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Processes requests and performs primary source verifications for appointment, reappointment, clinical privileges, and temporary privileges in accordance with Medical Staff Bylaws, Joint Commission standards, state, and federal regulations.
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This unit consists of 60 telemetry beds that offers our patients a comprehensive array of highly specialized medical and surgical services including: Trauma/Emergency General Surgery, Orthopedics (hip and knee joint reconstruction, hip preservation, fracture care, metabolic bone disease, gait abnormalities and arthritis), Hematology and Bariatrics.
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Maintain working knowledge of Joint Commission, NCQA, State Medical Boards and Centers for Medicare & Medicaid Services (CMS) standards. Three (3) years’ experience in a medical staff credentialing role, preferably as a Medical Staff Coordinator or equivalent.
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Our 3,500 team members and over 650 medical staff physicians serve residents of Harford County, eastern Baltimore County and western Cecil County. Demonstrated knowledge of The Joint Commission, NCQA, Federal, and State requirements regarding the credentialing process.
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Manages the credentialing and provider enrollment function for Shands HealthCare to assure that all Medical Staff and Allied Health Professional staff providing medical care or treatment of patients throughout the Shands HealthCare System are continually credentialed in accordance with all statutory and accreditation requirements, and appropriately enrolled with federal, state, and managed care payers.
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Minimum Experience: The incumbent must be proficient in medical staff terminology, Joint Commission Standards, and NCQA Standards, grammar, spelling, and general communication skills.
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Communicate additional staff or staffing needs to the Joint Center Director. Assists with coordination and conducting of weekly presurgical interdisciplinary meetings to include: clinical nurse navigator, assistant director of joint center, anesthesia, OR Director, case manager, physical therapy, occupational therapy and any ad hoc team members deemed necessary.
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One to three years of prior experience in Medical Staff Services, with documented Medical Staff experience in credentialing, re-credentialing, and knowledge of accreditation standards (i.e. Joint Commission, HFAP, CMS, etc.
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Among our specialties: stroke, minimally invasive and robotic surgery, cancer care, and orthopedic and total joint surgery. The RN Staff Nurse assesses, analyzes, plans, implements and evaluates patient care following established patient care standards for Legacy Health System including those for patient assessment and transfer.
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Knowledge of Joint Commission Medical Staff Standards. Provides a variety of routine and specialized departmental administrative support to Medical Staff. Knowledge of the current Accreditation Council for Continuing Medical Education (ACCME) and California Medical Association accreditation standards for Continuing Medical Education.
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Maintains a knowledge base with regard to medical staff total quality management (TQM) and continuous quality improvement (CQI); Medical Staff Bylaws, Rules & Regulations; medical staff policies and procedures; credentialing (appointment, reappointment, and privileging); continuing medical education (CME); and Joint Commission and CMS accreditation standards as well as other federal, state, and local regulations affecting medical staff services.
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The hospital is accredited by The Joint Commission and the American College of Cardiology as a Primary Stroke Center and Chest Pain Center. With 134 patient beds, 500 employees and more than 100 physicians, DeKalb Regional offers a long list of comprehensive medical services, including cardiac catheterization, orthopedic surgery, 24/7 emergency care, maternity care, women’s and children’s services, weight loss surgery, geriatric psychiatric care, sleep medicine and more.
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The Medical Staff Coordinator is responsible for technical and administrative support to the Medical Staff department, assists the other members of the department with meetings, credentialing and maintenance of databases, Medical Staff management, Joint Commission Standards and the Medical Staff bylaws.
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Interpret and enforce federal and state laws, Joint Commission standards, and Medical Staff Bylaws. Qualifications: Bachelor’s Degree required Minimum of 5 years of experience in a medical staff setting Current Certified Professional Medical Staff Management (CPMSM) and/or Certified Provider Credentialing Specialist (CPCS) preferred Knowledge of State, Federal, and JCAHO regulations Previous credentialing and management experience in a healthcare setting preferred Acute hospital credentialing experience required Must hold a director-level position.
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Directs, plans, organizes, and manages the daily activities of the medial staff office and is responsible for preparation, organization, and follow-up involved in maintaining hospital accreditation with The Joint Commission as it relates to Medical Staff Services.
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joint job Title: medical staff in Jean, Nevada
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