Medical Staff Quality Coordinator, Rn, Msn, Cnor
Houston, Texas Area
Interprets, explains and follows all regulatory guidelines, including medical staff bylaws, fair hearing plan, rules and regulations and polices.Maintains systems to identify (and disseminate to others) medical staff members and their clinical privileges, prepares and maintains other related records and reports. Works with medical staff leadership and hospital clinical staff for the approval and ongoing review of these practitioners.Monitors and revises credentialing and privileging forms as needed.Ensures maintenance of medical staff and allied health staff files.Ensures that results of medical staff quality management findings are provided to appropriate review committees/ departments and maintained in a confidential file.Coordinates continuing medical education programs for the medical staff and ensures compliance with the Joint Commission on Accreditation of Healthcare Organization (JCAHO) and other regulatory organizations.