Charolette C.

Director Medical Staff Services Saint Joseph Joliet @Prime Healthcare

US

Responsible for maintaining compliance with regulatory agencies, federal and state regulations; bylaws, rules and regulations of the medical staff and hospital\'s policies and procedures to ensure patient safety.Continuous quality improvement through assessment and monitoring of the Medical Staff Office (MSO), processes; analyzes trends and implements change as required.Ensures MSO and credentialing is in compliance with Medical Staff standards, The Joint Commission, legal and all regulatory and accrediting agency standards. Interprets, explains and follows all regulatory guidelines, including medical staff bylaws, fair hearing plan, rules and regulations and policies.Coordinates with quality department to ensure facilitation of both Ongoing Professional Practice Evaluation (OPPE) and Focused Professional Practice Evaluation (FPPE).Continuously evaluates work process; understands role in ensuring quality/performance improvement, productivity, and service delivery.Plans activities of the Medical Staff, preparing and maintaining ER call schedules. Supports the Chief of Staff, Chairs of departments, and the Chief Medical Officer. Performs other duties as assigned by the Chief Medical Officer and Chief Executive OfficerServes as key liaison to clinical department administrators, department heads and other personnel.Utilizes any computer software program(s) necessary to support the credentialing process and maintains the centralized physician/provider database.Demonstrates responsibility and accountability for MSO. Ensures Medical Staff applications, appointments, privileges, credentialing, and administrative support services for the medical staff, in a thorough, accurate and timely manner. Ensures that minutes accurately reflect discussions and actions taken in associated medical staff meetings.Oversees duties such as employee hiring, training, development, evaluation, job description development, policy development and new employee orientation.

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