Manager of Medical Staff Services

Monument Health•Rapid City, SD

25d

About The Position

The Manager of Medical Staff Services will oversee and coordinate the activities of Medical Staff Coordinators. The incumbent in this position will support the Director’s managing the Rapid City Hospital Credentialing and Medical Executive Committees, and the reporting to the Board of Directors. The incumbent will be responsible for ensuring compliance for all peer review activities and document management. The incumbent is responsible for managing peer review/ code of conduct processes directly supporting the medical staff leaders in the process ensuring compliance with state and Federal laws and CMS COPs, The Joint Commission and National Committee for Quality Assurance accreditation standards. Demonstrates ongoing growth and development of self through active self-reflection, personal competency development strategies, and role modeling the “Grow myself, grow my team, and grow Monument Health (G3) Leadership Competencies” to promote our Monument Health vision and mission. Monument Health offers competitive wages and benefits on qualifying positions. Some of those benefits can include: Supportive work culture Medical, Vision and Dental Coverage Retirement Plans, Health Savings Account, and Flexible Spending Account Instant pay is available for qualifying positions Paid Time Off Accrual Bank Opportunities for growth and advancement Tuition assistance/reimbursement Excellent pay differentials on qualifying positions Flexible scheduling

Requirements

Education - Associates degree in Related Field or combination of equivalent years of experience and/or education can be considered to meet the Associates degree requirement
Certification - NAMSS Certification - Certified Professional Medical Services Management (CPMSM); OR Certified Provider Credentialing Specialist (CPCS), or ability to obtain within one (1) year
Experience - 3+ years Medical Staff, Credentialing, and Privileging experience

Nice To Haves

Education - Bachelors degree in Health Administration
Experience - 5+ years Medical Staff experience
Experience - 5+ years Management experience

Responsibilities

Supports the Director coordinating with Monument Health's Legal department, Department Director and Chief of Staff to support the Peer Review policy and the Code of Conduct policy through the monitoring, scribing, and document management and outcome tracking as per the Code of Conduct and Peer Review policies ensuring HCQIA/HIPAA compliance.
Works in conjunction with Department Director to in service to all newly appointed and reappointed medical staff leaders and committee members.
Supports the Director in the daily operations of the department.
Participates in the identification of the department’s KPIs.
Monitors the credentialing process, ensuring compliance with the NCQA and TJC standards.
Supports Director in managing incoming data from contracted credentials verification organization and other sources.
Identifies and communicates critical information on provider status with PHO and or payor in a timely manner to Director.
Supervises the team’s meeting outputs ensuring all approved/recommended actionable items are processed and reported back to originating meeting.
Supports the Director in prepping for compliance surveys.
Provides support to Director with legal requests.
All other duties as assigned.