Description
Summary: Responsible for coordination and oversight of the Medical Staff Services Department, including physician and allied health credentialing and re-credentialing and privileging, organizing and minutes taking at medical staff meetings, flow of information from medical staff committees through Administration, Medical Executive Committee and the Governing Board. Assists with TJC survey preparation for the medical staff/leadership functions, including staff and medical staff education regarding accreditation standards. Works closely with medical staff leaders, hospital administration, and Risk Manager with regard to medical staff and bylaws issues. Responsibilities:
- Maintains consistency with Administrative and Departmental policies with appropriate behavior, dress, attitude, attendance, confidentiality, professionalism, and reliability.
- Oversees the Medical Staff Office functions of CSETHS under supervisory oversight of the Manager, Medical Staff Servicesand responsible for day-to-day management of operations of the Department. Assists the RM Manager, Administrators and Medical Staff Leaders with all issues that relate to Medical Staff Affairs, including compilation of data and preparation.
- Facilitates the initial and reappointment application process for Medical Staff and Allied Health Professional Staff membership for of all the facilities by analyzing applications, serving as a liaison to the CVO, and ensuring verification, research, and analysis of all credentials and query of all regulatory agencies (i.e., AMA, FSMB, NPDB).
- Ensures that credentials files for each facility for every Medical Staff member and Allied Health Professional Staff Member is current. Monitors and maintains the credentialing database, ensuring that CVO provides the most current documents for every practitioner, for each entity, when applicable.
- In coordination with the Manager, Medical Staff Services, monitors Medical Staff's medical record delinquency and notifies the practitioners of suspensions according to the Medical Staff Bylaws for all facilities.
- Coordinates the Medical Staff Committee/Section meetings and Medical Executive Committee for CSETHS. Attends meetings as necessary.
- Maintains current knowledge of TJC and Texas Department of Health standards, Medical Staff Bylaws and Rules and Regulations and hospital policies for all facilities. Reviews, researches and revises bylaws and rules, policies, and forms to ensure compliance with TJC and state standards at all times.
- Acts as a liaison to the Medical Staff members and their office personnel, Allied Health personnel and hospital personnel, working to resolve concerns as needed and providing support services to Medical Staff leaders.
- Responsible for preparation of the CSETHS General Call and ER Rotation Call Schedule in coordination with local hospitals. Responsible for distribution, maintenance and resolution of issues relating to all call schedules for local physician/clinic offices. Maintains call schedules on Intranet
- Provide support services to Physician Liaison and Physician Recruiter in physician related events such as Doctors' Day, CME events, health fairs, Physician Satisfaction Survey, etc.
- Prepares reports, gathers data, and coordinates ad hoc meetings and any other assignments or duties necessary for the Medical Staff Office or requested by the VPMA.
Requirements: Education/Skills
- Basic Computer Knowledge
- Ability to communicate effectively, both verbally and written.
- Must possess strong management, organization, communication, and computer skills; must demonstrate good interpersonal and analytical skills and the ability to work under stress and maintain confidentiality.
B. Experience
- Requires a minimum of 3-5 years experience in a medical staff office or related health care environment, and has effective knowledge of TJC and TDH Standards.
Licenses, Registrations, or Certifications
- High school diploma or equivalent
Work Schedule: 5 Days - 8 Hours Work Type: Full Time
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Christus Health
Aug 15, 2026