Galileo Search

Published: August 24, 2019


Director of Medical Staff Services | Coastal Southeast

Experience Southern Hospitality with a Seaside Setting
Competitive Compensation | Superb Benefits Program | Relocation Assistance

Galileo Search is actively recruiting for an experienced Director of Medical Staff Services. Our Client is an award-winning, nonprofit health care system based in the coastal Southeast.

Live/Work/Play: This gem of a setting offers a close-knit community of friendly locals, beautiful beaches, foody-worthy restaurants, and an exceptional cost of living for a coastal location. The area is also known for its Victorian-era historic district, centuries-old oak trees, shopping, vast marshlands, and natural, historical attractions.

The surrounding islands offer coastal resorts, national monuments, parks, and superb golf clubs. This outstanding career opportunity, coastal location, and temperate climate make it the perfect spot for the next step in your career; not to mention an exciting new lifestyle!


Coastal Southeast


The Medical Staff Director is responsible for department administration and serves as an essential link between senior management and the medical staff. Ensures compliance with the accrediting and regulatory agencies (i.e., TJC, NCQA, URAC) regarding credentialing while developing and maintaining a working knowledge of the statutes and laws, rules and regulations and keeps the medical staff updated on changes.

Responsible for establishing, contributing to, and maintaining continuity in the planning, development, and implementation of standards applicable to the medical staff organization, relating to credentialing, quality, and administrative functions.
Leadership is very engaged and supportive of Medical Staff Director, and work in tandem.

Key Responsibilities and Duties:

• Oversight of the Medical Staff Services Department including statistical reporting, budget management, general department HR functions and the development & implementation of policies, procedures, and by-laws according to TJC and CMS accreditation standards
• 5.5 departmental FTEs – experienced/knowledgeable staff – no backlogs
• 350+ physicians
• Controls the monitoring of procedure-established criteria to ensure that practitioners meet qualifications for eligibility to request and retain specific privileges
• Provides ongoing education to team and Medical Staff Leaders
• Participates in hospital compliance teams in regulatory and accreditation surveys
• Collaborates with key staff on managing an ongoing reporting process that is accurate, timely and action-driven
• Ensures that all governance documents, policies, procedures, rules and regulations are compliant and current
• Protects permanent records by managing a secure record retention process.
• Provides guidance on accreditation, regulatory issues, medico-legal implications, national standards of care, best practices, meeting outcomes, and resolution
• Collaborates, develops, and implements long and short-term goals
• Manages processes related to investigative, disciplinary and legal proceedings, such as fair hearing and appeal
• Responsible for adequate staffing and efficient use of staffing resources
• Establishes standards and analyzes work procedures that promote leading practices and champions innovation
• Responsible for recruiting, training, mentoring, evaluating and disciplining departmental staff
• Cultivates positive interpersonal relationships with the members of the Medical Staff, Medical Staff Leaders and Administrative and ancillary staff


• Bachelor’s degree required; Master’s preferred
• CPMSM strongly preferred
• 10 years of experience in a hospital medical staff office, ideally with 5 years in a supervisory/managerial capacity
• Peer review process oversight knowledge a plus


Nonprofit | Two Hospital Acute Care System | TJC Accreditation

About Galileo Search:

Galileo Search, LLC partners with hospitals and healthcare organizations across the United States to identify, recruit, and retain the most accomplished professionals and executives in the industry. Our clients include community and critical access hospitals, health systems, academic medical centers, and Fortune 500 corporations. To learn more about Galileo Search, LLC, visit our website at

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Job ID:



Health-care, health care, healthcare, medical, hospital, healthcare system, acute care, Credentialing, re-credentialing, CPCS, Certified Provider Credentialing Specialist, CPMSM, national association of medical staff services certification, NAMSS Fellow, accreditation, TJC, CMS, privileging, NCQA/CMS regulations, state and federal regulations, licensure, credentialing file maintenance, source documentation, regulatory compliance, audits, reporting, DMHC, Department of Managed Healthcare, AMA, American Medical Association, medical staff onboarding, policy and procedures, HACP, Healthcare Accreditation Certification Program, TJC, The Joint Commission, CMS, CJCP Certification, Certified Joint Commission Professional, CHCP, Certified Healthcare Professional, regulatory compliance, licensure, accreditation, survey activities, survey preparation, compliance, process improvement, quality assurance, medical education accreditation, project management, rules, regulations, DNV GL, patient safety, Southeast, U.S. Alabama, AL, Arkansas, AR, Florida, FL, Georgia, GA, Kentucky, KY, Louisiana, LA, Mississippi, MS, North Carolina, NC, South Carolina, SC, Tennessee, TN, Virginia, VA, West Virginia, WV


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