Director - Medical Staff

Details: Job: Directors & Managers The Director of Medical Staff Services directs and manages medical staff services relative to credentialing, appointment/reappointment and evaluation of Medical Staff and Advanced Practice Professionals. Responsible for preparation, organization and follow-up involved in maintaining hospital accreditation and compliance with state, Federal and other external regulatory requirements as they relate to the Medical Staff Organization.ESSENTIAL FUNCTIONS:1. Plans, organizes and direct the credentialing process of the Medical Staff, Advanced Practice Professionals and Vendors to ensure that all individuals with clinical privileges are competent and maintain competency to provide patient care within the scope of their training, licensure and clinical privileges as granted by the Medical Staff and Board of Trustees.2. Develops and implements department policies and procedures with regard to the credentialing process.3. Serves as recording secretary for Credentials Committee and prepares Credentials report for Executive Committee and Board of Trustees.4. Ability to interpret and follow federal and state laws, as well as The Joint Commission standards and Medical Staff By-laws, policies and procedures.5. Works with By-laws Committee and Executive Committee developing amendments as needed.6. Educates, directs and assists Medical Staff officers, committee chairs, and other healthcare professionals in carrying out their responsibilities as outlined in the Medical Staff Bylaws, Rules and Regulations to insure compliance with Medical Staff documents, accrediting and licensure organizations, minimizing risk exposure thus protecting them and the organization from liability.7. Assists in orientation program for Medical Staff, officers, Department and Committee chairpersons.8. Maintains an ongoing thorough familiarity with the Medical Staff By-laws, rules and regulations.9. Stays current and knowledgeable regarding legal and regulatory requirements related to Medical Staff activities and conveys pertinent information to appropriate committees, departments and Medical Staff.10. Assures timely processing of medical Staff applications, appointments, credentialing actions and clinical privileging information in accordance with Medical Staff By-Laws.

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