Medical Staff Credentialing Director is responsible for all aspects of the verification process for medical staff incumbents. Provides regulatory oversight and guidance to the credentialing process. Being a Medical Staff Credentialing Director maintains working knowledge and ensures continuing compliance with state, federal, and institutional standards and guidelines. Develops and implements policies and protocols related to medical staff verifications and ensures that the organization and staff are in accordance with organizational and industry standards. Additionally, Medical Staff Credentialing Director analyzes reports on applications and credential status to identify trends and improve the credentialing process. Presents files to the credentialing committee and may act as a liaison to state medical licensure boards regarding the status of license applications. Requires a bachelor's degree. May require Certified Provider Credentialing Specialist (CPCS). Typically reports to senior management. The Medical Staff Credentialing Director typically manages through subordinate managers and professionals in larger groups of moderate complexity. Provides input to strategic decisions that affect the functional area of responsibility. May give input into developing the budget. To be a Medical Staff Credentialing Director typically requires 3+ years of managerial experience. Capable of resolving escalated issues arising from operations and requiring coordination with other departments. (Copyright 2024 Salary.com)
Develop, direct, implement, maintain, and evaluate the credentialing program with particular emphasis on supporting the medical staff leadership, department chairpersons, and section chiefs to appoint qualified applicants for medical staff membership or reappoint current members to the medical staff. Oversee and coordinate all medical staff office efforts to monitor and maintain compliance with all regulatory, State, Federal government, and Joint Commission standards. This position reports directly to the CQO. The Medial Staff Director will also be responsible for coordinating the daily operation of the Medical Staff Office function under the guidance of the CQO. Supervisory responsibility for Credentialing, Ongoing Clinical Practice, and will oversee Credentialing and OPPE/FPPE team members in collaboration with the Quality Department.
Education: Associates Degree or higher strongly preferred. Certified Professional Medical Services (CPMS) certification strongly preferred
Experience: At least 5 years experience as a Medical Staff Coordinator, Credentialing Supervisor or Manager in an acute care facility. Effective customer service and organizational skills, ability to use various computer applications – word processing essential, database experience preferred. Ability to communicate and effectively present information to internal and external groups and audiences. Attention to detail a must.
At Mountain View we pride ourselves on fostering an environment that is warm and welcoming where everyone feels heard, supported and valued. An environment that embodies a "family" culture that emphasizes not only the high standards in the care we deliver but also in the personal connections and relationships that form the heart of our institution. Our healthcare professionals and support staff work together as a close-knit family, united by a shared commitment to healing and improving the lives of our patients and each other.
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