Director Medical Staff Services

Current Employees:

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Primary Work Location

Monument Health Rapid City Hospital

Department

RCH Medical Staff Services

Scheduled Weekly Hours

40

Job Summary

The Medical Staff Services Director works closely with VP of Medical Affairs, Chief of Staff, other Medical Staff leaders, the Safety and Risk Management Department, Physician Recruitment and Patient Financial Service to deliver high quality of care.
This role is critical in advancing our mission to “Make a difference, Every Day” and to provide support to physician leaders. The Director provides support to the Medical Staff Services team as well as Medical Staff Service department operations as it relates to provider credentialing, privileging, medical staff functions, provider and facility enrollment, bylaws, and medical staff governance processes.
The Director is the administrative liaison between the medical staff (5 independent hospital locations for Monument Health System) and hospital administration as mandated by the hospital’s Board of Directors. Leadership accountability will be expected in managing practitioner competency systems, recognizing opportunities for improvement, monitoring performance of personnel in MSS as well as the various Medical Staff Departments and Committees, policies, procedures and legal governance documents, support of medical staff leadership, medical staff services operations, medical staff and hospital collaboration and demonstrates leadership by supporting and promoting current practices and by using and integrating current and future technologies.

Monument Health offers competitive wages and benefits on qualifying positions. Some of those benefits can include:

*Supportive work culture

*Medical, Vision and Dental Coverage

*Retirement Plans, Health Savings Account, and Flexible Spending Account

*Instant pay is available for qualifying positions

*Paid Time Off Accrual Bank

*Opportunities for growth and advancement

*Tuition assistance/reimbursement

*Excellent pay differentials on qualifying positions (extra pay for working evening, nights or weekends)

*Flexible scheduling

Job Description

Essential Functions:

• Strategic leader and subject matter expert for Credentialing, Privileging, Peer Review and Payer Enrollment
• In conjunction with the CMO, VPMA and VP dyad partners, seeks to improve and implement the strategic plan for the operations of the department.
• Responsible for developing processes that support the medical/professional staff and their responsibilities as it relates to Joint Commission, CMS and NCQA accreditation compliance, Network and Rapid City Bylaws and the hospital’s mission and strategic plan.
• Directing, providing oversight and strategic leadership developing sustainability for credentialing, privileging, expirables, and appointment process.
• Developing and maintaining key performance indicators monthly reporting to track progress of appointments, reappointments, changes in status and enrollment along with financial impact of any delays or related denials
• Comprehensive knowledge and ability to create procedures and techniques that impact privilege and proctorship plans.
• Maintaining, creating and updating privilege forms to fit all specialties.
• Maintain, create, and modify existing department policies to maintain accreditation standards for NCQA and related payer delegation agreements
• Coordinate, maintain and reviews two (2) sets of Bylaws and Governing Documents to ensure that all accreditation standards and Conditions of Participation are continuously met.
• Coordinate and review all changes and reporting in Credentialing Software. Direct oversight and planning of credentialing
• Provides senior level administrative support to the VPMA, Chief of Staff, CMO, department and committee chairs, medical staff and VP dyad leaders for Medical Staff Office.
• Manage processes and assure appropriate documentation related to investigative, disciplinary and legal proceedings, such as fair hearing and appeals.
• Design, create and implement improvements to MSO, Credentialing and payer enrollment process workflows.
• Recruit, select, assist with training, and manage assigned staff.
• Provide regular performan