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Our location is nestled between coastal beaches and redwood forests. This has made our hospital an attractive career choice for many job candidates who want to combine a challenging career with an incredible place to live.

TITLE (REQ ID): MGR MEDICAL STAFF OFFICE (74262) DEPARTMENT: MEDICAL STAFF ADMINISTRATION EMPLOYMENT TYPE: FULL TIME SHIFT: DAY HOURS PER PAY PERIOD: 80 SHIFT HOURS: 8HOUR FACILITY: DOMINICAN HOSPITAL SANTA CRUZ LOCATION: SANTA CRUZ, CA POSITION REQUIREMENTS Under general direction of the Medical Staff CMO, Chief of Staff and other Medical Staff Leaders provides support to the medical staff activities and processes.Position Qualifications:Education: BA or BS Degree in healthcare or business management related field preferred. Certified Professional Medical Service Management (CPMSM) or Certified Provider Credentialing Specialists (CPCS)Special Training: Must be proficient in keyboarding and have the ability to take minutes of meetings. Ability to use personal computer for word processing and E-mail required. Proficiency in Microsoft Word, Microsoft Office, and basics of Excel preferred. Thorough knowledge of business vocabulary, grammar, punctuation and spelling required. Working knowledge of organizational structure and experience in an acute care hospital preferred. Experience: Five years experience in Medical Staff Services Management, previous managerial/supervisory experience preferred. Job responsibilities:1. Assures confidentiality of medical staff activities pertaining to credentialing, patient care review, and peer review. 2. Oversees functions that support the Medical Staff’s mandated functions/reviews for accreditation, and assures compliance to federal laws, and state statutes for medical staff. 3. Oversees and conducts as appropriate all activities related to medical staff and allied health care practitioner credentialing including the following: (a) processing of all new applications to the medical, and allied health professional staffs, re-appointments of same, resignations, and changes in status; (b) maintenance of a computerized physician database; and (c) support of the clinical medical staff departments. 4. Assuring maintenance of inactive physician credential files, prior peer review proceedings, out-of-date committee minutes, and other related medical staff items in a secure area. 5. Coordinating activities to provide assistance to the medical staff, specifically to officers, department and committee chairs, in developing and maintaining appropriate bylaws and rules and regulations to provide a governing mechanism for effective medical staff management. 6. Coordinating activities to develop and maintain a policy and procedure manual for the Medical Staff Services Department and a policy manual for the medical staff. 7. Apprising the Medical Director Medical Staff Administration, Chief Medical Officer, CEO, Vice President of Patient Care Services, and Medical Staff Officers of all significant matters pertaining to the medical staff, hospital and operation of the Medical Staff Services Department. 8. Overseeing the budget for the Medical Staff Services Department. Overseeing accounting process for Medical Staff treasury to include monthly reporting and special requests for funds. 9. Demonstrating the ability to prioritize, prepare, integrate, and report statistical/disposition data in a timely and thorough manner. 10. Assumes primary accountability for all arrangements and activities related to medical staff committees, departments, services or task forces which may change from time to time. This includes meeting preparations (location, food etc), agenda and document preparation, minutes and all follow-up as required based on decisions made during any of these meetings.11. Participating in department and hospital-wide activities and serves on Medical Staff and Hospital Committees, as appropriate. 12. Prepares/distributes ED call Rosters for all specialties, monthly, 13. Maintains all CME program documentation and attendance reports.14. Coordinates initial physician and allied health care practitioner orientation.15. Maintains medical staff finance checking and savings accounts. Prepares checks for signature by medical staff Secretary/Treasurer at the General Staff meetings.16. Coordinates all medical staff celebrations and social gatherings as requested by the MEC and Administration17. Hire and supervise the Medical Staff Assistants in their roles as defined by their position descriptions.

