Medical Staff and CME Coordinator

chinesehospital-sf.org; San Francisco (CA); On-site; USD 42,416 - 63,576; Part time

Job summary

Chinese Hospital in San Francisco seeks a part-time, non-exempt Medical Staff & CME Coordinator to assist with medical staff affairs and performance improvement activities in line with Joint Commission standards.

The role supports credentialing, CME planning, and external surveys, while coordinating meetings and communications across departments. Strong organization and MS Office skills are essential for success.

Qualifications

• High school diploma or equivalent education/experience preferred.
• NAMSS CPCS certification preferred.
• Knowledge of Joint Commission/CMS standards preferred.
• Excellent written and verbal communication skills.

Responsibilities

• Abstract data for department peer review activities.
• Prepare data for PI projects and CME coordination.
• Assist in credentialing and initial/reappointment processing.
• Coordinate CME programs with faculty and assess outcomes.

Skills

Communication skills

Microsoft Office

Organizational skills

Interpersonal with physicians

Education

High school diploma or equivalent

NAMSS CPCS preferred

Tools

Credentials Stream

Job description

About This Role

Department

Quality, Medical Staff and Compliance

Reports to

Medical Staff Manager

Type

Part Time -Non Exempt

Requisition #

12740

Position Summary

The Medical Staff & CME Coordinator assists in the coordination of medical staff affairs and performance improvement activities, in compliance with Joint Commission’s standards.

Essential Duties and Responsibilities

• Abstraction of data for department peer review activities.
• Prepare and gather department data for various performance improvement (PI) projects including but not limited to Medical Staff Office as assigned.
• Support and assist in the planning of educational programs in adherence with CME regulations. This includes responsibilities of coordinating educational programs with faculty speakers, preparing evaluation forms, assisting the CME program assessments, and renewal of reaccreditation.
• Support and assist in the processing of Medical Staff initial and reappointment applications, credentialing activities including collection of required medical staff information (including but not limited to, health vaccinations, annual flu vaccination, etc.), and annual dues collection.
• Assist in the preparation for external surveys including but not limited to TJC surveys, state/federal surveys, etc.
• Administrative responsibilities include but not limited to scheduling meetings and filing.
• Support and assist in Medical Staff Office & Performance Improvement activities.
• Support established departments/committees/teams/task forces, including but not limited to preparing meeting agendas, taking meeting minutes, and drafting follow-up correspondences.
• Support the departments/sections, draft follow-up correspondences related to peer review/PI activities.
• All other functions as assigned.

Values/Core Competencies:

• Integrity–We adhere to a code of values and make commitments that contribute to the welfare of our community.
• Respect – We seek to create a community within our organization that enhances self-worth of individuals working with us and for our patients. The dignity and respect shown to employees by management and by their fellow staff will be the model for caring for our patients. Management is committed to treating employees fairly, honestly and with respect. In return, management expects commitment from employees to the values of the organization and its work on behalf of the community.
• Empowerment – we are committed to action and expect all employees to be proactive in decision making and problem solving. We delegate authority to match responsibility, expecting decision making to occur as close to the customer as possible.
• Teamwork – We believe that quality, cost effective, compassionate care can only be provided through teamwork. The nature of our work and mission require sensitivity to the feelings and points of view of many. We work for the good of the team, are accountable for the results of the team and together share our successes or failures. We maintain an atmosphere of openness, honesty and trust.
• Accountability– We accept personal responsibility for our actions and take ownership of our results. We as individuals recognize achievement and are challenged to improve our performance by providing and accepting coaching and feedback.
• Quality Improvement– We will improve value through the process of continuous quality improvement with focus on the relationship between quality and cost. We have a sense of urgency in our search to find better ways of doing everything. We encourage others to try new ideas and measure and recognize results. We are willing to change the status quo to improve.
• Community collaboration and Benefit– We will collaborate within the limits or our resources with other agencies and providers to address the health care wellness needs of our community, recognizing that access to services must be made available regardless of an individual’s ability to pay.
• Prudent use of resources – We will use and maintain our assets and resources prudently to meet community expectations. Our organization requires an overall positive return on investment to carry out its mission and to invest in new programs, equipment and facilities. We believe that integration simplifies and improves the process of health care and is a means of achieving economies of scale which will ultimately reduce costs. We seek simplification in the process of patient care and the efficient use of our resources in a changing environment.

Qualifications

• High school diploma or equivalent education/experience, preferred.
• At least 2 years of experience in medical staff services at hospital setting and/ or Certified Provider Credentialing Specialist (CPCS) certification through the National Association of Medical Staff Specialists (NAMSS), preferred.
• Knowledge of current regulatory requirements including but not limited to standards of the Joint Commission, the CMS Hospital Conditions for Participation, and Title 22 licensing requirements are preferred.
• Knowledge of physician credentialing and privileging procedures and standards.
• Excellent verbal and written communication skills.
• Proficient with Microsoft Office Word and Excel.
• Must possess excellent written/grammatical and oral communication skills.
• Highly organized, resourceful, motivated self-starter with excellent follow-through.
• Able to follow instructions, identify discrepancies and resolve problems.
• Ability to interrelate with and gain respect from physicians, nurses and other hospital personnel.
• Database management skills include querying, reporting, and document generation. Credentials Stream database experience is preferred.

Physical Requirements

While performing the duties of this job, staff is regularly required to sit, stand, walk, talk and/or listen. He/she uses his/her hands to do computer work, write reports, do equipment set-up/cleaning/storage, clerical support, etc. He/she will be using the phone frequently. Good vision is needed to be able to read schedules, enter accurate data, etc. He/she must have good general health and demonstrate emotional stability so as to carry out the above-enumerated duties.

• Able to lift up to 30 pounds
• Use proper body mechanics when handling equipment
• Standing, walking and moving 50% of the day

Compliance Requirements

Complies with Chinese Hospital Compliance Handbook including Code of Ethics and all statutes, regulations, guidelines applicable to federal and state programs. Responsibilities include, following the guidelines and reporting suspected violations of any statute, regulations, agreements or guidelines applicable to all healthcare programs.

I have read and understand the duties, responsibilities, and expectations pertaining to the position of Medical Staff and CME Coordinator. I understand that this job description is intended to describe the general nature and level of work performed. It is not intended to serve as an exhaustive list of all duties, skills and responsibilities required. I have been allowed to clarify and ask questions about this job description.

Base Pay Scale

Starting at $30.79 -$46.15 per hour. The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, specialty and training. This pay scale is not a promise of a particular wage.