Covenant Health

Medical Staff Coordinator

Full Time, 80 Hours Per Pay Period, Day Shift

Morristown Hamblen Overview: 

Morristown-Hamblen Healthcare System is a 170-bed hospital serving an eight-county region in East Tennessee’s Lakeway Area. The facility includes more than 20 emergency suites, advanced laboratories, radiology, and therapy services, and a Breast Imaging Center of Excellence for mammograms, biopsies, and nurse navigation. The Women’s Center features six modern labor and delivery suites and a secure nursery for newborn care. With state-of-the-art technology and a dedicated team, Morristown-Hamblen provides exceptional, patient-focused care close to home. To meet the needs of our growing community, we continue to develop services, attract new physicians, and embrace innovation, all to promote an improved quality of life. 

Position Summary:

Responsible for coordination, preparation and administrative support for Medical Staff functions; collaborates with Medical Staff Department Chairs, CAOs, and CNOs to ensure timely review of materials for credentialing and privileging of applicants, Medical Staff members, and AHPs; prepares for Medical Staff department and committee meetings, prepares agendas, packets, takes minutes, processes and distributes appropriate correspondence and coordinates continuing education. Performs recordkeeping activities for the Medical Staff. Assists in formulating the budget for the Medical Staff Office. The coordinator assists with development, planning, and implementation of the credentialing/privileging process. Assists in compliance with the applicable accrediting and regulatory agencies (ie – Joint Commission, CMS, NCQA, URAC, and Stark) in regards to credentialing while developing and maintaining a working knowledge of applicable statutes, laws, and regulations. Ensures that all expirables are reviewed, obtained and managed on a monthly basis according to rules and policies. Maintains the confidentiality of all business/work and Medical Staff information. Assists in managing the flow of information between the Medical Staff Office, applicable Medical Staff departments and committees, Medical Staff leadership, Administration and Governing Body. Assists in coordinating updates to Medical Staff Bylaws, Rules and Regulations, and Medical Staff policies.

• Maintains and updates credentialing data in the Cactus database and/or hard files as necessary; ensures continuous currency of licensure, certifications, and insurance; to otherwise monitor and maintain documentary evidence of Medical Staff credentials as required by regulatory agencies, bylaws, and hospital standards.
• Coordinates with the System Credentialing Office in processing pre-applications, initial applications, and reappointments.
• Serves as liaison between the hospital and physicians/physician practices.
• Provides necessary administrative support to the Medical Staff departments, committees and leadership; assists with development of new privileging criteria, delineations, and other documentation necessary to an effective credentialing process.
• Coordinates with the Quality/Clinical Effectiveness Department in monitoring, trending and reporting Medical Staff activities, including FPPE and OPPE processes, committee actions, performance improvement, and physician profiling.
• Assists with the development and revisions of Medical Staff Bylaws, Rules and Regulations, and Medical Staff Policies.
• Processes applications from approved universities and colleges requesting clinical rotations for MD/DO students, residents, and advanced practice professional students.
• Responsible for generating monthly reports of recommendations from the MEC to the Governing Body concerning credentialing, privileging, policies, students, and other items requiring approval by the Governing Body such as the annual Performance Excellence and Patient Safety Plan.
• Maintains current records of focused evaluations, including, but not limited to proctoring, chart reviews, and preceptor evaluations proctoring, where applicable, of physicians and APPs, as appropriate, and assures appropriate review by department chairs and the credentials committee.
• Coordinates call schedules for the Medical Staff departments in collaboration with Medical Staff department chairs.
• Prepares for, attends, and completes necessary follow up for Medical Staff department meetings, Credentials and Medical Executive Committee meetings, general staff and other Medical Staff meetings as requested, and maintain accurate minutes for all Medical Staff departments and committees.
• Maintains yearly and monthly calendars of meetings and events and notifies applicable departments and individuals when changes occur and sends reminder notices as necessary.
• Responsible for assisting with Medical Staff continuing education activities, as applicable.
• Responsible for accreditation/licensure compliance of The Joint Commission and CMS Medical Staff Standards and assists with ongoing survey readiness preparations for the Medical Staff and other associated requirements.
• Performs necessary Medical Staff recordkeeping and assists with the budgeting process for the Medical Staff Office.
• Prepares correspondence notifying applicants of final credentialing/privileging determination.
• Mentors and assists the Credentialing Specialists as necessary- to include processing of initial and reappointment applications and the ongoing and focused evaluation processes.
• Follows policies, procedures, and safety standards. Completes required education assignments annually. Works toward achieving goals and objectives, and participates in quality improvement initiatives as requested.
• Performs other duties as assigned.

Minimum Education:           

None specified; will accept any combination of formal education and/or prior work experience sufficient to demonstrate possession of the knowledge, skill and ability needed to perform the essential tasks of the job, typically such as would be equivalent to a high school diploma or GED. Preference may be given to individuals possessing a Bachelor’s degree in a directly-related field from an accredited college or university.

Minimum Experience:         

Five (5) years’ experience in a healthcare environment with at least three (3) years’ experience in a Medical Staff office with credentialing responsibilities

Licensure Requirement:      

None