Medical Staff Credentialing Specialist jobs in Norfolk, VA

ECU Health

About ECU Health Chowan Hospital

ECU Health Chowan Hospital in Edenton is a 25-bed critical access hospital which provides programs and services to 110,000 people in 6 counties. The facility offers medical and surgical services, including intensive care, a specialty care clinic and a dedicated outpatient surgery area with endoscopy capabilities. A 7-bed emergency department serves approximately 15,000 patients per year and team members at the facility have access to a telemedicine link with the Brody School of Medicine at East Carolina University.

Position Summary

The Lead Medical Staff Specialist serves as the primary resource for the MSS staff related to credentialing, recredentialing, privileging and expirables maintenance of our provider work force. This person also acts in the stead of the department administrator for regulatory survey preparation and support for survey interviews.

Responsibilities

1. Directs the medical staff credentialing and privileging workflow including: ensure appropriate primary source verification services not already provided by the CVO for medical staff and advance level practitioners upon initial appointment and reappointment.

2. Coordinates activities for medical staff promotions and providers' special procedure requests by providing primary source verification and clinical competency evaluation.

3. Oversee the organization and maintenance of the permanent credentials file for all practitioners, verification of maintenance of current license, DEA, and insurance for all practitioners, verification of VMC work history, collection of NPI numbers and communication of same. Ensure accurte maintenance of the CACTUS credentialing data base for VMC providers.

4. Coordinates and Oversee throughput of credentialing applications, assigning applications to medical staff specialists based on workload. Provide support to staff in credentialing aspects.

5. Ensure appropriate preparation of agendas and other correspondence for Credentials Committee meetings, Executive Committee, and Board of Trustees and update the CACTUS database to reflect these actions.

6. Manage preparation and organization of documents for regulatory surveys in the absence of the Administrator.

7. Oversee orientation for new providers; coordinate orientation components with employee department and or other MAO departments. Facilitate the issuance of parking permits, ID badges and scrub access for new providers. Provide support to other MSS specialists who orient providers.

8. Coordinate IT access requests for new providers, facilitate revisions to providers' profiles in the EHR and on the intranet. Fulfill requests for CACTUS ad hoc reports and ensure apporpriate management of the expiration reports for VMC.

9. Triage and track provider questions and concerns as needed.

10. Maintain working relationships with administrative personnel, medical staff leadership and private practice office staff.

Minimum Requirements

• High School or Equivalent (GED) or higher
• Five to seven years related experience

General Statement

It is the goal of ECU Health and its entities to employ the most qualified individual who best matches the requirements for the vacant position.

Offers of employment are subject to successful completion of all pre-employment screenings, which may include an occupational health screening, criminal record check, education, reference, and licensure verification.

We value diversity and are proud to be an equal opportunity employer. Decisions of employment are made based on business needs, job requirements and applicant's qualifications without regard to race, color, religion, gender, national origin, disability status, protected veteran status, genetic information and testing, family and medical leave, sexual orientation, gender identity or expression or any other status protected by law. We prohibit retaliation against individuals who bring forth any complaint, orally or in writing, to the employer, or against any individuals who assist or participate in the investigation of any complaint.