JOB SUMMARY: The Medical Staff Specialist works independently and in collaboration with the Medical Staff Services Officer to assist with all functions of the Medical Staff Services Department at St. Peter’s Health.

　　Works with contracted credentialing firm to coordinate functions of the credentialing, re-credentialing and privileging processes as outlined in the Medical Staff Bylaws

　　Maintains credential files for all members of the Medical Staff and Allied Health Professional Staff

　　Oversees the maintenance of current and accurate Medical Staff and Allied Health Professional Staff databases

　　Validates provider demographics, licensure information and all other elements of medical staff credentialing file that is submitted by contracted credentialing firm

　　Compiles individual practitioner profiles for use at initial appointment and reappointment to include biographical data, participation in medical staff activities/requirements

　　Coordinates the proctoring process including facilitating proctor assignment with Medical Staff Department Chairs, periodic assessments, and notification of advancement

　　Compiles letters for the Chief of Staff to sign notifying practitioners of their appointment, granting of additional privileges, reappointment and/or advancement to the Medical Staff or Allied Health Professional Staff, and the privileges granted

　　Ensures all current provider privileges/scope of practice are available for viewing on the credentialing software by the appropriate departments in the organization

　　Coordinates Continuous Assessments and Focused Assessments for Medical Staff and Allied Health Professional Staff

　　Works with Medical Staff to develop and maintain performance metrics that are meaningful and meet regulatory requirements, updating the measures as needed

　　Maintains monthly medical staff meeting calendar and manages invites for each department and committee meeting

　　Prepares agendas, minutes, and announcements for Medical Staff Department and Committee meetings, and ensures the appropriate follow up is completed

　　Coordinates meeting room space and food reservations for meetings

　　Maintains electronic files such as reports, meeting documents, and miscellaneous correspondence

　　Maintains the “Unassigned Patient List”

　　Oversees data entry and data integrity of the Electronic Health Record (EHR) Provider Dictionary

　　Coordinates delegated credentialing audits to ensure all practitioner files meet delegation criteria

　　Interprets, explains and follows all regulatory guidelines, including Medical Staff Bylaws, Fair Hearing Plan, Rules and Regulations and medical staff policies

　　Maintains knowledge of standards of DNV-GL, CMS and State and Federal regulations related to medical staff organization and assists with accreditation survey preparation for Medical Staff Services

　　Participates in implementation and maintenance of credentialing software

　　Works closely with contracted credentialing firm to ensure provider information is kept current and processes remain streamlined

　　Ensures medical staff lounge is adequately stocked and arranged for an exceptional experience for medical staff

　　Development and maintenance of Provider Support Program

　　Assumes other related responsibilities to support the needs of Medical Staff Services

　　KNOWLEDGE/EXPERIENCE: 3 years’ previous hospital experience preferred. Previous credentialing experience highly preferred. Familiarity with DNV-GL and CMS standards preferred. Knowledge of Microsoft applications required. Knowledge of Adobe Acrobat Professional preferred.

　　EDUCATION: Bachelor’s Degree preferred

　　LICENSE/CERTIFICATION/REGISTRY: Current NAMSS CPCS and/or CPMSM certification preferred; ability to obtain certification within five (5) years of meeting eligibility requirements

　　Aptitudes: Ability to achieve cognitive, organization and emotional maturity to deal effectively with multiple tasks, stresses, deadlines, difficult situations and/or customers. Possesses interpersonal/communication skills necessary for effective, non-judgmental, and empathetic patient care and customer relations. Possesses organizational skills, possesses high quality of attention to detail and ability to multi-task. Ability to work autonomously. Open to feedback and open to a changing environment, which requires flexibility in scheduling and department assignments.

　　7145.990