Position Description

Director-Medical Staff Services
Location Valley Presbyterian Hospital
Department Medical Staff Unit
Shift 8 Hour- Days
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Employment Status:
Full Time (72-80 Hours Per Pay Period)
Job Category:


  • Manages and Directs the Medical Staff Services Department in coordinating the activities of the Organized Medical Staff.



  • Excellent verbal and written communication skills.
  • Knowledge of DNV, CDPH, and HIPAA Standards/Requirements.
  • Knowledge of medical terminology.
  • Knowledge of computerized programs:  Word, Outlook, Excel, Physician Databases.
  • Ability to type at 65 wpm.



  • Bachelor’s degree or Master’s preferred



  • CPMSM certification required. 


DUTIES AND RESPONSIBILITIES ( These are the essential job functions for this position. The essential functions of this job include, but may not be limited to those listed in this job description. Employees hired for this position must be able to perform the essential function of this job without imposing significant risk of substantial harm to the health or safety of themselves or others) :

  • Directs the professional activities of the Medical Staff Departments/Committees including meeting scheduling, notices, agendas, minutes and follow-up activities.
  • Maintains communication and serves as a liaison between the Hospital Administration and the Medical Staff.
  • Maintains knowledge of the applicable standards and requirements, Bylaws, Rules and Regulations that govern the Organized Medical Staff.
  • Facilitates periodic changes, additions and deletions to the medical staff bylaws and rules and regulations.
  • Directs the credentialing and reappointment process for Medical Staff and Allied Health Professionals.
  • Responsible for maintaining and implementing medical staff departmental proctoring program.
  • Develops/maintains medical staff departmental privileging criteria, privilege forms.
  • Facilitates the medical staff OPPE/FPPE process for periodic review by department/committee chairs for reappointment and credentialing purposes
  • Oversees and conducts new physician orientation and compliance with medical staff requirements of time and attendance.
  • Maintains yearly Medical Staff meeting calendar.
  • Approves orders for department supplies.
  • Approves work orders.
  • Maintains employee attendance records.


The following job accountabilities are not unique to this particular job but are common to all jobs at VPH:

Complies with VPH policies and procedures on customer satisfaction and service excellence.   Demonstrates professionalism and cultural sensitivity in coordinating activities and communicating with all customers, peers, and the community at large.   Conducts self in a professional, respectful and courteous manner during all interactions.   Works effectively and collaboratively with others toward common goals.


Communicates accurately, honestly, supportively and in a timely manner with department and interdepartmental team members.   Demonstrates effective business writing and oral communication skills, handwriting is clear and legible.


Participates in operational aspects of the department, and maintains/participates in performance improvement activities within the department.


Participates in all departmental specific training, Environment of Care (injury/illness prevention, fire/life safety, hazardous materials, emergency preparedness, utilities management, medical equipment management, safety and security management), infection control (standard precautions, TB Exposure Control Plan, Bloodborne Pathogen Exposure Control Plan).


Demonstrates knowledge of and follows safety practices.   Understands the importance of safety, including patient safety in the work place.   Maintains a safe environment for self and others.


Actively participates in the Patient Safety Program, including event reporting.   Identifies sentinel events/near misses and responds per defined organization processes.   Participates in education activities and process implementation.   Demonstrates advocacy for the patient/customer and appropriately acknowledges patients, customers and visitors.


The above statements reflect the essential functions considered necessary to describe the principle content of the job. They are not intended to be a complete statement of all work requirements or duties that may be inherent in the job.



  1. Primarily an inside building/office environment, well lighted and ventilated, which may consist of multiple treatment and/or work sites.

  2. Fast and continuous work pace with variable workload.

  3. Frequent contact with staff and public under a variety of circumstances.  Requires ability to communicate clearly (in English) verbally and in writing for effective communication with other staff members, physicians, vendors, community members, patients and patient families, employees and applicants of all socio-economic levels from a diverse cultural and ethnic population.

  4. Subject to many interruptions from multiple calls and inquiries and potentially emotional situations involving accidents, injuries, illness and/or death.

  5. Handles emergency/crisis situations in accordance with Hospital policy.

  6. Answers phones or pages; may carry a beeper/pager, and/or use a two-way radio.

  7. Occasional travel may be required.

  8. Potential risk of exposure to hazards from chemicals (toxic and non-toxic), flammable materials, gas or electrical or radiant energy or equipment with/without moving parts.







Continuous     66 to 100% of time

Frequent         33 to 65% of time

Occasional      0 to 32% of time 


  1.    Clerical/Administrative Non-Patient Care

  2. Frequent/continuous sitting with occasional, intermittent standing/walking.

  3. Continuous use of bilateral upper extremities in fine motor activities requiring fingering, grasping, and forward reaching between waist and chest level.

  4. Occasional/intermittent reaching at or above shoulder level.

  5. Occasional/intermittent bending, squatting, kneeling, pushing/pulling, twisting and climbing.

  6. Occasional/intermittent lifting and carrying objects/equipment weighing up to 25 pounds.

  7. Continuous use of near vision, hearing and verbal communication skills in handling telephone calls, interacting with customers and co-workers and performing job duties.

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