.
- Actively participate in activities to support the functions of the organized medical staff, including but not limited to the Credentials Committee, Medical Executive Committee, and Medical Staff meetings.
- Maintain competency on nationally recognized medical staff services and credentialing-related initiatives through participation with NAMSS and MAMSS, journal articles, and other industry-related news.
- Maintain competency on the credentialing database via participation in online education learning modules and monthly skills-related webinars.
- Participate in meetings and on committees and represent the department and hospital in community outreach efforts.
- Participate in multi-disciplinary quality and service improvement teams and maintain effective working relationships with other departments.
- Bachelor's degree in a related field required.
- 3-4 years of experience in credentialing and/or medical staff services management, or equivalent experience in areas related to regulatory, quality, risk management, and compliance.
- Certified Provider Credentialing Specialist (CPCS) within 1 year required, or CPMSM - Certified Professional Medical Services Management within 1 year required, or other related certification, such as Certified Professional Healthcare Quality (CPHQ), Registered Health Information Administrator (RHIA), Certified Professional in Healthcare Risk Management (CPHRM), or Certified Professional Compliance Officer (CPCO), may be considered equivalent upon initial hire.
- Proven problem-solving skills and ability to exercise independent judgment.
- Business acumen and leadership skills.
- Strong verbal and written communication skills with the ability to effectively interact with all levels of management, internal departments, and external agencies.
- Working knowledge of various computer software applications.
This position has a hiring range of $63,793 - $107,411.
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