<p>BASIC PURPOSE OF THE JOB</p> <p>Manage the day-to-day work of the credentials specialists to assure compliance to CMS/TJC standards, high quality communication between the team and medical staff leadership, and efficient and accurate work product.</p> <p>REPORTS TO</p> <ul> <li>Director of Quality & Patient Safety </li></ul> <p>JOB REQUIREMENTS</p> <p>Supervisory Responsibilities: YES</p> <p>Number of Direct Reports: 2</p> <p>Minimum Education: Bachelor's Degree or five (5) years in healthcare credentialing required.</p> <p>Degree: Master's degree preferred.</p> <p>License/Certification Required: CPMSM Certification by NAMSS</p> <p>Minimum Work Experience: 2 years of management experience required. 5 years healthcare medical staff/credentialing experience.</p> <p>REQUIRED KNOWLEDGE, SKILLS, AND ABILITIES</p> <ul> <li>Maintains knowledge, as the subject matter expert of state/federal laws, regulatory standards for accreditation purposes, and ETCH Bylaws, policies, and procedures. </li><li>Sophisticated project management experience </li><li>Independent decision making, sensitivity to the needs of senior leadership constituents and organization </li><li>Proficient in the use of Office 365 applications, credentials software to manage applications, onboarding, privileging, and aptitude for learning additional software used in the organization. </li><li>Proven customer service orientation, with demonstrated excellence in interpersonal communication skills including diverse populations. </li><li>Track record of efficient prioritization and organization of multiple requests. </li><li>Proven ability to work independently, manage priorities, handle multiple projects, problem solve and exercise judgment in a highly dynamic environment. </li></ul> <p>DUTIES AND RESPONSIBILITIES</p> <ul> <li>Oversees verification of information contained on applications. </li><li>Oversees OPPE and FPPE process working with quality analysts. </li><li>Maintains compliance with the accrediting and regulatory agencies (i.e., Joint Commission, NCQA, URAC, etc.) in regards to credentialing while maintaining a working knowledge of TN statutes and laws. </li><li>Manages the flow of information between the Medical Staff and Credentials team and MEC Committee members, Medical Staff Leadership, the Director of Quality and Safety and the Chief Medical Officer. </li><li>Manages the credentialing, appointment and reappointment processes, maintains necessary data sources for application components and reviews applications and other documents for completeness. </li><li>Maintains accuracy and integrity of the credentialing and clinical privileging database system and for ensuring the timeliness of credentialing/re-credentialing verifications. Responds to verification requests from other organizations in a timely manner. </li><li>Produces and manages the process for paper file conversion to credentialing software and web-based peer review system. </li><li>Assists in developing and implementing medical staff policies. </li><li>Responsible for coordination and preparation of medical staff functions; manages the team in preparation for committee meetings, minutes, processes and distribution of appropriate correspondence. </li><li>Manages staff productivity. </li><li>Implements supervision, development, and evaluation of direct reports. </li><li>Performs other duties as assigned to contribute to department and organizational goals. </li></ul> <p>PHYSICAL REQUIREMENTS-Note: Reasonable accommodations may be made for individuals with disabilities to perform the essential functions of this position.</p> <ul> <li>Light lifting, pushing and pulling is required for 10-20 lbs occasionally and frequent moving of objects of less than 10 lbs is required. Frequent sitting with some walking, standing, squatting, bending and reaching is required. Keyboard/computer use and/or repetitive motions are required. </li></ul> <p>Come work where you can make a difference everyday.</p>