RN Medical Staff Performance Improvement Credentialing Coordinator

CentraState Healthcare System, headquartered in Freehold, New Jersey, is a leading nonprofit healthcare provider dedicated to serving the community. Its comprehensive network includes CentraState Medical Center, a community-focused hospital, along with an ambulatory campus, two senior living facilities, three free-standing community health pavilions, and a charitable foundation. As the third-largest employer in Monmouth County, CentraState has earned repeated recognition as a Great Place to Work-Certified™ company, reinforcing its reputation as an exceptional workplace. 

The RN Medical Staff Performance Improvement and Credentialing Coordinator supports and coordinates the Medical Staff Performance Improvement, Peer Review, and Focused Review functions and activities in compliance with the Medical Staff Quality Improvement Plan and related policies and procedures. The Coordinator works closely with other departments of CentraState Medical Center to obtain appropriate quality information such as Risk Management, Quality and Patient Safety, and Information Technology and Support under the supervision of the Chief Medical officer. Additionally the RN Medical Staff Performance Improvement and Credentialing Coordinator under the supervision of the Manager of Medical Affairs coordinates and processes the credentialing of reappointment applications for Medical Staff membership and/or privileges in accordance with the Medical Staff Bylaws and Departmental Rules and Regulations so as to assure the maintenance of qualified practitioners who provide patient care in the hospital. The Coordinator notifies applicants and Hospital personnel of action(s) taken per established Departmental policies/procedures. The coordinator processes and monitors medical staff quality improvement.

Schedule: Monday through Friday- 8a-4p.  Must be flexible to work outside typical hours.

• Supports the work of the Medical Staff Quality Review Committees through case review for clinical quality, documentation, and professional behavior
• Participates in collecting and reviewing of quality data, working closely with the Medical Staff Departments and quality committees, as well as individual physicians in reviewing the performance report information.
• Works in conjunction with department chairperson, VP Medical Director of Quality, and Chief Medical Officer on medical staff department quality initiatives
• Conducts medical staff case reviews and works in conjunction with the VP Medical Director of Quality, Chief Medical Officer, and department chairpersons
• Supports and coordinates the Medical Staff Performance Improvement and Peer Review
• Works closely with the Manager in regard to Focused Professional Performance Evaluation(FPPE) and Ongoing Professional Performance Evaluation (OPPE) for regulatory compliance
• Maintains OPPE and FPPE records on medical staff, supports department chairpersons in development of FPPE plans
• Tracks and trends medical staff FPPE and OPPE
• Coordinates and provides administrative support (preparing agendas, taking meeting minutes) for departmental/medical staff committee meetings as assigned
• Initiates the credentialing process, including the dissemination of reference requests and state and federal verification correspondence
• Maintains continuous contact via phone, email and/or in person with candidates for reappointment and all agencies and intuitions who have been requested to supply credentialing information
• Reviews and organizes all data received and prepares reappointment files for presentation to Credentials Committee, Department Chairpersons, and the Medical Executive Committee
• Enters provider data into appropriate systems and appropriately notifies other departments of these changes as needed
• Drafts correspondence and requests for information, following department policy for release of information
• Closely monitories information collection; cognitive analysis of all information received, evaluates adequacy and quality and pursues additional information if necessary
• Is responsible for the technical and administrative support of all functions of the Office of Medical Affairs as required or assigned. These functions include but are not limited to, updating changes to provider profiles, answering incoming telephone calls, scanning/indexing Credentialing documentation in electronic credentialing software system, monitoring Physician Lounge for cleanliness and availability of supplies
• Communicates to the Manager of any concerns relative to the Office of Medical Affairs
• In conjunction with the Manager of Medical Affairs, handles and/or is kept up to date on all confidential or sensitive issues concerning Medical Staff members and activities.

