St. Anthony Hospital is located in the western Denver suburb of Lakewood and is a Level I Trauma Center with four dedicated trauma rooms including the T-10 room, a dedicated field-to-surgery suite ready 24/7 for trauma surgeons and specially trained teams who provide life-saving care to the most severely ill and injured patients. St. Anthony proudly provides a full range of medical specialties and health care services to Denver and the surrounding region with a state-of-the-art medical campus. If you're looking to be part of a fast-paced environment where you can practice to the top of your profession in trauma, cardiology, stroke, neurosciences, breast imaging, cancer/oncology care, surgery and more, we encourage you to apply. In addition to a new campus, supportive team and faith-based mission, we're proud to be the recipient of numerous awards, certifications and accreditations from the American Heart Association; Chest Pain Center (CPC); American College of Cardiology; The Joint Commission's National Quality Approval; Healthgrades (for Stroke, Critical Care and Prostate Surgery Excellence); the Emergency Nurses Association Lantern Award; NAPBC Accreditation; American College of Radiology and many others. For more information about St. Anthony Hospital, visit http://www.stanthonyhosp.org/.
Job Description/Job Posting ID: 88604
Clinic/Department: 8678 SAH MEDICAL STAFF OFFICE
Hospital: ST ANTHONY MEDICAL CAMPUS
This position will have oversight over three hospitals: St. Anthony/Lakewood - Level 1 Trauma Center; St. Anthony Summit Medical Center (35 beds); and OrthoColorado.
Provides leadership and oversight of all aspects of Medical Staff governance to include credentialing, peer review, medical staff relations, medical staff meetings, and management of Medical Staff Services Department. This position has responsibility for compliance with all Joint Commission, CMS, Department of Health and ACCME accreditation and licensure standards, and numerous state and federal peer review laws. Responsible for meeting all reporting requirements appropriately for the licensing entities, DOH, CMS and NPDB. The position plays a key role in physician recruiting and retention, department performance improvement and patient safety initiatives, and serves as an essential link between the Medical Staff, Administration and the Board with the coordination of information flow.
Minimum Education Requirements
High School Diploma or GED Bachelor's degree in a healthcare related field, preferred
Minimum Experience Requirements
Three years of experience in medical staff governance, credentialing, medical education or related setting. Previous leadership experience preferred. Strong knowledge of the Joint Commission, CMS, ACCME and Department of Health standards. Successful experience with previous accreditation surveys. Proven supervisory skills, ability to educate and motivate physician leaders and to effectively facilitate the Medical Staff's self-governance systems. Strong computer skills with previous experience utilizing credentialing software. Strong presentation skills. Proven abilities in arbitrating and negotiating issues between physicians and Medical Staff leaders/hospital departments. Demonstrates flexibility and responsiveness to change. Ability to be productive and calm in pressure situations and address rapid succession of varying responsibilities simultaneously. Well organized to meet deadlines and systematic thinking capabilities. MGR MEDICAL
Certified Professional Medical Services Management (CPMSM) or Certified Provider Credentialing Specialist (CPCS), preferred
Position Duties (essential functions denoted with an * ) ■
Serves as the technical resource and liaison for the CMO, physicians, Medical Staff officers and department chairpersons, administration and hospital staff for Medical Staff department operations and compliance with Medical Staff Bylaws and accreditation standards.*
Collaborates with Administration to integrate physician clinical and operational needs into strategic planning processes, and promotes medical staff growth and development with the Physicians Services Department (i.e., coordinates certain Medical Staff events and continuing medical education.)*
Assesses the current status of Medical Staff governance documents to comply with accreditation standards, peer review laws, and effective risk-management philosophies. Develops, gains approval and implements necessary revisions.*
Ensures correspondence flows of appropriate information through departments, committees, administration, Medical Executive Committee, and Board of Trustees. *
Manages an effective On-Call schedule to ensure adequate ER coverage, while maintaining compliance with EMTALA. *
Formulates and monitors the information flow to the Board of Trustees regarding Medical Staff actions and recommendations. Coordinates the dissemination of information to individual physicians from the hospital, Medical Staff leadership and hospital departments to ensure smooth operations of the hospital. Oversees the provision of information provided to external sources related to Medical Staff matters and individual members.*
Interprets and educates the Medical Staff on applicable laws and accreditation standards to ensure appropriateness of internal operations and responsiveness to external change. *
Resolves physician satisfaction concerns in a timely manner, assuring they have been thoroughly addressed. Problem solves and corrects day-to-day operational and governance issues and reports to management.*
Ensures a comprehensive credentialing and clinical competence database are maintained and utilized effectively. *
Maintain appropriate sensitivity and confidentiality of issues, develop and implement compliant policies and processes, and represent the Medical Staff in hospital operations.*
Manages and oversees the effective functioning of the Medical Staff and Allied Health Professional initial application and reappointment process in compliance with accreditation standards, Medical Staff Bylaws, credentials policies, rules and regulations. *
Collaborates with the CVO to develop and implement performance improvement initiates. *
Responsible for the integration of services between the Medical Staff Department and the Central Verification Office.*
Monitors information collection and the cognitive analysis of all information received to identify potential risk/quality issues, to include behavioral and health concerns. This includes gathering the appropriate information from internal and external sources (i.e., Quality department, AMA, NPDB, etc.).*
Educates physician leaders on state-of-the-art privileging concepts and facilitates the revisions of privilege delineations as necessary to ensure currency and accuracy of those privileges offered to applicants by the Board. *
Monitors and facilitates the approval process of the Medical Staff's recommendations regarding privileging criteria/qualifications, and ensure the consistent application of such criteria.*
Important notification to applicants as of Nov. 20, 2014: Effective Jan. 1, 2015, Centura Health will no longer hire tobacco users in Colorado and Kansas. The change to our policy does not apply to associates hired on or before Dec. 31, 2014. Centura Health is an Equal Opportunity Employer, M/F/D/V.
Find your ideal career at Centura Health! With 16 hospitals, physician clinics, hospice services, home care and senior living communities, Centura Health's vast network of care spans Colorado and Western Kansas so you can experience a balanced lifestyle and enjoy a fulfilling career anywhere you want to work, live and play in Colorado. From the fast pace of a Denver-area Level 1 Trauma Center to a... smaller rural or mountain hospital – we proudly offer a more diverse range of work settings and locations than any other health care employer in the state. Centura is an equal opportunity employer.