This job exists to implement the credentialing plan of The Methodist Hospital Physician Organization and to ensure compliance with all organizational policies and procedures and fulfill credentialing requirements for participation in selected managed care organizations. PATIENT AGE GROUP SERVEDThere is no direct patient care for this role.DUTIES AND RESPONSIBILITIES1. Develops, communicates, and maintains standard operating procedures for the department to ensure timely credentialing of all member physicians and allied health professionals. 2. Facilitates the credentialing function for physicians and allied health professionals. Critical activities include oversight of the completion of the Texas Standard Credentialing Application and the CAQH online credentialing application as well as enrollment in the Federal and State Medicare and Medicaid programs. Additional functions include facilitation of hospital privileging with all Methodist Health Care System hospitals, expiration management of all licenses, certifications, insurance, etc., and delineation of responsibilities for all allied health professionals .3. Develops and maintains oversight of all credentialing policies and procedures through the establishment of a credentialing committee comprised of member physicians of the organization. Provides ongoing staff support to this committee.4. If credentialing functions are delegated to a third party, maintains policies and procedures for delegated credentialing services and provides management and oversight to the Credentialing Verification Organization (CVO) and conducts onsite audits on a periodic basis and documents findings. Through the audit process, ensure findings are compliant with requirements of third party managed care organizations that look to the CVO for TMHPO credentialing information.5. Regularly communicates with providers, TMHPO Department Administrators, and other TMHPO departments regarding credentialing status and information.6. Oversees the ongoing maintenance of a complete organizational listing of all providers, credentialing dates, and managed care plan participation.7. Has a working knowledge of NCQA and JCAHO physician credentialing requirements.8. Sets performance criteria for credentialing staff, communicates expectations and outcomes, and evaluates individual and team performance. Manages staff by providing coaching and guidance in specific areas related to overall job performance and accountability.9. Provides relevant information to department director for effective budget planning. Monitors department expenditures and manages resources to support the approved budget.10. Attends to other duties as assigned.11. Demonstrates the I CARE values in the course of carrying out responsibilities.12. Follow all safety rules while on the job. Reports accidents promptly and corrects minor safety hazards.Experience - External:EDUCATION REQUIREMENTS Bachelors degree in Healthcare Administration, Business Administration, or other relevant field. Masters degree preferred.EXPERIENCE REQUIREMENTSFive plus years of progressively responsible experience in project and/or operations management with at least 5 years in a healthcare organization. Previous experience in a clinical setting and/or with direct physician interaction. Experience in directing the work of others to accomplish goals.CERTIFICATES, LICENSES AND REGISTRATIONS REQUIREDCPMSM or CPCS certification is a plus.SPECIAL KNOWLEDGE, SKILLS AND ABILITIES REQUIREDKnowledge of accrediting and credentialing requirements and associated practices. Ability to utilize information systems for tracking, monitoring, and analysis. Ability to effectively communicate (verbal and written) with various clinical and non-clinical audiences.

Be MovedTo a Career with a Central Florida Healthcare Leader

At Orlando Health, you can develop the healthcare career that is right for your individual goals. As a family of specialty and community hospitals, each has its own character, a natural extension of the specialized services offered. It is our mission that unifies us to offer superior service and provide quality healthcare to the people of Central Florida. We are currently hiring for the following position:Healthplan (Managed Care) Provider Credentialing Specialist Complete the review of all credentialing and recredentialing applications submitted to the Healthchoice health plan for inclusion in the provider network. Obtain timely and accurate primary source verifications for all credentialing and recredentialing activities. Present any findings in both verbal and written reports to the physician-led committees. Schedule, coordinate and oversee the successful completion of audits from both state regulatory agencies and entities who delegate health plan credentialing to Healthchoice. Assure compliance to state, regulatory and national accreditation standards. Maintain all credentialing and recredentialing files.Candidates must have 3 years of managed care provider credentialing experience. A strong working knowledge of Microsoft Office and Access database and knowledge of Access query writing required. Must have demonstrated excellent organizational, verbal communication and interpersonal skills. Must be flexible to attend early morning meetings and comfortable with presenting to Medical Directors and other physicians. An Associates degree or equivalent years of experience may be substituted on a two-for-one basis. Must have certification by the National Association of Medical Staff Services, or be actively pursuing these requirements to achieve certification based on eligibility.

Vice President, Physician & Business Development Provides senior leadership at the system level, responsible for leadership and growth of the physician integration strategies, including but not limited to: physician recruitment and retention, ambulatory care development, physician referral development, physician joint ventures, and the facilitation of network services to support the organizational goals. Has overall responsibility for the strategic planning and operations of the practices and ancillary services in the First Coast Primary Care Network, Spine & Brain institute and other current and future hospital-based practices.Position Requirements-Masters degree in Healthcare Administration or related field, FACHE certification preferred. 7-10 years of healthcare management experience required. Minimum of 5 years experience over a major group of 25 physicians, multi site. Experience in physician recruitment and retention, practice acquisitions, complex negotiations, contracts, program development, interpret and use complex data. Understands and is committed to the philosophy, mission and core values of Ascension Health.

Centennial Hills Hospital Medical Center

Provides day to day operations for ancillary or assigned departments. Implements strategy of CEO and COO. Manages assigned departments efficiently and effectively to maximize quality of services and profits of the hospital. Requirements Knowledge: Knowledge of the financial implications of decisions including budgeting and forecasting for a limited number of departments and/or projects is required. Skills: Must be detail oriented and able to focus on nuances of multiple hospital operations. Effective communication skills with diverse groups, including physicians, managers, and employees is required.Education: Bachelor’s degree required, Master’s degree preferred.Work experience: Two to three years of hospital management experience at a mid or senior level.