Medical Staff Coordinator

At North Bay Health, This position is responsible for medical staff administrative functions; credentialing and re-credentialing functions; departmental projects; accreditation, regulatory, and health plan surveys; and/or resource functions, as defined below.

All staff members are expected to participate in surveys, to serve as a resource and have assigned departmental projects. The Medical Staff Coordinators provide these functions for North Bay Healthcare Group, Hospital and Medical Practices Division, and for the North Bay Surgery Center Vaca Valley.

• Medical Staff Support (administrative) functions as assigned:

  • Provides administrative support to the Medical Staff Services Department and the Medical Staff Leadership.

  • Supports assigned medical staff meetings through preparation of agendas, minutes, reports, and correspondence.

  • Responsible for the flow of information between departments, committees, and leadership.

  • Facilitates the work of assigned committees such as tracking unfinished business, and forwarding items through the medical staff approval process.

• Credentialing and Re-credentialing functions as assigned

  • Performs credentialing responsibilities in an expeditious manner to bring on new physicians, licensed independent practitioners (LIPs) and Allied Health Practitioners (AHPs), in accordance with department policies.

  • Responsible for all credentialing/privilege delineation and re-credentialing/privilege delineation processes ensuring that all credentialing/privileging criteria are met. Credentialing is accomplished per time requirements and all members and AHPs are re-credentialed every two years.

• Must have knowledge of the FPPE process as it relates to credentialing processes. Departmental Projects as assigned:

  • Performs other administrative duties as assigned including but not limited to:maintaining medical staff and Emergency Department call schedules, preparing and tracking ballots, tracking policies through the medical staff approval process, and monitoring and tracking medical and AHP students.

  • Assists with special departmental projects as assigned.

• Accreditation, Regulatory, and Health Plan Survey and/or Audit functions:

  • Assists with accreditation, regulatory, and health plan surveys as assigned.

• Resource functions:

  • Serves as a resource related to the Medical Staff Bylaws, Rules and Regulations and policies.

  • Maintains familiarity with regulatory requirements such as The Joint Commission (TJC), National Committee for Quality Assurance (NCQA), Accreditation Association for Ambulatory Health Care (AAAHC), and California Department of Public Health (CDPH) Title 22 as they pertain to the functioning of the medical staff.

  • Supports organizational mission, goals and values.

  • Demonstrates and models the North Bay Way principles.

  • Credentialing, re-credentialing and privileging functions:

  • Coordinates the initiation, completion and maintenance of credential and re-credential files for North Bay Healthcare Group (Hospitals, Medical Practices, Ambulatory Surgery Center) Medical Staff, AHP’s and NBHG contracted and sub-contracted provider panel practitioners as per NBHG Medical Staff Bylaws and/or applicable policies and procedures and regulatory/accreditation standards, as assigned.

  • Accepts all applications to the medical staff or AHP staff and/or health plan staff and primary source verifies all information contained in the application in accordance with the NBHG Medical Staff Bylaws, Rules and Regulations, and Policies, ASC Bylaws and obtains activity/volume reports to support requested privileges, as applicable.

  • Ensures timely follow-through of applications to the appropriate Medical Staff Departments, Committees, and the Operating Committee or Board of Directors.

  • For a delegated entity, ensures credentialing and re-credentialing processes are completed.

  • Maintains ongoing system for ensuring reappointment of medical staff members, allied health practitioners for NBHG membership, ASC and/or health plan membership, according to the time schedule and in accordance with bylaws and policy requirements. Re-credentials providers every two years and timelines cannot exceed two years.

  • Accepts and processes through the…