Medical Staff Services supports the Medical Staff organization including the Department and Committee structure; the credentialing, recredentialing, and privileging process; provides assistance to the Medical Directors and Medical Staff Leadership and many other diverse functions. The Director of Medical Staff Services provides guidance, direction and leadership in all areas of Medical Staff Services support, system credentials process, and to the Medical Directors and Medical Staff Leadership in a hospital.
The position provides management support to the hospital Medical Staff and its functions and maintains responsibility for monitoring all applicable regulatory laws and statutes (state and federal) and accreditation standards as well as WellStar Health System and Medical Staff Bylaws, Rules & Regulations and Policies & Procedures for compliance by the Medical Staff organization. These include, but are not limited to, State, CMS, FDA, and Joint Commission on Accreditation of Healthcare Organizations This position directs the daily operations of Medical Staff Services and oversees the personnel within the department for effective support of the Medical Staff organization and its leaders. Director is responsible for Department financial accountability, management development, human resources issues, and customer service strategies.
Required Minimum Education: Bachelor’s degree required.
Required Minimum Certification: Current certification by the National Association Medical Staff Services (NAMSS) for Certified Professional in Medical Services Management (CPMSM).
Required Minimum Experience: Minimum of five (5) years comprehensive experience as a medical staff services professional within a hospital setting, with increased levels of responsibility, to include supervisory experience.
Must have working knowledge of medical staff credentialing/privileging process and comprehensive knowledge base of state/federal regulatory requirements and accreditation standards related to the organized medical staff. Must have documented experience with multiple medical staff departments and committees and supervisory responsibility for three or more support staff. Must have a working knowledge of all areas of medical staff governance, including practitioner credentialing and privileging processes and the applicable Joint Commisssion standards that address medical staff organizational requirements.
Experience with one or more Joint Commission surveys including the preparation of medical staff for interview and file review components of the survey and attendance/participation in previous survey is a requirement. Must have knowledge of current federal and state laws and regulations relevant to medical staff functions and have the ability to draft needed revisions to documents required for compliance. Experience using medical staff database technology required and must support optimal use of the database.
Required Minimum Skills: Must demonstrate personal attributes and behavior that contributes to a climate of excellence.
Demonstrates ability to lead, manage, and/or effect change and interacts effectively with the Medical Staff Leadership, Medical Staff in general, Medical Directors, Administration, Senior Leadership, external agencies, hospital attorneys, and WellStar Health System/Hospitals leadership/departments for increased communication and effective decision making relative to the Medical Staff’s responsibilities and needs. Must demonstrate the ability to use discretion and independent judgment when problem solving or assisting leadership in decision-making processes and must maintain confidentiality in all aspects of medical staff and peer review information. Must be able to effectively multitask, prioritize, delegate, organize and meet deadlines established and agreed upon for optimal results as defined.
Must be able to adapt to a flexible work schedule with frequent interruptions, possess strong communication and people skills, have the ability to motivate and lead, and perform duties and responsibilities promptly and consistently with little direct supervision. Excellent problem-solving skills with the ability to judge the appropriate action in response to changes, circumstances or problems is required as well as the ability to effectively communicate through written material and oral presentations to groups or individuals, using computer enhancements as needed or desired.