This is a Lead position responsible for processing initial applications and reappointment applications to credential and privilege physicians and other licensed health care professionals of the medical staff of Care New England Health System (CNE). Performs primary source verifications and evaluates information to ensure applicants meet criteria in accordance with CNE's Medical Staff Bylaws, Rules & Regulations, Policies and Procedures, and all requirements of accrediting organizations and regulatory agencies.
Trains and mentors staff. Performs complex activities in support of Medical Staff Operations. May perform quality audits.
Duties & Responsibilities Reviews and processes applications from individuals seeking medical staff membership and clinical privileges, ensuring all required documentation is provided. Conducts thorough background checks, including verifying educational degrees, professional licenses, certifications, work experience, current clinical competence and any other relevant credentials. Collaborates with applicants, professionals, organizations, and internal teams to provide guidance and support throughout the credentialing process, responding to inquiries, and resolving issues.
Evaluates practitioners against threshold criteria and notifies Medical Staff Manager of issues. Performs quality audits. Trains and mentors other Medical Staff Coordinators.
Compiles medical staff statistical information and data. Supports credentialing and privileging committees, including creating meeting Agendas and minutes. May participate in accreditation and regulatory surveys.
Identifies potential problems and proposes solutions. Updates the database in accordance with standardized workflows and data entry rules. Applies knowledge, expertise, sound judgment and consults with team members as necessary to resolve questions or concerns.
Performs other duties as assigned. Requirements High School or GED Required; Associate's Degree Preferred Minimum 7 Years of experience. CPCS or CPMSM certification preferred.
If not certified, must obtain certification within one year of hire date. Ability to work independently. Organized, self-motivated, and possess good time management skills.
Excellent verbal and written communication skills. Excellent interpersonal skills, including the ability to communicate effectively and collaboratively with staff, physicians, and other clinicians in a courteous manner. Able to work in a fast paced, deadline driven environment.
Detail and solution-oriented and ability to effectively manage multiple priorities and deadlines. Must be proficient in Microsoft Office suite of products (Word, Excel, PowerPoint, Outlook, Teams, etc.) and comfortable working with database software. Able to manage confidential and sensitive information with discretion.
Care New England Health System (CNE) and its member institutions, Butler Hospital, Women & Infants Hospital, Kent Hospital, VNA of Care New England, Integra, The Providence Center, and Care New England Medical Group, is a trusted, integrated health care organization that fuels the latest advances in medical research, attracts the nation’s top specialty-trained doctors, hones renowned services and innovative programs, and engages in the important discussions people need to have about their health and end-of-life wishes.
Care New England is helping to transform the future of health care, providing a leading voice in the ongoing effort to ensure the health of the individuals and communities we serve. EEO Statements Americans with Disability Act Statement : External and internal applicants, as well as position incumbents who become disabled must be able to perform the essential job-specific functions either unaided or with the assistance of a reasonable accommodation, to be determined by the organization on a case-by-case basis.
EEOC Statement : Care New England is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status Ethics Statement : Employee conducts himself/herself consistent with the ethical standards of the organization including, but not limited to hospital policy, mission, vision, and values.