Overview:
CommonSpirit Health Mountain Region is committed to building healthier communities, advocating for those who are poor and vulnerable, and innovating how and where healing can happen-both inside our hospitals and out in the community. With locations throughout Colorado, Utah, and Kansas, we deliver the same high standard of care to our employees as we do to our patients. Our 20 hospitals, emergency and urgent care centers, home care and hospice, Flight for Life ColoradoTM , telehealth and over 240 physician practices and clinics offer endless opportunities! Here, you can grow your career and impact the people in the communities you serve.
CommonSpirit Health is one of the nation's largest nonprofit, faith-based health systems, with a team of over 150,000 employees and 25,000 physicians and advanced practice clinicians. CommonSpirit operates more than 2,200 care sites and 140 hospitals, serving some of the most diverse communities across the nation, letting humankindness lead the way.
Responsibilities:
You have a purpose, unique talents and now is the time to embrace it, live it and put it to work. We value incredible people with incredible skills - but your commitment to a greater cause is something we value even more. This is the heartbeat of our organization and your time will be spent in a supportive, team environment with resources to help you flourish and leaders who care about your success.
The purpose of the Medical Staff Coordinator Senior position is to ensure quality patient care by effectively managing the Medical Staff's Governance and Credentialing and Privileging functions. This position manages multiple Medical Staffs which requires adapting to diverse organizational structures and cultures, compliance with various systems/policies and physically being present at different locations when necessary. This position functions with a great deal of autonomy in decision- aking/problemsolving. Their work products are essential components of Medical Executive Committees' and Governing Boards' functions.
A summary of this position's responsibilities include:
* Effective communications and full integration of services between the Medical Staff Services Departments and other site-specific departments at multiple facilities.
* Prioritizes multiple department tasks and projects to ensure they are completed in the required timeframes.
* Coordinates medical staff governance activities for multiple sites (credentials committee meetings, MEC, Peer Review, department meetings, identification verification, ED access/call schedules, reconciliation of payments with contract requirements, dues collection, etc.) hospital policies, Medical Staff bylaws, and regulatory/risk management standards.
* Performs all aspects of the credentialing/privileging program for high-volume of applicants, to include primary source verification, competency analysis, database management,
* Serves as the primary resource at multiple sites for providers' required education and on-boarding.
* Serves as the primary resource to contracted surgery centers for credentialing software training and data-base integrity.
* Serves as a physician advocate and Medical Staff representative in multiple sites' specific activities, to include Safety Huddles.
* Communicates with physician applicants and appointees, Medical Staff leaders, Executive Staff, Legal and Regulatory Staffs, and numerous external entities regarding demographic and competency information about practitioners.
* Interprets and implements standards, policies and procedures to ensure compliance with regulatory and risk management requirements.
* Utilize critical thinking skills to analyze and resolve complex issues and serve as a resource for other coordinators for training and problem-solving.
Qualifications:
In addition to bringing humankindness to the workplace each day, qualified candidates will need the following:
* Strong knowledge of clinical/medical terminology.
* Proven abilities in arbitrating and negotiating issues between physicians and Medical Staff leaders/hospital departments.
* Effective organizational skills required to handle voluminous influx of credentialing applications and to prioritize tasks in order to meet cyclical deadlines. Successful experience with previous accreditation surveys preferred.
* Demonstrated working knowledge of The Joint Commission, CMS, and Department of Health standards.
* Demonstrated computer and database management skills, with previous experience utilizing credentialing software.
* Adeptness at developing multiple productive relationships and balancing requests/needs of multiple facilities.
* Proven leadership skills: ability to develop and sustain trusting work relationships, ability to educate and motivate team members, ability to communicate effectively with various levels of professionals, ability to self-regulate and meet deadlines, ability to use critical thinking and strategic approaches in problem solving, etc.
* Validated ability to deal with multiple tasks and interruptions, and meeting deadlines, with minimal supervision.
* Three years credentialing/medical staff /payor enrollment related experience or degree in Medical Staff Services Management in lieu of experience.
* Associate degree preferred.
* CPMSM or CPCS certification, preferred.
* High School Diploma/G.E.D. Required
Physical Requirements - Sedentary work - prolonged periods of sitting and exert up to 10 lbs. force occasionally
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