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Last year our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a(an) Medical Staff Services Manager with Methodist Healthcare System you can be a part of an organization that is devoted to giving back!
We are committed to providing our employees with the support they need. At Methodist Healthcare System, we offer eligible colleagues an attractive benefit package that includes medical, wellbeing, dental and vision benefits along with some unique benefits including:
Would you like to unlock your potential with a leading healthcare provider dedicated to the growth and development of our colleagues? Join the Methodist Healthcare System family! We will give you the tools and resources you need to succeed in our organization. We are looking for an enthusiastic Medical Staff Services Manager to help us reach our goals. Unlock your potential!
Seeking a Medical Staff Services Manager who will be responsible for managing, coordinating and monitoring the medical staff services functions including credentialing, quality management profiles and continuing education as appropriate. Collaborates and coordinates with Medical Staff leaders and administrative representatives. Ensures effective use of resources and staff. Functions as a member of the team to assure optimum performance of the delegation of credentialing and relevant data integrity of applicable information systems databases. Responsible for the division-wide coordination, alignment and support of the Committee for Professional Excellence (CPE) functions.
What you will do in this role:
1.Develops, implements and evaluates application processes for medical staff membership and clinical privileges for physicians and other health care providers to ensure cost-effectiveness and timelines of services.
2.Oversees Medical Staff minutes and quality improvement data/documentation in an effort to limit legal exposures and assure compliance with TJC procedures. Maintains knowledge of and ensures adherence to Federal and State regulations and accrediting body standards for issues related to the organized Medical Staff and the credentialing process. Provides guidance, and serves as an expert resource to the Medical Staff organizations and Methodist Healthcare System hospitals. Interprets Medical Staff Bylaws, applicable laws, State and Federal regulations, and TJC requirements to the Medical Staff.
3.Analyzes processes, recommends and implements changes to improve operations, foster communication, and ensure continuity in services provided as well as consistency in documents, policies, and procedures. Plans, formulates, and recommends for approval of the MEC the policies, procedures, programs, and other strategies which will further the objectives and requirements of the Medical Staff Office.
4.Responsible for the management of the Unified Medical Staff’s Committee for Professional Excellence (CPE) functions and coordination with the Unified Medical Board to include assisting the Medical Staff Services Director and CPE Chairperson with the design, plan and coordination of a standardized Medical Staff Peer Review Process across Methodist Healthcare System.
5.Coordinates and maintains governance documents such as Medical Staff Bylaws, Rules and Regulations, and related documents, as well as policies and procedures of the Medical Staff Office. Assures that there is a review of existing policies and governance documents on a regular basis and recommends changes to the MEC and CPE as appropriate.
6.Supports the Committee for Professional Excellence in the review of the individual practitioner and advanced practice professional records to include the medical records including assignment of review, summary of actions taken, and correspondence from the CPE Committee to the individual under review and to the Medical Board.
7.Maintains open communication with department on a regular basis and assist peers in ensuring compliance with credentialing and privileging requirements, as well as assisting the Medical Staff Services Director with the management of Performance Improvement Plans, Correction Actions, and Fair Hearing Medications or Appellate Review executed on behalf of the division Medical Staff.
8.Carries out specific tasks assigned by the MEC, Chief of Staff, Chief Medical Officer, and/or Chief Executive Officer.
Minimum Education, Experience, Training, Required Knowledge, Skill, Abilities and Other Job-Related Characteristics:
1.Education: Bachelor’s degree from an accredited program in Business, or Health Care Administration, or related field and three (3) years increasingly responsible experience in hospital and/or healthcare credentialing;OR
Associate’s degree from an accredited program in Business, or Health Care Administration, or related field and five (5) years in the specific work area included in the essential functions of the job;OR
Eight (8) years in the specific work area included in the essential functions of the job.
2.Experience:Working knowledge of state and federal laws relating to due process and provisions of the Health Insurance Portability and Accountability Act of 1996 and TJC standards.
·Basic knowledge of anatomy and physiology, medical terminology and functions of medical staff.
·Advanced computer skills in word processing, spreadsheets, and databases.
3.Employee completes initial and ongoing training and competencies as defined by service
line, facility and department/unit that are specific to the needs of the patient population
served (if applicable).
4.For CPE Functions:Three to five years clinical experience in a clinical setting; medical-surgical or critical care nursing. Two to three years’ experience in Quality and/or Patient Safety.
Minimum License, Certificates, or Registrations Required:
1.Required:Certified Professional Medical Services Management (CPMSM) or Certified Provider Credentialing Specialist (SPCS) or obtain such within 12 months of job acceptance. Graduation from a program of vocational nursing or Associates degree in Nursing with current licensure.
Methodist Healthcare is recognized as the most respected and preferred healthcare provider in the South Texas region. As San Antonio’s second largest private employer, we employ more than 11,000 individuals, including 2,700 physicians in all specialties. Methodist Healthcare is a 50-50 co-ownership between Methodist Healthcare Ministries of South Texas, Inc. and HCA Healthcare. Since 1963, our commitment has never wavered in consistently improving the health and wellness of our community by “Serving Humanity to Honor God.”
Our network of greater San Antonio hospitalsincludes nine acute care facilities: Methodist Hospital, Methodist Children's Hospital, Methodist Hospital Ambulatory Surgery, Methodist Hospital Metropolitan, Methodist Hospital Northeast, Methodist Hospital South, Methodist Hospital Specialty and Transplant, Methodist Hospital Stone Oak and Methodist Hospital Texsan. We also offer 4 freestanding emergency centers in Boerne, Converse, Westover Hills, and the Quarry. At each of our facilities, we offer an outstanding selection of doctors, healthcare professionals, equipment and health services from wellness events to transplant services, pediatrics, dermatology, cardiology, oncology and a complete range of other medical services. For more information, please visit our website atwww.sahealth.com.
"There is so much good to do in the world and so many different ways to do it."
Be a part of an organization that invests in you! We are reviewing applications for our Medical Staff Services Manager opening. Qualified candidates will be contacted for interviews. Submit your application and help us raise the bar in patient care!
We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.