Summary: Under the guidance of the Director, the Medical Staff Coordinator participates in all functions to ensure compliance with Medical Staff Bylaws, Rules & Regulations, policies and procedures, State and Federal requirements and accreditation standards.
Duties and Responsibilities:
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Meeting Management:
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Attends and facilities assigned meetings of the Medical Staff including standings, ad-hoc and special meeting;
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Ensures assigned departments/committees met their meeting frequency as outlined in the Medical Staff documents;
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Prepares agenda packets for assigned meetings five (5) business days prior to the scheduled meeting date;
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Sends meeting notices to all medical staff and hospital personnel no later than seven (7) days prior to the scheduled meeting;
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Sends reminders to all medical staff twenty-four (24) hours prior to the scheduled meeting;
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Meeting minutes are transcribed within three (3) days but no later than ten (10) business days. Summary reports to the Medical Executive Committee are prepared within 24-48 hours;
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Meeting attendance is documented in the credentialing databased within five (5) business days;
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All follow-ups from an assigned meeting are initiated and completed within ten (10) business days; and
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Providers clerical assistance to department and medical staff leadership
Credentialing and Privileging:-
Engages in credentialing functions for medical staff and allied health professionals, which may include: appointment, reappointment, privileging, ongoing professional practice evaluations, proctoring and provisional evaluations;
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Processes initial appointments to the medical staff and allied professional staff within 60 days of receipt of a completed application;
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Ensure all primary source verifications are completed and there are no missing elements, including but not limited to licensure, certificates, and insurance;
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Follows up on pending verifications at a minimum every ten (10) days from original/last request;
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Confirms applicant meet the minimum qualifications for privileges criteria prior to presenting a completed file to the department chair or vice-chair;
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Initiate reappointment application six (6) months prior to the expiration of the provider’s current appointment;
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Sends delinquent reappointment notices every 30 days and a final notice 60 days prior to the expiration of the provider’s current appointment and notifies department chair or designee to assist with follow-up;
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Reviews completed application and reappointment files with department chair or designee no later than three (3) business days before the Interdisciplinary Practice and/or Credentials Committee meetings;
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Prepares credentials files for review by the Interdisciplinary Practice and/or Credentials Committee chair at least two (2) business days before the meeting;
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Updates credentialing database to reflect post-board approval actions within seven (7) business days;
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Maintains assigned expirables, including but not limited to, licensure, insurance, DEA, and annual health requirements, for all medical staff and allied helath professional as assigned; and
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Enters new medical staff and allied health professionals into the electronic health records documentation and coordinates onboarding as assigned;
Behaviors
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Adheres to dress code ensuring appearance is neat and clean
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Completes educational requirements in a timely manner
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Maintains regulatory requirements, including all federal, state, local regulations and accrediting organization standards
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Wears identification while on duty and ensures it is visible at all times
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Maintains patient confidentiality at all times
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Able to state the mission, vision and values of the facility.
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Complies with the Medical Center's policies and procedures, including timekeeping, attendance, and the Standards of Behavior and the Code of Conduct
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Maintains required applicable licensure, certification, educational and in-service requirements
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Displays positive attitude through words and actions
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Displays willingness to adapt to new ideas and contributes to effective progress.
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Demonstrates awareness of who the customers (internal and external) and supports the company’s goals and objectives in a positive manner