Medical Staff Specialist

Overview

This is a hybrid-remote position - incumbents, who reside in Oregon or Washington only, may work 1-2 days a week at an assigned Legacy Health location, and other days may work remotely at home, on the road or in a satellite location for the remainder of their workweek.  

 

All new hires are required to come to a designated Legacy Health office location in Portland, Oregon prior to their start date for a new hire health assessment and to complete new hire paperwork. This position may require initial training and orientation to be site-based, before transitioning to the hybrid schedule. 

Responsibilities

As the conduit between the hospital’s medical staff and administration, you keep everything running smoothly. Is the medical staff compliant with application of hospital, regulatory and accreditation standards? Are appointments and reappointments organized and complete? Does the organized medical staff need general administrative support? You make sure these and other key issues are handled with the efficiency and amiability that reflects the values of the Legacy community.

 

Coordinates or processes initial credentialing and recredentialing.

Works with the System-Wide Credentials Verification Services department to obtain necessary initial or reappointment applications.

Conducts in-depth file review of all providers to ensure they meet Legacy’s established criteria including:

Evaluates all requests for clinical privileges against privileging criteria

Obtains clinical activity/information from internal and external sources

Analyze clinical activity received to assess practitioner competency requirements for medical staff privileges

Facilitate and coordinate multi-site providers, including working with internal staff and providers from multiple facilities to achieve standardized approach/outcome

Prepares initial appointment and reappointment information for review by Medical Staff section and department chairpersons, or Credentials Committee.

Reviews all submitted information for accuracy and identifies problem areas for additional attention. Notifies reviewer of issues, as appropriate.

Communicate with applicants, explaining the department application process and distributing necessary materials

Obtains required approval signatures.

Monitors adequacy and quality of potentially sensitive information; seeks additional information when necessary for effective peer review decision making.

Arranges temporary privileges when appropriate.

Enters all privileging information into database.

 

Processes requests for additional privileges, changes of status and resignations.

Ensures that requests for additional privileges are accompanied by appropriate supporting documentation and that credentialing criteria have been met.

Notifies necessary individuals of changes to the status of a medical staff member.

 

Assists with regulatory requirements such as Focused Professional Practice Evaluations (FPPE)

Tracks providers needing an FPPE review

Obtains necessary data or peer review information to ensure a clinical review of a provider can occur

Coordinates the FPPE process with the Department or Section Chair

Forwards completed reviews onto the appropriate committee for review and recommendation.

 

Maintains database.

Inputs all relevant data.

Responsible for generating reports and creating correspondence.

Ensures data security and confidentiality

Coordinates set-up of all medical staff to IS

 

Arranges credentials orientation for new medical staff.

Provides orientation materials to new practitioners.

Coordinates new practitioner orientation with Medical Staff Leaders and Hospital Administration.

 

Operates computer, copy machine, fax and other office equipment efficiently.

Maintains working knowledge of changes and upgrades in computer programs.

Demonstrates knowledge and appropriate use of department systems.

 

Creates and maintains credentials files for all medical and allied health staff members.

Ensure integrity of all paper and electronic practitioner files in accordance with medical staff bylaws, policies and procedures.

 

Supports Medical Staff or Department Meetings

Provides meeting support for Medical Staff or department committees, as assigned. Schedules meetings, prepares agendas, takes meeting minutes and provides post-meeting follow through.

Provides support for hospital-based Medical Staff educational events, as assigned. Support includes room scheduling, prom