Director Med Staff Services

About the role

The Director of Medical Staff Services at Catholic Medical Center assists with implementation of and compliance with credentialing initiatives/processes. Key responsibilities include:

Responsibilities

• Maintain a working knowledge of applicable policies, accreditation standards, and regulations.
• Facilitate meetings for various committees and support functions for continued monitoring.
• Manage correspondence between facility and individual medical staff members.
• Support medical staff officers in their duties.
• Prepare credentialing reports and develop medical staff governance documents.
• Ensure all facility non-privileged practitioner processes comply with Ethics & Compliance Policy.
• Coordinate the collection and handling of medical staff dues and other fees.
• Update Meditech Practitioner Dictionary/Database to be consistent with practitioner data in Cactus.
• Develop and supervise annual budgets if assigned.
• Manage medical staff hotline.
• Facilitate orientation for new medical staff members and provide education to administrators and department directors.
• Serve as the facility's subject matter expert regarding accreditation and regulatory requirements.
• Notify the CPC, Division MSS, and corporate teams of upcoming or ongoing surveys.
• Respond to accreditation and regulatory compliance citations or deficiencies by developing and implementing corrective action plans.
• Apply the credentials evaluation process uniformly to all applications.
• Facilitate review, assessment, and authenticated documentation of evaluations.
• Manage and update privilege content within the Visual Cactus system and MEDITECH Practitioner Database.
• Coordinate access to credentialing information and facilitate regulatory agency reporting.
• Coordinate with the facility’s quality department for focused and ongoing professional practice evaluations.
• Coordinate with facility leadership for internal and external peer reviews.
• Complete summaries of FPPE, OPPE, and peer review results for evaluation by medical staff leaders.
• Identify critical MSSD performance benchmarks, measure performance, and take action to improve when necessary.
• Coordinate with the facility’s Patient Safety Officer for medical staff review of occurrence reports, patient complaints, close call data, and SPAE reports.
• Coordinate with the facility’s Patient Safety Officer regarding medical staff participation in HCA Healthcare PSO activities.
• Review and evaluate an applicant’s claims history and NPDB reports.
• Submit reports to the NPDB as required by Federal law and manage responses to requests for information.

Qualifications

To succeed in this role, candidates should have:

• A minimum of 5 years of experience in medical staff administration or a related field.
• A strong understanding of HCA Healthcare and Parallon Credentialing Processing Center policies, accreditation standards, and regulations.
• Experience in managing medical staff committees and coordinating facility-based credentialing tasks.
• Knowledge of CME programs and the ability to facilitate orientation for new medical staff members.
• Strong communication and interpersonal skills to interact with medical staff, administrators, and other stakeholders.
• Proficiency in Microsoft Office Suite and familiarity with Cactus and MEDITECH systems.
• Ability to manage multiple tasks and deadlines effectively.

Skills

Essential skills for this position include:

• Excellent organizational and time management skills.
• Strong analytical and problem-solving abilities.
• Effective written and verbal communication skills.
• Ability to work independently and collaboratively.
• Understanding of HIPAA and confidentiality protocols.

Benefits

Catholic Medical Center offers a comprehensive benefits package that includes:

• Comprehensive medical, dental, and vision coverage.
• Free telemedicine services and AirMed medical transportation.
• Flexible spending accounts and supplemental health protection plans.
• Employee Stock Purchase Plan with discounted stock purchases.
• Life and disability coverage.
• Employee Health Assistance Fund.
• Referral services for child, elder, and pet care, home and auto repair, event planning, and more.
• Consumer discounts through Abenity and Consumer Discounts.
• Preferred banking partnerships and retirement readiness services.
• Education assistance programs.
• Time Away From Work Program.
• Employee Health Assistance Fund.

Pay

The salary range for this position is [Insert Salary Range Here]. Final compensation will be determined based on experience and qualifications.

Schedule

This position is full-time and requires a standard 40-hour workweek.