Job Description

Location: St. Joseph Medical Center
Posted Date: 3/31/2021

Medical Staff Coordinator – Medical Staff Department

We believe our people are our strength and we take our employees’ health seriously. From medical coverage and life insurance to retirement plans, paid time off and much more, Steward Health Care provides you with a variety of benefits to address your unique needs.

Health & Wellness

  • Medical and Dental Insurance
  • Vision
  • Short Term and Long Term Disability
  • Life Insurance
  • Flexible Spending Accounts

Retirement & Savings

  • 401K

Educational Assistance

  • Tuition Reimbursements
  • Loan Repayment

Work & Life Balance

  • Paid Time Off (PTO)

Other Perks

  • Low Cost parking
  • Up to 20% employee discount-Gift shop, onsite Café and Cafeteria

St. Joseph Medical Center is taking additional, necessary preparations to ensure patients can receive compassionate care in a safe, carefully managed environment – with confidence and without fear.

Our Safe and Ready program consists of a rigorous [five-point] standard ensuring patient safety, confidence and convenience:

  • Expanded hours will allow previously cancelled procedures to be scheduled as quickly as possible.
  • Any COVID-19 related care takes place in designated areas away from other patients and their families.
  • Emergency Departments are reorganized to be a safe place to treat all emergency patients.
  • A stringent cleaning policy has been implemented throughout the hospital.
  • A strictly controlled visitor and masking policy is required for patient safety.

You can rest assured that we have made the necessary preparations to provide care in a safe, controlled and professional way.


The Medical Staff Coordinator is responsible to the Director, Medical Staff Administration, to manage medical staff and health professional staff credentialing information initially and throughout their appointment, uses independent judgment and discretion in analyzing and disseminating the information. Responsible to advise and assist the Director, Hospital Administration, and the Medical Staff Leadership in matters of compliance with regulatory and accrediting agencies, on matters of significance for initial appointment and all credentialing actions during their appointment, on matters pertinent to committee, departmental and section meetings, and advises medical staff leadership in an expeditious manner of their responsibilities of their positions.


1. Consistently supports and communicates the Mission, Vision and Values of St. Joseph Medical Center.

2. Follows the St. Joseph Medical Center Guidelines related to the Health Insurance Portability and

Accountability Act (HIPAA), designed to prevent or detect unauthorized disclosure of Protected

Health Information (PHI).

3. Promotes a culture of safety for patients and employees through proper identification, proper

reporting, documentation and prevention of medical errors in a non-punitive environment.

4. Supportive of the compliance program set forth by Steward and demonstrated by:

  1. Upholds the Standards of Conduct and Corporate Compliance.
  2. Adheres to dealing appropriately and fairly with employee misconduct.
  3. Enforces all compliance policies as they pertain to his/her area.
  4. Provides and assures timely compliance education as requested by the Regional Compliance & Safety Officer and/or through corporate initiatives.

5. Coordinates and manages administration of practitioner initial appointments as assigned.

  1. Follows all related guidelines in the processing of initial applications.
  2. Reviews, evaluates, and verifies application information; monitoring the application to ensure completion of receipt of required information within acceptable timeframes.
  3. Evaluates the responses obtained and uses independent judgment to identify, investigate, and resolve information of significance.
  4. Reviews and analyzes privileges requested, determining if additional documentation is required. If so, communicates specific documentation required to applicant.
  5. Provides documentation to the Department Chair/Section Chief regarding applicant’s appointment and privileges.

6. Coordinates and manages administration of practitioner reappointments as assigned.

a. Follows all related guidelines in the processing of reappointment applications.

b. Using discretion, reviews and evaluates reappointment information, and verifies all information.

c. Evaluates and determines relevancy of responses, using independent judgment to identify, investigate and resolve information of significance.

d. Monitors the application to ensure completion prior to reappointment expiration date.

e. Reviews and analyzes privileges requested, determining if additional documentation is required. If so, communicates specific documentation required to physician/HPS.

f. Collaborates with Quality Management in the collection of physician specific quality and quantity data necessary for determining reappointment membership and privileges.

g. Provides documentation to the Department Chair/Section Chief regarding applicant’s continued appointment and privileges and advises of any needed changes to status or privileges.

h. Manages the practitioners in the provisional period as assigned.

