Medical Staff Specialist - CVO

INTEGRIS Health; Oklahoma; On-site; USD 52,000 - 78,000; Full time

Benefits offered by this job

Front-loaded PTO

Medical benefits through INTEGRIS H...

Educational assistance

24/7 mental health support

Job summary

INTEGRIS Health is seeking a Medical Staff Specialist at our Corporate Office in Oklahoma City, OK. The role serves as a liaison among the medical staff, advanced practice professionals, legal counsel and administration to manage credentialing, regulatory compliance and Joint Commission standards.

You will develop and administer credentialing processes, collaborate with department chairs, ensure timely completion of applications, maintain accurate rosters, and support physician onboarding while

Qualifications

• One to three years of Medical Staff/Credentialing experience.
• Knowledge of medical terminology and Joint Commission/NCQA standards.
• Knowledge of medical/legal requirements related to credentialing, peer review and compliance.

Responsibilities

• Develops, manages and administers medical staff and advanced practice professional credentialing processes for hospital privileges.
• Collaborates with department chairs and Credentials Committee to review applicants and privileges requested.
• Supports Chief Medical Officer and Chief Hospital Executive in knowledge of credentialing applications, Medical Staff Bylaws and governance.
• Ensures compliance with Joint Commission standards, federal and state guidelines and regulatory agency guidelines.
• Assists with Physician Orientation/Onboarding for new Medical Staff appointees.
• Maintains provider privileges and rosters with board approval and resignation dates.
• Maintains confidentiality of provider credentials and sensitive information.

Skills

Credentialing

Regulatory knowledge

Medical terminology

Education

High school diploma or GED

Bachelor's degree (preferred)

Tools

Credentialing software

Job description

Job Description

Join our team as a Medical Staff Specialist at the INTEGRIS Health Corporate Office, in Oklahoma City, OK.

Job Description

Join our team as a Medical Staff Specialist at the INTEGRIS Health Corporate Office, in Oklahoma City, OK.

Get to Know Your Team

• INTEGRIS Health, Oklahoma's largest not-for-profit health system, is seeking a dedicated caregiver to join us in our mission to partner with people to live healthier lives.
• Benefits of being an INTEGRIS Health caregiver include front-loaded PTO, medical benefits through the extensive INTEGRIS Health network, financial assistance for continued education, 24/7 mental health support and more.
• Take your first step toward growing your career by joining us.

Responsibilities

The Medical Staff Specialist serves functions as a liaison between the medical staff, advanced practice professionals, legal counsel and administration with regard to credentialing processes, interpretation and application of Joint Commission standards, medical/legal issues, state and federal guidelines and regulatory agency guidelines as they relate to credentialing, peer review and compliance issues.

The Medical Staff Specialist responsibilities include, but are not limited to, the following:

• Develops, manages and administers medical staff and advanced practice professional credentialing processes for hospital privileges.
• Collaborates with department chairs and chairman of the Credentials Committee to review applicants and privileges requested.
• Supports Chief Medical Office and Chief Hospital Executive in knowledge of credentialing applications, Medical Staff Bylaws and governance.
• Ensures compliance with Joint Commission standards, federal and state guidelines and regulatory agency guidelines.
• Assists with the administration of Physician Orientation/Onboarding for newly appointed Medical Staff appointees.
• Assists with developing and ensuring compliance with the Medical Staff Bylaws, Rules and Regulations and hospital policies.
• Reviews and screens highly sensitive credentialing documents.
• Verifies applicant information and ensure the application process is completed in a timely manner.
• Organizes and prepares meeting agendas and documents to be presented for Credentialing Committee and/or, Medical Executive Committee, and Medical Quality Committee (facility specific).
• Provides appropriate reporting of minutes for Medical Staff Committees to the Board of Directors.
• Supports the Department Chairs, Credentials Chairman and Medical Staff President in medical staff functions, OPPE/FPPE, Bylaws and Rules and Regulations.
• Maintains provider privileges and serves as a resource for verification of privileges and affiliation.
• Maintains accurate and timely rosters of credentialed medical staff with board approval dates and resignation dates.
• Utilizes credentialing database and mainframe software programs.
• Accurately maintains the credentialing database.
• Ability to define problems, collect data, establish facts an draw valid conclusions.
• Maintains oversight of the practitioner data.
• Accurately tracks, reports and follows up on the status of credentialing applications.
• Maintains a strict degree of confidentiality in all areas related to provider credentials, status and provider personal information
• Familiar with all credentialing department policies and procedures.
• Participates in miscellaneous audit projects throughout the year as required.
• Identifies ways to improve work, processes and improve customer satisfaction.
• Other duties as assigned
• Reports to the Manager or Director as assigned
• This position may have additional or varied physical demand and/or respiratory fit tests requirements. Please consult the Physical Demands Project SharePoint or contact Risk Management/Employee Health for additional information.

Qualifications

Required Qualifications

Experience

• One to three years of Medical Staff/Credentialing experience
• Knowledge of medical terminology
• Knowledge of Joint Commission and NCQA standards and medical/legal requirements related to credentialing, peer review and compliance.

Education

• High school diploma or GED required

Preferred Qualifications

• Bachelor's degree preferred

License/Certifications

• Certification by the National Association of Medical Staff Services (NAMSS) as a Certified Professional in Medical Staff Services Management (CPMSM) or a Certified Provider Credentialing Specialist (CPCS) preferred

INTEGRIS Health is an Equal Opportunity Employer. All applicants will receive consideration regardless of membership in any protected status as defined by applicable state or federal law, including protected veteran or disability status.

About Us

INTEGRIS Health mission: Partnering with people to live healthier lives.

To our patients, that means we will partner to provide unprecedented access to quality and compassionate health care. To you, it means some of the state's best career and development opportunities. With INTEGRIS Health, you will have a genuine chance to make a difference in your life and your career.

INTEGRIS Health is the state's largest Oklahoma-owned health system with hospitals, rehabilitation centers, physician clinics, mental health facilities and home health agencies throughout much of the state.