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Products are filtered by different dates, depending on the combination of live and on-demand components that they contain, and on whether any live components are over or not.
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  • Contains 4 Component(s), Includes Credits Includes a Live Web Event on 08/27/2024 at 1:00 PM (EDT)

    Join Diane Meldi, MBA, CPCS, CPMSM, FMSP, Alison Webster MBA, CPCS, CPHQ, FMSP and Amy Lyons, CPCS CPMSM, MBA on Tuesday, August 27, 2024 at 1:00 pm ET for their presentation, "The Ideal Credentialing Standards: A Comprehensive Walkthrough of NAMSS' Revised Standards."

    Join Diane Meldi, MBA, CPCS, CPMSM, FMSP, Alison Webster MBA, CPCS, CPHQ, FMSP and Amy Lyons, CPCS CPMSM, MBA on Tuesday, August 27, 2024 at 1:00 pm ET for their presentation, "The Ideal Credentialing Standards: A Comprehensive Walkthrough of NAMSS' Revised Standards."

    Date/Time:

    • Tuesday, August 27, 2024. 1:00 - 2:00 pm ET

    Speakers: 

    • Diane Meldi, MBA, CPCS, CPMSM, FMSP
    • Alison Webster MBA, CPCS, CPHQ, FMSP
    • Amy Lyons, CPCS CPMSM, MBA

    Description: 

    • This session will provide an overview, as well as deep dive into each of the revised Ideal Credentialing Standard's 13 elements. Presented by MSPs, the content will be geared toward MSPs.

      Learning Objectives: 

    • Provide an overview of NAMSS Ideal Credentialing Standards and the Ideal Credentialing Standards-revision process
    • Provide context for how NAMSS developed/revised each of the 13 elements that make up the revised Ideal Credentialing Standards.
    • Provide best-practice guidance for implementing/adopting these standards at various healthcare organizations

    CEs:

    • This webinar has been approved for 1.0 CE credit.

    Cost:

    • NAMSS members: Free
    • Non-NAMSS members: $75


    This webinar covers the following  Core Functional Area(s) and Tomorrow's MSP Skillsets: 

    Core Functional Area(s)

    • Analyzes and Manages Data Verification
    • Manages the Credentialing or Privileging Process
    • Conducts, Participates In, and Maintains Credentialing and Privileging
    • Conducts, Participates In, and Maintains Current Clinical Competency Evaluations and Peer Reviews

    Skillsets:

    • Analytical Thinking
    • Change Management
    • Communication
    • Medical Staff Bylaws & Policies and Procedures
    • Medical Staff Wellness
    • Performance Improvement
  • Contains 4 Component(s), Includes Credits Includes a Live Web Event on 08/15/2024 at 1:00 PM (EDT)

    Join us for an essential webinar featuring NCQA, a premier accrediting body dedicated to improving healthcare quality through rigorous standards and assessments. This session will cover best practices during audits, key focus areas, and vital tips for ensuring successful surveys. Whether you are preparing for an upcoming audit or seeking to enhance your organization's compliance and quality improvement efforts, this webinar is designed to guide you towards excellence.

    Join us for a webinar featuring NCQA, a leading accrediting body dedicated to advancing high-quality patient care. Discover best practices, key focus areas, and essential tips for achieving accreditation success in your healthcare organization. Whether you're gearing up for an upcoming audit or seeking to enhance your compliance efforts, this webinar is your guide to excellence.

    Date/Time:

    • Thursday, August 15th 1:00 pm EST

    Speakers: 

    • Gerald Stewart
    • Tandeece Mazloum-Yazdi
    • Di Hall, CPCS, CPMSM, FMSP

    Description: 

    • NCQA experts will share their extensive experience and knowledge on navigating the accreditation process. Learn about the latest trends and hot areas identified during audits, and discover practical strategies to address these challenges effectively. Our experts will also provide actionable tips to help your organization prepare thoroughly for on-site visits, ensuring a smooth and successful accreditation journey.


    In addition to insights from NCQA, the webinar also features a presentation from a medical staff and credentialing services professional (MSP) with firsthand experience in managing successful surveys. Benefit from their expertise as they share practical strategies and real-world examples for achieving compliance and optimizing the survey process.
    Don't miss this opportunity to gain invaluable insights from industry leaders and elevate your organization's accreditation efforts. Register now to secure your spot and take the next step toward accreditation excellence with NCQA.


