Job Description

This is a hybrid-remote position - incumbents, who reside in Oregon or Washington only, may work 1-2 days a week at an assigned Legacy Health location, and other days may work remotely at home, on the road or in a satellite location for the remainder of their workweek.

 

All new hires are required to come to a designated Legacy Health office location in Portland, Oregon prior to their start date for a new hire health assessment and to complete new hire paperwork. This position may require initial training and orientation to be site-based, before transitioning to the hybrid schedule. 

Responsibilities

As the conduit between the hospital’s medical staff and administration, you keep everything running smoothly. Is the medical staff compliant with application of hospital, regulatory and accreditation standards? Are appointments and reappointments organized and complete? Does the organized medical staff need general administrative support? You make sure these and other key issues are handled with the efficiency and amiability that reflects the values of the Legacy community.

 

Coordinates or processes initial credentialing and recredentialing.

Works with the System-Wide Credentials Verification Services department to obtain necessary initial or reappointment applications.

Conducts in-depth file review of all providers to ensure they meet Legacy’s established criteria including:

Evaluates all requests for clinical privileges against privileging criteria

Obtains clinical activity/information from internal and external sources

Analyze clinical activity received to assess practitioner competency requirements for medical staff privileges

Facilitate and coordinate multi-site providers, including working with internal staff and providers from multiple facilities to achieve standardized approach/outcome

Prepares initial appointment and reappointment information for review by Medical Staff section and department chairpersons, or Credentials Committee.

Reviews all submitted information for accuracy and identifies problem areas for additional attention. Notifies reviewer of issues, as appropriate.

Communicate with applicants, explaining the department application process and distributing necessary materials

Obtains required approval signatures.

Monitors adequacy and quality of potentially sensitive information; seeks additional information when necessary for effective peer review decision making.

Arranges temporary privileges when appropriate.

Enters all privileging information into database.

 

Processes requests for additional privileges, changes of status and resignations.

Ensures that requests for additional privileges are accompanied by appropriate supporting documentation and that credentialing criteria have been met.

Notifies necessary individuals of changes to the status of a medical staff member.

 

Assists with regulatory requirements such as Focused Professional Practice Evaluations (FPPE)

Tracks providers needing an FPPE review

Obtains necessary data or peer review information to ensure a clinical review of a provider can occur

Coordinates the FPPE process with the Department or Section Chair

Forwards completed reviews onto the appropriate committee for review and recommendation.

 

Maintains database.

Inputs all relevant data.

Responsible for generating reports and creating correspondence.

Ensures data security and confidentiality

Coordinates set-up of all medical staff to IS

 

Arranges credentials orientation for new medical staff.

Provides orientation materials to new practitioners.

Coordinates new practitioner orientation with Medical Staff Leaders and Hospital Administration.

 

Operates computer, copy machine, fax and other office equipment efficiently.

Maintains working knowledge of changes and upgrades in computer programs.

Demonstrates knowledge and appropriate use of department systems.

 

Creates and maintains credentials files for all medical and allied health staff members.

Ensure integrity of all paper and electronic practitioner files in accordance with medical staff bylaws, policies and procedures.

 

Supports Medical Staff or Department Meetings

Provides meeting support for Medical Staff or department committees, as assigned. Schedules meetings, prepares agendas, takes meeting minutes and provides post-meeting follow through.

Provides support for hospital-based Medical Staff educational events, as assigned. Support includes room scheduling, promotion, preparation of conference materials, event attendance and post-event follow up.

Ensures medical staff bylaws, rules & regulations are followed

Attend monthly Medical Staff Specialist meetings and other meetings/events as a member of the MSS team

 

Supports Medical Staff Office

Serve as point person for medical staff

Greets and assists department customers.

Answers office phone, processes mail, including email, and serves as a resource on Medical Staff and department policy and process.

Prepares reports as required by regulatory entities and department needs.

Tracking and posting receipt of payment for medical staff annual dues and application fees.

Works with Privileging Coordinator to develop or update medical staff privileges

Prepare check requests and purchase requisitions, as required

Provide cross-coverage and assistance to departmental coworkers, as needed

Performs other support duties as assigned.

Resolves issues and complaints from medical staff members or hospital staff

 

Emergency Call Schedules

Depending on location, works with Medical Staff members and department staff to create on-call schedules for patient care. Posts and distributes schedules according to department and hospital policy. Modifies schedules, as needed, and notifies appropriate parties of schedule changes. Maintains up-to-date list of qualified call providers.

 

Accreditation

Maintain current knowledge of all Medical Staff requirements for accreditation

Organize and maintain files required for the Joint Commission, DNV or another accreditation survey

Participate in accreditation on-site visits including file review process.

 

Embraces Professional Development

Takes responsibility for personal professional development through self-study and participating in inservices and continuing education programs provided by department.

Maintains current knowledge of regulatory requirements regarding credentialing and privileging, as well as system and department policy.

Actively participates in quality improvement activities and may participate in system-wide department initiatives or projects, as assigned.

Qualifications

Education: College degree, college training, or formal coursework in business administration or academics preferred.

 

Experience: Minimum two years relevant credentialing experience or equivalent, preferably in a like setting such as a health plan, clinic or hospital. Medical Coding experience is preferred.

 

Skills:

Medical terminology

Medical Coding knowledge

Strong critical thinking & problem-solving ability

Proficient in all Microsoft Office applications, especially Word, Excel, PowerPoint, and Access

Excellent communication and interpersonal skills (written and verbal); ability to problem solve and exercise diplomacy in handling situations of a sensitive and/or confidential nature

Experience using MSOW or other credentialing software

Superior organizational skills with strong attention to detail

Ability to work independently and to prioritize tasks

Ability to adapt and adjust to new or changing situations

Knowledge of Joint Commission accreditation requirements and processes

Commitment to provide excellent customer service

Strong time management skills

Ability to handle large volume of work. Knowledge of privacy laws, regulations and national standards related to health plan credentialing and/or Medical Staff Services.

 

LEGACY’S VALUES IN ACTION

Follow guidelines set forth in Legacy’s Values in Action.

 

Equal Opportunity Employer/Vet/Disabled

Compensation details: 27.91-39.91 Hourly Wage

PId51511233820-30492-37163613

Job Tags

Hourly pay, Temporary work, Remote job, Work from home, 2 days per week, 1 day per week,

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