The incumbent is responsible for the development and implementation of the Medical Staff program as defined by the Bylaws of Bayfront Health Port Charlotte and Punta Gorda. Manages the daily operations of Medical Staff Services and the credentialing function, maintaining effective and efficient systems to support the medical staff organizations. Responsible for all aspects of credentialing including continuing medical education, appointments, reappointments, sponsorships, privileging for medical staff physicians and Allied Health Professionals, and other medical staff programs. This includes establishing and implementing privileging criteria and monitoring provisional requirements for members of the medical staff and ensuring that accreditation compliance is carried out in a timely and effective manner. Will ensure compliance with The Joint Commission, State and Federal regulations, Medical Bylaws Rules and Regulations as well as Hospital policies and procedures and oversee the maintenance of confidential credential files.

Will perform research, prepare reports and draft correspondence for hospital and Medical Staff leaders; provide orientation materials for new staff members and interface with physician recruiting; will schedule required meetings; prepare agendas, and produce minutes from same.

Will serve as a liaison between hospital administration and medical staff leadership, working with and providing professional assistance to both entities, and serving as a resource to other hospital departments. Will maintain contact with the quality department regarding medical/legal matters. Handles medical staff issues with sensitivity and confidentiality.