Job Description

Job Title: Medical Staff Coordinator
Job ID: 677882
Status: Casual
Regular/Temporary: Limited
Hours: 8am to 4:30pm
Shift: Day Job
Facility: UPMC St. Margaret
Department: Medical Staff Office
Location: 815 Freeport Road, Pittsburgh PA 15215

Description

Purpose:
UPMC is looking for a limited-casual Medical Staff Coordinator at St. Margaret's Hospital! This individual coordinates the credentialing process for initial appointment and reappointment for the medical and allied health professional staff. Ensures all individuals with clinical privileges provide services within the scope of their training, licensure and individual clinical privileges granted.

Apply today!! 

Responsibilities:
  • Adhere to all policies and procedures regarding mandated queries and reporting mechanisms and monitors, on an on-going basis, the financial account with the data bank to ensure compliance and accuracy.
  • Assist with the coordination of Medical Staff social activities (i.e. golf outing) 
  • Call outside repair services as necessary.
  • Closely monitor information collection; cognitive analysis of information received; evaluate adequacy and quality of information.
  • Compare psv, curriculum vitae and credentialing information form.
  • Compile and create practitioner files including all pertinent information in accordance with departmental policies.
  • Complete and track work order requests.
  • Coordinate and facilitate both the informal and formal credentialing peer review/ recommendation process per established policies and procedures.
  • Coordinate office maintenance as required.
  • Coordinate the credentialing process for initial appointment and reappointment for the medical and allied health professional staff.
  • Create physician profile for quick reference by medical staff leadership.
  • Critically review primary source verification (psv) scanned documents to determine any incorrect, omitted or discrepancies in data entry and psv requests.
  • Develop and maintain working relationships with chiefs, chairman, nursing staff, ancillary departments, etc. to proactively provide information regarding practitioner privileges or scope of practice and credentialing actions.
  • Ensure complete and accurate credentialing information is provided to chiefs and chairpersons to enable them to make informed decisions regarding clinical privilege delineation.
  • Ensure compliance to ensure all individuals with clinical privileges provide services within the scope of their training, licensure and individual clinical privileges granted.
  • Ensure data is entered into facility areas of credentialing system following board approved credentialing actions.
  • Ensure sufficient quantities of supplies are available.
  • Enter meeting data into centralized calendar and prints hard copy for door.
  • Forward and track complete files to Division Chiefs and Department Chairmen for approval.
  • Forward appropriate individuals and callers to Director as required.
  • Forward approved files to credentials Committee for review and approval.
  • Identify any issues in file (red flags) requiring further review.
  • Immediately report to Director any problems noted with applicants' credentials as identified by principles involved in the information collection process.
  • Implement process for re-credentialing of physicians and allied health professionals to the medical staff to adhere to regulatory standards.
  • Independently respond to callers and visits applicable to service area.
  • Inform CVO of incorrect data entry and/or missing psv.
  • Initiate any additional psv required per established policies and procedures.
  • Inventory and order departmental supplies.
  • Maintain a working knowledge of the Hospital Bylaws, General Rules and Regulations, Medical Staff Bylaws, General Rules and Regulations and Department Rules and Regulations.
  • Maintain and coordinate facility-specific data entry for physician database to reflect credentialing actions.
  • Maintain close communication and develop working relationships with the Centralized Verification Office, department enrollment specialists, medical staff officers, department chairmen and committee chairmen to ensure expeditious flow of recommendations for timely credentialing through the medical staff committee and Board review and approval process.
  • Maintain credentialing schedules and status reports for practitioners in the credentialing process.
  • Maintain knowledge of latest recommendations for the Joint Commission on Accreditation of Healthcare Organizations (JCAHO), National Commission on Quality Assurance (NCQA) the State Medical Society, and other state requirements particularly with reference to accreditation standards.
  • Notify CVO of discrepancies or errors.
  • Obtain any additional information requested. Adheres to departmental time frames for file completion.
  • Obtain quantitative and qualitative data for practitioners in the credentialing process either from applicant (initial appointments), internal databases (reappointments- Impromptu/Corporate Database) or from practitioner's primary facility.
  • Prepare and disseminate invitations, track responses, create seating arrangements, for review and approval, select and retain entertainment, purchase gifts and prizes, and checking-in invited guests at events as necessary.
  • Primary responsibility for performing the mandated queries for practitioners in the credentialing process (initial and reappointments) with the National Practitioner Data Bank.
  • Proactively obtain supporting documentation to support requests for privileges by developing contacts with other facilities and medical leaders.
  • Provide informational emails/mailings to facility departments information updates regarding approved credentialing actions.
  • Provide support to the Medical Staff Officers, Committee Chairmen and members, and other healthcare professionals in the development of mechanisms to assess physician performance, identify potential risks, and document disciplinary action throughout the credentialing process - initial appointment and reappointment.
  • Pursue additional information independently, if necessary, for effective and comprehensive peer review decision-making.
  • Screen calls and direct caller to the appropriate staff member.
  • Upon receipt of completed hospital-specific packets, initiate data collection and compilation from Centralized Verification Office (CVO).
  • Validate data monthly to ensure accuracy.

Qualifications

  • Associates or Bachelors degree in Business or Healthcare Administration preferred. 
  • Three years experience may be substituted for a degree. 
  • Direct experience in Medical Staff Services is preferred.
Licensure, Certifications, and Clearances:
  • Act 34 Criminal Clearance
UPMC is an equal opportunity employer. Minority/Females/Veterans/Individuals with Disabilities

Salary Range: $15.52 to $25.35

Union Position: No

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