Director of Medical Staff Services

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At Houston Methodist, the Director Medical Staff Services position is responsible for providing leadership and support to the organized Medical Staff and serving as a liaison to the Medical Staff to promote and enhance communication and positive working relationships. The position is also responsible for establishing and maintaining continuity in the planning, development and implementation of standards, policies and procedures and operationalizing policies applicable to the Medical Staff Services departments function including: credentialing, Bylaws, rules & regulations, fair hearing plan and allied health professional manual, medico-legal issues, quality and administrative functions. The Director will be responsible for activities related to credentialing and privileges and will be responsible for all medical staff meetings ensuring effective and efficient use of time spent addressing medical staff issues and needs. Responsibility exists for assuring compliance and continual accreditation readiness, licensure with the Texas Department of Health and other licensing and regulatory standards relative to the Medical Staff organization. This position may also assume responsibility for other functions as directed by senior leadership.

The Director position responsibilities include overseeing the activities of the department staff, ensuring quality, productivity, functional excellence and efficiency to accomplish strategic and operational objectives. In addition, this position is accountable for employee engagement, adequate staffing levels, budget development and compliance, staffing decisions such as hiring and terminating employment, coaching and counseling employees on work related performance, and developing and implementing policies and procedures to ensure a safe and effective work environment. This position also ensures training, monitoring and operations initiatives are implemented which secure compliance with ethical and legal business practices and accreditation/regulatory/government regulations.

PEOPLE ESSENTIAL FUNCTIONS
  • Directs, develops and implements strategic and operational/high level projects and processes either through independent/highly autonomous work or through the facilitation of work teams to enable the effective and efficient completion of objectives.
  • Oversees management of and ensures development for staff to meet overall objectives in terms of quality, service and cost effectiveness. Provides timely guidance and feedback to help others strengthen specific knowledge/skill areas needed to accomplish a task or solve a problem. Directs management responsibilities of selection, scheduling, supervision, retention, and evaluation of employees.
  • Meets or exceeds threshold goal for department turnover and/or system metrics on employee engagement indicators: action readiness score, tier level.
  • Provides leadership and communication to maintain a competent and engaged employee group by conducting regular department meetings to review policies and procedures and operational matters, rounding on all employees, completing performance appraisals, conducting new hire feedback sessions, coaching/corrective counseling, and providing recognition/commendations to achieve desired outcomes.
  • Identifies opportunities and takes action to build strategic relationships between ones area and other areas, teams, departments, and units to achieve business goals. Drives the promotion of teamwork within and between departments; participates and/or leads and facilitates department process improvements as needed.
  • Assists the Senior Leadership Team and Board of Trustees in developing and maintaining physician relations and services between the medical staff and the hospital to promote quality health care delivery and in response to community need.
  • Develops, in conjunction with other system hospital leaders, a comprehensive orientation for new physicians and allied health professionals.

SERVICE ESSENTIAL FUNCTIONS
  • Oversees department operations, designated projects, schedules and activities as needed to ensure that goals or objectives are accomplished within the prescribed time frame. Sets priorities and functional standards, giving direction to staff as necessary to ensure the best possible delivery of service and high customer/patient satisfaction.
  • Drives department service standards and activities to impact department and/or system score for patient/customer-based satisfaction, through role modeling and fostering accountability. Serves and actively participates on various entity committees as a voice for the department.
  • Manages and coordinates medical staff and ad hoc committee meetings/minutes, to include tracking of attendance and maintenance of records in accordance with state and federal laws and all regulatory agency standards.
  • Performs Medical Staff support functions that may include Emergency Room Call Schedule and Emergency Room Call Pay, Committee Pay, Stark Law compliance, etc.
  • Manages existing physician services agreements and contracts and works as appropriate with legal and physicians to develop additional agreements necessary to support quality patient care and the hospital mission. Provides oversight and management of contracts and agreements relating to physician compensation, which includes but is not limited to the solicitation and receipt of time allocation reports.

