Manager, Medical Staff Office
Hartford HealthCare
Date: 4 weeks ago
City: Meriden, CT
Contract type: Full time
Description
Job Schedule:
Full Time
Standard Hours
40
Job Shift
Shift 1
Shift Details
1st Shift Monday thru Friday
Manager, Medical Staff Services
Work where every moment matters.
Every day, over 30,000 Hartford HealthCare colleagues come to work with one thing in common: Pride in what we do, knowing every moment matters here. We invite you to become part of Connecticut's most comprehensive healthcare network.
Serving our community since 1998, MidState Medical Center is a vibrant and progressive organization with a genuine concern for our patients, community, and employee’s alike. We’ve earned top honors for quality stroke care, gold level recognition for organ donation, and employing leaders in the field of cardiovascular and pulmonary rehabilitation, providing the highest quality level of care.
Job Summary
Reporting to the Regional Director of Medical Staff Services, the Manager is responsible for the management of day-to-day operations of the department
Manages and oversees a variety of operations including Medical Staff administration, committee, department and board meetings, provider credentialing, appointment/reappointment, Ongoing Professional Practice Evaluation (OPPE) and Focused Professional Practice Evaluation (FPPE) for medical staff and allied health providers. Trains and evaluates new staff, audits various systems for compliance, monitors metrics, and participates in creating policies, procedures, and standard work for the Medical Staff Services Office(s).
The Value You’ll Bring To The Team
Demonstrates Hartford Healthcare’s core values of Caring, Equity, Excellence, Integrity and Safety.
Examples of daily duties include, but are not limited to, defining and driving strategic and operational initiatives with results by managing the team that is processing new applications, reappointments and temporary privilege requests across the system for medical staff membership and privileges within specified periods. Conducts primary source verification (PSV), obtaining necessary documents. Validates the completeness and accuracy of the file by way of auditing and identifying “flags” for review by local medical staff leadership. Applies standards, and assures compliance with regulations, bylaws, and policies in the process. Conducts quality control audits of all files transmitted to the Medical Staff Coordinators. Acts as resource between applicant and system facility Medical Staff Offices by interpreting Medical Staff bylaws, ensuring quality control and confidentiality of Medical Staff documents
Maintains up to date knowledge regarding the Medical Staff Bylaws, Credentialing Policy, Peer Review Policy and General Rules and Regulations. Serves as a knowledgeable resource. Educates medical staff leaders, hospital personnel and administrators as necessary and/or requested. Other duties may include managing key operational and substantive metrics for the department, and submission of appropriate rosters to all entities, following credentialing guidelines. Monitors the maintenance of multiple medical staff provider databases through auditing the database for accuracy with new providers and updates changes in provider information. Works with team on updates to the application(s) to improve efficiency.
Ability to travel between Hospital of Central Connecticut and Midstate Medical Center is required.
Qualifications
Requirements
Education
Bachelor’s Degree Required.
Experience
5 years experience working with physician and allied health professionals in hospital credentialing required.
Licensure, Certification, Registration
Must attain Certification Provider Credentialing Specialist (CPCS) certification within one year required.
Knowledge, Skills And Ability Requirements
Job Schedule:
Full Time
Standard Hours
40
Job Shift
Shift 1
Shift Details
1st Shift Monday thru Friday
Manager, Medical Staff Services
Work where every moment matters.
Every day, over 30,000 Hartford HealthCare colleagues come to work with one thing in common: Pride in what we do, knowing every moment matters here. We invite you to become part of Connecticut's most comprehensive healthcare network.
Serving our community since 1998, MidState Medical Center is a vibrant and progressive organization with a genuine concern for our patients, community, and employee’s alike. We’ve earned top honors for quality stroke care, gold level recognition for organ donation, and employing leaders in the field of cardiovascular and pulmonary rehabilitation, providing the highest quality level of care.
Job Summary
Reporting to the Regional Director of Medical Staff Services, the Manager is responsible for the management of day-to-day operations of the department
Manages and oversees a variety of operations including Medical Staff administration, committee, department and board meetings, provider credentialing, appointment/reappointment, Ongoing Professional Practice Evaluation (OPPE) and Focused Professional Practice Evaluation (FPPE) for medical staff and allied health providers. Trains and evaluates new staff, audits various systems for compliance, monitors metrics, and participates in creating policies, procedures, and standard work for the Medical Staff Services Office(s).
The Value You’ll Bring To The Team
Demonstrates Hartford Healthcare’s core values of Caring, Equity, Excellence, Integrity and Safety.
Examples of daily duties include, but are not limited to, defining and driving strategic and operational initiatives with results by managing the team that is processing new applications, reappointments and temporary privilege requests across the system for medical staff membership and privileges within specified periods. Conducts primary source verification (PSV), obtaining necessary documents. Validates the completeness and accuracy of the file by way of auditing and identifying “flags” for review by local medical staff leadership. Applies standards, and assures compliance with regulations, bylaws, and policies in the process. Conducts quality control audits of all files transmitted to the Medical Staff Coordinators. Acts as resource between applicant and system facility Medical Staff Offices by interpreting Medical Staff bylaws, ensuring quality control and confidentiality of Medical Staff documents
Maintains up to date knowledge regarding the Medical Staff Bylaws, Credentialing Policy, Peer Review Policy and General Rules and Regulations. Serves as a knowledgeable resource. Educates medical staff leaders, hospital personnel and administrators as necessary and/or requested. Other duties may include managing key operational and substantive metrics for the department, and submission of appropriate rosters to all entities, following credentialing guidelines. Monitors the maintenance of multiple medical staff provider databases through auditing the database for accuracy with new providers and updates changes in provider information. Works with team on updates to the application(s) to improve efficiency.
Ability to travel between Hospital of Central Connecticut and Midstate Medical Center is required.
Qualifications
Requirements
Education
Bachelor’s Degree Required.
Experience
5 years experience working with physician and allied health professionals in hospital credentialing required.
Licensure, Certification, Registration
Must attain Certification Provider Credentialing Specialist (CPCS) certification within one year required.
Knowledge, Skills And Ability Requirements
- Understanding of the credentialing and privileging process for hospitals
- Computer Proficiency. Microsoft Office to include Word, Excel, Access, Power Point
- Ability to work with multiple application specific databases.
- Advanced knowledge of medical terminology
- Excellent interpersonal skills and customer service orientation
- Ability to work within and promote a team environment.
- Attention to detail.
- Ability to work with multiple projects and deadlines.
- Strong analytical skills
- Expert knowledge of DNV, AAHC, JC or NCQA standards, as well as federal and state regulations with regard to
- Ability to support multiple projects, medical staff leaders and functions.
- Ability to coach, mentor and develop staff.
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