Medical Staff Services CoordinatorApply Job ID 15536 Date posted Oct. 08, 2019 Location Sussex, Wisconsin Full Time / Part Time Full time (FT)
GENERAL PURPOSE OF JOB
The Medical Staff Services Coordinator is assigned the responsibility of coordinating all Medical Staff activities and acts as liaison between the Medical Staff and Senior Leadership within the parameters established by the assigned Medical Leader and the Clinical Quality Director. Responsible for the oversight and adherence of Governing bylaws, and QuadMed policies and procedures. The Medical Staff Coordinator assists with quality/risk management functions related to medical staff.
Coordinates Medical Staff activities and Medical Staff Office:
Responsible for all medical staff meetings. Oversees and assures compliance of monthly committees, department and Medical Staff meetings as addressed in Medical Staff Bylaws/Rules and Regulations. Oversees/prepares agendas and minutes ensuring proper documentation and follow-up from meetings. Assures overall continuity of Medical Staff activities, including expeditious follow-up on action items and policy changes within appropriate committee structure. Prepares monthly report for Medical Executive Committee (MEC), forwarding appropriate reports from each Medical Staff Committee/Department as appropriate. Provides summary of Medical Staff for all activities and incorporates information into agendas for all Department and General Medical Staff Meetings.
Exhibits responsibility for confidential matters at all times
Acts as liaison between Medical Staff and Senior Leadership to promote and enhance communications through a positive working relationship.
Coordinates functions such as Doctor Days or other special events related to Clinical Quality. Collaborate with organization wide committee(s) on special events.
Assists assigned medical leader with preparations for meetings by providing requested reports
Initiates, oversees, and maintains confidential research requirements for credentialing activities In collaboration with the credentialing specialist
Performs monthly review of completed initial appointments to assure that files are assembled and items verified according to policy and in accordance with Medical Staff Bylaws.
Organizes Credentials Committee Meeting forwarding reappointments from summary of new applications, and requests for changes and/or additions in privileges, and/or any other items requiring Credentials Committee approval.
Assists in processing of temporary privileges with all appropriate documentation.
Acts as a back up support for credentialing and licensing in the event of vacations, leaves of absence or vacancy.
Maintain working knowledge of Medical Staff Bylaws, AAAHC standards, NCQA, Federal, and State regulations.
Schedules Bylaws Committee Meetings (when appropriate); researches bylaws, suggests recommendations, etc. Works with Medical leader and Clinical Quality Director to ensure that Medical Staff Rules and Regulations meet the current standard of practice.
- Manages the oversight process
Responsible for chart routing, reporting from chart reviews, auditing compliance with state requirements, awareness of state regulations on a state by state basis, and assisting with selection of new oversights and their onboarding.
Collaborates with Clinical Quality team in administrative management of the PQRC and peer review process.
- May perform other duties as necessary
All QuadMed providers and non QuadMed employed providers
Associate’s Degree in Healthcare or Business Administration, or equivalent knowledge in medical staffing office experience.
Minimum 2 years medical staff office or clinical quality experience preferred.
Experience with office equipment, such as copiers, fax machine, scanners and computers including familiarity with credentialing and office software.
Previous experience in credentialing and privileging a plus.
Previous experience with multi state regulations and federal regulations a bonus
Certificates, Licenses, Registrations:
Certified Professional Medical Services Management (CPMSM) preferred, or obtained within 2 years of hire, OR Certified Provider Credentialing Specialist (CPCS) preferred.
Knowledge, Skills & Abilities:
Able to communicate clearly and effectively, both verbally and in writing, with a broad range of professionals and people of varying education and backgrounds.
Ability to adapt to changing schedules, deadlines and demands, while balancing a heavy workload.
Excellent listening and communication skills, both verbal and written.
Well-organized and able to manage time efficiently while coping with last minute changes.
Good organization and prioritization skills.
Ability to work on several projects simultaneously with good problem solving and decision making capabilities.
Maintain confidentiality at all times and demonstrate mature and professional attitude and appearance; keeps confidences; possess loyalty, reliability, tact, is able to interact with diverse personalities, and is discreet.
- Computer and database literacy is required.
Knowledge of medication terminology, excellent keyboarding skills, computer skills (including database management), ability to take medical minutes.
Additional Company Information:
We offer excellent benefits to eligible employees, including 401(k), holidays, vacations and more. In select states, patient care is provided by an independent physician-owned corporation.
Quad/Graphics is an equal employment opportunity employer. The Company’s policy is not to unlawfully discriminate against any applicant or employee on the basis of race, color, sex, sexual orientation, gender identity, religion, national origin, age, military or veteran status, disability, genetic information or any other consideration made unlawful by applicable federal, state, or local laws. The Company also prohibits harassment of applicants and employees based on any of these protected categories.
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