Medical Staff Coordinator I

Baylor St. Luke's Medical Center
Published
September 21, 2022
Location
Houston, TX
Category
Job Type

Description

Overview

Baylor St. Lukes Medical Center is an internationally recognized leader in research and clinical excellence that has given rise to breakthroughs in cardiovascular care neuroscience oncology transplantation and more. Our teams efforts have led to the creation of many research programs and initiatives to develop advanced treatments found nowhere else in the world. In our commitment to advancing standards in an ever-evolving healthcare environment our new McNair Campus is designed around the human experiencemodeled on evidence-based practices for the safety of patients visitors staff and physicians. The 27.5-acre campus represents the future of healthcare through a transformative alliance focused on leading-edge patient care research and education. Our strong alliance with Texas Heart Institute and Baylor College of Medicine allows us to bring our patients a powerful network of care unlike any other. Our collaboration is focused on increasing access to care through a growing network of leading specialists and revolutionizing healthcare to save lives and improve the health of the communities we serve.

Responsibilities

Responsible for assisting in complying with Medical Staff Bylaws, Rules & Regulations, regulatory and accrediting agencies, interpreting standards and implementing changes.  Coordinates credentialing activities including data entry and physician database maintenance; credentialing processes, expirables and other duties that support provider onboarding activities.  Serves as effective liaison between practitioner, hospital and Centralized Verification Office (CVO) throughout the credentialing process.  Responsible for understanding State, Federal and Regulatory Agency requirements, accreditation compliance and other critical matters that may affect the healthcare environment as it relates to the medical staff. 

  • Initiates and coordinates the collection of primary source information for credentialing purposes.  Verifies, compiles, manages and maintains confidential research required for credentialing of initial appointment and reappointment applicants.  Processes applications according to established legal, State and Federal agencies, State licensing board, regulatory and facility standards.  Coordinates, tracks, and monitors flow of information to ensure the timely processing and notification of applicants in accordance with the guidelines and policies established.
  • Conducts thorough analysis of all primary source documentation received for assessment of qualifications/competencies.  Assures appropriate education and training including procedural documentation has been provided to support clinical privileges requested.  Identifies any potential quality of care issues, behavioral problems, and/or other issues escalating as necessary.  Summarizes and prepares credentialing information, including information about flagged concerns, for review and decisions.  Applies the credentials evaluation process uniformly to all initial appointment and reappointment applications to ensure compliance with CHI St. Lukes Health credentialing policies, procedures and applicable Medical Staff Bylaws.  Compiles information regarding CME credits and other requirements in accordance with state licensing requirements and Division policy.
  • Facilitates medical staff leadership review and evaluation of documentation in each application.  Serves as a primary point of contact for practitioners during appointment and reappointment process.  Must be available to guide practitioners through the process and clearly communicate requirements.  Communicates questions and concerns regarding application documentation with leaders in a clear, concise and factual manner.
  • Maintains an accurate, secure and current database of physician and advanced practitioner/allied health professional information.  Follows data entry policy. 
  • Appropriately escalates concerns regarding credentialing documents and/or timeliness of the verification process.  Communicates with the CVO and other facilities appropriately and in a timely manner according to policy.  Maintains confidentiality.
  • Reviews delineation of privilege forms and collects supporting clinical case logs as needed, tracks monitoring/proctoring documentation as necessary for the granting of special or new privileges.
  • Supports the medical staff organization as assigned including meeting agendas, minutes and meeting attendance.
  • Collaborates with other hospital and division departments as appropriate to facilitate credentialing, onboarding and other tasks as assigned.
  • Appropriately escalates concerns regarding credentialing documents and/or timeliness of the verification process.  Communicates with the CVO and other facilities appropriately and in a timely manner according to policy.  Maintains confidentiality.
  • Supports system and division standardization efforts. Actively identifies, participates in developing and implementing best practices.
  • Performs other duties as assigned in an effective, competent and timely manner.  

Qualifications

Experience Minimum of one (1) year of experience in medical staff services, hospital administrative department or credentialing verification organization.  Comparable healthcare or managed care work experience may be considered.

Education High School diploma

Minimum Knowledge, Skills, and Abilities:

        Credentialing database experience, MSOW or Cactus preferred

        Proficiency in Microsoft Office or Google Workspace

        Excellent written and oral communication skills

        Excellent data entry skills; detail-oriented, ability to prioritize tasks

        Ability to work remotely as assigned while maintaining confidentiality, communicating appropriately and completing assignments according to deadlines

        Ability to comprehend and follow instructions; maintain attention and concentration despite interruptions for necessary periods.

        Ability to synthesize, coordinate, and analyze data, perform simple and repetitive tasks and maintain a work pace appropriate to given workload.

        Perform varied tasks; relate to other people beyond giving and receiving instructions in stressful situations, get along well with customers, co-workers and peers;

        Understand the meaning of words and how to use them appropriately and effectively; make appropriate decisions and/or exercise judgement based on appropriate information while elevating questions and concerns to the supervisor.

        Accept and carry out responsibility for direction, control and planning of day-to-day workload.

DISCLOSURE STATEMENT:

The above statements reflect the general details considered necessary to describe the essential functions of the job as identified, and shall not be considered a detailed description of all work requirements that may be inherent in position.

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