The Director of Medical Staff Office is responsible for administering medical staff services for Cook County Health and Hospitals System (CCHHS), including CountyCare. This entails overall management of credentialing services for physicians and mid-level practitioners; and overseeing privileging services and appeal process for physician and third-party providers. This position is responsible for maintaining continued accreditation and compliance with Federal, State and regulatory requirements. Serves on the Credentialing Committee and advises the leadership team on credentialing and privileging regulatory compliance, policies and procedures. Manages the medical services staff and oversees the accreditation compliance budget.
Please include the job title (Director of Medical Staff Services) be in the subject line of your email. An application or resume/CV must be filed for each position which interests you. To receive Veteran Preference, appropriate discharge papers must be included with your emailed resume/CV.
GENERAL ADMINISTRATIVE RESPONSIBILITIES
Contributes to the management of CCHHS staff and CHHSS' systemic development and success
Discusses and develops CCHHS system policies and procedures
Consistently uses independent judgment to identify operational staffing issues and needs and perform the following functions as necessary; hire, transfer, suspend, layoff, recall, promote, discharge, assign, direct or discipline employees pursuant to applicable Collective Bargaining Agreements
Works with Labor Relations to discern past practice when necessary
Directs and effectuates CCHHS management policies practices
Accesses and proficiently navigates CCHHS records system to obtain and review information necessary to execute provisions of applicable collective bargaining agreements
Reviews applicable Collective Bargaining Agreements and consults with Labor Relations to generate management proposals
Participates in collective bargaining negotiations, caucus discussions and working meetings
Documents, recommends and effectuates discipline at all levels
Works closely with labor relations and/or labor counsel to effectuate and enforce applicable Collective Bargaining Agreements
Initiates, authorizes and completes disciplinary action pursuant to CCHHS system rules, policies, procedures and provision of applicable Collective Bargaining Agreements
Leads the management and operations of the Medical Staff Office for credentialing verification, privileging and physician enrollment for CCHHS and Managed Care Providers (County Care)
Ensures timely and proper credentialing and re-credentialing for all Medical Staff with clinical privileges
Oversees the maintenance of the credentialing database and Physician Directory
Researches and recommends information system enhancements to improve the retention and retrieval of credentials
Obtains temporary admitting or consulting clinical privileges with appropriate department chair. Assists practitioners and physicians inquiring about and applying for Medical Staff privileges. Follows through with applications to the appropriate departments/committees
Analyzes and formulates Credentialing and Privileging Policies and Practices. Stays current and knowledgeable on legal and regulatory requirements
Serves as an expert resource on regulatory compliance. Advises Leadership Team on minimizing risk and limiting liability
Supports the Medical Departments with the on-boarding process for Physicians, Mid-Level Practitioners and third-party Providers. May also assist in the orientation program Prepares and oversees budget for Credentialing such as certifications and licensure
Manages the Credentialing and Privileging Services staff
The Director of Medical Staff Office Reports to Chief Medical Officer and works closely with the Executive Director, Managed Care.
Bachelor’s Degree required
Certification by the National Association of Medical Staff Services (NAMSS) as a Certified Professional Staff Manager or Certified Professional Credentialing Specialist (CPCS)
Seven (7) years of full time experience in Medical Staff Services, Credentialing, or Provider Privileging
The Cook County Health & Hospitals System’s mission is to deliver integrated health services with dignity and respect regardless of a patient’s ability to pay; foster partnerships with other health providers and communities to enhance the health of the public; and advocate for policies that promote the physical, mental and social wellbeing of the people of Cook County.
CCHHS is comprised of two hospitals, John H. Stroger, Jr. Hospital and Provident Hospital, a robust network of more than a dozen community health centers, the Ruth M. Rothstein CORE Center, the Community Triage Center, the Cook County Department of Public Health, Cermak Health Services, which provides health care to individuals at the Cook County Jail and the Juvenile Temporary Detention Center, and CountyCare, a Medicaid managed care health plan.
The system cares for more than 300,000 patients each year and its physicians are experts in their fields, committed to providing their patients with comprehensive, compassionate and cutting-edge care. Today, CCHHS is transforming the provision of health care in Cook County by promoting community-based primary and preventive care, growing an innovative, collaborative health plan and enhancing the patient experience.