Medical Staff Coordinator

If you are an existing employee of South Shore Health then please apply through the internal career site.

R-22755

Facility:

LOC0001 - 55 Fogg Road55 Fogg Road Weymouth, MA 02190

SSH Medical Staff

Full time

40

Day (United States of America)

Requires a high degree of confidentiality and critical decision-making. Requires moderate direction and guidance. Has complex relationships with members of the administrative staff of the hospital, members of the Medical Staff and Advanced Practice Staff, Medical Staff Executive leadership, legal counsel, Medical Staff professionals at other facilities, state licensing bodies, other departmental personnel and patients. All require courtesy, tact, patience, cooperation and confidentiality.

This position provides highly-skilled coordination and maintenance of, in accordance with State, Federal, and TJC accreditation, provider credentialing and privileging. Coordinates administrative and clerical tasks; medico-legal issues; maintains of critical and confidential credentialing, privileging, and peer review information; executive correspondence; ongoing-professional performance evaluations (OPPE); and focused professional performance evaluations (FPPE).

 

Compensation Pay Range:

$26.20 - $37.20

 

1. Routinely handles highly sensitive and confidential information.
a. Consistently maintains confidentiality of department information as observed by Manager.

2. a. Initiates credentialing processes and procedures in accordance with the timeframes established within the Bylaws, organization credentialing plan, and within a sufficient timeframe to ensure best-evidenced based practice in credentialing and compliance with TJC requirements.

b. Coordinates and maintains all processing of all aspects of physician and advanced practice practitioners credentialing processes within appropriate timeframes ensuring the quality of the practitioners providing patient care.

Assures the completeness and accurateness of the credentialing process in accordance with TJC, CMS and State requirements and best evidenced based practice. Requests additional information from external and internal sources as needed.

Collects and compiles data for provider profiles to analyze practice patterns using data to determine performance. This includes working with senior staff, determent chairpersons, quality staff, and other hospital staff to identify sources of data and methods of presenting and analyzing data.

c. Is responsible and accountable for the primary source verifications of all aspects of credentialing and privileging in accordance with TJC, State and Federal regulations, organization policies, procedures, and Bylaws and best-evidenced based practice.

d. Understands and maintains an accurate, secure and updated database of provider information to query on basic demographic profiles including but not limited to staff privileges and status for other hospital departments and facilities requiring this information. Uses various internal databased to gather and analyze provider data used in the reappointment, peer review, and quality improvement processes of the Medical Staff and Board of Directors.

e. Obtains necessary privileging documentation and clinical activity for establishment and maintenance of competency requirements as defined by Joint Commission standards and State & Federal regulations. Ability to recognize and question responses to queries and competency requests as recommended by best-evidenced based practice and outlined by the Medical Staff Bylaws/Credentialing Policies and Procedures.

Provides for timely and accurate collection, transmission, analysis and reporting of Center for Medicare / Medicaid Services and The Joint Commission, NPDB, and peer review statutes.

Abstracts clinical data from patient encounters for privileging, OPPE, and FPPE following the rules in the specification manuals for Hospital Quality measures, HIPAA, and peer review statutes.

Understands, is accountable for, and processes focused professional performance evaluations (FPPE) for providers for initial, reappointment, and new and additional privilege requests in accordance with TJC and Federal guidelines and regulations