Medical Staff Specialist

Credentialing Specialist

Responsible for credentialing, privileging, and re-credentialing of practitioners for Owensboro Health Regional Hospital (OHRH) and Owensboro Health Muhlenberg Community Hospital (OHMCH). Provides an up-to-date collection of textbooks, periodicals, and audiovisuals and makes those resources available to the medical staff, hospital staff and community. Manages maintenance of compliance for accreditation through the Kentucky Medical Association for the ability to offer Continuing Medical Education (CME) offerings and Category I credit for participants.

Job Responsibilities

• Conducts, participates, and maintains credentialing, re-credentialing, and/or privileging.
• Compiles, evaluates, and presents the practitioner-specific data collected for review by one or more decision-making bodies (department chief, Credentials Committee, Medical Executive Committee, and Board of Directors).
• Conducts, participates, and maintains primary source verification and data repositories.
• Recognizes, investigates, and validates discrepancies and adverse information obtained from the application, primary source verifications, and other sources.
• Evaluates credentialing/privileging requests including evidence of education, training, and experience to determine eligibility for requested privileges and membership.
• Complies with accreditation and regulatory standards, policies, and procedures; participates in an ongoing assessment of governing documents (bylaws, rules, and regulations) to ensure continuous compliance.
• Coordinates on-boarding processes (orientation and training activities) to assist practitioners/providers and to meet education requirements.
• Serves as a facilitator for medical staff department chiefs and committee chairs to ensure that duties assigned are fulfilled as described in Medical Staff By-Laws.
• Attends department and committee meetings; takes minutes, participates in meetings, and composes follow-up correspondence on behalf of medical staff leaders.
• Assists in the preparation and posting of all specialty call rosters.
• Ensures the daily maintenance of the house-wide electronic staff call roster.
• Assists with the pay-for-call program.
• Completes literature searches using manual and computer assisted searches.
• Prepares book orders, invoices, processes new books, etc. Acquires, classifies, catalogs, stores, and disseminates information from these references.
• Responsible for the Continuing Medical Education (CME) activities for Owensboro Health.
• Manages the Continuing Medical Education (CME) activities of the organization.
• Manages maintenance of compliance for accreditation through the Kentucky Medical Association for the ability to offer Continuing Medical Education (CME) offerings and Category I credit for participants.
• Collaborates with senior staff on complex issues arising in data analysis.

Skills and Attributes

• Requires critical thinking skills and decisive judgment.
• Works under direct supervision.
• Must be able to work in a stressful environment and take appropriate action.
• Excellent interpersonal, analytical, and team building skills.
• Learning and applies knowledge at a basic level relying heavily on senior staff for troubleshooting.

Work Experience

No experience required

Education

• Bachelor's degree or higher in Business Administration required upon hire OR
• Bachelor's degree or higher in Healthcare Administration required upon hire OR
• Bachelor's degree or higher in related field required upon hire

Additional Education information

A combination of education, training and experience may be considered in lieu of degree.

Licensure/Certification/Registration

No licensure/certification/registration required

Organizational Responsibilities

Adheres to all organizational policies and procedures. Executes all tasks and behaves in a manner consistent with a culture of compliance, safety and a high reliability organization; behavior supports the organization's core commitments of Integrity, Service, Respect, Teamwork, Excellence, and Innovation.

Additional Job Information

• This job description describes the general nature and level of work required by the position. It is not intended to be an all-inclusive list of qualifications, skills, duties, responsibilities or working conditions of the job. Specific duties and responsibilities consistent with the general nature and level of work described may vary by department and additional related duties may be assigned as needed.
  
  Some duties listed may not apply to all employees with this job description. The job description is subject to change with or without notice, and Management reserves the right to add, modify or remove any qualification or duty. Nothing in this job description changes the existing at-will employment relationship between the Organization and the employee occupying the position.
• Training is provided relevant to the population served, based on scope of care of the service assignment.
• Owensboro Health is committed to providing a safe working environment including training and…