Provider Enrollment Medical Staff Coordinator

Here, it's different. Come join us.

Children's Hospital Colorado has defined and delivered pediatric healthcare excellence for more than 100 years.

Here, the nation's brightest nurses, physicians, scientists, researchers, therapists, and care providers are creating the future of child health. With an optimist's outlook, a trailblazing spirit, and a celebrated history, we're making new strides every day.

We've been Magnet-designated four times by the American Nurses Credentialing Center and are consistently recognized among the best of the best pediatric hospitals with #1 rankings in Colorado and the region by U.S. News & World Report.

As a national leader in pediatric care, we serve children and families from all over the nation. Our System of Care includes four pediatric hospitals, 11 specialty care centers, 1,300+ outreach clinics and more than 10,000 healthcare professionals representing the full spectrum of pediatric care specialties.

Here, we know it takes all of us, every role, to deliver the best possible care to each child and family we treat.

That's why we build our teams toward a foundation of equity in access, advancement, and opportunity. We know teams of individuals with different identities and backgrounds can nurture creativity and innovation. We know we can see, treat, and heal children better when our team reflects the diversity of our patient population. We strive to attract and retain diverse talent because we know a truly inclusive and equitable workforce will help us one day realize our most basic calling: to heal every child who comes through our doors.

A career at Children's Colorado will challenge you, inspire you, and motivate you to make a difference in the life of a child. Here, it's different.

The Medical Staff Coordinator is responsible for effectively maintaining the credentialing and privileging process to ensure compliance with State and Federal requirements, accreditation standards, Medical Staff Bylaws, and applicable policies and procedures.

Department Name:Medical Staff Coordinator
Job Status: Full time, 40 hours per week.
Shift: Monday to Friday 8am to 5pm, Remote

• Education: High School Diploma or equivalent

POPULATION SPECIFIC CARE
No direct patient care.

ESSENTIAL FUNCTIONS
An employee in this position may be called upon to do any or all of the following essential functions. These examples do not include all of the functions which the employee may be expected to perform.

The following will be maintained in compliance with the Children's Hospital Medical Staff Bylaws, applicable policies and procedures and delegated credentialing contracts, as well as Joint Commission (TJC), Centers for Medicare and Medicaid Services (CMS), The National Committee for Quality Assurance (NCQA), or other federal and state regulatory/accreditation body regulations.

1.Oversees all aspects of the initial and reappointment credentialing/privileging application process for all Medical and Allied Health staff for hospital privileges and/or payer enrollment.
2.Primary source verification of credentials for all providers.
3.Audits expirables to ensure providers are maintaining active licensure, registrations and certifications.
4.Reviews provider applications for accuracy and completeness.
5.Provides timely and accurate processing of initial and reappointment applications for providers with an expectation that no initial application process takes longer than 180 days and no reappointment application process takes longer than 120 days.
6.For hospital privileging purposes, analyzes initial and reappointment privilege requests to ensure providers qualify for the privileges they are applying for.
7.Communicates directly with departments, internal and external office/administrative staff, providers, department chairs and division in chiefs regarding concerns or missing items from applications.
8.Demonstrates professionalism in all communications with providers, departments, office/administrative staff, Department Chairs and Section-in-chiefs.
9.Works directly with the Medical Staff Office Database Administrator to ensure the software is functioning appropriately and reporting is accurate.
10.Ensures privacy of confidential provider information.
11.Processes Focused Professional Practice Evaluations and Ongoing Professional Practice Evaluations when applicable.
12.Meeting management including: Preparation of agendas, collection of materials and meeting minutes.

Guidelines: Trains in the field and assists higher level personnel to acquire learning through practical experience.

Complexity: Performs routine and/or basic tasks common to the field. Procedures, methods, and techniques to be used are well established with options to be considered well defined. Tools, work aids, and materials to be used are specified.

Decision Making: Duties assigned are primarily routine, repetitive, and restricted in intricacy with little or no discretion in how they are carried out.

Communications: Contacts with team members, clients or the public where factual information relative to the organization or its functions are received, relayed, or a service rendered according to established procedures or instructions.

Supervision Received: Under close supervision, the employee receives training to develop skills and abilities in a specific line of work or general occupational area. Work product is subject to close, continuous inspection.

Ability to Perform Essential Functions of the Job

PHYSICAL REQUIREMENTS

• Audio-Visual: Color Discrimination: Fair
• Audio-Visual: Depth Perception: Fair
• Audio-Visual: Far Vision: Fair
• Audio-Visual: Hearing: Fair
• Audio-Visual: Near Vision: Good
• Use of Hands/Feet: Both Hands - Precise Motor Function (Or Fine Manipulation)

WORK ENVIRONMENT

• Exposure: Exposure to infectious diseases: Occasional.
• Exposure: Exposure to skin irritations: Occasional.
• Mental and Emotional Requirements: Independent discretion/decision making.
• Mental and Emotional Requirements: Works with others effectively.
• Mental Stress: multi-tasking, meeting deadlines, prioritizing

It is our intention that all qualified applicants be given equal opportunity and that selection decisions be based on job-related factors. We do not discriminate on the basis of race, color, religion, national origin, sex, age, disability, or any other status protected by law or regulation. Be aware that none of the questions are intended to imply illegal preferences or discrimination based on non-job-related information.

The position is expected to stay open until the posted close date. Please submit your application as soon as possible as the posting is subject to close at any time once a sufficient pool of qualified applicants is obtained.

Colorado Residents: In any materials you submit, you may redact or remove age-identifying information such as age, date of birth, or dates of attendance at or graduation from an educational institution. You will not be penalized for redacting or removing this information.

Here, you matter. As a Children's Hospital Colorado team member, you will receive a competitive pay and benefits package designed to take care of your needs that includes base pay, incentives, paid time off, medical/dental/vision insurance, company provided life and disability insurance, paid parental leave, 403b employer match (retirement savings), a robust wellness program, and access to professional development resources to help you advance and grow.

As part of our Total Rewards package, Children's Colorado offers an annual employee bonus program that rewards eligible team members based on organizational performance. If organizational goals are met for the year, the bonus is paid out the following April.

Children's Colorado delivers annual base pay increases to eligible team members based on their performance over the previous year.