Market Medical Staff Manager at HCA Healthcare in San Antonio, Texas

Job Description:

DESCRIPTION SHIFT: No Weekends

SCHEDULE: Full-time

Do you have the career opportunities as a Market Medical Staff Manager you want in your current role? We have an exciting opportunity for you to join the Ambulatory Surgery Division, part of the nation's leading provider of healthcare services, HCA Healthcare.

With the Ambulatory Surgery Division, we want to ensure your needs are met. We offer a variety of comprehensive medical, dental, and vision plans along with some unique benefits including:

* Tuition Reimbursement/Assistance Programs

* Paid Personal Leave

* 401k (100% annual match - 3%-9% of pay based on years of service)

* Identity Theft Protection discounts

* Auto, Home, and Life Insurance options

* Adoption Assistance

* Employee Stock Purchase Program (ESPP)

Would you like to unlock your potential with a leading healthcare provider dedicated to the growth and development of our colleagues? Join the Ambulatory Surgery Division family! We will provide you the tools and resources you need to succeed in our organization. We are currently looking for an ambitious Market Medical Staff Manager to help us reach our goals. Unlock your potential here!

As a Market Medical Staff Manager, you will coordinate the credentialing for the facilities in your market. You will be responsible for the coordination of the credentialing program activities in conjunction with the ambulatory surgery division management team. In this role, you will serve as the primary liaison between the facility and the centralized processing center on processes pertaining to initial appointment, reappointment and clinical privileging.

OPERATIONAL DUTIES INCLUDE BUT ARE NOT LIMITED TO:

ALL DUTIES ARE APPLIED IN ACCORDANCE WITH THE FACILITY PROCESSES, AS APPROPRIATE.

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CREDENTIALING ADMINISTRATION

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Develop facility credentialing policies in accordance with accreditation/regulatory standards, HCA policies, and medical staff bylaws.
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Facilitate medical staff meetings (develop agendas, maintain meeting minutes, coordinate follow-up) as determined by the Medical Director, facility Administrator, or VP Operations.
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Coordinate practitioner impairment and/or MEC Ad Hoc committee along with support functions for continued monitoring as requested.
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Coordinate other facility committees as indicated (e.g., partnerships, governing body, MEC, Quality).
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Manage correspondence between facility and individual medical staff members, as requested.
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Provide support functions to medical staff in performance of their duties.
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Prepares credentialing reports for medical staff leaders, committees, and the governing body upon which to make credentialing decisions.
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Develop, maintain, and distribute governance documents (i.e. bylaws, rules & regulations, policies) and implement annual review process.
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Serve as the primary liaison between the facility and the CPC.
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Participate in planning for future medical staff recruitment.
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Maintains and distributes medical staff notices of meetings and activities as requested

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MEDICAL STAFF EDUCATION

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Facilitate orientation for new Medical Executive committee members and governing body.
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Educates administrators and other center leadership on the CPC and Market Credentialing operations, privileging (including temporary and disaster privileging), HCIRs, and non-privileged practitioner credentialing.

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ACCREDITATION AND REGULATORY COMPLIANCE RELATIVE TO CREDENTIALING, PRIVILEGING AND PEER REVIEW ACTIVITIES AND FUNCTIONS:

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Serve as the facility's subject matter expert regarding accreditation and regulatory requirements.
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Notifies the CPC and corporate teams of any upcoming or ongoing surveys.
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Coordinates accreditation, regulatory, and any internal surveys.
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Respond to any reviews accreditation and regulatory compliance deficiencies by developing and implementing corrective action plans, in conjunction with the Risk Manager.

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FACILITY-BASED CREDENTIALING TASKS

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Ensure Market Medical Staff Coordinator (MMSC) facilitate requests for RFC/application in accordance with CPC-01.
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Ensure MMSC applies the credentials evaluation process uniformly to all RFC/applications and R-RFC/re-applications to ensure compliance with internal credentialing procedures.
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Ensure MMSC processes each RFC/application and R-RFC/re-application received from the CPC that has a yellow flag or a red flag and handles requests for additional privileges or new clinical privileges in accordance with CPC and MSS policies.
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Ensure MMSC verifies applicant identity in accordance with MSS.
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Ensure MMSC forwards any updated information received from providers/provider office to the CPC in a timely manner.
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Ensure MMSC compiles and analyzes any available internal data and information for an assessment of qualifications and competencies for each R-RFC/re-application.

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Compile internal data on provider's volume
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Compile internal information related to focused or ongoing professional practice evaluations (FPPE/OPPE), performance improvement, utilization patterns, peer review, or performance information, as assigned.

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Ensure MMSC facilitates review, assessment, and authenticated documentation for an evaluation of each application and request for clinical privileges by the Medical Director, as required.
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Ensure MMSC facilitates review, assessment and recommendations for each application and request for clinical privileges by the Medical Director and the Medical Executive Committee.
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Ensure MMSC utilizes \\"paper-lite\\" procedures to facilitate medical staff reviews by maximizing use of iObserver functionality in Cactus.
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Ensure MMSC summarizes and prepares credentialing information, including flagged concerns, for the board's review and decisions.
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Ensure MMSC actively manages provider's expiring credentials utilizing Document Direct and in accordance with CPC and MSS policies.
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Ensure MMSC updates the Cactus system to reflect all board actions on a provider's RFC, R-RFC, including resignations, terminations, LOAs, denials, terminations, or withdrawals in accordance with CPC and MSS policies.

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Ensure MMSC manages and archives files according to HCA and facility procedures and accreditation/regulatory standards.

PRIVILEGING

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Facilitate development of eligibility criteria for each clinical privilege.
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Ensure MMSC facilitates the review of requests for clinical privileges using the approved eligibility criteria.
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Assess the applicability and appropriateness of clinical privileges for each specialty through periodic review.
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Ensure the MMSC maintains all up-to date-privilege content within the Visual Cactus system.
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Coordinate access by authorized facility staff to credentialing information as needed through iPrivileges or iPharmacy portal.
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Facilitate any required regulatory agency reporting of adverse actions taken against a provider's medical staff membership or clinical privileges, as directed by facility leaders.

We are committed to:

Providing an inclusive work environment where everyone is treated with fairness, dignity and respect.
Recruiting and retaining a diverse staff reflective of the patients and communities we serve.
Equal employment opportunities are provided to all employees and applicants for employment without regard to race, color, religion, gender, national origin, citizenship, age, disability, sexual orientation, genetic information, gender identity, protected veteran status, or any other legally protected category in accordance to applicable federal, state, or local laws.

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