Medical Staff Services Coordinator

Tenet Healthcare; San Ramon (CA); On-site; USD 34,000 - 55,000; Part time

Job summary

San Ramon Regional Medical Center is seeking a part-time Medical Staff Coordinator to oversee credentialing and re-credentialing processes for physicians and allied health professionals. The role includes maintaining databases, ensuring adherence to bylaws and regulatory standards, and supporting TJC readiness.

The position requires strong knowledge of medical staff operations, regulatory requirements, and budget management, with attention to confidentiality and professional discretion in all

Qualifications

• Associates Degree in Business, Healthcare Administration, or related field required.
• Experience in medical staff/credentialing in a hospital or medical setting.
• Knowledge of Joint Commission, CMS and Title 22 regulatory requirements.

Responsibilities

• Oversee credentialing and re-credentialing for applicants and staff.
• Maintain credentialing database and hospital systems.
• Ensure compliance with bylaws and regulatory mandates.
• Prepare for TJC surveys and staff education on accreditation standards.
• Track licensure renewals and expiring credentials monthly.
• Assist with department/committee meeting minutes and follow-up.
• Coordinate temporary staff privileges and approvals with chairs.
• Manage Medical Staff budget and prepare annual reports.

Skills

Credentialing

Regulatory compliance

Medical staff operations

Budget management

Documentation

Meeting minutes

Communication skills

Discretion/confidentiality

Education

Associates degree in healthcare administration

Tools

Database systems

MS Office

Job description

Job Type: Part Time

Job Shift: Days

Holiday Rotation:

Department: Medical Staff

Under the direction of the Director of Medical Staff Services, the Medical Staff Coordinator is responsible for the overall process for physician/practitioner appointment and reappointment to the medical staff. This position collects, monitors and evaluates all credentialing and re-credentialing documentation for applicants, medical staff members and allied health professionals and ensures applications are in accordance with Medical Staff By-laws, and regulatory bodies. Acts as a liaison between the Medical Staff, Administration and the Governing Board. Provide guidance and serve as a resource to medical staff members in execution of self-governance and practical application of its Bylaws, Rules and Regulations and applicable regulatory mandates. Assists with TJC Survey preparation for the medical staff/leadership function, including medical staff education regarding accreditation standards.

Position Accountabilities:

• 1. Working knowledge of medical staff principles and operations specific to regulation expectations(Joint Commission, CMS and Title 22).
• 2. Verbalizes and/or demonstrates knowledge of clinical information and practices enabling independentjudgment in non-routine matters.
• 3. Collects and analyzes information through appropriate credentialing of physicians and allied health professionals to identify potential quality of care issues, behavioral problems, and competency forrequested privileges.
• 4. Investigates issues of concern and presents findings to facilitate recommendations via the medical staff committee approval process. Gathers and researches confidential information for disciplinary proceedings.
• 5. Enhances professional growth and development through participation in educational programs, staff meetings, in-services/workshops and successful completion and maintenance of required certifications of specialty areas.
• 6. Assist with other functions to provide support to the Medical Staff in its self-governance and practical application of its bylaws and rules and regulations pertaining to membership.
• 7. Ensures the credentialing of applicants for membership and reappointment is coordinated accurately andtimely in compliance with defined schedules. Handles requests for temporary staff privileges and arranges for review/approval by the appropriate department chairperson, the Chief of Staff and the Chief Executive Officer.
• 8. Ensure support and maintenance of the credentialing database system and other various hospital-wide physician related database systems.
• 9. Tracking, updating and maintaining the database for all expiring licensures and other various documents on a monthly basis.
• 10. Manage the Medical Staff budget, which includes drafting a yearly budget, distributing funds/stipends, and balancing budget reports. Prepares reports in collaboration with Secretary/Treasurer prior to committee review.
• 11. Monitors proctoring process to include timely data collection, analysis and reporting to assure compliance with rules and regulations.
• 12. Responsible for attending selected Department & Committee meetings, taking minutes, composing minutes that accurately reflect the actions of the meeting, and performing follow-up from the meetings.
• 13. Responsible for meeting preparation, which includes developing agendas, copying packets, distributing meeting notices to appropriate members of Medical Staff Departments and Committees and scheduling meeting rooms and catering for the event.
• 14. Ability to interface with physicians internal/external professionals requiring a high level of discretion, professionalism, confidentiality, tact and diplomacy.

Other Position Accountabilities:

• 1. Cooperates with other personnel in a positive manner to achieve departmental and interdepartmental objectives and maintains good employee relations.
• 2. Supports and adheres to established departmental policies and procedures, objectives, safety and infection control standards, including compliance with punctuality and attendance, overtime, floating, staffing/scheduling, body mechanics, TB screening, Joint Commission updates, attendance, ID badge and dress code standards.
• 3. Demonstrates effective communication methods and skills, using lines of authority appropriately.
• 4. Ability to problem solve and make independent decisions when appropriate.
• 5. Completes .edu's and other required hospital education by the due date.
• 6. Adheres to SRRMC Behavior Standards.
• 7. Complies with San Ramon Regional Medical Center Policies/Procedures protecting patient information and the confidentiality of the information in accordance with the Federal and State regulations.
• 8. All other duties as assigned.

Minimum Education:

Associates Degree in Business, Healthcare Administration, or related field is required, OR an equivalent combination of education and experience.

Minimum Experience/Skills:

Prior experience in medical staff/credentialing in a hospital or medi