    Learning Objectives: 

    1. Learn essential strategies for preparing your organization for an audit, including documentation, staff training, and readiness assessments.
    2. Recognize common areas where organizations face challenges during audits and gain insights into mitigating risks and ensuring compliance.
    3. Identify practical tips and tactics for maximizing the efficiency and effectiveness of your audit process, from initial planning to post-audit follow-up.

    CEs:

    • This webinar has been approved for 1.0 CE credit.

    Cost:

    • NAMSS members: $75
    • Non-NAMSS members: $125


    This webinar covers the following Core Functional Area(s) and Tomorrow's MSP Skillsets: 

    Core Functional Area(s):

    • Manages the Credentialing or Privileging Process 
    • Manages Compliance with State and Federal Accreditation Standards and Regulatory Requirements 
    • Conducts, Participates In, and Maintains Primary Source Verification
    • Complies with Accreditation Standards and Regulatory Standards
    • Manages Departmental Operations
    • Analyzes and Manages Data Verification

    Skillsets:

    • Analytical Thinking
    • Legal
    • Medical Staff Bylaws & Policies and Procedures


    ***This is a live event only. No Recording will be available***

  • Contains 3 Component(s) Includes a Live Web Event on 08/08/2024 at 12:25 PM (EDT)

    Calling all NAMSS members! Join us for an informative session dedicated to helping you walk through the NAMSS recertification process. This forum is designed for current NAMSS certificants looking to renew their CPCS and/or CPMSM certification and stay updated with the latest standards and requirements. Don't miss this opportunity to stay informed and prepared. Mark your calendar and join us for an engaging and educational session.

    Title: 

    • NAMSS Member Forum: Recertification Information Session - 8/8/2024

    Description:

    • Calling all NAMSS members! Join us for an informative session dedicated to helping you walk through the NAMSS recertification process. This forum is designed for current NAMSS certificants looking to renew their CPCS and/or CPMSM certification and stay updated with the latest standards and requirements. Don't miss this opportunity to stay informed and prepared. Mark your calendar and join us for an engaging and educational session.

    Who Should Attend:

    • Current NAMSS members with expiring CPCS and/or CPMSM certifications
    • Members seeking a better understanding of the recertification process
    • NAMSS Members wishing to learn how to upload Continuing Education

    What We’re Discussing:

    • Comprehensive Overview: Learn about the recertification requirements, including how to upload continuing education credits and professional activities.
    • Step-by-Step Guidance: Receive detailed instructions on how to complete the recertification application process.
    • Q&A Session: Get your questions answered by experienced professionals who have successfully navigated the recertification process.
    • Resources and Tips: Access valuable resources and tips to help you stay organized and on track with your recertification.

    CEs:

    • No CEs will be provided for this event.

    Cost:

    • NAMSS members: Free


  • Contains 4 Component(s), Includes Credits Includes a Live Web Event on 08/07/2024 at 1:00 PM (EDT)

    Join us for this webinar where ACHC, a leading accrediting body, shares essential strategies and insights tailored specifically for Acute Care Hospitals, Critical Access Hospitals, and Group Practices/Physician Organizations. In this comprehensive session, our experts will delve into best practices, hot areas uncovered during audits, and invaluable tips for ensuring successful surveys. Whether you're gearing up for an audit or seeking to enhance your organization's compliance efforts, this webinar is a must-attend.

    Join us for this webinar where ACHC, a leading accrediting body, shares essential strategies and insights tailored specifically for Acute Care Hospitals, Critical Access Hospitals, and Group Practices/Physician Organizations. In this comprehensive session, our experts will delve into best practices, hot areas uncovered during audits, and invaluable tips for ensuring successful surveys. Whether you're gearing up for an audit or seeking to enhance your organization's compliance efforts, this webinar is a must-attend.

    Date/Time:

    • Wednesday, August 7th - 1:00 - 2:00 pm ET

    Speakers: 

    • Madelyn Jo May
    • Ginny Tutterow, CPCS

    Description: 

    • ACHC will provide invaluable guidance on navigating audits in the acute care and physician practice settings. From understanding critical compliance standards to optimizing your organization's audit readiness, our ACHC representatives will equip you with the knowledge needed to excel in your accreditation journey.
      In addition to insights from ACHC, the webinar features a medical staff and credentialing services professional's (MSP) firsthand experience in managing successful surveys. Benefit from their expertise as they share practical strategies and real-world examples for achieving compliance and streamlining the audit process. Don't miss this opportunity to gain invaluable insights from industry experts and elevate your organization's compliance efforts. Register now to secure your spot and take the next step toward audit excellence in acute care and physician practice settings.

