Director Medical Staff Services

Chesapeake Regional Healthcare; Chesapeake (VA); On-site; USD 150,000 - 190,000; Full time

Job summary

Chesapeake Regional Healthcare is seeking a Director of Medical Staff Services to lead the credentialing program, develop policies, and manage staff and budgets. The role involves ensuring compliance with medical staff bylaws, regulatory requirements, and accreditation standards across physicians and allied health professionals.

The Director will oversee orientation, CME coordination, performance improvement activities, and ongoing development of department procedures.

Qualifications

• Bachelor's degree required.
• Master's degree preferred.
• Ten years of Medical Staff Services/Credentialing experience, with at least five years in a management role.

Responsibilities

• Oversees a comprehensive credentialing program to maintain accreditation.
• Interprets and enforces regulatory guidelines, bylaws, policies and fair hearing plans.
• Maintains physician privileges, medical staff roster, bylaws, and related records/reports.
• Manages credentialing for physicians, allied health professionals, and other bylaw-specified categories.
• Coordinates new physician orientation and revisions to orientation materials.
• Monitors credentialing forms and processes for regulatory compliance.
• Supports medical staff performance improvement and peer review documentation.
• Coordinates CME programs for medical staff and plans physician events and surveys.
• Develops and implements policies to support service delivery.
• Evaluates department programs, analyzes trends, and implements changes.

Education

Bachelor's degree

Master's degree

Job description

Summary

The Director, Medical Staff Services is responsible for overseeing the operations, service-delivery, and team members of the Medical Staff Services Department. Coordinates all aspects of the department, including the planning, development, and implementation of services supporting the organization's medical staff and committees. Sets performance expectations and establishes procedures for department functions.

Essential Duties And Responsibilities

These duties and responsibilities described below represent the general tasks performed on a daily basis. Any other duties as needed to drive to the vision, fulfill the mission, and abide by the values of the organization.

• Organizes and directs a comprehensive and specialized credentialing program to assure continued accreditation by regulatory organizations.
• Interprets, explains and follows all regulatory guidelines, including medical staff bylaws, fair hearing plan, rules and regulations and policies.
• Maintains systems to identify (and disseminate to others) medical staff members and their clinical privileges, prepares and maintains other related records and reports.
• Updates and maintains systems (physician privileges, medical staff roster, Medical Staff Bylaws, etc.).
• Oversees the credentialing process for physicians, allied health professionals, and other health professionals/categories specified in the Medical Staff Bylaws. Works with medical staff leadership and hospital clinical staff for the approval and ongoing review of these practitioners.
• Coordinates new physician orientation. Oversees revision and publication of orientation manual as needed.
• Monitors and revises credentialing and privileging forms and functions as needed to ensure consistency and in accordance with regulatory agency guidelines.
• Assists with medical staff performance improvement/peer review functions, ensuring documentation of review and communication of findings.
• Coordinates continuing medical education programs for the medical staff and ensure compliance with CME accreditation process. Collaborates with leadership in the planning of physician events and physician surveys.
• Assures the ongoing development and implementation of policies and procedures that guide and support the provision of services.
• Evaluates effectiveness of all Medical Staff department programs, analyzes trends and implements changes as required.
• Oversees the daily operations of the Medical Staff Services department and directs the work of the Medical Staff Services department personnel. Directly responsible for all personnel actions including, but not limited to, hiring, performance appraisals, promotions, orientation, vacation schedules, maintaining payroll records and time reports.
• Directly responsible for the preparation of department budget. Make budgetary recommendations and projections. Monitor, verify and reconcile expenditures of budgeted funds, compiling information reflecting expenditures, and develop cost-comparisons. Identify cost savings within the operation.

Supervisory Responsibilities

• Reports to: Chief Medical Officer, VP
• Supervises: All Medical Staff Services department team members
• Responsibilities: Budget and staff management

Qualifications

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Education And Experience

Minimum Required Education: Bachelor's degree

Preferred Education: Master's degree

Experience: Ten (10) years of Medical Staff Services/Credentialing experience is required, with at least five (5) years at a management level.

Certificates, Licenses, Registrations

CPMSM preferred (Certified Professional in Medical Services Management)