As one of the nation’s leading pediatric health care systems, Nemours is committed to providing all children with their best chance to grow up healthy. We offer integrated, family-centered care to more than 300,000 children each year in our pediatric hospitals, specialty clinics and primary care practices in Delaware, Florida, Maryland, New Jersey and Pennsylvania. Nemours strives to ensure a healthier tomorrow for all children – even those who may never enter our doors – through our world-changing research, education and advocacy efforts. At Nemours, our Associates help us deliver on the promise we make to every family we have the privilege of serving: to treat their child as if they were our own.
Nemours is seeking a Director, Medical and Professional Staff Services (FULL-TIME) to join our Nemours Children's Hospital team in Orlando, Florida.
Located in Orlando, Fla., Nemours Children’s Hospital is the newest addition to the Nemours integrated healthcare system. Our 100-bed pediatric hospital also features the area’s only 24-hour Emergency Department designed just for kids as well as outpatient pediatric clinics including several specialties previously unavailable in the region. A hospital designed by families for families, Nemours Children’s Hospital blends the healing power of nature with the latest in healthcare innovation to deliver world-class care to the children of Central Florida and beyond. In keeping with our goal of bringing Nemours care into the communities we serve, we also provide specialty outpatient care in several clinics located throughout the region.
This position provides best practice administrative management and oversight for all aspects of the Medical Staff organization and the Medical Staff Services Department. The Director is responsible for developing, managing and directly supporting the governance, credentialing and privileging activities of the Medical Staff office. The position serves as an essential link between senior management and the medical staff to promote effective working relationships and ensure compliance with regulatory and accrediting bodies.
1. Plans, organizes and directs a comprehensive credentialing program.
2. Collaborates with medical staff leaders to design, implement and manage an objective, criteria-based clinical privileging system.
Ensures that clinical privileges performed are criteria-based and reflective of current services offered by the organization and encompasses licensed independent practitioners (LIPs) and advanced practice practitioners (APPs).
Supports and oversees processes related to focused professional practice evaluation (FPPE) and ongoing professional practice evaluation (OPPE).
Oversees the monitoring of procedure-established criteria to ensure that practitioners meet qualifications for eligibility to request specific privileges.
Develops and implements a mechanism to ensure that practitioners practice within the scope of their privileges.
3. Develops and implements systems to ensure continuous compliance with applicable regulatory and accreditation standards.
Provides ongoing education to team and medical staff leaders.
4. Provides administrative support to the medical staff leadership that supports the effective execution of their functions.
Collaborates, develops and implements long and short-term goals.
Manages processes related to investigative, disciplinary and legal proceedings such as fair hearing and appeal.
Provides guidance on accreditation, regulatory issues, medico-legal implications, national standards of care, best practices, meeting outcomes and resolution.
Participates in development and ongoing review and update of the medical staff bylaws, policies and procedures.
5. Directs and manages the strategic and daily activities of the medical staff office.
Responsible for recruiting, training, mentoring and evaluating staff.
Establishes reliable methods and analyzes work processes that promote best practices and champions innovation and efficiency.
Develops and monitors the operating and capital budgets for the Department.
Develops policies and procedures for the credentialing process.
Maintains a daily management system designed to surface problems and provides update on key performance indicators.
Develops, monitors and ensures best practice performance metrics for medical staff office functions.
6. Directs the administrative support of governance documents.
Ensures that all documents are current and compliant.
Protects permanent paper or electronic records by managing a secure record log-in and retention process.
Creates and updates reports to the hospital leaders and Board of Managers on key department metrics.
7. Additional miscellaneous duties and responsibilities, as may be assigned from time to time by employee’s supervisor.
Bachelor's Degree required.
Minimum of five (5) + year's experience required.
Certification by the National Association Medical Staff Services as a Certified Medical Staff Coordinator (CMSC) or a Certified Provider Credentials Specialist (CPCS) required.
Strong skills in credentialing techniques, knowledge of credentialing standards and principles.
Demonstrates leadership qualities: (takes accountability, uses initiative, takes risks, thinks strategically, results-oriented, possesses critical thinking skills, promotes change, uses good judgment, seeks guidance as needed, serves as a mentor, inspires and motivates others).
Maintains current knowledge on JCAHO, NCQA, AAHC and other accreditation standards as they relate to credentials verification, provider enrollment and medical staff services.
Maintains current knowledge on Joint Commission, NCQA and other accreditation standards as they relate to medical staff services, and the organized medical staff.
Strong skills in medical staff services.
Our dedication to professionals who are dedicated to children frequently earns Nemours a spot on the list of top workplaces in the communities we serve. Our Associates enjoy comprehensive benefits, including our unique “Bridge to a Healthy Future” pediatric health plan, an integrated wellness program, opportunities for professional growth, and much more. As an equal opportunity employer, Nemours focuses on the best-qualified applicants for our openings.