Michigan Healthcare Jobs

Mobile michigan-jobbank Logo

Job Information

Mary Free Bed Rehabilitation Hospital Medical Staff Manager in Grand Rapids, Michigan

The Medical Staff Manager, under the supervision of the CMO and Administrative Director of the Medical Group, is responsible for the supervision of all functions related to the credentialing, privileging, bylaws and policy development, compliance and regulatory review support and payor enrollment processes for all Mary Free Bed Locations and programs. This position requires establishing lines of communication between the Medical Staff, Administration, and all Departments of the Hospital to maintain compliance with all regulatory, accrediting, and membership-based organizations, carry out various credentialing processes in relation to physicians and other hospital staff professionals within Mary Free Bed Rehabilitation Hospital, Medical Group, and Orthotics and Prosthetics.bull;Focus on Patient Care.A selfless drive to serve and heal connects all MFB employees.bull;Clinical Variety and Challenge.An inter-disciplinary approach and a top team of professionals create ever-changing opportunities and activities.bull;Family Culture.We offer the stability of a large organization while nurturing the family/team atmosphere of a small organization.bull;Trust in Each Other.Each employee knows that his/her co-workers can be trusted to make the right decision for our family, patients, staff and community.bull;A Proud Tradition. Years of dedicated, quality service to our patients and community have yielded a reputation that fills our employees with pride.uEssential Job Responsibilities:/uulliSupervise the credentialing and privileging process of the medical and allied health staff professionals ensuring consistency, accuracy, timely compliance with established medical staff documents, processes, accreditation and regulatory bodies/liliProduce monthly company-wide status reports and provide diligent management of Physician information/liliMaintain Physician adherence to the Medical Staff Bylaws, Rules and Regulations, and Policies; and, must be current with the regulatory agency requirements/liliEnsure credentialing documents follow hospital standards and accrediting agencies/liliResponsible for the Provider Enrollment functions ensuring that employed physicians are enrolled into group contracted managed care, and government plans timely and in accordance with their specific guidelines through payer credentialing/re-credentialing process or direct submission/liliCollaborate with Medical Staff Leadership to implement and maintain a Performance Evaluations (FPPE) and Ongoing Professional Performance Evaluations (OPPE)/liliCompletion, submission and follow up of all Medicare, Medicaid, CMO and commercial network participation applications and recredentialing applications including effective dates, provider ID's, NPI, license and DEA information, quarterly CAQH attestationulliMaintain PECOS portal and Medicaid web portal setup and user information, collaborate with multiple departments to onboard providers and disseminate provider information/liliCommunicate with CBO and insurance representatives to resolve network participation issues/liliClosely track each payerrsquo;s unique process ensuring that clinical team members are added and removed as appropriate; serving as point of contact regarding payer delay issues; ensuring payment is secured and initiating and updating commercial payer contracts when moving an existing center, opening a new center or exploring new markets/li/ul/liliMaintain an employed physician practice rosterlt

DirectEmployers