Wilson Health
  • - Medical Staff
  • Sidney, OH, USA
  • Full Time

Responsible for coordinating the operation of medical staff services by supporting and assisting physician leadership in carrying out the duties for the Medical Staff as defined by the Medical Staff Bylaws, Rules and Regulations, HFAP and other state and national accreditation/regulatory bodies. This position administers the appointment process for new applicants and reappointments and manages the relationship between the Medical Staff Executive Committee, external credentialing organization and the Medical Staff Committee of the Board of Trustees.  This includes maintaining onsite records related to the medical staff. This position also maintains routine review of Medical Staff Bylaws and Rules and Regulations to ensure content is current and effective.  Assists with drafting changes as needed as well as researches and recommends changes to comply with standards and regulations.  Coordinates Medical Staff Meetings, Medical Staff Committee Meetings, and Education, facilitates and coordinates the Medical Staff Orientation program to provide new physician members with pertinent information about the hospital and its services and their responsibility as a member of the Medical Staff and/or committee meetings. 



1) Ensures the credentialing of applicants for membership and reappointment to the medical staff is coordinated accurately and timely in compliance with defined schedules, bylaws and HFAP regulations.  Coordinates efforts of medical staff, administration, outside credentialing agencies and regulatory agencies including CMS/KEPRO, OHA, etc.


2)  Facilitates Coordinates and takes minutes for medical staff standing committees, ad hoc and special committee meetings. Consults with respective department/committee chairs and hospital staff to achieve outcomes assuring that problems identified are either acted upon or are appropriately referred. Demonstrates excellent communication skill in preparation of agenda, participation in meetings and follow-up actions.  Assures dietary and room assignments are completed in a timely manner for medical staff meetings. Some of these meetings may occur outside of normal working hours.


3)  Records conclusions and recommendations succinctly and accurately to substantiate actions taken.  Maintains and protects the confidential records of proceedings which may be required in subsequent internal investigations and/or external legal disputes. 


4)  Prepares for and actively participates in the HFAP accreditation survey.  Interacts with surveyors to demonstrate compliance with standards to achieve accreditation. 


5)  Provides support to medical staff leadership relevant to the Medical Staff Bylaws and Rules and Regulations by making suggestions for changes in order to meet all regulatory compliance such as HFAP, CMS, etc. 


6)  Develops and maintains an active onboarding program for new physicians joining the medical staff. Takes a leadership role in sharing and maintaining changes/updates in the onboarding process. Develops, maintains and distributes materials pertaining to Wilson Health bylaws, rules and regulations, policies, responsibilities and general hospital information to new physicians. Informs all departments of new physicians/credentialed providers, start dates, etc. Coordinates IT instruction as necessary.


7)  Interprets, explains and follows all regulatory guidelines, including medical staff bylaws, fair hearing plan, rules and regulations and policies.


8)  Maintains systems to identify (and disseminate to others) medical staff members and those with clinical privileges.  Provides updates to all applicable departments on provider changes as well as clinical changes for individual providers as they occur. Informs all necessary departments of resignation/termination of medical staff members/privileged providers.


9)  Prepares and maintains records related to medical staff and peer review.


10)  Monitors and revises credentialing and privileging forms and functions as needed to ensure consistency and in accordance with regulatory agency guidelines.


11)  Oversees medical staff education and development related events and programs. Provides educational opportunity information. (i.e. OMEN)


12)  Coordinates efforts of onsite and community providers.


13) Creates and maintain SARFs and Onboarding Training sheets for all new providers. Updates the SARFs as needed for new programs, department needs, etc. and shares this information with essential departments.


14)  Oversight and coordination of the Ongoing Professional Practice Evaluation (OPPE)/Focused Professional Practice Evaluation (FPPE) process.


15)  Oversight and coordination of all provider disciplinary matters.  Responsible for reporting on such matters to the medical staff leadership, administration, Ohio State Medical Board, the National Practitioner Data Bank, etc.


16)  Responsible for maintaining the medical staff aspects of the intranet.


17)  Covers duties of other Medical Staff employees during absences. Cross trains with quality manager Quality Administrative Specialist for coverage during absences.


18)  Disseminates relevant information to members of the medical staff and advanced practice providers as it pertains to each specialty, category or department.


19)  Develops and maintains a professional relationship with the medical staff and advanced practice providers of Wilson Health and its provider groups.


20)  Responsible for the student/resident education program including completing and maintaining the affiliation agreements with numerous schools and their students. Shares student/resident status with appropriate department leaders. Manages medical staff student program.


21) Responsible for uploading provider information to DrFirst to allow providers access to electronic prescribing of narcotics.


22)  Support Physician Relations, Marketing, and the Foundation with data, personal assistance, ideas, and support as needed for Medical Staff related activities.


23) Actively participates in the Management Safety Huddle when CMO is not available.


24) Super user, trainer, and support person for MD-Staff.


25) Coordinates and manages specially called meetings for PWC, MEC, etc. for investigative, disciplinary, or other needs as they arise for Medical Staff. Also records minutes for these meetings.


26) Coordinates efforts of medical staff, administration, outside credentialing agencies and regulatory agencies including CMS/KEPRO, OHA, etc.


27) Coordinates the Physicians Memorial Scholarship Program.


28)  Support the CMO as needed.


29) Keeps medical staff database up to date including all expiring documents.


30) Bills medical staff dues.


31) Manages provider affiliation requests.


32) Other projects required of the Medical staff department that may occur from time to time.


Attends mandatory in-services (i.e., fire, safety, infection control).

Maintains professional growth and development thorough seminars, formal classes, continuing education courses, workshops, and professional affiliations.



To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.


Associate required. Bachelor Degree in Business or General or Health Administration preferred. Prior experience working in a Hospital Quality or Medical Staff department preferred.  Previous experience in a Medical Staff Office environment preferred.  CMSC or CPCS preferred. 


Ability to read, analyzes, and interprets general business periodicals, professional journals, technical procedures, or governmental regulations. Ability to write reports, business correspondence, and procedure manuals. Ability to effectively present information and respond to questions from groups of managers, clients, customers, and the general public.



Ability to manage office activities and functions. Ability to communicate effectively.  Ability to maintain confidentiality of information. Accepts responsibility and demonstrates initiative.  Ability to type 60 wpm. Ability to use computer and standard office equipment.


The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is regularly required to sit; use hands to finger, handle, or feel objects, tools, or controls; and reach with hands and arms. The employee frequently is required to stand and walk. The employee is occasionally required to climb or balance; stoop, kneel, crouch, or crawl; talk or hear; and smell.

The employee must regularly lift and/or move up to 25 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus.


The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is occasionally exposed to risk of electrical shock.

The noise level in the work environment is usually moderate.



This position has been closed and is no longer available.
Wilson Health


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