Coordinator Medical Staff Credentialing
Company: CareWell Health
Location: East Orange
Posted on: May 27, 2023
Job Description:
Job Summary
Responsible for coordinating the daily activities and functions of
the credentialing and privileging component of the medical staff
services department. Responsibilities include accreditation
compliance, credentialing, privileging, Medical Staff committee
support, and policy and procedure compliance. This position
monitors the latest regulatory standards and ensures compliance.
Responsibilities have a direct and significant impact on hospital
accreditation, performance improvement, and patient care. This
position interacts professionally with medical staff leadership and
facilitates communication between medical staff, hospital staff,
clinical directors, and administration. Hospital departments rely
on this position to assist in ensuring that the medical staff
complies with various policies and regulatory standards.
Essential Functions
- Coordinates the daily credentialing and privileging functions
of the medical staff services department.
- Generates new approaches to improve quality and
cost-effectiveness of the department.
- Utilizes a variety of database and word processing software and
equipment; keeps abreast of technological trends; develops
guidelines in the use of these resources.
- Assists with development of policies and procedures related to
the functions of the department.
- Manages documentation systems for medical staff files.
- Coordinates the functions related to the credentialing process
for the Allied Health Professionals and Medical Staff to include
appointments, reappointments, and privilege modifications.
- Reviews and analyzes credential applications and verifications
for applicant qualifications; prepares reports for presentation to
the required Medical Staff and administrative bodies.
- Assists in maintaining privileging criteria appropriate to
current trends in training and technology.
- Organizes Medical Staff department and committee meetings and
assures accurate documentation of the activities and actions of
those meetings. Initiates necessary steps to follow-up on actions
taken in those meetings.
- May act as liaison between the Medical staff and Administration
to assure timely communication of Medical Staff and hospital
issues.
- Originates verbal and written communications with Medical
Staff, leadership, regulatory bodies, and other entities as
required.
- Attends and participates in meetings to assure efficient and
effective credentials processes are maintained.
- Develops and maintains privilege delineation forms through
ongoing review of criteria and procedures with current standards
and practices; creates and develops other administrative forms
needed. Other Duties
Please note this job description is not designed to cover or
contain a comprehensive listing of activities, duties or
responsibilities that are required of the employee for this job.
Duties, responsibilities and activities may change at any time with
or without notice.
Minimum Education/Certifications
Associates degree preferred or equivalent education/experience.
Minimum Work Experience
Minimum of two years of experience in one of the following venues:
hospitals, managed care, credentialing verification organizations,
or ambulatory care.
- Three years in medical staff services is preferred.
- Experience in working with governance processes is
essential.
- Must have strong computer, communication and writing skills
with knowledge of medical terminology.
- Working knowledge of regulatory and accreditation
requirements
- Ability to communicate effectively in both verbal and written
form with staff at all levels
- Strong familiarity with regulatory and accreditation
requirements
- Demonstrated skills in strategic planning, evaluating programs
and implementing solutions Functional/Technical Skills
Requirements:
- Comprehensive understanding of operational health care delivery
systems and the current health care landscape. Skills and
experience with the operational aspects of health care technology
deployment. Familiarity and comfort with technology-based
operational improvement.
- Communications: Excellent written and verbal communications
skills. Ability to take abstract, complex and/or technical
information and break it down for a variety of audiences in a way
that is meaningful for them.
Keywords: CareWell Health, East Orange , Coordinator Medical Staff Credentialing, Healthcare , East Orange, New Jersey
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