Dir Medical Staff Service

Job Summary

Medical Staff Services supports the Medical Staff organization including the department and committee structure; the credentialing, recredentialing, and privileging process; provides assistance to the Medical Directors and Medical Staff Leadership and many other diverse functions. The Director of Medical Staff Services provides guidance, direction, and leadership in all areas of Medical Staff Services support, system credentials process, and to the Medical Directors and Medical Staff Leadership in a hospital. The position provides management support to the hospital Medical Staff and its functions and maintains responsibility for monitoring all applicable regulatory laws and statutes (state and federal) and accreditation standards as well as WellStar Health System and Medical Staff Bylaws, Rules & Regulations and Policies & Procedures for compliance by the Medical Staff organization. These include, but are not limited to, State, CMS, FDA, and Joint Commission on Accreditation of Healthcare Organizations. This position directs the daily operations of Medical Staff Services and oversees the personnel within the department for effective support of the Medical Staff organization and its leaders. The Director is responsible for Department financial accountability, management development, human resources issues, and customer service strategies.

Core Responsibilities and Essential Functions

Medical Staff / Support Functions :

• Oversees support of Medical Executive Committee, Departments, and Medical Staff Committee for a Hospital which requires :
• Monthly calendars, meeting notices, room reservations, dietary orders, attendance rosters
• Development of meeting agendas and meeting information packets
• Maintaining accurate minutes of meetings
• Ensure appropriate and expeditious follow-up on committee / department actions
• Maintain minute books of all committees and departments
• Responsible for Corrective Action support, including Fair Hearing process which requires :
• Interviewing / Counseling
• Development of Action Plans
• Support of Fair Hearing Process per Policy
• Functions as Resource / Guidance for Medical Staff Leadership, Medical Staff in general, Medical Directors, and Administrators / Senior Leadership
• Functions as liaison between Medical Staff and Administration / Senior Leadership
• Oversight of Medical Staff, Allied Health, and Leadership Orientation / Education / Development
• Responsible for submission of monthly reports to WellStar Medical Affairs Committee and WellStar Governing Body including any new or revised documents including, but not limited to Medical Staff Bylaws, Rules & Regulations, Policies & Procedures, privileging criteria and forms, etc.

Credentials Functions :

Regulatory Compliance / Continuous Survey Readiness :

Management / Staff Development :

Communication :

Financial Responsibility :

Complies with all WellStar Health System policies, standards of