Supervisor – Medical Staff Affairs – Lorain Hospital

SUMMARY OF JOB RESPONSIBILITIES:

Independently manages all functions of the hospital Medical Staff Office including maintenance of the Medical Staff Bylaws and Manuals, support of the Medical Staff officers in carrying out their duties, management of all credentialing functions, maintenance of the Medical Staff credentialing and privileging database and supervision and evaluation of the Credentials Coordinator and the Medical Staff Secretary. Plans and coordinates all Medical Staff meetings and activities and participates in preparation for and actual visits of all regulatory and accreditation organizations. Serves as a resource for department secretaries or others who are involved in or dependent on the credentialing and privileging process and database.

EDUCATION:

• Associates or Bachelors degree recommended.
• Education requirement may be waived for existing experienced incumbents.
• Professional certification encouraged CPMSM and/or CPCS.
  
  
  

EXPERIENCE:

• Minimum five years experience in medical staff services or other health related administrative services with documented ability to independently carry out complex tasks.
• Minimum two years experience supervising other staff and coordinating their activities.
• Prior experience in medical staff credentialing preferred.
• Prior experience working with medical staff or other Bylaws, Rules and Regulations and Policies and Procedures preferred.
• Minimum two years experience working with computer software packages with proficiency, in Microsoft Office Suite and documented ability to learn new software packages in a reasonable timeframe (1-2 months).
• Documented experience taking meeting minutes, working with a variety of business machines and planning meetings and social events for large groups. Prior experience in preparing and participating in accreditation reviews preferred.
  
  
  

KNOWLEDGE AND SKILLS:

Knowledge And Skill Required To Perform The Job Responsibilities.

• Knowledge of medical staff functions.
• Knowledge of Medical Staff Office Policies and Procedures, TJC accreditation standards applicable to Medical Staff Office functions, including credentialing, Medical Staff Bylaws, Rules and Regulations and hospital Policies and Procedures preferred.
• Knowledge of hospital or similar credentialing standards and Policies and Procedures preferred.
• Knowledge of credentialing software program utilized by the Medical Staff Office personnel preferred. Excellent oral and written communication skills required.
• Ability to organize, coordinate and prioritize multiple tasks and meet multiple deadlines.
• Ability to learn and maintain current knowledge base related to practices, standards and regulatory guidelines and mandates as related to the Medical Staff Office.
  
  
  

PROBLEM SOLVING/DECISION MAKING:

The degree to which judgment and analysis must be exercised in planning, investigating issues, and evaluating alternative solutions to the challenges posed by the job. Deals with the nature of the decisions, the variety of problems, and how decisions are made in context of the typical requirements of the job.

• Able to independently investigate and analyze critical issues and develop workable solutions with the support of the Chief Medical Officer and Medical Staff Leadership.
  
  
  

SCOPE OF IMPACT/ACCOUNTABILITY:

The potential impact of actions on results of Mercy Health and the job’s accountability for achieving results.

• Accountable for maintaining Medical Staff records and credentialing files in accordance with all application regulatory and accreditation standards. Potential to positively or negatively impact hospital accreditation and licensure.
  
  
  

INTERPERSONAL COMMUNICATION:

The nature and frequency of interpersonal human relations skills required by the job. The extent to which the job requires cooperation and tact in meeting or influencing others by phone, correspondence, or personal contact.

• Able to effectively manage challenging interpersonal interactions and resolve conflict. Frequent contact with all levels of administration and healthcare personnel.
  
  
  

PRINCIPAL JOB ACCOUNTABILITIES:

Medical Staff Office Functions:

• Support the Medical Staff President and other officers in carrying out the duties of their offices including coordinating meetings, communications and secretarial support.
• Orient new medical staff members.
• Coordinate, plan and provide administrative support for all Medical Staff meetings.
• Coordinate, in conjunction with the Medical Staff Treasurer, collection of dues and other assessments.
• Maintains a thorough knowledge of all functions of the Medical Staff Office, specifically through the mechanism of the Bylaws, Rules and Regulations and the Policies and Procedures of the Medical and Affiliate Staffs.
• Identifies, investigates and resolves problems related to members of the medical staff with the support of the Medical Staff President or Chief Medical Officer when necessary.
  
