Accreditation Standards, Acute Care, Administrative Management, Artificial Intelligence (AI), Bookkeeping, Cactus, Centers for Medicare and Medicaid Services (CMS), Communication Skills, Community Health, Computer Skills, Customer Support/Service, Data Entry, Dental Insurance, Diversity, Educational Accreditation, Electronic Medical Records, Emergency Care, Emergency Services, Family Medicine, Federal Laws and Regulations, Healthcare Providers, Hospital, Hospital Administration, Interpersonal Skills, Interviewing Skills, Leadership, Mail Processing, Medical Affairs, Medical Organizations, Medical Records, Medicine, Meeting Minutes, Microsoft Access Database, Microsoft Excel, Microsoft Outlook, Microsoft PowerPoint, Microsoft Word, Multitasking, Network Connectivity, Network Design, Neurosurgery, Organizational Skills, Outpatient Care, Patient Care, Performance Management, Presentation/Verbal Skills, Problem Solving Skills, Process Management, Quality Management, Regulations, Regulatory Requirements, Staff Training, State Laws and Regulations, System Integration (SI), The Joint Commission (TJC), Time Management, Time Tracking, Typing, Vaccination, Vision Plan, Women's Health
About Us
About Us
Welcome to Hudson Regional Health
Technology Transforming Care
Hudson Regional Health is a newly unified healthcare network serving Hudson County through four hospitals.
Together, these hospitals form a single, integrated system with a shared vision-to deliver modern, patient-first care supported by innovation. From robotic-assisted surgery and AI-powered diagnostics to real-time monitoring and precision neurosurgery, HRH is redefining what's possible in community healthcare.
Patients across the region now have access to state-of-the-art procedures and nationally recognized specialists, all within a connected, local network designed to put care first.
Our Services
We focus on the care our patients need most, delivered with precision, innovation, and a commitment to excellence.
- Advanced Emergency Services - 24/7 emergency departments across all four hospitals
- Robotic-Assisted Surgery - featuring the Da Vinci XI and ExcelsiusGPS systems
- Neurosurgery & Spine Care - including Stealth Navigation and precision-guided treatment
- Women's Health & Maternity -comprehensive services tailored for every stage
- Imaging & Diagnostics - AI-enhanced systems for faster, more accurate results
- Outpatient & Specialty Care - coordinated care across multiple disciplines
Our Hospitals
Explore our hospitals and discover care that's high-tech, high-touch, and close to home:
- Secaucus University Hospital, Flagship campus featuring the Robotic Surgery Institute and modernized emergency care.
- Bayonne University Hospital, A full-service community hospital offering personalized acute care.
- Hoboken University Hospital, A local leader in women's health, family medicine, and outpatient services.
- The Heights University Hospital (Jersey City), Expanding access to state-of-the-art care in the heart of Jersey City.
What You''ll Be Doing
POSITION SUMMARY: Under the direction of the System Director of Medical Staff Credentialing and Payer Credentialing, is responsible for coordination and oversight of the Medical Staff Services Department, meeting management, flow of information from medical staff committees through the Medical Executive Committee and the Governing Board. Assists with TJC Survey preparation for the medical staff/leadership function, including staff and medical staff education regarding accreditation standards. Works closely with Corporate Medical Administration with regard to medical staff and bylaws issues.
SPECIFIC JOB FUNCTIONS:
- Responsible for coordination and preparation of medical staff functions; prepares for committee meetings, takes minutes, processes and distributes appropriate correspondence.
- Prepares Initial appointment and reappointment application files for department director presentation and approval.
- Processes Advancements after provisional year.
- Prepares Credentials meeting agenda with incoming applicants as well as other Medical Staff categories and updates.
- Performs bookkeeping activities for the medical staff.
- Assists in compliance with the accrediting and regulatory agencies (i.e., Joint Commission, CMS, NJBOME, etc.) in regard to medical staff while developing and maintaining a working knowledge of the statutes and laws.
- Maintains the confidentiality of all business/work and medical staff information.
- Assists in managing the flow of information between the MSO team, Credentials and MEC Committee members, Medical Staff Leadership (including the Service, Department and Section Chairpersons) and the Chief Medical Officer.
