"Alerted.org

Description

This position is incentive eligible.

Introduction

Are you ready to manage in a new era as a Director Medical Staff Services where building a healthier tomorrow is more than a job? Our Rio Grande Regional Hospital team is committed to partnership, innovation, legacy and improving more lives in more ways. Share your resume today.

Benefits

Rio Grande Regional Hospital, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

+ Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.

+ Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.

+ Free counseling services and resources for emotional, physical and financial wellbeing

+ 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)

+ Employee Stock Purchase Plan with 10% off HCA Healthcare stock

+ Family support through fertility and family building benefits with Progyny and adoption assistance.

+ Referral services for child, elder and pet care, home and auto repair, event planning and more

+ Consumer discounts through Abenity and Consumer Discounts

+ Retirement readiness, rollover assistance services and preferred banking partnerships

+ Education assistance (tuition, student loan, certification support, dependent scholarships)

+ Colleague recognition program

+ Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)

+ Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.

Learn more about Employee Benefits (https://careers.hcahealthcare.com/pages/employee-benefits-and-rewards)

_Note: Eligibility for benefits may vary by location._

Our teams are dedicated to improving human life. Each year about five percent of all U.S. hospital services happen at an HCA Healthcare facility. Be an impact as a Director Medical Staff Services where your passion for leading and creativity are valued? We want your knowledge and expertise!

Job Summary and Qualifications

The Director of Medical Staff Services assists the CMO with implementation of and compliance with credentialing initiatives/processes. The incumbent is expected to maintain a working knowledge of applicable HCA Healthcare and Parallon Credentialing Processing Center (CPC) policies, accreditation standards and regulations associated with medical staff services, and play a key role in the integration of HCA Clinical Strategies and HCA systems.

At the direction of the CMO, the Director of Medical Staff Services will:

+ Monitor implementation and progress of credentialing and data integrity projects within the facility

+ Foster a collaborative working relationship between the Medical Staff, Administration, CPC staff and COG/Professional Practice Advancement (PPA) personnel, Information Protection & Security and key internal stakeholders.

+ Facilitate Medical Staff meetings.

+ Coordinate efforts to develop processes that support sharing of best practices.

+ Provide orientation to new MSPs within the department.

+ Advocate for the mission and goals of Rio Grande Regional Hospital

+ Be a subject matter expert on the Medical Staff Bylaws, Credentials Policy, Rules and Regulations and Organizational Manual for leadership and the Medical Staff.

What you will do in the role:

+ Attend initial orientation from the CPC and HCA’s Professional Practice Advancement department.

+ Maintain an acute awareness and accurate interpretation of the HCA Healthcare credentialing policies and procedures.

+ Read and be familiar with the HCA Healthcare Model Medical Staff Governance Documents (e.g., bylaws, credentials policy and organization manual), the PPE Manuals, and other model medical staff policies, and support the facility’s medical staff in their review and adoption.

+ Read and be familiar with facility Medical Staff Governance Documents (e.g., bylaws, credentials policy and organization manual) to understand where they may differ from the HCA Healthcare models.

+ Support facility adoption of template Medical Staff Services Department policies.

+ Be familiar with CPC policies as they impact the facility’s MSSD.

+ Read and act on announcements and alerts from the CPC, including

+ i. Expirable credentials notifications

+ ii. Dynamic flag alerts

+ iii. Notices of changes or updates to Cactus, or CPC procedures.

+ Read and act on the weekly information from HCA’s Professional Practice Advancement department (e.g., Answer of the Week, Important Updates, and other announcements).

+ Participate in monthly “Village” calls.

+ Facilitate development, implementation and maintenance of standardized delineation of privileges.

+ Support facility management of the vetting of Tier 3 Dependent Health Professionals (DHPs) in accordance with COG.PPA.003 by facilitating the review of qualifications/competencies by the appropriate physician leader.12. Liaison with corporate, Division, and facility Disaster Management teams to expedite requests for practitioners.

+ Manage facility level request and approval documentation to support the Disaster credentialing processes.

+ Ensure that facility Medical Staff Services operations conform to local, state, and federal governmental regulations as well has HCA Healthcare policy.

+ Assist facility in preparation for accreditation, regulatory, and any internal surveys relative to credentialing, privileging and PPE

+ Participate in internal audits and regulatory surveys, as needed.

+ Coordinate with the CPC for requests of additional documentation from surveyors.

+ In collaboration with CMO ensure that facility peer review activities and functions are handled in accordance with state specific peer review protections.

+ Coordinate utilization of the Practitioner Excellence dashboard, PPM, and intramural peer reviews functions (i.e., tracking, and data aggregation) in the required performance of FPPE and OPPE.

+ At the direction of the CMO, perform audits pertaining to the completeness of credentialing records of privileged and non-privileged practitioners.

+ Monitor facility adherence to database standardization initiatives (i.e., clinical information governance specialty, practice area, etc.).

+ Analyze and monitor facilities’ Medical Staff Services performance metrics and facilitate development and leadership review and approval of corrective action/performance improvement plans to address deficiencies.

+ Monitor compliance with applicable HCA Healthcare Ethics and Compliance policies

+ Develop reports, queries and documents when requested to support Division requests.

+ Identify and voice process improvement opportunities that affect local credentialing, privileging or PPE processes.

+ Assist CMO with review of and follow-up on a practitioner request for consideration (RFC) or recredentialing request for consideration (RRFC) when a Type 2 flag has been issued or a facility requests assistance in determine whether a practitioner meets threshold eligibility criteria or development of a monitoring plan.

What qualifications you will need:

+ Bachelor’s degree in medical staff services science, business, or related field of study or an equivalent combination of training and experience required. Master’s Degree preferred.

+ Certified Professional Medical Services Management and/or Certified Provider Credentialing Specialist within time period specified by CMO.

+ Minimum of 5 years comprehensive credentialing experience in an acute care hospital or CVO setting.

+ Minimum of 2 years supervisory/management experience.

Rio Grande Regional Hospital (https://careers.hcahealthcare.com/pages/rio-grande-regional-hospital) in McAllen, Texas has been serving the Rio Grande Valley for more than 30 years. Our **full service hospital has 320+ beds** and a team of more than 500 physicians representing 35+ specialties. Rio Grande Regional Hospital offers a full range of inpatient and outpatient medical and surgical services. Our Emergency Room is a **Level III Trauma Center** and we have extended our ER services into the Rio Grande Valley with our three remote ERs in McAllen/Mission, Edinburg, and San Juan. Our Women’s Services include L&D and a 30+ bed NICU. We also have an entire children’s hospital within our main facility to care for the children in our community. We work with the _Texas Transplant Institute, which serves local patients in need of organ, tissue or stem cell transplants_ . Our proven track record of serving the medical needs of the Valley communities we serve has led to Rio Grande Regional Hospital being recognized for patient safety and clinical excellence time and time again.

HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.

"There is so much good to do in the world and so many different ways to do it."- Dr. Thomas Frist, Sr.

If this is the kind of dynamic growth opportunity that compels you, apply for the Director Medical Staff Services role. We are interviewing apply today!

We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.