Program Coordinator-Medical Staff Services

Eisenhower Health•Rancho Mirage, CA

1d•$31 - $46•Onsite

About The Position

Responsible for Medical Staff meeting management. Serves as subject matter expert (SME) in the daily operations and essential support functions of the Medical Staff Services Department. Collaborates with Section/Department Leaders to ensure accreditation and regulatory compliance. Ensures the accuracy of the Medical Staff database and conducts required follow up.

Requirements

Bachelor’s Degree or an additional four (4) years of related experience in lieu of bachelor’s degree
Certified Provider Credentialing Specialist (CPCS) or Certified Professional Medical Services Management (CPMSM) certification within two (2) years of hire into position
Five (5) years of experience in a Medical Staff Services Department with a minimum of two (2) years of experience in Medical Staff meeting management
Comprehensive knowledge of medical staff credentialing & privileging platform
Comprehensive knowledge of medical staff-related databases and electronic management of credentialing data/information and physician contracts
Strong organizational and analytical skills
Working knowledge of Medical Staff, federal and state regulatory requirements, Medical Staff Bylaws, General Medical Staff Rules & Regulations, Departmental Rules & Regulations and certification requirements
Written and verbal communication skills

Nice To Haves

Ability to evaluate and make recommendations for continuous quality improvement
Ability to organize and manage a large volume workload

Responsibilities

Demonstrates compliance with Code of Conduct and compliance policies, and takes action to resolve compliance questions or concerns and report suspected violations.
Arranges and attends medical staff meetings, distributes meeting invites and packets, and collaborates with department chairs and section chiefs in preparation of agendas; coordinates and monitors follow-up items from those meetings.
Ensures confidentiality of Medical Staff peer review records in accordance with state law.
Serves as a resource for ancillary departments by creating and generating reports utilizing credentialing and privileging database.
Utilizes electronic software to coordinate the credentialing process for initial appointment and reappointment of physicians, advanced practice providers (APP) and locum tenens; ensures applicant qualifications meet established guidelines set by the medical staff and all required information is verified prior to review by Section Chiefs/Department Chairs; prepares files for submission to Credentials Committee or Interdisciplinary Practice Committee.
Acts as SME for staff for credentialing and privileging and day-to-day operations and reports.
Supports the Program Manager with upgrades to the credentialing and privileging and introduction of new modules/software; educates staff regarding new or changed workflows; uses change management strategies throughout the planning and implementation process to ensure success.
Maintains the integrity of the medical staff credentialing and privileging database and assures quality and accuracy of data entered.
Ensures proctoring requirements for physicians and advanced practice providers are communicated to practitioners and tracked.
Coordinates, gathers, and reports metrics for quality improvement and other purposes as designated by Medical Staff leadership; reports updates to metrics to Quality Department to ensure electronic availability of specialty specific Ongoing Professional Practice Evaluation (OPPE).
Coordinates Focused Professional Practice Evaluation (FPPE)/Proctoring of initially granted privileges; tracks practitioners on ongoing/focus review and reports concerns to Medical Staff Department Chairs.
Processes Blast emails/fax notice requests from ancillary departments, chairs, and other sources utilizing database.
Researches and assists with the development of privilege criteria, delineation of privilege (DOP) forms to ensure that all credentialing is a criteria-based system.
Audits compliance with Board of Directors follow-up, as directed (e.g. correspondence, database updates).
Initiates the submission of contract requests to the Legal Department for each privileged provider.
Acts as SME for questions related to TJC, Federal and State Regulations or other accreditation agencies standards of care related to Medical Staff in collaboration with leadership.
Serves as backup to manager in the management of ED Call, the ED call stipends, proctoring, and all other payments to medical staff.
Cross-trains to support adequate office coverage as assigned.
Performs other duties as assigned.