Job Summary:

The Manager, Medical Staff Services provides direction and leadership in all areas of Medical Staff services support and the credentialing process. Assists Medical Staff Leadership in development, implementation and adherence to Medical Staff organization governing structure and documents, as well as adherence to accrediting body and state/federal regulatory requirements.

Duties and Responsibilities:

Manages appropriate and timely assessment of appointments and reappointment to the Medical Staff, delineation of clinical privileges and associated credentialing functions.

Works closely with Medical Staff. Assures accuracy of appointment, reappointment, FPPE and OPPE documentation.

Assists Medical Staff Leadership in development, implementation and adherence to Medical Staff organization governing structure and documents, as well as adherence to accrediting body and state/federal regulatory requirements.

Ensures integrity of system wide computer-based physician information system is maintained and staff are trained according to established policies and procedures.

Effectively manages projects and personnel in systems development.

Develops and implements annual goals in accordance with the goals of the organization and in accordance with regulatory and licensing entities as they relate to the credentialing and privileging process.

Develops and implements departmental policies and procedures related to the daily operations of the department.

Supervises staff to ensure that they are performing job duties accurately and in accordance with the timelines established by departmental policy and medical staff bylaws/policy.

Holds staff meetings to review and resolve problems, provide information, identify opportunities for improvement and develop any necessary action plans for problem resolution.

Develops capital and operating budget for Credentials Department; meets budgetary guidelines.

Maintains on-going relationship with credentialing software representatives, implements software updates and makes recommendations regarding updates needed to ensure efficiency and compliance with privileging processes.

Works with clinical leaders to develop and maintain delineation of privileges that comply with Federal, State and Accreditation requirements.

Demonstrates working knowledge of standards and regulations and ensures development and maintenance of credentialing applications, forms, and reports that comply with Federal, State and Accreditation requirements and meet the needs of the organization.

Makes recommendations to ensure compliance of governing documents.

Attends Credentials Committee meetings and prepares agenda and credentials files needed for committee review.

Prepares minutes of the Credentials Committee in a timely manner.

Attends Medical Executive Committee meetings and prepares agenda and files needed for committee review.

Prepares minutes of the Medical Executive Committee in a timely manner.

Oversees the Medical Staff finances.

Ensures the medical staff invoices are sent in accordance with the medical staff bylaws with follow-up as outlined in the bylaws.

Other duties and/or projects as assigned.

Requirements:

Bachelor's degree required.

Minimum 7 years experience.

Certified Provider Credentialing Specialist (CPCS) or Certified Professional Medical Services Management (CPMSM) required. If not certified, must obtain certification within one year of hire date.

Care New England Health System (CNE) and its member institutions, Butler Hospital, Women & Infants Hospital, Kent Hospital, VNA of Care New England, Integra, The Providence Center, and Care New England Medical Group, and our Wellness Center, are trusted organizations fueling the latest advances in medical research, attracting the nation’s top specialty-trained doctors, and honing renowned services and innovative programs to engage in the important discussions people need to have about their health.

Americans with Disability Act Statement: External and internal applicants, as well as position incumbents who become disabled must be able to perform the essential job-specific functions either unaided or with the assistance of a reasonable accommodation, to be determined by the organization on a case-by-case basis.

EEOC Statement: Care New England is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status

Ethics Statement: Employee conducts himself/herself consistent with the ethical standards of the organization including, but not limited to hospital policy, mission, vision, and values.