Medical Staff Service Manager

Medical Staff Services Manager

Works with Hospital Administration as a liaison with the Medical Staff. Plans, develops, organizes, and controls the operation of the medical staff office to contribute to meeting the mission and goals of the Hospital and to meet the requirements of the Medical Staff Bylaws, the Joint Commission Standards, and other applicable federal, state, and local regulatory and / or accrediting agencies. This person is responsible for all records and correspondence of the Medical Staff. He / she assists the Medical Staff President in accomplishing the goals as assigned under his / her leadership.

Reports directly to the Medical Staff President and Vice President, as well as Hospital Medical Director.

Responsibilities and Duties :

• ER Call Rotation : Prepares and distributes, under the direction of the clinical departments, back-up call schedule rotation of all physicians with appropriate Medical Staff category responsibility for each medical service.
• Organizes and performs clerical activities and data legally, confidentially, and efficiently.
• Maintains and ensures accuracy of medical staff records, current and historical, and responsible for accuracy and security of physician data base.
• Responsible for the accuracy and integrity of the credentialing and privileging database system.
• Assists the Medical Staff President with the selection of committee membership.
• Participates in Joint Commission and State or other regulatory Survey Process.
• Other Duties as assigned by Medical Staff Officers, Medical Director and Senior Management.
• Maintains documentation of and current knowledge of LCMH Medical Staff Bylaws, the Joint Commission Medical Staff Standards, CMS (State) and Federal requirements regarding credentialing and the medical staff organization and keeps the Medical Staff updated on all changes.
• Assists in Managing the flow of Information between the MSO, Leadership, and Medical Staff Services.
• Responsible for scheduling, coordination, and preparation of medical staff functions / meetings.
• Prepares agendas, plans, attends, and provides documentation of Medical Staff committee meetings, activities and disseminates information regarding committees, clinical departments, and general Medical Staff recommendations, and / or actions and correspondence as appropriate.
• Supervises Credentialing Coordinator in day-to-day management of the overall credentialing process including complex credentialing issues.
• Responsible for updating the medical staff applications, allied health applications, and all forms and letters associated with credentialing to maintain compliance with Bylaws, and all applicable regulatory requirements.
• Facilitates Credentialing and Re-credentialing of PHO participants.
• Facilitates the initial applications and reappointment applications and clinical privileges of the Physician Medical Staff and Allied Health practitioners.
• Knowledge of useful, on-line resources for seeking information as well as primary source verifications.
• Performs bookkeeping activities for the medical staff.
• Responsible for budget planning for the Medical Staff office.
• Works with Director of Quality Management in Coordinating the practitioner peer review process and performance improvement activities of the medical staff.
• Ensures that all expiable are reviewed, obtained, and managed on a regular basis.
• Attends Ethics Committee Meetings as called and prepares Minutes.
• Performs other duties as assigned.

The above statements are only meant to be a representative summary of the major duties and responsibilities performed by incumbents of this job. The incumbents may be requested to perform job-related tasks other than those stated in this description.

Education and Work Experience :

Physical Demands / Work Environment :