Medical Staff Coordinator-Remote
Job Description
Performs credentialing and privileging functions related to the appointment/reappointment of practitioners to the Medical Staff in accordance with Connecticut Children's Medical Center (CCMC) Medical Staff Bylaws and standards outlined by The Joint Commission (TJC), Center for Medicare and Medicaid (CMS), and Connecticut Department of Public Health (DPH). Reports to Manager of Medical Staff Office.
Responsibilities
PRACTITIONER FILES: Collect, verify and process all new Medical Staff practitioner applications, reapplications and privileging for review by the assigned governing committees. Ensures that the file is complete before to submitting to the Assistant Manager of the Medical Staff Office for review prior to being presented to the Credentials Committee for approval. DATABASE: Inputs all new practitioner applications and reappointment applications in appropriate database. Initiates the Medical Staff database through the Echo credentialing software (Internet-based credentialing system). REPORTS: Runs initial application status reports, reappointment reports, and practitioner profiles REGULATORY: Ensures credentialing process meets all requirements of TJC/CMS/DPH/NCQA, as well as State and Federal statutes. Meets with examiners from the DPH, TJC, Managed Care Organization (delegated credentialing) and malpractice insurer for review of credentialing files. Maintains "continuous readiness" of all credentials files. QUALITY ASSURANCE: Initiate a quality assurance file on each member of the Medical Staff. Work with the Manager of the Medical Staff Office in collecting data to be reviewed at the time of reappointment, not more than every two years, as well as collect and process data for Focus Professional Performance Evaluation (FPPE) and Ongoing Professional Performance Evaluation (OPPE) as required. DEPARTMENT LEADERSHIP: Serve as back-up and support for the Manager of the Medical Staff Office. ADMINISTRATIVE: Provide administrative support to the Credentials Committee and other meetings as assigned, such as preparation of materials for meetings, recording of minutes, and follow-up of recommendations. Demonstrates support for the mission and goals, as well as the strategic plan, of the organization through behaviors that are consistent with the vision of Connecticut Children's Medical Center.
Qualifications
Education Required: High School Diploma, GED, or a higher level of education that would require the completion of high school, is required. Education Preferred: Associate's degree preferred. Experience Preferred: Minimum 4 years' experience in hospital medical staff credentialing preferred. CPCS certification attainment within three years of hire required. Maintenance of current CPCS certification required thereafter. Knowledge of : Computer knowledge of credentialing database software. Basic credentialing standards (TJC/CMS/DPH/NCQA) Understands medical terminology Skills: Must have excellent verbal/written interpersonal/communication skills and experience at all levels. Ability To: Maintain confidentiality Be detailed-oriented and analytical, with good memory
About Us
Connecticut Children's is the only health system in Connecticut that is 100% dedicated to children. Established on a legacy that spans more than 100 years, Connecticut Children's offers personalized medical care in more than 30 pediatric specialties across Connecticut and in two other states. Our transformational growth establishes us as a destination for specialized medicine and enables us to reach more children in locations that are closer to home. Our breakthrough research, superior education and training, innovative community partnerships, and commitment to diversity, equity and inclusion provide a welcoming and inspiring environment for our patients, families and team members. At Connecticut Children's, treating children isn't just our job - it's our passion. As a leading children's health system experiencing steady growth, we're excited to expand our team with exceptional team members who share our vision of transforming children's health and well-being as one team. Apply Job!