Director, Medical Affairs

at  RWJBarnabas Health

QUALIFICATIONS:

Required:

• Bachelor s degree in Business Administration, Health Services Administration or related field
• Currently holds, or willing to pursue, CPCS and CPMSM certification with the National Association of Medical Staff Services NAMSS within two years of employment

Preferred:

• Master s degree preferred or equivalent combination of education and experience
• Previous experience in a Medical Staff Office
• Experience in management

ESSENTIAL FUNCTIONS:

• Ensures the functions of the Medical Staff Credentialing and Privileging
• Monitors information collection; analysis of all information received, evaluates adequacy and quality and pursues additional information for effective / comprehensive peer review
• Works with the Chief Medical Officer on practitioner quality performance issues
• Works in collaboration with the Director of Performance Improvement, ensures the Ongoing Professional Practice Evaluation OPPE reports contain pertinent quality review information
• Collaborates with hospital / med staff leaders in continuing professional development and continuing medical education to improve performance
• Reports to the Vice President of Medical Affairs/Chief Medical Officer, for all work, and supplies data to medical staff committees and meetings
• Aid CMO in mentoring Med Staff leaders, in carrying out training, communications, and development of performance improvement and utilization measures
• Responsible for the development/review/revision of appropriate Medical Staff governance documents including the Medical Staff Bylaws, Rules & Regulations and credentialing related documentation: Privilege Forms, credentialing criteria and credentialing standards
• Oversees / coordinates with the Medical Staff Officers, Chairs, and Legal Counsel, the conduct of all Medical Staff investigations, disciplinary actions, judicial review and appeals, to ensure compliance with substantive and procedural due process requirements
• This includes overseeing reporting requirements to the National Practitioner Data Bank and the New Jersey Health Care Professional Information Clearing House
• Monitors the Focused Professional Practice Evaluation Process in accordance with policies/procedures and Medical Staff Bylaws, Rules & Regulations
• Supervises information collection, verification and documentation
• Disseminates appropriate information to Service/Division Chairs, Medical Staff President and/or appropriate Committees Credentials Committee, Medical Board, etc
• Committee support to Credentials Committee, Medical Board, Bylaws Committee, Semi-Annual Medical Staff Meetings, etc
• This includes preparing and distributing meeting material, taking minutes, and assuming responsibility as Custodian of Records for all files relative to the activity of the Medical Staff
• Responsible for the technical and administrative support of all functions of the Medical Staff
• This includes, but is not limited to, compilation/dissemination of the Medical Staff Newsletter, collection of medical staff dues, and reconciliation/maintenance of the financial records for the Medical Staff, prepares annual reports, and provides medical staff statistics
• Responsible for the administrative support of all functions of the Office of Medical Administration
• This includes, preparing and overseeing the Department s operational /capital equipment budgets, payroll/attendance, and maintenance of department finances, ensuring responsibility of staff productivity, supervision, development and evaluation

OTHER DUTIES:

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.