Job Duties: * Responsibility for maintenance of the medical staff meetings during every calendar month and annually, annual review of all medical staff policies and procedures, rules and regulations, and guidelines. Based upon role assignments, the following job duties will apply: * Maintains all Medical Staff credentialing files and Credentialing Operations * Participates and supports the department and committee meetings of the Medical Staff in carrying out their duties as defined by CMS, The Joint Commission, NCQA, and Medical Staff Bylaws, Rules and Regulations. * Works regularly with the leaders of the Medical Staff, Administration, Department Chairs, Section Chairs and Elected Medical Staff leadership to review credentialing documents, privileging forms, coordinate meetings and assist in resolving any other issues relative to the medical staff's position on a matter. * Works regularly with Renown Medical Staff leadership to review credentialing processes and workflows, communication on behalf of the department, review department and committee activities and resolve any other issues relative to administration's position on a matter. * Work closely with Medical Staff leaders, Administration, Department Chairs, Section Chairs, and elected Medical Staff leadership to review credentialing documents, privileging forms, and assist in resolving issues * Assures coverage of medical staff meetings and provides guidance, resources and support to Department and Committee Chairman, members and personnel. * Maintains documentation in an electronic fashion of all minutes for future reference for accreditation and surveys, i.e. Joint Commission, CMS, etc. * Assures that follow-up action from meetings is done timely and applied as indicated and documented in the medical staff meeting minutes, to ensure the medical staff remains compliant with all accrediting bodies. * Assists with maintenance of current rosters of all medical staff members on each of the facilities Medical Staffs and notifies all in-house departments of any changes and updates to these rosters. * Assists and trains staff in maintenance of electronic website of privileges held by all credentialed staff, lists of all Departments, and Committees as well as the membership of all. * Assists in training staff either new to the department or to new updates and enhancements in the credentialing software. * Must have working knowledge of the current CMS Conditions of Participation, standards of the Joint Commission and the statutes and policies and procedures of the State of Nevada Medical Licensing Boards, particularly in reference to accreditation, peer review and the laws affecting assigned job duties and positions. * Coordinate with the Director of Medical Staff Services and Supervisor in preparation for Joint Commission, CMS, NCQA, and other regulatory surveys. * Assists in the development of Medical Staff Privileges and criteria for hospital privileges. * Assists as applicable and under the direction of Department Leadership in processes related to Proctoring, OPPE and FPPE on behalf of the Medical Staff. * Actively supports and incorporates Renown mission into daily activities and understands the impact of patient care in their work environment. * Maintains organization and efficiency to handle multiple responsibilities and quickly shifting priorities in an environment of constant interruptions. * Provide clear and accurate information in absence of written policies and procedures paying close attention to detail to process medical staff issues while performing duties under the direction of the Director. * Mentor and Train Staff This position does not provide patient care
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Renown Health
Jan 16, 2026