  
  

Regulatory and Accreditation Requirements:

• Maintains a thorough knowledge of current standards and requirements of regulatory and accrediting agencies such as TJC, AOA, NPDB, ODH, OMS and others, as related to Medical Staff Office functions and credentialing.
• Actively participates in the preparation for the site visits of all regulatory and accrediting bodies. Coordinates obtaining information related to Medical Staff Office functions and credentialing from all necessary departments.
• Responsible for assuring compliance with all regulatory and accrediting agency requirements in the day-to-day operation of the Medical Staff Office.
  
  
  

Management of Medical Staff Bylaws and Rules and Regulations:

• Maintains current and past copies of the Medical Staff Bylaws and Rules and Regulations.
• Periodically reviews the Bylaws to identify sections which are outdated or not currently being complied with and brings them to the attention of the Medical Staff President, Chair of the Bylaws Committee and the Chief Medical Officer.
• Works with the Chair of the Bylaws Committee to prepare new language for review by the Bylaws Committee and to coordinate review of proposed changes by the Legal Department.
• Coordinates review of proposed Bylaws changes, approved by the Bylaws Committee, by the Medical Executive Committee, the Medical Staff and the Board of Trustees.
  
  
  

Credentialing:

• Manages the credentialing and re-credentialing processes in compliance with all applicable regulatory and accreditation standards and with hospital Medical Staff Bylaws and Rules and Regulations.
• Coordinates and oversees processing of credentialing and privileging requests through the Departments, Credential and Medical Executive Committees and the HM Board; and notifies appropriate departments and the physician upon completion of the process.
• Maintains a thorough knowledge of current credentialing standards and reporting including use of NPDB queries.
• Maintains a thorough knowledge of credentialing software and serves as a resource for all users.
• Responsible for the maintenance of individual medical staff physician files.
• Independently evaluates information received from internal and external sources related to credentialing and seeks clarification or additional information when appropriate.
  
  
  

Supports the achievement of the Mercy Health mission and living of its values.

• Models supportive behaviors.
• Supports collaboration, Performance Improvement processes, inter-disciplinary work teams, and partnership relationships with customers.
• Demonstrates self-governance.
• Responsible for own professional/personal growth and development.
• Communicates effectively with all departments & employees of the organization and other customers.
• Promotes stewardship of resources while maintaining or improvement quality of care.
• Exhibits ownership for the success of the organization.
• Effectively engages in two-way dialogue and problem solving.
• Works independently to meet operational objectives.
• Receives, investigates and appropriately reports and responds to problems/incidents that involve safety and compliance issues.
• Holds self, employees and co-workers accountable for keeping patient safety the first priority in performing the essential duties of their jobs.
  
  
  

Upholds resources in a manner consistent with the organizational plan.

• Participates in Mercy Health recruitment and retention goals.
• Maintains department resources in a manner consistent with department budgets and departmental activity.
• Understands cost per unit of service.
  
  
  

JOB ACCOUNTABILITIES – Other:

The above statements are only meant to be a representative summary of the major duties and responsibilities performed by incumbents of this job. The incumbents may be requested to perform job-related tasks other than those stated in this description.

As a Bon Secours Mercy Health associate, you're part of a Mission that matters. We support your well-being—personally and professionally. Our benefits are built to grow with you and meet your unique needs, every step of the way.

What We Offer

• Competitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible)
• Medical, dental, vision, prescription coverage, HSA/FSA options, life insurance, mental health resources and discounts
• Paid time off, parental and FMLA leave, short- and long-term disability, backup care for children and elders
• Tuition assistance, professional development and continuing education support
  
  
  

Benefits may vary based on the market and employment status.

All applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability. If you'd like to view a copy of the affirmative action plan or policy statement for Bon secours Mercy Health – Youngstown, Ohio or Bon Secours – Franklin, Virginia; Petersburg, Virginia; and Emporia, Virginia, which are Affirmative Action and Equal Opportunity Employers, please email recruitment@mercy.com. If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact The Talent Acquisition Team at recruitment@mercy.com