Program Manager-Medical Staff Services-Medical Staff

Job Description:

Education:

Required: Bachelor’s Degree

Licensure/Certification:

Required: CMCS/CPMSM certification

Experience:

Required: Five (5) years of medical staff services management experience or equivalent position in healthcare

Essential Responsibilities:

• Demonstrates compliance with Code of Conduct and compliance with policies, and takes action to resolve compliance questions or concerns and report suspected violations.
• Coordination of the processing of applications, appointments and administrative support for medical staff and health professionals (more than
• Serves as a liaison in ensuring medical staff application appointments, privileges, credentialing and administrative support services for the medical staff and APPs are coordinated in an accurate and timely manner.
• Guides and assists Medical Staff support staff including coaching and training, facilitates cross-training of department support staff for adequate office coverage and provides coverage where required.
• Manages and oversees the physician contracts with Legal Department keeping the Director involved and informed of any initiations and changes.
• Oversees and prepares ED call stipends, proctoring and all other payments to medical staff.
• Coordinates, gathers, and reports metrics for quality improvement and other purposes as designated by the Medical Staff Services Director.
• Assists in arranging/attending medical staff meetings, agendas and minutes, and coordinates and monitors follow-up items from those meetings.
• Shares knowledge with staff of requirements of Medical Staff, federal and state regulatory requirements, Medical Staff Bylaws and certification requirements.
• Subject matter expert for staff for Echo data base and Epic applications in management of physician and day-to-day operations and reports.
• Coordinates with Quality Department to ensure facilitation of both Ongoing Professional Practice Evaluation (OPPE) and Focused Professional Practice Evaluation (FPPE).
• Continuously evaluates work process and design; understands role in ensuring quality/performance improvement, productivity and service delivery to meet stakeholder needs.
• Supports the President of the Medical Staff, Department Chairs, Section Chiefs and Chief Medical Officer in the context of their responsibilities and credentialing roles.
• Serves as key liaison to clinical department administrators, department heads and other personnel regarding the credentialing processes.
• Development of privilege criteria and delineation of privilege forms to ensure that all credentialing is a criteria-based system.
• Oversees and assists Director to implement administrative and clerical policies and procedures related to the medical staff.
• Ensures efficient utilization of hospital resources.
• Along with Director is the SME for questions related to TJC, Federal and State Regulations or other accreditation agencies standards of care related to Medical Staff

Essential Skils:

• Demonstrates leadership skills
• Excellent customer service skills and effective working relationships with physicians, senior management, co-workers and hospital staff
• Skills and knowledge to plan, develop, and implement a project and see it through to success
• Working knowledge of Medical Staff, federal and state regulatory requirements, Medical Staff Bylaws and certification requirements
• Comprehensive knowledge of physician and advanced practice providers credentialing and privileging and OPPE/FPPE
• Ability to motivate and lead others in a Mission Driven manner
• Understands the organizational structure of the Medical Staff and the relationship between the Medical Staff and the hospital and the accreditation/regulatory entities
• Ability to organize and manage a large volume workload
• Possess critical thinking, problem-solving and decision-making skills
• Written and verbal communication skills
• Able to prioritize and meet deadlines, maintain confidentiality
• Ability to organize work, delegate and achieve goals and objectives, analyze situations accurately and take effective action
• Knowledge of TJC, Federal and State Regulations or other accreditation agencies standards of care related to Medical Staff
• Able to work independently with minimal supervision; able to manage and delegate
• Computer knowledge and skills including Microsoft Word, Outlook, Excel, medical staff database (Echo) and hospital administrative and clinical systems
• Exercises a high degree of initiative, judgment, and discretion and independent judgment to manage and impart confidential information
• Self-motivated, self-starter, and able to organize efforts around helping physicians and co-workers
• Understands and apply general financial and budgetary processes, principles and planning
• Understands department and institution policies and implementation of these policies within prescribed limits of authority
• Understands principles of record keeping and confidentiality (including HIPAA compliance)
• Knowledge and ability to create excellence in service
• Comprehensive knowledge of medical staff-related databases and electronic management of credentialing data/information and physician contracts