Medical Staff Coordinator I

About the role

Supports departmental activities to ensure quality in conducting, maintaining and communicating physician and provider credentialing, privileging and verifications, in compliance with both facility and accreditation requirements. Serves as a resource to, and collaborates with others to advance the quality of practitioners and patient safety.

Responsibilities

• All levels Conducts, participates in, and maintains credentialing and privileging
• Determines applicant’s initial eligibility for membership/participation
• Compiles, evaluates, and presents the practitioner-specific data collected for review by one or more decision-making bodies
• Analyzes application and supporting documents for completeness and informs the practitioner of the application status, including the need for any additional information
• Performs initial or reappointment/re-credentialing for eligible practitioners
• Processes requests for privileges
• All levels Conducts, participates in, and maintains primary source verification
• Obtains and evaluates information from primary sources
• Recognizes, investigates, and validates discrepancies and adverse information obtained from the application, primary source verifications, or other sources
• Verifies and documents expirables using acceptable verification sources to ensure compliance with accreditation and regulatory standards
• Provides responses to external queries regarding practitioners’ status
• All levels Manages the credentialing or privileging process
• Collaborates with physician leaders to develop and maintain a facility-specific, criteria-based clinical privileging system in accordance with regulatory requirements, accreditation standards, and organizational policies
• Applies clearly defined credentialing or privileging processes to all practitioners/providers
• Directs initial or reappointment/re-credentialing processes for eligible practitioners/providers
• Manges provider enrollment
• Oversees delegation process
• Manges and complies with accreditation and regulatory standards
• Participates in an ongoing assessment of governing documents (bylaws, rules and regulations) to ensure continuous compliance
• Obtains and evaluates practitioner sanctions, complaints, and adverse data to ensure compliance
• Conducts a review of practitioners’ practice sites to ensure compliance with accreditation and regulatory standards
• Maintains credentialing database to ensure that accurate and current information is available to all stakeholders
• Fosters good working rapport with members of the Medical Staff (i.e. Service Center Medical Directors, Medical Executive Committee), hospital executive/management team, other hospital personnel, representatives of regulatory agencies, Tribal Health Organizations (THOs), as well as other outside individuals (i.e. locums agencies, representatives from other facilities)
• Coordinates telemedicine services, including contracts, credentialing, privileging, and provider notifications with providers and administrators at ANTHC and THOs
• Maintains working knowledge and compliance with departmental policies & procedures, Medical Staff Bylaws, Rules & Regulations, the Joint Commission (TJC), National Committee for Quality Assurance (NCQA), as well as regulatory and accrediting bodies as deemed necessary by administration
• Participates in development and implementation of credentialing processes and procedures and advises supervisor of outstanding issues requiring management intervention
• Medical Staff Coordinator II Independently performs Medical Staff Coordinator I job duties
• Acts as training resource and staff coverage for Medical Staff Coordinator I
• Maintains current clinical competency evaluations and peer review
• Analyses and prepares practitioner/provider performance improvement and quality/competence data in clear, concise, and structured reports
• Recognizes, investigates, and validates discrepancies and adverse information obtained
• Coordinates an appropriate evaluation by physician leaders of gathered data
• Communicates findings and/or resulting actions to key stakeholders and the practitioner
• Maintains compliance with accreditation standards and regulatory requirements
• Develops and/or updates applicable governing documents (bylaws, credentialing policies, rules) that support and direct organizational practices and ensure compliance
• Identifies and reports to department and physician leadership adverse actions taken against a practitioner/provider in accordance with applicable law and contractual requirements
• Monitors and/or reports sanctions and complaints for all practitioners/providers to recommend action by medical staff and/or organizational leadership
• Medical Staff Coordinator III Independently performs Medical Staff Coordinator I, II, and III job duties, as well as those of the GME Coordinator
• Audits coworker’s files for compliance with accreditation and departmental standards
• Facilitates medical staff functions
• Performs and coordinates meeting logistics, documentation preparation, and follow-up for practitioner-related activities
• C oordinates and develops on-boarding processes (orientation, training activities) to assist practitioners/providers and meet education requirements
• Development and improvement of departmental procedures
• Interpret and educate the Medical Staff on applicable laws and accreditation standards to ensure appropriateness of internal operations and responsiveness to external change
• Creates and presents Medical Staff reports to Medical Staff Leadership and Regional Health Boards

Qualifications

Knowledge of Alaska Tribal Health System, ANTHC, and Alaska Native culture(s) and organizations.

Knowledge of telehealth, CVO Services and GME procedures.

Understands concepts, key functions, terminology, and work products pertaining to legal, information technology, clinical competence evaluation, performance improvement, risk management, and human resources.

Skills

Applies knowledge, expertise, sound judgement and consults other references and resources as necessary to generate and evaluate solutions and recommendations.

Organizes work, sets priorities and determines short or long term goals and strategies to achieve them.

A lines with communication, people, processes and resources to drive success.

Displays knowledge of key functions, terminology and work products of legal, information technology, clinical competence evaluation, performance improvement, risk management, and human resources.

