Medical Staff Coordinator II

Responsibilities

• Understand, analyze, and apply Medical Staff Bylaws, State, Federal, and regulatory agency requirements, accreditation compliance, and other critical matters affecting the credentialing process and Medical Staff functions.
• Coordinate credentialing activities, including data entry, physician database maintenance, credentialing processes, expirable duties, and support for provider onboarding.
• Serve as an effective liaison between practitioners, the hospital, and the Centralized Verification Office (CVO) throughout the credentialing process.
• Analyze facility‑specific Medical Staff Bylaws and policy requirements to assure compliance.
• Initiate and coordinate the collection of primary source information for credentialing purposes.
• Verify, compile, manage, and maintain confidential research required for credentialing of initial appointment and reappointment applicants.
• Process applications according to established legal, State and Federal agency, State licensing board, regulatory, and facility standards.
• Coordinate, track, and monitor the flow of information to ensure timely processing and notification of applicants in accordance with guidelines and policies.
• Conduct thorough analysis of all primary source documentation received for assessment of qualifications and competencies.
• Ensure appropriate education and training documentation, including procedural documentation, is provided to support clinical privileges requested.
• Identify potential quality‑of‑care issues, behavioral problems, or other concerns and escalate as necessary.
• Summarize and prepare credentialing information, including flagged concerns, for review and decision‑making.
• Apply the credentials evaluation process uniformly to all initial appointment and reappointment applications to ensure compliance with CHI St. Luke’s Health credentialing policies, procedures, and applicable Medical Staff Bylaws.
• Compile information regarding CME credits and other requirements in accordance with state licensing requirements and Division policy.
• Facilitate medical staff leadership review and evaluation of documentation for each application.
• Serve as the primary point of contact for practitioners during the appointment and reappointment process, guiding them through requirements and communicating clearly.
• Communicate questions and concerns regarding application documentation with leaders in a clear, concise, and factual manner.
• Maintain an accurate, secure, and current database of physician and advanced practitioner/allied health professional information, following data‑entry policy.
• Mentor less‑experienced colleagues.
• Identify, participate in, and implement best practices; conduct audits to identify improvement opportunities and provide feedback to colleagues and supervisors.
• Review and develop delineation of privilege forms, analyzing multi‑specialty criteria for consistency.
• Track monitoring/proctoring documentation as necessary for granting special or new privileges.
• Support the medical staff organization, including meeting agendas, minutes, and attendance for the Credentials Committee, Medical Executive Committee, and other high‑level confidential meetings.
• Support medical staff leaders as assigned.
• Serve as a liaison, trainer, and mentor to hospital and CVO medical staff department team members.
• Collaborate with other hospital and division departments to facilitate credentialing, onboarding, and other assigned tasks.
• Develop and enhance relationships with medical staff and their office staff through contacts, needs assessments, information distribution, problem identification, and resolution.
• Appropriately escalate concerns regarding credentialing documents or timeliness of the verification process.
• Communicate with the CVO and other facilities in a timely manner according to policy.
• Maintain confidentiality.
• Support system and division standardization efforts.
• Perform other duties as assigned in an effective, competent, and timely manner.

Requirements

• Associate’s degree (or equivalent) required upon hire.
• Preferred: PCS and/or CPMSM certification upon hire.
• Required: 10 years of experience in the medical staff services profession, **or** 4–6 years (or five years) of experience combined with Certified Provider Credentialing Specialist (CPCS) and/or Certified Professional Medical Services Management (CPMSM) certification.

Where You’ll Work

St. Luke’s Health – Patients Medical Center provides inpatient and outpatient medical and surgical services to residents of Pasadena, Deer Park, La Porte, Baytown, and Clear Lake. The facility includes 53 medical/surgical beds, eight ICU beds, and three endoscopy rooms, and offers a range of primary and specialized services—including wound care, general surgery, gastroenterology, occupational health, heart and vascular care, women’s services, diagnostic imaging, outpatient rehab, and sleep disorders.

Pay

$28.10 /hr – $41.80 /hr