QUALITY/SAFETY ESSENTIAL FUNCTIONS
  • Ensures a safe and effective working environment; monitors and/or revises the department safety plan and/or any specific accreditation/regulatory required safety guidelines. Responsible for staff maintenance of credentials and competencies, per accrediting/ licensing agency and/or department guidelines as applicable.
  • Employs a proactive approach in the optimization of safe outcomes and information systems by monitoring and improving the department workflow and enhancing operations, using peer-to-peer accountability and identifying solutions via collaboration. Implements process improvements utilizing tools such as lean principles. Role models situational awareness, using teachable moments to improve safety.
  • Responsible for employee compliance to policies and procedures and performs associated actions upon non-compliance (i.e., licensure/certification compliance, focal point review requirements, disaster plan, in-services, influenza immunization, wage and hour, standard hours, timely termination submission, timely timecard approval, etc.).
  • Provides timely and concise follow-up on physician issues that become apparent. Coordinates timely communication and follow-through with appropriate hospital personnel and assists in the resolution of issues as appropriate. Coordinates resolution of physician issues in areas of peer review and physician behavior.
  • Develops policies, procedures and systems to effectively operationalize the Medical Staff Bylaws, Rules and Regulations, Fair Hearing Plan, and Allied Health Professional Manual.
  • Responsible for the organization, administration and follow up required to maintain continual accreditation and licensure readiness with regard to government/accreditation agency standards and regulations, licensure with the Texas Department of State Health Services, and other licensing and regulatory agencies.

FINANCE ESSENTIAL FUNCTIONS
  • Develops and manages department operational and capital budgets, approvals, and ongoing maintenance of the department(s), ensuring operation in a cost-effective manner. Proactively identifies and plans for capital needs related to current equipment and future department projects. Ensures staffing plans and schedules meet department needs that reflect understanding of the importance of cost-effectiveness.
  • Creates department strategies to achieve financial target and staffing needs, through optimizing productivity, supply/resource efficiency, minimizing incidental overtime and overtime percentage, and other areas according to department specifications.

GROWTH/INNOVATION ESSENTIAL FUNCTIONS
  • Identifies and implements innovative solutions for practice or workflow changes to improve department, entity or system operations by leading unit projects and/or other department/ system-directed activities. Proactively leads task forces and committees. May represent HM at assigned community or professional organization meetings.
  • Drives change initiatives, maintaining effectiveness when experiencing major changes in work responsibilities or environment; adjusts effectively to work within new work structures, processes, requirements or cultures. Partners effectively with stakeholders as appropriate.
  • Ensures own career discussions occur with appropriate management. Completes and updates the individual development plan (IDP) on an on-going basis. Conducts conversations with staff on their development and IDP.

This job description is not intended to be all-inclusive; the employee will also perform other reasonably related business/job duties as assigned. Houston Methodist reserves the right to revise job duties and responsibilities as the need arises.
EDUCATION
  • High School diploma or equivalent education (examples include: GED, verification of homeschool equivalency, partial or full completion of post-secondary education, etc.)

WORK EXPERIENCE
  • Five years of experience in medical staff services in a similar hospital environment
  • Three years of supervisory/management experience required
LICENSES AND CERTIFICATIONS - REQUIRED

LICENSES AND CERTIFICATIONS - PREFERRED
KNOWLEDGE, SKILLS, AND ABILITIES

SUPPLEMENTAL REQUIREMENTS

WORK ATTIRE

ON-CALL
Note that employees may be required to be on-call during emergencies (ie. DIsaster, Severe Weather Events, etc) regardless of selection below.

TRAVEL
Travel specifications may vary by department**

Company Profile:

Houston Methodist Willowbrook Hospital is a Magnet-recognized, not-for-profit, faith-based hospital that serves the growing Northwest Houston community. With 358 licensed beds, Houston Methodist Willowbrook is committed to providing quality, cost-effective health care in a compassionate environment for a full range of services, including emergency care, cardiology, orthopedics and sports medicine, comprehensive women’s services, neurology and neurosurgery, oncology, and primary and general medicine.

Houston Methodist is an Equal Opportunity Employer.

Location:
Houston, TX, United States
Job Type:
FullTime
Category:
Leadership Management

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