Manager-Medical Staff Services & Payer Relations-8005

Position Title: Manager of Medical Staff Services   Position Code: MgrMedStfSvc-8005

Department: Medical Staff                                       Safety Sensitive:        ☐  Yes            ☒  No

Reports to: Director of Quality Management           Exempt Status:          ☒  Yes            ☐  No 

                                                 

Position Purpose:

All KHI employees are expected to perform their respective tasks and duties in such a way that supports KHI’s vision to be among the kindest, highest quality health systems in the country.

The Manager of Medical Staff Services manages the operational and budgetary oversight for Medical Staff Services (MSS)

 

 

Key Responsibilities [List of material responsibilities and essentials duties which must be completed in achieving the objectives of the position]



* Provides overall strategic, budgetary, and operational leadership for Medical Staff Services. Manages the day-to-day operations including staff development and training.


* Coordinates with Medical Staff leadership to administer Medical Staff functions including credentialing, privileging, reappointment, governance and bylaws, support services, policy and procedure, accreditation and coordinating medical staff events and functions.


* Maintains working knowledge of all relevant bylaws, accreditation standards, and policies and procedures to ensure compliance.

Assists with review and updating of bylaws and departmental policies and procedures and processes upon KHI board approval.


* Responsible for preparation, organization and follow up involved with regulatory compliance related to MSS Performance.


* Plays a key role in the development of systems and procedures that promote clinical performance and superior delivery of care.


* Assists with research and development of privileging criteria for consideration when updating delineation of privileges cards.


* Manages processes and compliance for the following: Expiring reports (BLS, ACLS, licensure, COI, reappointment, EMTALA, supervision agreements, etc.), monthly credentialing and privileging letters, monthly and annual calendar development, budget (to include required reports), off-site bank account (in collaboration with the Chief-of-Staff), and content maintenance for Medical Staff information on KHI intranet.


* Manages and maintains the credentialing and privileging management software.

Ensures protected health information is stored in the confidential medical history section of the software.


* Serves as a resource to, and collaborates with, providers and other staff to advance the quality of providers and patient safety to the facility.


* Produces letters, obtains required signatures, and distributes letters/privileges following each KHI board meeting.
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