Job Description

Lighthouse Lab Services has partnered with the premier hospital in lovely Southern California. We are looking for a dedicated Director of Medical Staff Services to join our client's team to be a part provide oversight

ABOUT BRAWLEY, CA:

Brawley, CA is a friendly, affordable gem in Southern California’s Imperial Valley where small-town charm meets big opportunities. With a cost of living far below the state average and home prices well under most of California’s, Brawley offers a welcoming lifestyle without the big-city price tag. Nestled amid rich agricultural land and minutes from the Imperial Sand Dunes, Salton Sea, and endless outdoor adventures, it is perfect for those who love fresh produce, sunshine, and wide-open spaces. Enjoy a keen sense of community through local events like the famous Cattle Call Rodeo, stroll the historic downtown, and take advantage of a prime location just a short drive from San Diego, Palm Springs, and Baja California. In Brawley, you will find the perfect blend of affordability, community spirit, and access to nature.

ABOUT THE POSITION:

Reporting to the Chief Executive Officer, the Director of Medical Staff Services is responsible for establishing and maintaining continuity in the planning/development/implementation of standards applicable to Medical Staff relating to credentialing, peer review, quality assessment/improvement and administrative functions. Will direct the daily activities of the Medical Staff Coordinator and be responsible for facility-wide preparation, organization and follow-up involved in maintaining hospital accreditation and licensed with the DNV Healthcare Inc as it relates to Medical Staff Services. The position will have two support staff that report to the Director. The Director will closely integrate with the operations of the Quality Management Department.

ESSENTIAL FUNCTIONS:

• Act as resources to the medical staff by keeping current with all accreditation standards and regulatory requirements, including State and Federal regulations. Updates departmental policies and procedures as necessary to comply with changes.
• Assist in developing long-range plans for the medical staff to ensure overall continuity of hospital programs. Establishes effective communication with the medical staff, nursing and other hospital departments, and acts as liaison between medical staff and administration.
• As CME (Continuing Medication Education) Coordinator, work with the CME Committee in developing CME programs, symposia and dissemination of educational materials related to peer review and monitoring and evaluation of activities. Responsible for recording both internal and external CME activities.
• Supervise the Medical Staff Library under the direction of the Medical Library Committee; maintains books and periodicals.
• Initiate and process proposed amendments to the medical staff bylaws, rules and regulations and monitor their enforcement. Maintain a current primary copy of the medical staff bylaws, rules and regulations, including the rules and regulations of the respective medical staff departments, and is cognizant of the contents thereof.
• Guide the medical staff, in concert with legal counsel, through disciplinary processes involving members of the medical staff through coordination with medical staff counsel and the CEO.
• Responsible for the DNV and ISO certification compliance as the Medical Staff Office Chapter Leader.
• Oversee the medical staff performance improvement plan, including the continued enhancement of Physician Quality Profiles, through collaboration with the medical staff and other departments of the hospital (Quality Management).
• Assure continued integration of Peer Review with organization’s Quality Management leadership.
• Responsible for official communications to and from medical staff membership, including newsletters, changes in medical staff membership, changes in privileges to all affected departments, and on-call schedules and updates.
• Responsible for onboarding, including orientation of physicians, advanced practitioners, medical school students, and residents.
• Responsible for medical staff budget development and oversight.
• Prepare the MEC (Medical Executive Committee) monthly summary report of the medical staff activities including the committee indicators and projects for the MEC.
• Other duties as assigned from time to time.

EDUCATION, KNOWLEDGE, SKILLS, ABILITIES AND EXPERIENCE:

• Bachelor’s Degree preferred
• Extensive experience in the healthcare industry, with specific ethics/compliance program experience or legal experience.
• Familiarity with Medicare and Medi-Cal programs.
• Maintains a high degree of credibility, independence, integrity, confidentiality and trust.
• Demonstrates sound business judgment and is supportive of the hospital mission and objectives.
• Strives to develop partnerships, teamwork and good working relationships. Maintains an open management style.
• Understands the legal regulatory framework of PMHD.
• Maintains strong writing skills required to write and edit policies and procedures, issues memorandums and compiles program reports.
• Exhibits good presentation skills with large and small audiences.
• Must demonstrate ability to exercise professional judgment regarding acquisition, recording, and communication of highly sensitive and confidential information and data.
• Must have the ability to interact with both internal and external customers. Must maintain calm demeanor during stressful conditions.
• Must possess organizational skills.
• Must have computer skills, including working knowledge of word processing, spreadsheet and graphics. The position is expected to work with current software systems, including 1) MIDAS Seeker and 2) Compliance 360 - electronic policy management systems. And 3) hospital-wide email - currently Outlook.
• Minimum of 5 years acute care hospital experience. Experience in Clinical Services, Quality Management, Compliance, HIPAA, Medical Staff, and/or contracting strongly preferred.

LICENSES AND CERTIFICATIONS

• Certification as a CPCS (Certified Provider Credentialing Specialist) would be strongly preferred.

SALARY/BENEFITS

• Salary from $99k-137K (DOE)
• Full comprehensive benefits including Medical, Dental, Vision, 401K w/ Match, PTO, holidays, and more
• $5000 Sign on Bonus
• Up to $5000 reimbursable relocation assistance

About Us:

At Lighthouse Lab Services, we offer solutions to help start, grow, and run clinical laboratories. Our recruiting team has more than 21 years of proven success placing job seekers in positions ranging from entry-level Medical Technologists to seasoned Laboratory Directors. We recruit nationwide for permanent and travel positions with clients ranging from small hospitals to large reference laboratories.

It is the policy of Lighthouse Lab Services to provide equal employment opportunity (EEO) to all persons regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status, or any other characteristic protected by federal, state or local law. In addition, Lighthouse Lab Services will provide reasonable accommodations for qualified individuals with disabilities.

Lighthouse Lab Services|844-914-0785|lighthouselabservices.com

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