Benefits

Competitive and comprehensive Benefits Package for all Benefit Eligible Employees, which includes:

• Medical Insurance provided through the Federal Employee Health Benefits Program as a Tribal Employee, with over 20 plans and tiers.
• Cost-Share Dental and Vision Insurances
• Discounted Pet Insurance
• Retirement Contributions with Pre-Tax or Roth options into a 403(b).
• 401(a) ANTHC Retirement Plan: After one year of employment, ANTHC will begin making matching contributions of up to 5% of your eligible pay, based on your own contributions. In addition, you may be eligible for an annual discretionary contribution of up to 3% from the employer.
• Paid Time Off starts immediately, earning up to 6 hours per pay period, with paid time off accruals increasing based on years of service.
• Eleven Paid Holidays
• Paid Parental Leave or miscarriage/stillbirth eligibility after six months of employment
• Basic Short/Long Term Disability premiums, Accidental Death and Dismemberment (AD&D) Insurance, and Basic Life Insurance are covered 100% by ANTHC, with additional options for Short-Term Disability Buy-Up Coverage and Voluntary Life for yourself and your family members.
• Flexible Spending Accounts for Healthcare and Dependent Care.
• Ancillary Cash Benefits for accident, hospital indemnity, and critical illness.
• On-Site Child Care Facility with expert-designed classrooms for early child development and preschool.
• Employee Assistance Program with support for grief, financial counseling, mental/emotional health, and discounted legal advice.
• Tuition Discounts for you and your eligible dependents at Alaska Pacific University.
• On-Site Training Courses and Professional Development Opportunities.
• Licenses and certifications reimbursed and occupational insurance for medical staff.
• Emergency Travel Assistance
• Education Assistance or Education leave eligibility
• Discount program for travel, gym memberships, amusement parks, and more.

Pay

Competitive and comprehensive Benefits Package for all Benefit Eligible Employees, which includes:

• Medical Insurance provided through the Federal Employee Health Benefits Program as a Tribal Employee, with over 20 plans and tiers.
• Cost-Share Dental and Vision Insurances
• Discounted Pet Insurance
• Retirement Contributions with Pre-Tax or Roth options into a 403(b).
• 401(a) ANTHC Retirement Plan: After one year of employment, ANTHC will begin making matching contributions of up to 5% of your eligible pay, based on your own contributions. In addition, you may be eligible for an annual discretionary contribution of up to 3% from the employer.
• Paid Time Off starts immediately, earning up to 6 hours per pay period, with paid time off accruals increasing based on years of service.
• Eleven Paid Holidays
• Paid Parental Leave or miscarriage/stillbirth eligibility after six months of employment
• Basic Short/Long Term Disability premiums, Accidental Death and Dismemberment (AD&D) Insurance, and Basic Life Insurance are covered 100% by ANTHC, with additional options for Short-Term Disability Buy-Up Coverage and Voluntary Life for yourself and your family members.
• Flexible Spending Accounts for Healthcare and Dependent Care.
• Ancillary Cash Benefits for accident, hospital indemnity, and critical illness.
• On-Site Child Care Facility with expert-designed classrooms for early child development and preschool.
• Employee Assistance Program with support for grief, financial counseling, mental/emotional health, and discounted legal advice.
• Tuition Discounts for you and your eligible dependents at Alaska Pacific University.
• On-Site Training Courses and Professional Development Opportunities.
• Licenses and certifications reimbursed and occupational insurance for medical staff.
• Emergency Travel Assistance
• Education Assistance or Education leave eligibility
• Discount program for travel, gym memberships, amusement parks, and more.

Schedule

Competitive and comprehensive Benefits Package for all Benefit Eligible Employees, which includes:

• Medical Insurance provided through the Federal Employee Health Benefits Program as a Tribal Employee, with over 20 plans and tiers.
• Cost-Share Dental and Vision Insurances
• Discounted Pet Insurance
• Retirement Contributions with Pre-Tax or Roth options into a 403(b).
• 401(a) ANTHC Retirement Plan: After one year of employment, ANTHC will begin making matching contributions of up to 5% of your eligible pay, based on your own contributions. In addition, you may be eligible for an annual discretionary contribution of up to 3% from the employer.
• Paid Time Off starts immediately, earning up to 6 hours per pay period, with paid time off accruals increasing based on years of service.
• Eleven Paid Holidays
• Paid Parental Leave or miscarriage/stillbirth eligibility after six months of employment
• Basic Short/Long Term Disability premiums, Accidental Death and Dismemberment (AD&D) Insurance, and Basic Life Insurance are covered 100% by ANTHC, with additional options for Short-Term Disability Buy-Up Coverage and Voluntary Life for yourself and your family members.
• Flexible Spending Accounts for Healthcare and Dependent Care.
• Ancillary Cash Benefits for accident, hospital indemnity, and critical illness.
• On-Site Child Care Facility with expert-designed classrooms for early child development and preschool.
• Employee Assistance Program with support for grief, financial counseling, mental