Experienced Medical Staff Services Coordinator – Remote Credentialing and Privileging Specialist

At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. As a leading healthcare organization, we're dedicated to advancing health together, and we're seeking an experienced Medical Staff Services Coordinator to join our team.

About the Role

As a Medical Staff Services Coordinator, you'll play a critical role in supporting the credentialing and privileging process for healthcare providers at Duke Health. You'll work closely with the Hospital Manager of Medical Staff Services and the Credentials Committee to ensure compliance with regulatory requirements, accreditation standards, and hospital policies. Your expertise will be essential in maintaining the accuracy and integrity of the credentialing and privileging database system, as well as ensuring the timely completion of credentialing and re-credentialing processes.

Key Responsibilities

* Organize and direct a comprehensive and specialized credentialing program to ensure continued accreditation compliance by the Joint Commission, NCQA, and AAAHC, as well as other regulatory organizations.

• Interpret, explain, and follow all regulatory guidelines, including medical staff bylaws, fair hearing plan, rules, and regulations, and policies.
• Maintain accuracy in the Credentialing database to identify and disseminate medical staff members and their clinical privileges; prepare and maintain other related records and reports.
• Receive and process applications for medical, professional, and advanced practice professional staff; oversee the completion of the credentialing process and granting of clinical privileges/scopes of practice for the DUHS Medical Staff.
• Coordinate, monitor, and maintain the credentialing and re-credentialing process, including gathering additional data for incorporation into hospital-specific processes and evaluation/analysis of confidential healthcare provider credentials.
• Work with medical staff leadership and hospital clinical staff for the approval and ongoing review of credentialed practitioners.
• Monitor and revise credentialing and privileging/scopes of practice forms as needed; ensure maintenance of medical staff, advanced practice professional staff, and professional staff files.
• Schedule and support the Credentials Committee, providing support to the Credentials Committee chair as needed.
• May participate on other Hospital committees as requested; use discretion to escalate identified red flags to the Manager, Medical Staff Services/CVO Office.
• Communicate medical staff information to appropriate departments, including approval notices to the provider, and other entities (if applicable).
• Prepare reports to the respective boards to comply with their deadlines.
• Demonstrate effective leadership skills and coordination of intra-department activities and inter-department integration.
• Ensure necessary revisions are communicated with the Manager, Medical Staff Services/CVO Office for the ongoing development and implementation of policies and procedures that guide and support the provision of services.

Additional Responsibilities

* May develop and facilitate the medical staff orientation, as well as other on-boarding activities, as requested by the Manager, Medical Staff Services/CVO Office.

• Perform other related duties incidental to the work described herein.

Requirements

* Education: Work requires analytical, communications, and organizational skills generally acquired through completion of a bachelor's degree program.

• In lieu of bachelor's degree, four years relevant experience in Managed Care or Medical Staff Credentialing/Privileging (in addition to the experience requirement for the role).
• Degrees, Licensure, and/or Certification: Certification by NAMSS (CPMSM or CPCS) strongly preferred.

Why Join Our Team?

At Duke Health, we're committed to creating a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas, and we strive to create an environment where all members of our community feel secure and welcome. We value a great attitude and a willingness to learn above all, and we're committed to providing opportunities for growth and development.

What We Offer

* Competitive salary and benefits package

• Opportunities for career growth and professional development
• Collaborative and dynamic work environment
• Recognition and rewards for outstanding performance
• Comprehensive training and support

How to Apply

If you're passionate about advancing health together and have the skills and expertise to excel in this role, we encourage you to apply today! Don't worry if you don't meet every single requirement – we value a great attitude and a willingness to learn above all. Submit your application today and join our team at Duke Health! Apply To This Job Apply for this job