      Learning Objectives: 

    1. Learn essential strategies for preparing your organization for an audit, including documentation, staff training, and readiness assessments.
    2. Recognize common areas where organizations face challenges during audits and gain insights into mitigating risks and ensuring compliance.
    3. Identify practical tips and tactics for maximizing the efficiency and effectiveness of your audit process, from initial planning to post-audit follow-up.

    CEs:

    • This webinar has been approved for 1.0 CE credit.

    Cost:

    • NAMSS members: $75
    • Non-NAMSS members: $125

    This webinar covers the following Core Functional Area(s) and Tomorrow's MSP Skillsets: 

    Core Functional Area(s):

    • Analyzes and Manages Data Verification
    • Manages the Credentialing or Privileging Process 
    • Manages Compliance with State and Federal Accreditation Standards and Regulatory Requirements 
    • Conducts, Participates In, and Maintains Primary Source Verification
    • Complies with Accreditation Standards and Regulatory Standards
    • Manages Departmental Operations


    Skillsets:

    • Analytical Thinking
    • Legal
    • Medical Staff Bylaws & Policies and Procedures


  • Contains 4 Component(s), Includes Credits Includes a Live Web Event on 07/23/2024 at 2:00 PM (EDT)

    Join the President of ACCME, Graham McMahon, MD, MMSc on Tuesday, July 23, 2024 at 2:00 pm ET for their presentation, "What's Next in CME? Essential Insights for NAMSS Members."

    Join ACCME President, Graham McMahon, MD, MMSc on Tuesday, July 23, 2024 at 2:00 pm ET for their presentation, "What's Next in CME? Essential Insights for NAMSS Members."

    Date/Time:

    • Tuesday, July 23, 2024. 2:00 - 3:00 pm ET

    Speakers: 

    • Graham McMahon, MD, MMSc - President of ACCME

    Description: 

    • Join us for a comprehensive session exploring the evolving alignment between CME and credentialing, privileging, certification and licensure. Discover the latest strategies for remediation, and performance management of the professional, improving quality, and facilitating teaming as well as how to utilize the increasingly available CME data in CME passport. This webinar will equip you with the insights needed to navigate these changes and optimize your practice in a rapidly shifting healthcare landscape. 

      Learning Objectives: 

    • Recognize key opportunities for synergy between CME and credentialing/privileging.
    • See how CME is changing to respond to the evolving learning needs of healthcare professionals.
    • Leverage existing data flows to simplify CME credit capture and compliance.

    CEs:

    • This webinar has been approved for 1.0 CE credit.

    Cost:

    • NAMSS members: Free
    • Non-NAMSS members: $75


    This webinar covers the following  Core Functional Area(s) and Tomorrow's MSP Skillsets: 

    Core Functional Area(s)

    • Analyzes and Manages Data Verification
    • Conducts, Participates In, and Maintains Credentialing and Privileging
    • Manages Compliance with State and Federal Accreditation Standards and Regulatory Requirements 

    Skillsets:

    • Clinical Competence Evaluation
    • Quality Review/Quality
    • Relationship Building 
  • Contains 4 Component(s), Includes Credits

    Watch the recording of a webinar featuring AAAHC, a leading accrediting body dedicated to advancing high-quality patient care. Discover best practices, key focus areas, and essential tips for achieving accreditation success in your healthcare organization. Whether you're gearing up for an upcoming audit or seeking to enhance your compliance efforts, this webinar is your guide to excellence.

    This product features a recording of the Accreditation Series webinar, "Navigating Accreditation: Insights and Strategies from AAAHC".

    Join us for a webinar featuring AAAHC, a leading accrediting body dedicated to advancing high-quality patient care. Discover best practices, key focus areas, and essential tips for achieving accreditation success in your healthcare organization. Whether you're gearing up for an upcoming audit or seeking to enhance your compliance efforts, this webinar is your guide to excellence.