- Maintains open communication with the Medical Staff, Administration, Hospital Departments, practitioner's office staff, Corporate Office, and related health agencies. Identifies and works to solve problems as they arise.
- Maintains knowledge of standards of The Joint Commission, CMS, and State and Federal regulations related to Medical Staff organization.
- Maintains working knowledge of the Medical Staff Bylaws, Rules and Regulations, and Hospital policies, and works to ensure the medical staff's compliance with the stated parameters.
- Provides supportive services to Medical Staff leaders in fulfilling the responsibilities of their offices.
- Schedules and attends Medical Staff meetings as necessary. Assists as needed with agenda and materials preparation. Records minutes at specified committees.
- Assumes other related responsibilities as required.
- Assumes responsibility and accountability as Custodian of Records for all files, minutes, reports, etc., relative to the activity of the Medical Staff
- Composes and distributes monthly Medical Staff Calendar
- Pick up and distribute medical staff mail/assign mailboxes
- Maintains orderly medical staff lounge
- Maintains email address groups in outlook
- Works with medical staff officers on elections; provides support as necessary
- Coordinates new physician orientation as directed by the Corporate Office
- Schedules applicant interviews as directed by the Corporate Office
- Create and maintain new provider EMR access
- Prepares and disseminates board letters and "after BOT" procedures
- Collects and enters AMION monthly call schedules
- Maintains the electronic board with current information as directed by medical staff officers, and the Corporate Office
ADMINISTRATIVE MANAGEMENT OF FPPE/OPPE PROCESSES
- Compile internal information related to focused or ongoing professional practice evaluations (FPPE/OPPE), performance improvement, utilization patterns, peer review, or performance information, as assigned.
- Collaborates with the quality management department to distribute OPPE reports. Ensures Department Directors and Section Chiefs receive OPPE data for the practitioners in their Department or Section according to schedule and have access to OPPE data at the time of reappointment.
- Coordinates the FPPE process according to regulatory requirements. Ensures that all new applicants undergo FPPE within established timeframes, following up with proctors and/or reviewers as necessary.
- All other duties as assigned
What We''re Looking For
- Must have excellent organizational, time management, customer service and oral & verbal communications skills
- Ability to focus on detail while responding to multiple tasks simultaneously and work effectively in a goal-oriented team environment.
- Must be able to maintain confidentiality of proprietary information related to all aspects of the position, hospital, medical staff and allied health professional staff.
- Excellent interpersonal skills, including the ability to communicate clearly, professionally, both verbally and in writing with a broad range of professionals and people of varying education and backgrounds.
- Proficiency in Cactus is critical.
- Proficiency in data entry, typing and computer skills using a variety of software programs including Microsoft Word, Excel, Access, Outlook, PowerPoint and Cactus.
- Willingness to maintain a flexible work schedule as needed.
- Ability to adapt to changing schedules, deadlines and demands, and a heavy workload.
EDUCATION and EXPERIENCE REQUIREMENTS: Degree in business or health related field desired. Previous experience in a Medical Staff Services Administrative position required. Previous experience as a Medical Staff Coordinator or two or more years experience in Medical Staff setting preferred.
What We Offer
- Competitive compensation based on experience and qualifications: When determining the compensation, several factors may be considered including, years of relevant experience, credentials, union contracts, education, and internal equity.
- Comprehensive health, dental, and vision insurance
- 401K, Retirement savings plan
- Generous Paid Time Off (PTO) and paid holidays
- Tuition Reimbursement
- Opportunities for professional growth, development, and continuing education
- Employee wellness programs and resources
Influenza Vaccinations are a requirement for employment. If you are not currently vaccinated you will be required to receive the vaccination prior to hire date, during the influenza season, if you are offered employment, unless you request and receive an approved medical exemption.
We are an Equal Opportunity Employer encouraging diversity in the workplace. All qualified applicants will receive consideration for employment without regard to race, color, national origin, gender, age, religion, disability, sexual orientation, veteran status, marital status, or any other characteristic protected by law.