Sr Director, Medical Staff Services & Quality Integration

If you are looking to make an impact on a meaningful scale, come join us as we embrace the Power of One!
 

We strive to be an employer of choice and establish a reputation for being a talent rich organization where Associates can grow their career caring for others. For over a century, we’ve served the health care needs of the people of Memphis and the Mid-South.
 

Administers system-wide compliance programs by implementing compliance systems and processes designed to ensure compliance with applicable laws and regulations as well as internal policies and procedures. In conjunction with MLH leadership, develops the system strategies and direction of medical staff focused performance assessment and improvement, and credentialing at MLH. Responsibilities include all aspects of quality, performance improvement and medical staff credentialing including operational support, quality planning and quality monitoring. Utilizes statistical tools, benchmarking resources, performance measurement, quality management and other resources to determine trends, identify opportunities for improvement and lead change of medical staff quality and credentialing within MLH. Leads improvement of clinical processes that depend primarily on LIP.Models appropriate behavior as exemplified in MLH Mission, Vision and Values.

 

Working at MLH means carrying the mission forward of caring for our community and impacting the lives of patients in every way through compassion, a deliberate focus on service expectations and a consistent thriving for excellence.

A Brief Overview
Administers system-wide compliance programs by implementing compliance systems and processes designed to ensure compliance with applicable laws and regulations as well as internal policies and procedures. In conjunction with MLH leadership, develops the system strategies and direction of medical staff focused performance assessment and improvement, and credentialing at MLH. Responsibilities include all aspects of quality, performance improvement and medical staff credentialing including operational support, quality planning and quality monitoring. Utilizes statistical tools, benchmarking resources, performance measurement, quality management and other resources to determine trends, identify opportunities for improvement and lead change of medical staff quality and credentialing within MLH. Leads improvement of clinical processes that depend primarily on LIP.Models appropriate behavior as exemplified in MLH Mission, Vision and Values.

What you will do

• Provides leadership, authority and direction to ensure accountability for programs, processes and initiatives required, enacted by or placed upon the Medical Staff Services Department. Directs and supervises Director,Medical Staff & Credentialing, Manager/Quality Integration, and Medical Staff Governance Coordinator to achieve goals.
• Facilitates and integrates the work of Patient Safety and Quality programs in collaboration with Regulatory Readiness, Risk Management, Chief Medical Officers, Chief Nursing Officers, Process Improvement & Innovation and Information Technology. Considers impact to, and promotes adoption by the Medical Staff and Allied Health Practitioners.
• In collaboration and with direction from system leadership, implements key strategic objectives for all aspects of health care quality improvement involving the Medical Staff and Allied Health Practitioners.
• Oversees all Medical Staff programs related to Credentialing, Privilgeing, Peer Review, Professinal Practice Evaluations, and Professional Conduct for ahderence to Medical Staff Governance and regulatory standards. Encompasses approximately 2,350 practitioners holding privilges at Memphis and Olive Branch hospitals.
• Serves as a subject matter expert. Researches, maintains, and shares knowledge of best practices and relevant trends for areas of oversight. Demonstrates understanding of regulatory standards and governance to lead associates in MSSD.
• Executes strategy by enacting objectives and operational tactics within areas of responsibility.
• Educates Medical Staff Executive Officers and Department Chairs of responsibilities when elected and provides consultation to solve problems with commitment to follow policies.
• Promotes confidentiality and protection of privilege afforded to practitioners per applicale laws.
• Advises Corporate HR on Allied Health Caregiver authorizations to resolve conflicts and improve processes.
• Prepares, reviews, and approves departments’ proposed annual budgets and explains significant variances to Sr. Vice President. Identifies areas of improvement or opportunity for clinical and financial improvement in areas throughout the hospital via comparative benchmarking and quality initiatives.
• Monitors and evaluates Associate performance and clarifie