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Click here or scroll down to respond to this candidateCandidate's Name
Street Address Ogelthorpe DriveDavenport, FL Street Address
Phone: PHONE NUMBER AVAILABLEEMAIL AVAILABLEQUALIFICATIONS PROFILESkills: Extensive knowledge of various databases and credentialing programs, including Cactus, VetPro (the Veterans Administration credentialing system), PrivPlus, and MD Staff. Proficient in all Microsoft applications, various Medical Staff software and Medical Terminology. Extensive experience with leading survey teams, scribing, data collection, project management, information auditing, and serving as the subject matter expert on credentialing and privileging matters for various medical survey teams, including The Joint Commission. I am a results-oriented leader, providing mentorship and quality training in operations while maintaining strong communication with employees and executive leadership. I strive to develop an interactive, structured, and goal-oriented environment. I possess a high degree of ethics, with great communication and presentation skills. I also have experience as a competent builder and leader of successful teams within the healthcare field.Objective: A multifaceted, driven, and highly motivated professional offering an exceptional ability to work under pressure with the skill to enhance operations, efficiency, and productivity seeking a position to utilize my 20+ years of extensive experience in solid technical operations, supervising, consulting, and implementing programs within the field of credentialing/privileging and medical staff affairs. Experience:Lead Medical Staff Coordinator November 2023-Current HCA Florida Brandon HospitalBrandon, FLArea of Responsibilities: Lead Medical Staff Coordinator for HCA Florida Brandon Hospital under the Office of Quality Management and Patient Safety; responsible for maintaining the appointments and reappointments for a multi-disciplined medical staff consisting of 1400+ providers.Responsible for the coordination of medical staff appointments and reappointments of 1,400+ providersResponsible for meeting management, agenda creation, and meeting minutes for the Credentials CommitteeResponsible for meeting management, agenda creation, and meeting minutes for the Medical Executive CommitteeResponsible for meeting management, agenda creation, and meeting minutes for all major medical department meetings (Medicine, Surgery, etc)Serves as a consultant to the Vice President of Quality Management and the hospitals Chief Medical Officer on medical staff policies, medical staff by-laws, and assuring compliance with all applicable and expected hospital standardsResponsible for the creation of the official hospital provider call schedule used by the nursing department, the operating room, and the emergency roomProvides badging and hospital orientation to new providersCreates and coordinates provider access for medication prescribing and medical records training (MediTech) Chief of Medical Staff Affairs/Credentialing and Privileging December 2009-October 2023 Orlando VA Healthcare SystemOrlando, FLArea of Responsibilities: Manager of Medical Staff Affairs, including the Credentialing and Privileging Office for the Orlando VA Healthcare System under the Chief of Staff; responsible for managing the Credentialing and Privileging Program consisting of 1,400+ Licensed Independent Providers and 2,800+ Dependent Providers mandated by VHA Credentialing & Privileging Directives.Manage and supervise daily activities of and delegate work duties to 18 Medical Staff Service Professionals in support of more than 4,200 clinicians providing daily patient careOversee the training management program for staff assigned to the department, ensuring personnel are properly trained based on The Joint Commission and VA standards and directivesAssess employee performance and address disciplinary issuesManage time, attendance, and leave use (non-timekeeping)Implement effective HR policies to ensure compliance within all areas of labor and employment relationsResponsible for reviewing and approving purchase orders for completeness, proper documentation, and justification of items, services, and equipment begin requestedExplain policy and supporting rationales based on The Joint Commission Hospital Standards and per VA Directives to clinical and administrative staff membersAdvise and assist the Chief of Staff, Chief of Quality Management, Clinical Service Chiefs, and Medical Center Director facilities in matters involving credentialing and privileging for Licensed Independent Providers assigned to the medical center, 4 outpatient clinics and 6 community-based outpatient centersCompose, review and recommend changes on facility policies based on modifications from VHA DirectivesResponsible for contributions to the analysis of the facilitys Medical Bylaws to include research regulations, editing and revising as necessaryAssess Credentials and Privileging Program for effectiveness and makes changes and improvements in proceduresConduct an analysis of data across health care delivery systems to assess the quality of health care systems performanceResponsible for the Credentialing and Privileging budget of over $150,000 for verifications and suppliesPurchase card holder and manager for the transactions and purchases of 16 purchase card usersServes as an advisor to the Chairman of the Medical Executive Committee and the Medical Center Director in legal matters involving license revocations/reporting, professional misconduct, and all matters related to clinical competencies investigationServes as an advisor to special Professional Standard Board (PSB) meetings when a marginal provider is identifiedConduct risk assessments and determine appropriate remediation actions. Analyze data to evaluate program risk or vulnerabilities of disclosure and privacy breachesPrepare communication products/reports highlighting risks and mitigation strategiesParticipates in reviews and collaborates with other functions to evaluate program risk or vulnerabilities of disclosure and privacy controlsResponsible for the creation and maintenance of all the facilitys FPPE and OPPE program Medical Staff Coordinator/ January 2003-December 2009 Credentialing & Privileging SupervisorVA San Diego Healthcare SystemSan Diego, CAArea of Responsibilities: Supervisor of the Credentialing and Privileging Office for the VA San Diego Healthcare System under the Office of the Chief of Staff; responsible for managing the Credentialing and Privileging Program consisting of 1,200+ Licensed Independent Provider mandated by VHA Credentialing& Privileging Directives.Responsible for the management and coordination of the credentialing and re-credentialing of approximately 1,200 providers on the medical staff of the VA San Diego Health Care SystemResponsible for the creation and maintenance of medical staff privilegesConsultant to the Chief of Staff and Health Systems Specialist on medical staff policies, medical staff by-laws, and assuring compliance with both current Joint Commission (TJC) and National Veterans Health Administration standardsResponsible for the creation of a privileging library for use by the Nursing Department and the Operating RoomResponsible for the management of workload and schedules for the entire credentialing and privileging departmentResponsible to report marginal physicians to the National Provider Data Base (NPDB) when determined by the Medical Center DirectorTime and Attendance approval/disapproval authorityResponsible for approximately $100,000 Credentialing and Privileging budget for verifications, department purchases, and suppliesSharp Memorial Hospital May 2003-May 2005San Diego, CASurgery SchedulerArea of Responsible: Responsible for the coordination of medical appointments and the surgery schedule for the facilitys outpatient surgery center.Responsible for the coordination of PACU placement following surgeryScheduled appointments for surgical follow-upCoordination of family notification following surgeryResponsible for communication of instructions preceding surgeriesNorthwest Credentialing Verification Service September 1999-January 2003 Bremerton, WACredentials Verification AnalystArea of Responsible: Responsible for the recruitment and coordination of credentialing providers for several medical insurance companies and hospitals both locally and nationally, such as the insurance giant Liberty Mutual.Responsible for the coordination and monitoring of clinical privileges and medical licensure for alarge local hospital (Skagit Valley Hospital, Mount Vernon, WA)Obtaining primary source verifications for the providers of a local private insurance company (Liberty Mutual)Responsible for knowledge and adherence to NCQA standardsEducation:National Association Medical Staff Service, 2005 Washington, DC Certified Provider Credentials Specialist (CPCS)DePauw University (GPA: 3.6), 1992-1995 Greencastle, IN Area of Study: Psychology/EnglishAnderson High School (GPA: 4.3-Academic Honors Diploma), 1992 Anderson, IN Area of Study: Academic Honors/Advanced Placement |