    Speakers: 

    • Tess Poland, SVP Chief Clinical Officer AAAHC
    • Nyleen Flores, CPMSM, CPCS, CPCO, CASC

    Description: 

    • AAAHC experts will share invaluable insights into the accreditation process, drawing from their extensive experience in setting rigorous standards and promoting best practices in ambulatory healthcare. From understanding critical performance metrics to implementing effective strategies for compliance, our experts will provide you with the knowledge and tools needed to excel in your accreditation journey. In addition to insights from AAAHC, the webinar also features a presentation from a medical staff and credentialing services professional (MSP) with firsthand experience in managing successful surveys. Benefit from their expertise as they share practical strategies and real-world examples for achieving compliance and optimizing the survey process. Don't miss this opportunity to gain invaluable insights from industry leaders and elevate your organization's accreditation efforts. Register now to secure your spot and take the next step toward accreditation excellence with AAAHC.

    Learning Objectives: 

    1. Learn essential strategies for preparing your organization for an audit, including documentation, staff training, and readiness assessments.
    2. Recognize common areas where organizations face challenges during audits and gain insights into mitigating risks and ensuring compliance.
    3. Identify practical tips and tactics for maximizing the efficiency and effectiveness of your audit process, from initial planning to post-audit follow-up.

    CEs:

    • This webinar recording has been approved for 1.0 CE credit.

    Cost:

    • NAMSS members: $75
    • Non-NAMSS members: $125

    This webinar covers the following Core Functional Area(s) and Tomorrow's MSP Skillsets: 

    Core Functional Area(s):

    • Manages the Credentialing or Privileging Process 
    • Manages Compliance with State and Federal Accreditation Standards and Regulatory Requirements 
    • Conducts, Participates In, and Maintains Primary Source Verification
    • Complies with Accreditation Standards and Regulatory Standards
    • Manages Departmental Operations
    • Analyzes and Manages Data Verification

    Skillsets:

    • Analytical Thinking
    • Legal
    • Medical Staff Bylaws & Policies and Procedures
  • Contains 3 Component(s)

    The NAMSS Credentialing Specialist (CPCS®) Study Guide is a printable reference guide designed to help MSPs prepare for the CPCS® exam. This comprehensive resource covers exam topics, including credentialing and privileging; primary source verification; compliance with standards; and medical services operations. In addition, these topics are reviewed from the perspective of a variety of healthcare settings, including hospitals, credentials verification organizations (CVOs), managed care organizations (MCOs), and ambulatory care settings. MSPs are able to access the full spectrum of information they will need to know for the CPCS® exam in one organized guide.*This resource is published as an online document. It will be available and printable from the NAMSS Online Education Center. This product will not be shipped to you. *This bundle includes access to the NAMSS Comparison Grid of Accreditation Standards Grid.

    The NAMSS Credentialing Specialist (CPCS®) Study Guide is a PDF reference guide designed to help medical services professionals prepare for the CPCS® exam. This comprehensive resource covers exam topics, including credentialing and privileging; primary source verification; compliance with standards; and medical services operations. In addition, these topics are reviewed from the perspective of a variety of healthcare settings, including hospitals, credentials verification organizations (CVOs), managed care organizations (MCOs), and ambulatory care settings. MSPs are able to access the full spectrum of information they will need to know for the CPCS® exam in one organized guide.

    The 2024 NAMSS Comparison of Accreditation Standards Grid was updated in March 2024.


    Who Should Purchase
    :

    • MSPs planning to take the Certified Provider Credentialing Specialist (CPCS®) Certification Exam and/or MSPs new to the field who are looking for an go-to resource. NAMSS members and non-members are welcome to purchase the guide.


    Contents:

    • Principles of credentialing and re-credentialing, including bylaws, policies, procedures, rules, and regulations;
    • The application process;
    • Credentials verification, including board certification and licensure;
    • Clinical privileges;
    • Peer review and performance improvement;
    • Re-credentialing, reappointment, and reappraisal;
    • Operations and information management;
    • Medical staff management;
    • Healthcare law, including medical staff appointments and privileges, the medical record, and the Healthcare Quality Improvement Act (HCQIA); and
    • Exam study strategies and self-check questions.