• Bachelor’s degree in Nursing required, Master’s degree in Nursing preferred.
• Minimum 5-8 years of RN acute care clinical experience required.
• Prior nurse leadership experience preferred. 
• Knowledge of Joint Commission and State standards required
• Active NJ RN license required.
• Certified Professional in Healthcare Quality (CPHQ) by the National Association for Healthcare Quality (NAHQ) required within three years
• Must be computer literate, including data base management
• Strong professional, organizational, and interpersonal skills to effectively relate with all members of the healthcare team

CentraState Healthcare System, in partnership with Atlantic Health System, is a fully accredited, not-for-profit, community-based health system dedicated to providing comprehensive health services in central New Jersey. Beyond offering a wide range of advanced diagnostic and treatment options, CentraState is committed to being a valuable health partner, focusing on disease prevention, promoting healthy behaviors, and helping individuals of all ages live well.

Located in Freehold, CentraState includes a 284-bed acute-care hospital, a dynamic health and wellness campus, two award-winning senior living communities, a charitable foundation, and convenient satellite health pavilions. These pavilions offer primary care, specialty physician practices, and access to outpatient services such as lab work and physical therapy.

CentraState is proud to be among the less than two percent of hospitals nationwide to earn Magnet® designation for nursing excellence five times. Additionally, it has been recognized as a Great Place to Work-Certified™ Company by Great Place to Work® for four consecutive years.

Joining CentraState means becoming part of a pioneering healthcare facility committed to high-quality, patient-focused care. We invite you to make a difference in our community and advance your career with us. We support our employees with work/life balance initiatives, tuition assistance, career advancement opportunities, and more.

Discover why our employees love their jobs and being part of the CentraState family!

CentraState Health System offers a competitive and comprehensive Total Rewards package that supports the health, financial security, and well-being of all team members.

What We Offer:

• Medical, Dental, Vision, Prescription Coverage (30 hours per week or above for full-time and part-time team members)
• Life & AD&D Insurance
• Long-Term Disability (with options to supplement)
• 403(b) Retirement Plan with employer match
• 401(a) Retirement Plan with employer contribution
• PTO
• Tuition Reimbursement
• Well-Being Rewards
• Employee Assistance Program (EAP)
• Fertility Coverage, Healthy Pregnancy Program
• Flexible Spending & Commuter Accounts
• Pet, Home & Auto, Identity Theft and Legal Insurance
• Growth Opportunity and Workforce Development Initiatives
• Continuing Education / Onsite Training
• A warm, welcoming company culture based upon mutual respect and a collaborative goal of providing excellent patient care
• Concierge Services with Work & Family Benefits
• Magnet recognized healthcare facility

Compensation Range: $109,200 – $185,640 annually 

The compensation above reflects the established range from CentraState Healthcare System (CSHS) for this position at the time the job was posted. CSHS considers many factors to determine compensation, including education, experience, skills, licenses, certification, and training.  As such, team member compensation may fall outside this range. 

Additionally, the compensation range reflects base salary and does not include extra shift rates or incentives tied to quality, productivity, etc., as applicable.

The benefits outlined also reflect CSHS’ policy at the time of posting.  Benefits as are made available to other similarly situated team members of CSHS, although participation is at all times in accordance with and subject to the eligibility and other provisions of such plans and programs. CSHS may modify its benefits plans or programs at any time.

CSHS is proud to comply with all pay equity and pay transparency laws.

At CentraState Healthcare System, we welcome and promote the diversity of our employee family!  Each unique person contributes to the overall success of this organization. Our inclusive culture fosters an environment of professionalism and respect for personal differences.

CentraState Healthcare System, is an equal employment opportunity employer and federal contractor or subcontractor and, therefore, abides by applicable laws to protect applicants and employees from discrimination in hiring, promotion, discharge, pay, fringe benefits, job training, classification, referral, and other aspects of employment.  All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, pregnancy, gender identity or expression, sexual or affectional orientation, national origin or nationality, citizenship status, disability, age, genetics, protected veteran status, ancestry, marital status.