POSITION TITLE: MEDICAL STAFF OFFICE MANAGER
DEPARTMENT: MEDICAL STAFF ADMINISTRATION
Reporting to the Chief Medical Officer, the Medical Staff Office Manager is assigned the responsibility of directing/coordinating all medical staff activities and act as liaison
between Medical Staff and Administration. Primary responsibilities:
To assure high quality of patient care by:
· Directing and coordinating all medical staff credentialing/re-credentialing activities in accordance with JCAHO Standards on Credentialing and the Board of Registration in Medicine PCA Regulations.
· Directing and coordinating the Continuing Medical Education Program in accordance with the Essentials and Guidelines of the Massachusetts Medical Society maintaining 4Year Accreditation.
· Maintain current knowledge of latest recommendations from Joint Commission on Accreditation of Healthcare Organizations and the Massachusetts Board of Registration in Medicine.
· Possess a working knowledge of the Medical Staff Bylaws, Rules & Regulations, and department rules and regulations and notifies the medical staff of any changes thereof.
· Maintain close relationships with President of Medical Staff, officers, department and committee chairmen to ensure expeditious followthrough in committee actions, changes in policies, and for the enhancement of total medical staff function.
· Supervise medical staff assistants and volunteers.
· Plans, organizes, and directs a comprehensive program in credential verification for new applicants and reappointments through the Medical Staff Office.
· Plans, organizes, and directs a comprehensive program for Continuing Medical Education through the Medical Staff Office.
· Plans annually for the scope of medical staff activities, including preparing new committees with the President of Medical Staff.
· Prepares and maintains departmental budget within annual budgets.
· Propose bylaws amendments for committee approval.
· Attends Medical Staff Executive Committee monthly, Credentials & Ethics Committee, and Active Medical Staff Meetings.
· Coordinates with the CEO and/or Director of Performance Improvement on setting up and preparing for Joint Commission and other surveys.
· Coordinate Hospital Disaster Plan with Disaster Committee chairpersons.
· Develop written goals and objectives for the Medical Staff Office.
· Establish and implement policies and procedures for the Medical Staff Office.
· Direct and supervise all medical staff office employees, complete annual performance evaluations.
· Trains new medical staff office personnel in the policies and procedures of the medical staff office.
· Participate in professional organizations as are applicable to job description.
· Keep administration, President of the Medical Staff, and department chairpersons informed of special problems within their areas.
· Maintain current master copy of bylaws, rules and regulations.
· Organize and coordinate new doctor Orientation Program.
· Performs other duties as assigned.
QUALIFICATIONS
· Skills in office management, extensive computer background, familiarity with medical terminology, and a minimum of five years experience in a hospital medical staff office.
· Attainment of CPMSM and CPCS certification credential. Attendance at educational seminars/programs to maintain CPMSM/CPCS credential. Experience in program management and administration; or any equivalent.
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