    What You Will Learn:

    • How to increase your knowledge of the credentialing process;
    • How to improve your understanding of each medical environment and its patients;
    • Relevant exam-related information organized by topic so that you can carefully review areas in which you are lacking knowledge;
    • Familiarity with the types of questions included on the CPCS® exam; and
    • An accessible reference to help answer your questions in the workplace.


    This bundle includes access to the NAMSS Comparison Grid of Accreditation Standards:

    • The NAMSS Comparison of Accreditation Standards Grid is an online PDF reference guide that provides “plain-language” interpretations of the credentialing standards for The Joint Commission, NCQA, Healthcare Facilities Accreditation Program, DNV, URAC, the Accreditation Association for Ambulatory Health Care, as well as the Medicare Conditions of Participation. This product includes updates that will be made by NAMSS over the next 12 months. This product is a downloadable document and does not ship.


    Cost: 

    • Hover over the "Register" button in the top right corner to see the price


    Note: The Certification Commission of NAMSS (CCN) does not develop, administer, sponsor, endorse, or financially benefit from any type of exam review, preparatory course or published materials related to the content of the certification examinations. The purchase and/or use of any exam preparation material does not guarantee a passing score on the exam.

  • Contains 2 Component(s)

    The NAMSS Credentialing Specialist (CPCS®) Study Guide is a printable reference guide designed to help MSPs prepare for the CPCS® exam. This comprehensive resource covers exam topics, including credentialing and privileging; primary source verification; compliance with standards; and medical services operations. In addition, these topics are reviewed from the perspective of a variety of healthcare settings, including hospitals, credentials verification organizations (CVOs), managed care organizations (MCOs), and ambulatory care settings. MSPs are able to access the full spectrum of information they will need to know for the CPCS® exam in one organized guide.*This resource is published as an online document. It will be available and printable from the NAMSS Online Education Center. This product will not be shipped to you.

    The NAMSS Credentialing Specialist (CPCS®) Study Guide is a PDF reference guide designed to help medical services professionals prepare for the CPCS® exam. This comprehensive resource covers exam topics, including credentialing and privileging; primary source verification; compliance with standards; and medical services operations. In addition, these topics are reviewed from the perspective of a variety of healthcare settings, including hospitals, credentials verification organizations (CVOs), managed care organizations (MCOs), and ambulatory care settings. MSPs are able to access the full spectrum of information they will need to know for the CPCS exam in one organized guide.

    This product is current with the Spring 2023 NAMSS CPCS® Exam Content Outline.

    Who Should Purchase:

    • MSPs planning to take the Certified Provider Credentialing Specialist (CPCS) Certification Exam and/or MSPs new to the field who are looking for an go-to resource. NAMSS members and non-members are welcome to purchase the guide.

    Contents:

    • Principles of credentialing and re-credentialing, including bylaws, policies, procedures, rules, and regulations;
    • The application process;
    • Credentials verification, including board certification and licensure;
    • Clinical privileges;
    • Peer review and performance improvement;
    • Re-credentialing, reappointment, and reappraisal;
    • Operations and information management;
    • Medical staff management;
    • Healthcare law, including medical staff appointments and privileges, the medical record, and the Healthcare Quality Improvement Act (HCQIA); and
    • Exam study strategies and self-check questions.

    What You Will Learn:

    • How to increase your knowledge of the credentialing process;
    • How to improve your understanding of each medical environment and its patients;
    • Relevant exam-related information organized by topic so that you can carefully review areas in which you are lacking knowledge;
    • Familiarity with the types of questions included on the CPCS exam; and
    • An accessible reference to help answer your questions in the workplace.

    Cost: 

    • Hover over the "Register" button in the top right corner to see the price


    Note: The Certification Commission of NAMSS (CCN) does not develop, administer, sponsor, endorse, or financially benefit from any type of exam review, preparatory course or published materials related to the content of the certification examinations. The purchase and/or use of any exam preparation material does not guarantee a passing score on the exam.


  • Contains 4 Component(s), Includes Credits

    Watch the recording of Wellbeing First for Healthcare – Destigmatizing Mental Health Through Credentialing Form Changes by Corey Feist, JD, MBA, Steven Reames, Drs. Nicki Chopski, Katherine Schneider, and Edward McEachern, MD. Then, complete the quiz and earn 80% or higher to receive CE credit.

