Summary:
Coordinates the credentialing of applicants for membership and reappointment in compliance with defined schedules.
Collects and analyzes information thoroughly to identify potential quality of care issues, behavioral problems, appropriate education and training.
Investigates issues of concern, generates reports, and presents findings to facilitate recommendations to the Board of Trustees.
Position Responsibilities:
• Process applications, including those from Allied Health professionals, for initial appointment and reappointment to the medical staff of multiple Virtua entities in a timely manner.
• Maintain required Medical Staff documents to ensure compliance, including FPPE and OPPE for medical staff through appointment and reappointment process.
• Prepare Committee agenda and supporting material with Committee Chair. Attend meetings, record minutes, and ensure prompt follow-up on actions taken by the Committee. Review Board Actions Summary from state of NJ and provide follow up as necessary.
• Monitor proctoring process to include timely data collection, analysis, and generating reports from credentialing database to ensure compliance with policies and procedures.
• Coordinate flow of information between Medical Staff, Administration and other hospital departments. Initiate problem solving of any departmental roadblocks and regulatory agencies.
• Demonstrate accurate knowledge of Medical Staff Bylaws, policies and procedures and external accrediting agencies, such as JCAHO, NCQA as well as state and federal regulatory agencies.
• Participate frequently in all project-related functions in department; assist other team members as required.
Position Qualifications Required / Experience Required:
- 2 years progressively responsible experience in medical credentialing.
- Excellent communication (verbal, written) and organizational skills.
- Able to work independently.
- Attention to detail and accuracy is vital.
- Ability to work under pressure for a demanding clientele (medical staff).
- Excellent customer service skills.
- Flexibility in order to assist or cover for other team members as required.
Required Education:
High School graduate.
Training/Certifications/Licensure:
Certification by the National Association of Medical Staff Services (CPMSM or CPCS) preferred.
CMSC preferred.
Virtua welcomes all individuals, inclusive of race, sex, sexual orientation, gender identity, religion and faith, national origin, and disabilities, and we proudly look to each person’s unique achievements and experiences to continue to set us apart. Our whole-hearted commitment to an inclusive, diverse, and equitable workplace enables Virtua to be here for our communities, here for our patients, here for our colleagues—Here for Good.
