Employment Type:

Full time

Shift:

Description:

Hybrid position.

POSITION PURPOSE

Serves as Lead Coordinator providing guidance and support for Trinity Health Southeast Michigan Medical Staff Services (MSS), which includes Ann Arbor, Chelsea, Livingston, Livonia, and Oakland locations. Provides support to medical staff and administrative leadership, the organized medical staff, and medical staff committees pertaining to medical staff appointments, compliance, bylaws, rules and regulations, and policy interpretation. Responsible for the consistent application, effectiveness, and integrity of medical staff programs and processes, including the credentialing, privileging and peer review processes, through regular auditing and data analysis. Ensures coordination of crossover providers at TH SEMI facilities to maintain alignment and promote efficiency. Assist local MSS Managers with management of daily operations within assigned functional areas and ensures alignment with established priorities and consistent, timely completion of work assignments. Provides input into hiring decisions, as well as colleague performance planning and review sessions. 

This position is an integral part of the MSS team and is responsible for leading the SEMI MSS team in a variety of tasks at the direction of MSS leadership in the efficient and effective completion of credentialing, privileging and peer review processes for Trinity Health Southeast Michigan RHMs. This role is responsible for ensuring compliance with credentialing policies, privileging requirements, and peer review processes and procedures; data base management and analytics; facilitation of state and accreditation surveys; and participating in development and implementation of process improvement initiatives related to medical staff processes.

ESSENTIAL FUNCTIONS AND RESPONSIBILITIES

• Accountable for the development, facilitation, monitoring and ongoing process improvement of the onboarding, credentialing, expirable, peer review (FPPE, OPPE), and other essential operations and processes.

• Supervises, organizes, and coordinates the daily activities of the Medical Staff Services colleagues, in support of MSS leadership, including the direction and maintenance of a comprehensive and specialized credentialing program, to assure continued accreditation and deemed status.

• Serves as a liaison between MSS leadership and internal and external stakeholders. Builds positive physician/practitioner relationships by actively engaging in dialogue, identifying areas of improvement, and working with leadership and other appropriate individuals to resolve conflict that physicians/practitioners may be experiencing related to MSS activities.

• Assists in the development of policies and procedures related to MSS.  Provides interpretation and education.

• Serves as a subject matter expert and liaison for research and knowledge of accreditation and State and Federal regulatory guidelines.

• Researches, develops, and maintains appropriate guidelines to ensure compliance.

• Monitors and revises credentialing and privilege request forms.

• Performs appropriate research and works closely with the medical staff to develop and revise privileging criteria to reflect current standards in training and competency requirements. Owns the Focused Professional Practice Evaluation (FPPE) process and works closely with medical staff leadership to ensure compliance.

• Ensures the accuracy, and confidentiality of the credentialing process and all work products, including data integrity, through consistent audits and data analysis. Supports all regulatory surveys (i.e., Joint Commission, CMS, etc.)

• Serves as the credentialing software “super-user” and leads training, education, and performance improvement to promote optimum efficiency.

• Leads the coordination of high-level medical staff committees and orientations and Board of Trustees meetings.

• Identifies and communicates strategies to improve workflows.

• Establishes and tracks key performance metrics to influence process improvement and ensure operational integrity.

• Maintains a working knowledge of Trinity Health Integrity & Compliance Program & Code of conduct, as