Dir Medical Staff Service

Dir Medical Staff Service – Wellstar Health System

We invite driven leaders to join Wellstar Health System as Director of Medical Staff Services. This role supports the medical staff organization, including department and committee structure, credentialing, recredentialing and privileging processes, and provides guidance, direction, and leadership in all areas of Medical Staff Services support. The Director will manage daily operations, oversee staff, ensure compliance with regulatory laws and accreditation standards, and maintain accountability for financial stewardship.

Day (United States of America)

Medical Staff Services supports the Medical Staff organization, including the Department and Committee structure; the credentialing, recredentialing, and privileging process; provides assistance to the Medical Directors and Medical Staff Leadership and many other diverse functions. The Director of Medical Staff Services provides guidance, direction and leadership in all areas of Medical Staff Services support, system credentials process, and to the Medical Directors and Medical Staff Leadership in a hospital.

The position provides management support to the hospital Medical Staff and its functions and maintains responsibility for monitoring all applicable regulatory laws and statutes (state and federal) and accreditation standards as well as Well Star Health System and Medical Staff Bylaws, Rules & Regulations and Policies & Procedures for compliance by the Medical Staff organization. These include, but are not limited to, State, CMS, FDA, and Joint Commission on Accreditation of Healthcare Organizations.

This position directs the daily operations of Medical Staff Services and oversees the personnel within the department for effective support of the Medical Staff organization and its leaders. The Director is responsible for departmental financial accountability, management development, human resources issues, and customer service strategies.

Medical Staff/Support Functions:
Provide to facility quality support by qualified Medical Staff Services professionals who are trained to support the multiple functions specific to the Medical Staff organization. Establish the Medical Staff Services Office as an in-house resource, liaison, and partner for the Medical Staff Leaders in the facility.

Support of Medical Executive Committee, Departments, and Medical Staff Committee for a Hospital which requires:

• Monthly calendars, meeting notices, room reservations, dietary orders, attendance rosters
• Development of meeting agendas and meeting information packets
• Maintaining accurate minutes of meetings
• Ensure appropriate and expeditious follow-up on committee/department actions
• Maintain minute books of all committees and departments
• Responsible for Corrective Action support, including Fair Hearing process which requires:
  • Interviewing/Counseling
  • Development of Action Plans
  • Support of Fair Hearing Process per Policy

Functions as Resource/Guidance for Medical Staff Leadership, Medical Staff in general, Medical Directors, and Administrators/Senior Leadership.

Functions as liaison between Medical Staff and Administration/Senior Leadership.

Oversight of Medical Staff, Allied Health, and Leadership Orientation/Education/Development.

Responsible for submission of monthly reports to Well Star Medical Affairs Committee and Well Star Governing Body, including any new or revised documents such as Medical Staff Bylaws, Rules & Regulations, Policies & Procedures, privileging criteria and forms.

Credentials Functions:
Provide high-quality, single-application process for Medical Staff Membership and Allied Health Professionals in a timely, cost-effective manner.

• Oversight of credentialing/privileging for Medical Staff for a Hospital, Physician Group, PHO, and delegated credentialing for managed care organizations for all appointments and reappointments.
• Oversight of credentialing/clinical functions for Allied Health Professionals for a Hospital and Physician Group.
• Assure appointment and reappointment process initiated and completed per policy, JCAHO standards, and state/federal regulations.
• Analytical responsibility for credentialing information obtained during application/reappointment process.
• Responsible for maintenance of current, individual credential file for each Medical Staff Member and Allied Health Professional.
• Assures appropriate interface with Quality Improvement and Risk Management regarding credentialing/privileging assessments and issues.
• Oversight of communication with all applicants regarding membership and privileging.
• Oversees processing of emergency Non-Staff Temporary privileges, processing of locum tenens privileges, processing of students/residents, credentialing of Hospice applicants, and disaster privileging.
• Oversees development and maintenance of current credentialing database.
• Responsible for setting up/educating users of credentialing software.
• Responsible for physician…