Medical Staff Coordinator

PeaceHealth is seeking a Medical Staff Coordinator for a Full Time, 1.00 FTE, Day position.

The salary range for this job opening at PeaceHealth is $30.22 – $45.32. The hiring rate is dependent upon several factors, including but not limited to education, training, work experience, terms of any applicable collective bargaining agreement, seniority, etc.

Job Summary

Provides highly skilled support to assigned medical staff departments, divisions/sections, and committees to ensure compliance with Medical Staff bylaws/rules, regulations, state and federal requirements, and Det Norske Veritas (DNV) standards. Facilitates aspects of credentialing including appointment, reappointment, proctoring, and privileging for physicians and advanced practitioners. Represents administrative issues successfully to influence collaboration between medical staff and hospital leadership. Performs complex, specialized function-related tasks such as interfacing with medical staff, quality, informatics, and other hospital staff to identify, review and interpret relevant sources of data in order to analyze practice patterns to determine performance.

Essential Functions

• Coordinates medical staff education on performance improvement processes, regulatory confidentiality, peer review and credentialing. Adheres to program criteria and implements new policies, procedures and processes.
• Provides professional assistance and serves as a resource for medical staff members regarding medical staff bylaws, rules, regulations, policies, revised state statutes, licensing board and other regulatory agency standards and parliamentary procedures.
• Oversees, administers, and maintains quality controls on all aspects of the credentialing of applicants for membership and reappointment. Ensures this is coordinated accurately and timely in compliance with defined schedules by maintaining detailed knowledge of the credentialing process. Exercises judgment and discretion in recognizing legal implications of credentialing functions and medical staff issues. Collects and analyzes information thoroughly to identify potential quality of care issues, behavioral problems, appropriate education and training as well as for quality improvement processes. Drafts appropriate correspondence utilizing knowledge of state statutes and legal guidelines in requesting additional information from external medical and legal sources if necessary. Investigates issues of concern, generates reports, and presents findings to facilitate recommendations to the Medical Staff leadership as designated.
• In consultation with supervisor, liaises between medical staff and senior administration, communicating sensitive and confidential issues including peer review and when complaints are logged toward physicians and hospital personnel. Interacts directly with internal and medical staff legal counsel. Uses judgment and discretion to maintain peer review protection to hospital and medical staff.
• Activates and monitors the proctoring process to include timely data collection, analysis, and reporting to assure compliance with rules and regulations.
• Facilitates assigned medical staff standing, ad hoc and special committee meetings. Consults with respective department/committee chairs and hospital staff to achieve action-oriented outcomes assuring that problems identified are either acted upon or appropriately referred. Demonstrates excellent communication and negotiation skills in preparation of agenda, participation in meetings, and follow-up actions.
• Manages and oversees all aspects of medical staff committee including compiling agenda materials; recording conclusions and recommendations succinctly to substantiate actions taken following regulatory requirements; compiling follow-up memos and letters; and researching and preparing information for medical staff leadership. Maintains and protects the confidential records of proceedings which may be required in subsequent internal investigations and/or external legal disputes.
• Facilitates and drafts revisions and updates to and/or assists in the development of privileging criteria to maintain compliance; medical staff bylaws, rules and regulations; department rules and regulations; medical staff policies and procedures along with implementation of policy changes for the Medical Staff and for internal operations.
• Actively participates in accreditation surveys by interacting with surveyors and hospital participants to demonstrate compliance with standards to achieve accreditation and maintain deemed status for Medicare reimbursement.
• Collaborates in prioritizing daily workload and projects.
• Understands and maintains an accurate, secure and updated database in conjunction with system central verification organization of physician and advanced practitioner information to query on demographic profiles including but not limited to staff privileges and status for other hospital departments and facilities requiring this information. Serves as an organizational resource for data information related to the organized medical and advance practice staff.
• Monitors physicians' progress through any supervised period (i.e. FPPE), assisting department chairs with appropriate procedures, forms and time limits.
• Assists in orienting new medical staff members to hospital protocols and services.
• Requires the constant exercise of a high degree of independent judgment and initiative in response to complex, sensitive issues, decision making and discretion with limited direction and guidance. Addresses moderately difficult problems. Maintains complex relationships with: members of the administrative staff of the hospital; medical and affiliated staff; medical staff officers, department chairs, section chiefs; physicians and other professional applicants; attorneys; medical staff professionals at other facilities; state licensing bodies, and other departmental personnel and patients.
• Performs other duties as assigned.

Qualifications

Education

• Required: Bachelor's Degree in Medical Staff or related field - or - an equivalent combination of education and experience with proficiency in applying principles, concepts and techniques.

Experience

• Required: Significant working knowledge of accrediting agency standards and other applicable federal, state and local regulatory bodies.
• Required: Experience interacting with physicians and all levels of leadership in highly sensitive situations.
• Preferred: Minimum of 4 years of recent experience in medical staff services or in a healthcare facility.

Credentials

• Required: Certified Provider Credentialing Specialist - or - Certified Professional Medical Services Management Certification that is maintained by achievement of CEU requirements.

Skills

• Computer knowledge including proficiency with Microsoft Office applications and medical staff database programs. (Required)
• Knowledge of medical staff operations, policies, rules and regulations, regulatory agency guidelines and standards. (Required)
• Astute judgment in human relation skills to interface and communicate in an articulate manner with medical staff, administrators, legal counsel and hospital personnel. (Required)
• Ability to adapt to flexible work schedules and frequent interruptions. (Required)
• Possesses willingness to improve by participating in departmental growth and improvement opportunities. (Required)
• Must possess demonstrated leadership abilities. (Required)
• Initiates problem-solving behaviors and evaluates outcomes of actions. (Required)
• Knowledge of medical terminology. (Preferred)

Working Conditions

Lifting

• Consistently operates computer and other office equipment.
• Exerting up to 10 pounds of force occasionally and/or negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects.
• Sedentary work.

Environmental Conditions

• Predominantly operates in an office environment.
• Some time spent on site in medical/hospital setting.

Mental/Visual

• Ability to communicate and exchange accurate information.
• The worker is required to have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading.

PeaceHealth is committed to the overall wellbeing of our caregivers: physical, emotional, financial, social, and spiritual. We offer caregivers a competitive and comprehensive total rewards package. Some of the many benefits included in this package are full medical/dental/vision coverage; 403b retirement plan employer base and matching contributions; paid time off; employer-paid life and disability insurance with additional buyup coverage options; tuition and continuing education reimbursement; wellness benefits, and expanded EAP and mental health program.

For full consideration of your skills and abilities, please attach a current resume with your application. EEO Affirmative Action Employer/Vets/Disabled in accordance with applicable local, state or federal laws.