2107-Medical Staff Services Department Analyst

Job description

CITY AND COUNTY OF SAN FRANCISCO

DEPARTMENT OF HUMAN RESOURCES

Title: Medical Staff Services Department (MSSD) Analyst

Job Code: 2107

INTRODUCTION

The MSSD Analyst, under general supervision of the Director, MSSD, coordinates medical staff credentialing and medical staff committee functions for Medical Staff Services at San Francisco General Hospital Medical Center (SFGHMC); acts as technical expert and lead person over MSSD Specialists; and performs related duties and responsibilities as assigned.

DISTINGUISHING FEATURES

The MSSD Analyst is distinguished from the MSSD Specialist in that the MSSD Analyst interprets, analyzes, and prepares recommendations and coordinates Medical Staff credentialing and Medical Staff Committee functions, in addition to acting as lead person over the MSSD Specialists; whereas, the primary focus of the MSSD Specialist is to process complex and specialized paperwork. The MSSD Analyst is distinguished from other classifications in that it requires certification as a Medical Staff Coordinator issued by the National Association of Medical Staff Services. The MSSD Analyst is distinguished from the Director, MSSD, in that the latter, under general direction of the Chief Executive Officer at SFGHMC, supervises and is accountable for the medical administrative and medico-legal aspects of the Medical Staff Organization.

SUPERVISION EXERCISED

None.

MAJOR, IMPORTANT, AND ESSENTIAL DUTIES

According to Civil Service Commission Rule 109, the duties specified below are representative of the range of duties assigned to this job code/class and are not intended to be an inclusive list.

1. When assigned the credentialing function, coordinates, analyzes, verifies, and investigates the credentialing of Medical/Affiliated Staff; acts as a resource on Medical Staff credentialing; develops and maintains a standardized procedures manual for the credentialing of Medical/Affiliated Staff; coordinates initial appointment and reappointment processes with clinical departments to ensure timely processing of applications in accordance with the Medical Staff bylaws, rules, and regulations.

2. When assigned the Medical Staff Committee function, acts as a resource on committee procedures; coordinates follow-up to complete committee actions, including forwarding documentation to the Medical Staff Executive Committee for recommendation to the Governing Body; develops and maintains standardized procedures for the administration of the Medical Staff Committee function; coordinates activities of the Credentials Committee, including preparation of meeting agenda, minutes and related follow-up documentation, and attends Credentials Committee meetings; assists with other Medical Staff committees as assigned.

3. Acts as lead person over MSSD Specialists and subordinate clerical staff.

4. Oversees credentials files, Medical Staff administrative activities and MSSD database to ensure compliance with SFGHMC Medical Staff bylaws, local, state and federal laws and statutes, Title 22, and Joint Commission on Accreditation of Health Care Organizations (JCAHO) standards; identifies variances, develops and initiates corrective action and reports ongoing problems to MSSD Director.

5. Develops and implements policy and procedures manual for Credentialing/Medical Staff Administrative activities; provides technical expertise, information and direction by consulting with clinical departments and others explaining orally and in writing.

6. Analyzes database reports by collecting, organizing, tabulating and reviewing data; determines the importance, relevance, or significance of Medical Staff information and data; assists in the preparation of various status reports.

7. Develops and produces a Medical Staff newsletter, which contains medical-legal information, clinical/formulary updates, educational programs, quality management issues, and changes in the state and federal laws, statutes, regulations, and standards affecting the delivery of health care.

8. Designs and conducts evaluation studies to ensure compliance with regulatory standards to improve Medical Staff Services Department functions.

IMPORTANT AND ESSENTIAL KNOWLEDGES, SKILLS, AND ABILITIES

Knowledge of: the principles, practices and requirements of Medical Staff credentialing; federal, state and local laws and regulations applicable to Medical Staff issues; JCAHO standards; National Committee for Quality Assurance standards; Managed Care Programs; Accreditation Medical Staff law as it applies to the credentialing process; procedures necessary to process applications through Medical Staff Committees; managed care practices; and credentialing database programs and modern office procedures.

Ability to: identify, prioritize and organize tasks; work independently; handle highly sensitive and confidential information; communicate effectively orally and in writing with medical and hospital staff and coworkers; and act as lead person over technical and clerical employees.

MINIMUM QUALIFICATIONS

These minimum qualifications establish the education, training, experience, special skills and/or license(s) which are required for employment in the classification. Please note, additional qualifications (i.e., special conditions) may apply to a particular position and will be stated on the exam/job announcement.

Education:

Possession of a baccalaureate degree or equivalent.

Experience:

Requires three (3) years of experience in a Medical Staff Services Department within the last (5) years.

License and Certification:

Possession of a current certificate as a Medical Staff Coordinator issued by the National Association of Medical Staff Services.

SUPPLEMENTAL INFORMATION

PROMOTIVE LINES

ORIGINATION DATE: 3/7/1997

AMENDED DATE:

REASON FOR AMENDMENT To accurately reflect the current tasks, knowledge, skills and abilities defined in the most recent job analysis conducted for this job code.

BUSINESS UNIT(S): COMMN

Standard information

Disaster service work

All City and County of San Francisco employees are designated Disaster Service Workers through state and local law (California Government Code Section 3100-3109). Employment with the City requires the affirmation of a loyalty oath to this effect. Employees are required to complete all Disaster Service Worker-related training as assigned, and to return to work as ordered in the event of an emergency.

Historic and future compensation