    Watch the recording of Wellbeing First for Healthcare – Destigmatizing Mental Health Through Credentialing Form Changes by Corey Feist, JD, MBA, Steven Reames, Drs. Nicki Chopski, Katherine Schneider, and Edward McEachern, MD. Then, complete the quiz and earn 80% or higher to receive CE credit.

    Originally presented 5/23/2024

    Speakers: 

    • Corey Feist, JD, MBA
    • Steven Reames
    • Dr. Nicki Chopski
    • Dr. Katherine Schneider
    • Dr. Edward McEachern, MD

    Description: 

    • Over 50% of doctors report burnout. The pandemic, workplace violence, provider shortages, and administrative burdens are compounding factors. When clinicians are afraid to seek the care they need, they may be unable to work due to depression, or burnout. Some abuse substances; some leave medicine. Join us for a discussion of these issues, the current legal barriers and impact on health care, and the solutions healthcare institutions and many of us may take to help tackle this crisis.

      Learning Objectives: 

    • Awareness of issues contributing to the burnout of the healthcare workforce
    • The role questions about mental health play in prolonging stigma around mental health access among physicians and healthcare providers.
    • Specific actions that boards, credentialing organizations, and physician employers can take to remove barriers to mental health access.
    • Solutions to address burnout and support the professional well-being of healthcare providers.

    CEs:

    • This webinar has been approved for 1.0 CE credit.

    Cost:

    • NAMSS members: Free
    • Non-NAMSS members: $75


    This webinar covers the following  Core Functional Area(s) and Tomorrow's MSP Skillsets: 

    Core Functional Area(s)

    • Manages the Credentialing or Privileging Process

    Skillsets:

    • Communication
    • Medical Staff Bylaws & Policies and Procedures
    • Medical Staff Wellness
  • Contains 4 Component(s), Includes Credits

    Watch the recording of an engaging discussion with URAC on best practices during audits, key focus areas, and essential tips for ensuring successful surveys. Whether you're preparing for an accreditation review or seeking to enhance your organization's compliance efforts, this webinar is your pathway to excellence.

    This product features a recording of the Accreditation Series webinar, "Excelling in Accreditation: Insights and Strategies from URAC".

    Join us for an engaging discussion with URAC on best practices during audits, key focus areas, and essential tips for ensuring successful surveys. Whether you're preparing for an accreditation review or seeking to enhance your organization's compliance efforts, this webinar is your pathway to excellence.

    Speakers: 

    • Monica Dantzler-Thomas, MSN, MHA, RN, CCM, LNC
    • Holly Virden, CPMSM

    Description: 

    • URAC experts will provide invaluable insights into navigating the accreditation process, drawing from their extensive experience in setting industry standards and promoting best practices. From understanding critical performance measures to implementing effective strategies for compliance, our experts will equip you with the knowledge and tools needed to excel in your accreditation journey. In addition to insights from URAC, the webinar features a presentation from a medical staff and credentialing services professional (MSP) with firsthand experience in managing successful surveys. Learn from their expertise as they share practical strategies and real-world examples for achieving compliance and optimizing the survey process. Don't miss this opportunity to gain invaluable insights from industry leaders and elevate your organization's accreditation efforts. Register now to secure your spot and take the next step toward accreditation excellence with URAC.

    Learning Objectives: 

    1. Learn essential strategies for preparing your organization for an audit, including documentation, staff training, and readiness assessments.
    2. Recognize common areas where organizations face challenges during audits and gain insights into mitigating risks and ensuring compliance.
    3. Identify practical tips and tactics for maximizing the efficiency and effectiveness of your audit process, from initial planning to post-audit follow-up.

    CEs:

    • This webinar has been approved for 1.0 CE credit.

    Cost:

    • NAMSS members: $75
    • Non-NAMSS members: $125

    This webinar covers the following Core Functional Area(s) and Tomorrow's MSP Skillsets: 

    Core Functional Area(s):

    • Analyzes and Manages Data Verification
    • Manages the Credentialing or Privileging Process 
    • Manages Compliance with State and Federal Accreditation Standards and Regulatory Requirements 
    • Conducts, Participates In, and Maintains Primary Source Verification
    • Complies with Accreditation Standards and Regulatory Standards
    • Manages Departmental Operations

    Skillsets:

    • Analytical Thinking
    • Legal
    • Medical Staff Bylaws & Policies and Procedures