Director Medical Staff Services

Chesapeake Regional Healthcare•Chesapeake, VA

About The Position

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. 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.

Requirements

  • Bachelor's degree
  • Ten (10) years of Medical Staff Services/Credentialing experience is required
  • At least five (5) years at a management level

Nice To Haves

  • Master's degree
  • CPMSM preferred (Certified Professional in Medical Services Management)

Responsibilities

  • Overseeing the operations, service-delivery, and team members of the Medical Staff Services Department.
  • Coordinating all aspects of the department, including the planning, development, and implementation of services supporting the organization's medical staff and committees.
  • Setting performance expectations and establishing procedures for department functions.
  • Organizing and directing a comprehensive and specialized credentialing program to assure continued accreditation by regulatory organizations.
  • Interpreting, explaining and following all regulatory guidelines, including medical staff bylaws, fair hearing plan, rules and regulations and policies.
  • Maintaining systems to identify (and disseminate to others) medical staff members and their clinical privileges, preparing and maintaining other related records and reports.
  • Updating and maintaining systems (physician privileges, medical staff roster, Medical Staff Bylaws, etc.).
  • Overseeing the credentialing process for physicians, allied health professionals, and other health professionals/categories specified in the Medical Staff Bylaws.
  • Working with medical staff leadership and hospital clinical staff for the approval and ongoing review of these practitioners.
  • Coordinating new physician orientation.
  • Overseeing revision and publication of orientation manual as needed.
  • Monitoring and revising credentialing and privileging forms and functions as needed to ensure consistency and in accordance with regulatory agency guidelines.
  • Assisting with medical staff performance improvement/peer review functions, ensuring documentation of review and communication of findings.
  • Coordinating continuing medical education programs for the medical staff and ensuring compliance with CME accreditation process.
  • Collaborating with leadership in the planning of physician events and physician surveys.
  • Assuring the ongoing development and implementation of policies and procedures that guide and support the provision of services.
  • Evaluating effectiveness of all Medical Staff department programs, analyzing trends and implementing changes as required.
  • Overseeing the daily operations of the Medical Staff Services department and directing the work of the Medical Staff Services department personnel.
  • Being directly responsible for all personnel actions including, but not limited to, hiring, performance appraisals, promotions, orientation, vacation schedules, maintaining payroll records and time reports.
  • Being directly responsible for the preparation of department budget.
  • Making budgetary recommendations and projections.
  • Monitoring, verifying and reconciling expenditures of budgeted funds, compiling information reflecting expenditures, and developing cost-comparisons.
  • Identifying cost savings within the operation.
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