Provider Quality & Credentialing Coordinator

Lake Regional Health System is seeking a Medical Staff Quality & Credentialing Coordinator.

Principal Accountabilities and Essential Duties of the Job

Provider Performance Monitoring

• Manage and track Focused Professional Practice Evaluation (FPPE) for new privileges and new providers.
• Coordinate Ongoing Professional Practice Evaluation (OPPE) monitoring in collaboration with department chairs.
• Track procedure and case completion requirements during FPPE periods.
• Prepare case summaries and supporting documentation for FPPE, OPPE, and peer review.
• Coordinate proctoring activities when required.
• Collaborate with Quality Department staff to support provider performance monitoring.

Credentialing & Privileging Integration

• Ensure FPPE and OPPE results are incorporated into reappointment reviews.
• Support credentialing staff by aligning performance monitoring with privileging requirements.
• Assist with privilege review when performance monitoring indicates additional evaluation is necessary.

Data & Performance Tracking

• Maintain an organized and systematic database of provider performance information.
• Track case volumes, performance indicators, and evaluation metrics.
• Generate reports and summaries used across departments and leadership teams.

Department Chair & Peer Review Coordination

• Prepare performance summaries for Department Chair review.
• Coordinate communication with department leaders regarding FPPE/OPPE outcomes.
• Maintain documentation related to peer-review and performance evaluation activities.

Medical Staff Office Operations

• Provide administrative support for medical staff committees and meetings.
• Assist with agenda preparation, meeting materials, and committee documentation.
• Monitor provider expirables and credentialing timelines.
• Maintain communication with providers regarding medical staff processes.
• Support documentation and operational workflows within the Medical Staff Office.

Special Projects

• Conduct focused chart reviews for credentialing, peer review, and quality initiatives.
• Participate in special performance review projects or audits as requested.
• Participate in meetings and training sessions to remain current with FPPE/OPPE best practices.

Perform other duties as required.

Associate or Bachelor’s degree required - RN, LPN, RT, CMA background preferred.

An annual influenza vaccination is required.

Lake Regional Health System has a competitive benefit and compensation package.

At Lake Regional Health System, Our Commitment Runs Deep!

https://www.lakeregional.com/about-us/awards-and-recognition