Job Information
HCA Healthcare Coord Med Staff Svcs LGMC in Salem, Virginia
Description
Introduction
Do you have the career opportunities as a Coord Med Staff Svcs LGMC you want with your current employer? We have an exciting opportunity for you to join LewisGale Medical Center which is part of the nation's leading provider of healthcare services, HCA Healthcare.
Benefits
LewisGale Medical Center, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:
Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
Free counseling services and resources for emotional, physical and financial wellbeing
401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
Employee Stock Purchase Plan with 10% off HCA Healthcare stock
Family support through fertility and family building benefits with Progyny and adoption assistance.
Referral services for child, elder and pet care, home and auto repair, event planning and more
Consumer discounts through Abenity and Consumer Discounts
Retirement readiness, rollover assistance services and preferred banking partnerships
Education assistance (tuition, student loan, certification support, dependent scholarships)
Colleague recognition program
Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.
Learn more about Employee Benefits (https://careers.hcahealthcare.com/pages/employee-benefits-and-rewards)
Note: Eligibility for benefits may vary by location.
Our teams are a committed, caring group of colleagues. Do you want to work as a Coord Med Staff Svcs LGMC where your passion for creating positive patient interactions are valued? If you are dedicated to caring for the well-being of others, this could be your next opportunity. We want your knowledge and expertise!
Job Summary and Qualifications
Under management of the Division AVP of Medical Staff Services and Division Manager of Medical Staff Services, the incumbent provides services for the credentialing and privileging and database management functions of the Division Medical Staff Services Department (MSSD) including, but not limited to, Cactus file review for new applicants and re-applicants for membership and/or clinical privileges completed by the Credentialing Processing Center (CPC), updating the Cactus practitioner records in the Cactus database as appropriate, and utilizing HCA Healthcare tools for provisioning practitioners with appropriate access to HCA clinical systems and role based applications.
Initiate applications (RFC, RRFC, RFINCP) on behalf of Capital Division facilities for providers who meet minimal Threshold Eligibility Criteria (as defined in HCA Model Credentials Policy).
Apply the credentials evaluation process uniformly to all assigned RFC/applications, R-RFC/re-applications and Request For Increased, New Clinical Privileges, or Change in Prescriptive Authority(RFINCP) requests, including processing of flags, to ensure compliance with credentialing procedures.
In partnership with CPC and facility MSPs, communicate with providers and delegates to obtain missing or incomplete information and regarding status of requests/applications.
Facilitate review of clinical privilege requests using approved eligibility criteria and maintain privilege content within the Cactus system.
Compile and analyze any available internal data and information for an assessment of qualifications and competencies for R-RFC/re-applications.
Summarize and prepare credentialing information, including information about flagged concerns, for facility review.
In partnership with Division and facility leadership, facilitate requests for temporary privileges communicating with CPC leadership as needed.
Perform activities that support the facility dynamic expiration management process, communicating with both providers and the facility management team (PARA.PP.CRED.36 and MSS-003).
Perform facility post Board of Trustees processes including updates to the Cactus system record, eSAF and Meditech to reflect all Board actions on a practitioner’s Request for Consideration (RFC), Re-Request for Consideration (R-RFC), Request For Increased, New Clinical Privileges, or Change in Presa. Prescriptive Authority (RFINCP), including resignations, terminations, LOAs, denials, terminations, or withdrawals in accordance with facility and CPC policy (PARA.PP.CRED.28 and MSS-013) .
Utilize the Cactus system to create and upload applicable communication letters to providers based on Board/Facility actions.
Scan Board/Facility communication and approval documentation to Cactus provider records.
Generate and save Cactus Downtime reports monthly for each facility.
Respond to emails and voicemails promptly; monitor shared mailbox and calendar.
Perform hospital non-privileged provider licensure, NPI and exclusion checks in accordance with Ethics & Compliance Policy COG.PPA.002.
Support and facilitate information Sharing in accordance with COG.PPA.001.
Support communicable disease tracking/compliance.
Assist with preparation for regulatory, internal and accreditation surveys.
Respond to annual QIO Audits (KEPRO) on behalf of Division facilities.
Manage Physician Learning Center/Healthstream database for provider education.
Submit eSAF system access requests for new access, removals and changes to existing access.
Manage and update the Meditech/eHR Dictionary related to practitioner permissions and privileges.
Attend Division Medical Staff Services meetings – scheduled as needed (Webcam required).
Work scheduled hours and communicate any changes to supervisor.
Collaborate with Division leaders on pertinent projects as needed and perform other duties as assigned.
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required.
Demonstrate accurate knowledge of relevant laws, policies, regulations, and standards affecting credentialing decisions and interpretations, including confidentiality of privileged information gained as a result of job functions.
Excellent organizational skills; attention to detail.
Analytical and problem-solving skills required.
Proficient in Cactus Credentialing Software, Microsoft Office applications, Internet searches, and relevant databases.
Ability to work independently and under pressure to follow through on issues.
Ability to communicate clearly and concisely, both verbally and in writing.
Ability to establish and maintain long-term customer relationships, building trust and respect by consistently meeting and exceeding expectations
Ability to work effectively with other employees and external parties.
Knowledge of medical terminology.
Reasoning skills –Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.
EDUCATION
High School diploma or equivalent required. Associate Degree or higher preferred.
EXPERIENCE
At least one (1) year previous credentialing experience preferred.
HCA Healthcare credentialing and Cactus experience preferred.
CERTIFICATION
Certified Provider Credentialing Specialist (CPCS) preferred.
Capital Division (https://hcacapitaldivision.com/) which encompasses 19 hospitals overall. Our hospitals include one Level I, three Level II, and four Level III trauma centers. The Capital Division office is located in downtown Richmond, VA. We are home to one of HCA's largest hospitals, 500 bed + Chippenham Hospital.
HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.
"Bricks and mortar do not make a hospital. People do."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder
If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our Coord Med Staff Svcs LGMC opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews. Unlock the possibilities and apply today!
We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.