This leadership position is accountable for the management and operations of the Credentialing Verification Office (CVO) and oversight and integration for the medical administrative and medico-legal aspects for the Medical Staff organization as well as the credentialing and enrollment for the University of Toledo Physicians, LLC delegated carriers utilizing TJC, NCQA, CMS guidelines or other accrediting bodies as required. In consultation with the Chief Medical Officer, the Executive Director for UTP is an essential link between the Board of Trustees, the UTP Executive Committee, senior management, Hospital staff and the Medical Staff to promote and enhance good communications and a positive working relationship. Responsible for establishing, contributing and maintaining continuity in the planning, development and implementation of standards applicable to Medical Staff members relating to credentialing, quality and administrative functions for both UTMC and UTP, LLC. Responsible for preparation, organization and follow-up involved in maintaining hospital accreditation and licensure relative to the Medical Staff requirements of The Joint Commission, the Department of Health and Human Services and maintain certification with National Commission on Quality Assurance. Directs the activities of the medical staff organization, manages and facilitates the responsibilities of the Chief of Staff, Vice Chief of Staff, Secretary/Treasurer and other Medical leadership as well as meeting the reporting requirements of both NCQA and the contracted delegated carriers, directs activities of the other support staff when appropriate.
Bachelor’s degree in medical staff services science, business administration, management, or other related field required. May consider 10 years’ experience in a supervisory role overseeing Medical Staff credentialing processes in lieu of degree.
Medical Staff Services Certification by NAMSS required. (CPMSM or CPCS)
Minimum of five years medical staff experience and supervisory experience required.
Comprehensive knowledge of medical staff office functions and responsibilities required.
Work requires knowledge of medico-legal issues and awareness of the legal ramifications of hospital documentation and hospital and physician liability.
Work requires excellent command of the English language and extensive knowledge of medical terminology and technology.
Additional Salary Information: Full time, salaried employees accrue 22 paid vacation days and 15 sick days (unused paid time off rolls over each year), in addition to 10 paid holidays each year. UTMC offers a very competitive benefit package. Under the “Blue-CDHP” plan, UT (on an annual basis) is currently funding $800 for single or $1600 for family coverage into a Health Savings Account that you can use for out of pocket expenses at the Dr., to pay for prescriptions, etc. Additionally, you will be part of the Ohio Public Employees Retirement System, in which UT contributes 14%! Lastly, eligible full time and part time employees receive tuition waiver for themselves, spouse, and dependent children.
Please visit UTMC benefits home page at http://www.utoledo.edu/depts/hr/benefits/
Website for our tuition waiver http://www.utoledo.edu/depts/hr/benefits/tuition-waiver.html
Internal Number: req1622
About The University of Toledo Medical Center - UTMC
Since 1964, The University of Toledo Medical Center has been serving the health needs of the Toledo community. Established as a teaching hospital to train the future physicians and medical professionals of the greater Toledo region, UTMC remains dedicated to providing advanced care and healing in a patient-centered environment. With access to the latest clinical trials and medical research we are committed to teaching the next generation of health-care professionals.
Each year, more than 300,000 people rely on The University of Toledo Medical Center to care for their health needs. By offering best-in-class specialties, better outcomes and expert physicians, nurses and medical technicians in a superior continuum of care, UTMC has played a vital role in the health and healing of the Toledo region for decades. And we’ll continue to play this role in the future.
The mission of The University of Toledo Medical Center is to improve the human condition by providing patient-centered, university-quality care.
Because UTMC is focused on advanced care and healing for our patients, we are proud of our recent and continuing accomplishments.
U.S.... News and World Report: UTMC has been recognized as a high-performing hospital in heart failure
American Heart Association 2019 Get With the Guidelines Stroke Honor Roll Elite Gold Plus
American Heart Association 2019 Get With the Guidelines Heart Failure Honor Roll Gold Plus
American Society for Radiation Oncology: ASTRO-APEx accreditation for radiation oncology
Toledo Lucas County Health Department: Top Spot Award for exceptional food safety
Human Rights Campaign Foundation: 2018 Leader in LGBT Healthcare Equality
American College of Cardiology: 2018 NCDR ACTION Registry Silver Performance Achievement Award
American College of Cardiology: 2019 Gold Performance Achievement Award for CHhest Pain - MI Registry
Becker’s Hospital Review: one of the 100 Hospitals and Health Systems With Great Oncology Programs
Commission on Cancer of the American College of Surgeons: 2015 Outstanding Achievement Award