Medical Staff Credentialing Director is responsible for all aspects of the verification process for medical staff incumbents. Provides regulatory oversight and guidance to the credentialing process. Being a Medical Staff Credentialing Director maintains working knowledge and ensures continuing compliance with state, federal, and institutional standards and guidelines. Develops and implements policies and protocols related to medical staff verifications and ensures that the organization and staff are in accordance with organizational and industry standards. Additionally, Medical Staff Credentialing Director analyzes reports on applications and credential status to identify trends and improve the credentialing process. Presents files to the credentialing committee and may act as a liaison to state medical licensure boards regarding the status of license applications. Requires a bachelor's degree. May require Certified Provider Credentialing Specialist (CPCS). Typically reports to senior management. The Medical Staff Credentialing Director typically manages through subordinate managers and professionals in larger groups of moderate complexity. Provides input to strategic decisions that affect the functional area of responsibility. May give input into developing the budget. To be a Medical Staff Credentialing Director typically requires 3+ years of managerial experience. Capable of resolving escalated issues arising from operations and requiring coordination with other departments. (Copyright 2024 Salary.com)
Position Summary
The Chief Quality Officer coordinates the organization-wide performance improvement program, the risk management program and ensures compliance with regulatory requirements. In addition, this role may, but is not all inclusive of the following: infection control.
Essential Job Functions:
1. Oversees the development, coordination and evaluation of effective hospital wide quality management programs, including mandatory required reporting measures (core measures, HCAPHS).
2. Directs broad operations to ensure facility wide compliance with all regulatory and accreditation agencies and hospital requirements.
3. Ensures collaborative departmental approach to long-range strategic operational planning, care and service
design and development of organizational policies that reflect the mission of the organization.
4. Continuously assesses, measures, and improves departmental performance.
5. Demonstrates responsible management of all Quality Management Departmental resources.
6. Demonstrates managerial competency. Ensures professional development needs of management and staff are met.
Position Requirements:
A. Licensure/Certification/Registration:
Current License-State of Oklahoma
B. Education:
Graduate of Accredited School of Nursing, BSN or related field. Masters degree preferred
C. Experience:
Minimum of 5-8 years in nursing or other healthcare management. Extensive knowledge of various regulatory
agencies and required standards, such as Joint Commission, State, and CMS, etc.
D. Special qualifications:
Effective communication and interpersonal skills to interact with patients, visitors, physicians, and
department/hospital staff members. Self-motivated, independent, professional, creative, and dependable. Able to
merge clinical and financial processes. Must have the ability to analyze, assemble, and prepare statistical reports.
Basic office and computer skills.
III. Degree of Supervision Required:
Involves general guidance and direction by Administration. The Chief Quality Officer is expected to perform most
job duties independently and in accordance with established departmental and hospital policies/procedures.
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