Employment Type:
Full time
Shift:
Description:
POSITION PURPOSE
Serves as Lead Coordinator providing guidance and support for Trinity Health Southeast Michigan Medical Staff Services (MSS), which includes Ann Arbor, Chelsea, Livingston, Livonia, and Oakland locations. Provides support to medical staff and administrative leadership, the organized medical staff, and medical staff committees pertaining to medical staff appointments, compliance, bylaws, rules and regulations, and policy interpretation. Responsible for the consistent application, effectiveness, and integrity of medical staff programs and processes, including the credentialing, privileging and peer review processes, through regular auditing and data analysis. Ensures coordination of crossover providers at TH SEMI facilities to maintain alignment and promote efficiency. Assist local MSS Managers with management of daily operations within assigned functional areas and ensures alignment with established priorities and consistent, timely completion of work assignments. Provides input into hiring decisions, as well as colleague performance planning and review sessions.
This position is an integral part of the MSS team and is responsible for leading the SEMI MSS team in a variety of tasks at the direction of MSS leadership in the efficient and effective completion of credentialing, privileging and peer review processes for Trinity Health Southeast Michigan RHMs. This role is responsible for ensuring compliance with credentialing policies, privileging requirements, and peer review processes and procedures; data base management and analytics; facilitation of state and accreditation surveys; and participating in development and implementation of process improvement initiatives related to medical staff processes.
ESSENTIAL FUNCTIONS AND RESPONSIBILITIES
Accountable for the development, facilitation, monitoring and ongoing process improvement of the onboarding, credentialing, expirable, peer review (FPPE, OPPE), and other essential operations and processes.
Supervises, organizes, and coordinates the daily activities of the Medical Staff Services colleagues, in support of MSS leadership, including the direction and maintenance of a comprehensive and specialized credentialing program, to assure continued accreditation and deemed status.
Serves as a liaison between MSS leadership and internal and external stakeholders. Builds positive physician/practitioner relationships by actively engaging in dialogue, identifying areas of improvement, and working with leadership and other appropriate individuals to resolve conflict that physicians/practitioners may be experiencing related to MSS activities.
Assists in the development of policies and procedures related to MSS. Provides interpretation and education.
Serves as a subject matter expert and liaison for research and knowledge of accreditation and State and Federal regulatory guidelines.
Researches, develops, and maintains appropriate guidelines to ensure compliance.
Monitors and revises credentialing and privilege request forms.
Performs appropriate research and works closely with the medical staff to develop and revise privileging criteria to reflect current standards in training and competency requirements. Owns the Focused Professional Practice Evaluation (FPPE) process and works closely with medical staff leadership to ensure compliance.
Ensures the accuracy, and confidentiality of the credentialing process and all work products, including data integrity, through consistent audits and data analysis. Supports all regulatory surveys (i.e., Joint Commission, CMS, etc.)
Serves as the credentialing software “super-user” and leads training, education, and performance improvement to promote optimum efficiency.
Leads the coordination of high-level medical staff committees and orientations and Board of Trustees meetings.
Identifies and communicates strategies to improve workflows.
Establishes and tracks key performance metrics to influence process improvement and ensure operational integrity.
Maintains a working knowledge of Trinity Health Integrity & Compliance Program & Code of conduct, as well as other policies & procedures to ensure adherence in a manner that reflects honest, ethical & professional behavior.
OTHER FUNCTIONS AND RESPONSIBILITIES
Performs other duties as assigned.
REQUIRED EDUCATION, EXPERIENCE AND CERTIFICATION/LICENSURE
Education: Associate’s degree in healthcare administration, business administration or similar degree OR equivalent. Bachelor's degree preferred.
Experience: A minimum of 3 years of healthcare administrative/office experience with a working knowledge of federal, state and TJC accreditation standards and general medical terminology required. Medical staff services, hospital credentialing and privileging, and peer review experience preferred. Demonstrated program management skills and experience with PDCA Cycles or Lean/Six Sigma preferred.
Certification/Licensure: None required. Certified Professional Medical Staff Management (CPMSM) or Certified Professional Credentialing Specialist (CPCS) preferred.
REQUIRED SKILLS AND ABILITIES
- Proficiency with MS Outlook, Word, Excel, and PowerPoint.
- Excellent interpersonal, verbal, and written communication skills necessary to facilitate communication, collaboration, and interaction with all levels of hospital personnel, medical staff and external agencies and organizations regarding MSS functions.
- Able to challenge established ways of doing things in a constructive manner. Leadership and credibility to conduct educational programs for staff at all levels, including medical staff.
- Exceptional organizational skills, analytical ability, and comprehensive knowledge base to identify opportunities for improvement and problem resolution, and to evaluate credentialing, privileging, and MSS operations.
- Extensive knowledge of Joint Commission, CMS, and Michigan regulations and standards as they relate to Medical Staff functions.
- Ability to manage changing priorities and work with frequent interruptions, exercise independent thinking and judgment, ability to work without direct, day-to-day supervision required.
- MSOW and MPS expertise; Proficiency with Midas/Statit familiarity (preferred).
Our Commitment to Diversity and Inclusion
Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. Built on the foundation of our Mission and Core Values, we integrate diversity, equity, and inclusion in all that we do. Our colleagues have different lived experiences, customs, abilities, and talents. Together, we become our best selves. A diverse and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by law.
