SENIOR MEDICAL STAFF COORDINATOR-REMOTE

Memorial Regional HealthCraig, CO
$61,214 - $91,832Remote

About The Position

This is a full-time remote position. The Senior Medical Staff Coordinator ensures interpretation and compliance with the appropriate credentialing and regulatory agencies, while developing and maintaining a working knowledge of the statutes and laws relating to credentialing. This role is responsible for the accuracy and integrity of the credentialing database systems and related applications.

Requirements

  • Must be at least 18 years of age.
  • Must be legally authorized to work in the United States.
  • Must successfully pass a background check.
  • Must successfully pass a pre-employment drug screen and breath alcohol test (if applicable).
  • Must complete an Employee Health meeting prior to starting employment.

Nice To Haves

  • Bachelor’s degree in Business Administration, Healthcare Administration, or related field.
  • National Association Medical Staff Services (NAMSS) as a Certified Professional Medical Services Manager (CPMSM) or Certified Provider Credentials Specialist (CPCS).
  • One (1) year of experience directly related to hospital medical staff or managed care credentialing.

Responsibilities

  • Leads, coordinates, and monitors the review and analysis of practitioner applications and accompanying documents, ensuring applicant eligibility.
  • Conducts thorough background investigation, research, and primary source verification of all components of the applicant’s file.
  • Identifies issues that require additional investigation and evaluation, validates discrepancies, and ensures appropriate follow-up.
  • Prepares credential files for completion and presentation to MRH and Medical Staff Committees, ensuring file completion within specified time periods.
  • Processes requests for privileges, ensuring compliance with criteria outlined in clinical privilege descriptions.
  • Responds to inquiries from other healthcare organizations, interfaces with internal and external customers on day-to-day credentialing and privileging issues as they arise.
  • Assists with internal provider file audits.
  • Monitors the initial, reappointment, and expired credentials process for all medical staff, Allied Health Professional staff, other health professional staff, and non-employed/delegated providers, ensuring compliance with regulatory bodies as well as Medical Staff Bylaws, Rules and Regulations, policies and procedures, and contracts.
  • Prepares meeting agendas and takes minutes for Medical Staff Committees.
  • Utilizes credentialing software to maintain current records, licensures, and certifications.
  • Organizes and facilitates the Peer Review process as needed. Maintains Peer Review documents in a locked file.
  • Prepares confidential reports for the Medical Executive Committee (MEC).
  • Establishes and maintains a professional relationship with all staff to resolve problems, working as a team.
  • Functions in a high-volume, multiple-task environment, while producing quality work.
  • Prioritizes workload and completes assignments within allotted time.
  • Able to work independently and problem-solve.
  • Must meet established productivity and quality guidelines.
  • Attends all applicable workshops.
  • Responsible for monitoring directed indicators.
  • Performs other duties as assigned.
  • Demonstrates full commitment to the CHOICE values of MRH and consistently represents the organization in a positive, professional manner.
  • Establishes and maintains effective verbal and written communication, fostering positive working relationships with patients, staff, and vendors.
  • Adheres to the MRH attire and dress code in accordance with organizational policies and procedures.
  • Exhibits initiative and self-motivation; maintains a consistent level of productivity and manages time and responsibilities effectively.
  • Completes all required annual education, training, in-services, and licensure/certification updates; actively participates in departmental and organizational meetings or reviews meeting minutes as required.
  • Maintains strict patient confidentiality at all times.
  • Reports to work punctually and completes assigned duties within established timeframes.
  • Actively contributes to departmental and organization-wide performance improvement and continuous quality initiatives.
  • Ensures compliance with all regulatory requirements, maintaining adherence to departmental, hospital, state, and federal standards and policies.
  • Follows all infection control, safety, and risk management procedures to maintain a safe environment for patients, the public, and staff.

Benefits

  • MEDICAL
  • DENTAL
  • LIFE
  • RETIREMENT
  • PAID TIME OFF
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