The Director, Medical Staff Services is responsible for overseeing the operations, service-delivery, and team members of the Medical Staff Services Department. Coordinates all aspects of the department, including the planning, development, and implementation of services supporting the organization's medical staff and committees. Sets performance expectations and establishes procedures for department functions.
and Responsibilities These duties and responsibilities described below represent the general tasks performed on a daily basis. Any other duties as needed to drive to the vision, fulfill the mission, and abide by the values of the organization. Organizes and directs a comprehensive and specialized credentialing program to assure continued accreditation by regulatory organizations.
Interprets, explains and follows all regulatory guidelines, including medical staff bylaws, fair hearing plan, rules and regulations and policies. Maintains systems to identify (and disseminate to others) medical staff members and their clinical privileges, prepares and maintains other related records and reports. Updates and maintains systems (physician privileges, medical staff roster, Medical Staff Bylaws, etc.).
Oversees the credentialing process for physicians, allied health professionals, and other health professionals/categories specified in the Medical Staff Bylaws. Works with medical staff leadership and hospital clinical staff for the approval and ongoing review of these practitioners. Coordinates new physician orientation.
Oversees revision and publication of orientation manual as needed. Monitors and revises credentialing and privileging forms and functions as needed to ensure consistency and in accordance with regulatory agency guidelines. Assists with medical staff performance improvement/peer review functions, ensuring documentation of review and communication of findings.
Coordinates continuing medical education programs for the medical staff and ensure compliance with CME accreditation process. Collaborates with leadership in the planning of physician events and physician surveys. Assures the ongoing development and implementation of policies and procedures that guide and support the provision of services.
Evaluates effectiveness of all Medical Staff department programs, analyzes trends and implements changes as required. Oversees the daily operations of the Medical Staff Services department and directs the work of the Medical Staff Services department personnel. Directly responsible for all personnel actions including, but not limited to, hiring, performance appraisals, promotions, orientation, vacation schedules, maintaining payroll records and time reports.
Directly responsible for the preparation of department budget. Make budgetary recommendations and projections. Monitor, verify and reconcile expenditures of budgeted funds, compiling information reflecting expenditures, and develop cost-comparisons.
Identify cost savings within the operation. Supervisory Responsibilities Reports to: Chief Medical Officer, VP Supervises: All Medical Staff Services department team members
Budget and staff management Qualifications To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the
. Education and Experience Minimum Required
Bachelor's degree Preferred
Master's degree
Ten (10) years of Medical Staff Services/Credentialing experience is required, with at least five (5) years at a management level. Certificates, Licenses, Registrations CPMSM preferred (Certified Professional in Medical Services Management) Education Bachelors (required) Masters (preferred) Licenses and Certifications Cert Prof Med Svcs Mgmt (required) Experience Medical Staff Services/Credentialing experience is required, with at least five (5) years at a management level (required)