  1. Follows all related guidelines in the processing of provisional reviews.
  2. Reviews and analyzes the appropriate documentation pertinent to the practitioner’s utilization of hospital resources and quality of service.
  3. Provides documentation to the Department Chair/Section Chief continued monitoring or elevation to the appropriate category prior to end of their provisional period.

7. Determines the appropriateness of Temporary Privileges.

  1. Follows all related guidelines in the processing of temporary privileges.
  2. Review the physicians/HPS documentation to identify the urgent patient care need. Communicates with the physician or HPS issues of concern or clarification of information.
  3. Initiate requests to obtain specific information to confirm the physicians/HPS current competency and ability to practice as a licensed physician/HPS (if applicable).
  4. Evaluate all information obtained; communicate positive or negative results to appropriate medical staff leadership and administration. If positive decision, communicate that the practitioner was granted temporary privileges to the appropriate departments.

8. Manages and coordinates committees, department, and section meetings and functions as assigned.

  1. Follows all related guidelines in the management and coordination of meetings.
  2. Schedule meetings as necessary, identifies and notified appropriate participants.
  3. Initializes communication with appropriate participants for specific discussion items and creates agendas at least 5 working days prior to meeting.
  4. Participates in meetings providing expertise and advice to meeting participants on matters related to regulatory compliance, Bylaws, Rules and Regulations, credentialing processes, etc.
  5. Records and completes the minutes of the meeting within 5 days after the meeting.
  6. Facilitates follow-up tasks to appropriate departments/committees, medical staff members and employees within one week after the meeting.

9. Tracks monitoring/proctoring documentation necessary for the granting of special or new privileges to physicians.

10. Participates in and recommends ideas and methods for preparing for special medical staff events: Doctor’s Day, Annual Medical Staff Meetings, and additional events as assigned.

11. Serves as liaison between the medical staff, departments and Administration.

12. Recommends new procedures and techniques and supports change and utilizes methods and opportunities for continuous improvement within the department and actively participates in implementing action plans and related assigned responsibilities.

13. Responds to requests for information from other hospital departments, Administration, and outside facilities of a routine or detailed nature, as needed.

14. Communicates with medical and health professional staff and other departments to ensure effective flow of information, as needed and/or as assigned.

15. Participates in special projects and other duties, as assigned.

16. Sets an example to all staff in their daily activities.


  • Strong organizational skills and good judgment.
  • Attention to detail, ability to prioritize and excellent customer service skills.
  • Ability to work autonomously and as part of the Medical Staff Administration team.
  • Technical, critical thinking, and interpersonal skills in order to effectively communicate with medical and health professional staff, health team members, patients and families.
  • Self-starter, ability to manage time appropriately to prioritize work with minimal supervision, in order to independently carry out the duties of the position.
  • Able to communicate effectively, both verbally and in writing.
  • Basic computer knowledge to include Microsoft Outlook, Word, Excel, Powerpoint and database management; data entry, mail merge, reports and querying ability.
  • Must always ensure that the interests of the hospital are served while still maintaining the confidence, respect, and trust of the medical staff members in a close fiduciary relationship.


  • A minimum of two years’ credentialing experience in health care field. Hospital-based, Medical Staff Office experience preferred.


Must be certified as a Certified Provider Credentialing Specialist (CPCS) or Certified Professional Medical Staff Management (CPMSM) or on track to become certified within the first year after reaching eligibility. (Currently the track for the CPCS exam requires three years experience prior to being eligible to sit for the exam.)


  • High school diploma or equivalent.
  • Bachelor’s Degree preferred.
  • Knowledge of health laws and regulations preferred.

Steward Health Care is an Equal Employment Opportunity (EEO) employer. Steward Health Care does not discriminate on the grounds of race, color, religion, sex, national origin, age, disability, veteran status, sexual orientation, gender identity and/or expression or any other non-job-related characteristic.

Application Instructions

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