Medical Staff Specialist

Ann & Robert H. Lurie Children’s Hospital of Chicago provides superior pediatric care in a setting that offers the latest benefits and innovations in medical technology, research and family-friendly design. As the largest pediatric provider in the region with a 140-year legacy of excellence, kids and their families are at the center of all we do. Ann & Robert H. Lurie Children’s Hospital of Chicago is ranked in all 10 specialties by the U.S. News & World Report.

Location

Olympia Center

Job Description

The Medical Staff Specialist is accountable for ensuring the hospital credentialing and privileging processes (including but not limited to primary source verifications, analysis and evaluation of verifications and privileges requested, and completion of application for Credentials Committee) are completed efficiently and effectively in accordance with established regulatory agencies, accreditation organizations, Medical and Dental Staff Bylaws, and Hospital and Medical Staff policies for initial applicants and reapplicants to the Medical and Dental Staff.  The Medical Staff Specialist will be relied upon for initiating and maintaining accurate information on all members of the Lurie Children’s Medical and Dental Staff.  The Medical Staff Specialist will also provide cross coverage and collaboration with department staff on key initiatives of the Medical Staff Services Department.

Essential Job Functions:

Credentialing initial appointments:

• Releases all initial applications and criteria for membership and status through the Request for Application Process.
• Receives, processes, and evaluates all applications for completion.
• Performs primary source verification to include receipt of responses and follow-up.
• Analyzes all information and documents received and makes decisions to accept, to initiate further investigation, or escalate review to Director.
• Prepares completed applications for review from quality review to review by Credentials Committee.

Privileging for initial applicants: 

• When clinical privileges are requested on Request for Application, releases delineation of clinical privileges forms and related criteria.
• Receives, processes, and evaluates for completion.
• Performs primary source verification of criteria for each privilege requested.
• Analyzes verifications against privileges requested, and makes decisions to accept, to initiate further investigation, or escalate review to Director.
• Prepares completed requests for privileges for review from quality review to review by the Credentials Committee.

Reappointments and renewal of clinical privileges:

• Ensures forms are edited annually and maintained in compliance with current regulatory, accreditation and organization standards.
• Prepares and maintains reappointment data reports in MSOW software system. Evaluates the volume of reappointments to be processed, makes decisions on how reappointments will be processed and advises Director. 
• Ensures efficient and timely process of reappointment applications and renewals of privileges.
• Analyzes primary source verifications and quality reports, and makes decision to accept, to initiate further investigation, or escalate review to Director.
• Completes reappointments and renewal of privileges to the review by Credentials Committee.
• Provides guidance to applicants and reapplicants, division and department heads, practice administrators or managers, and partner representatives such as PFF, CMMG, CSF, and CCPA, on initial and reappointment application deficiencies, standards of regulatory agencies, accreditation organizations, bylaws or hospital and medical staff policies, and any other issues relative to the credentialing and privileging process.
• Receives and processes all requests for temporary privileges and additional privileges, ensuring regulatory, accreditation and organizational policy compliance.
• Analyzes requests and makes decisions to forward for approval based on completeness of request and established criteria and policy. 
• Receives and processes all urgent requests for emergency one-case temporary privileges for physicians or surgeons regarding emergent patient cases, ensuring regulatory, accreditation and organizational policy compliance. 
• Analyzes requests and works closely with the CMO and Department and Medical-Dental Staff Leadership to ensure immediate action. 
• Makes decisions to expedite approval based on urgency of request while ensuring adherence to established criteria and policy. 
• Provides support for Electronic Prescription of Controlled Substances