Nicole M. Stone
Summary
Strategic leader in Medical Staff Services with expertise in provider credentialing, privileging, and compliance. Successfully improved operational efficiency, reducing applicant processing time by 54%, while ensuring continuous accreditation readiness across multiple regulatory standards. Proven advisor to medical leadership, facilitating effective governance and quality outcomes.
Overview
20
20
years of professional experience
1
1
Certification
Work History
Manager, Medical Staff Services
Boston Children's Hospital
12.2019 - Current
- Lead a team of 11 Medical Staff Services professionals supporting credentialing, privileging, and provider onboarding activities.
- Oversee credentialing and recredentialing for more than 3,400 providers, including 550+ trainees and 900+ rotating trainees.
- Led process improvement initiatives that decreased average initial applicant processing time by 54% from 129 days to 59 days, accelerating provider onboarding and enhancing operational performance.
- Serve as advisor to Medical Staff leadership, Department Chiefs, and hospital administration regarding credentialing, privileging, and regulatory compliance matters.
- Present credentialing, recredentialing, and privileging recommendations to the Credentials Committee to support provider appointment and privileging decisions.
- Active participant on the Medical Staff Bylaws Committee, contributing to governance discussions
- Ensure compliance with Joint Commission, CMS, NCQA, and Medical Staff standards through continuous accreditation readiness.
- Successfully maintained accreditation readiness through Joint Commission surveys and regulatory reviews.
Manager, Medical Staff Services
Saint Vincent Hospital
09.2014 - 12.2019
- Managed a team of three Medical Staff Services professionals responsible for credentialing and privileging activities for more than 840 providers.
- Directed all credentialing, recredentialing, Medical Staff support, and provider onboarding functions.
- Maintained continuous readiness and successful outcomes during CMS and Joint Commission surveys.
- Served as Medical Staff Services representative and sat on Medical Executive Committee, Credentials Committee, Bylaws Committee, Privilege Review Committee, and Ethics Committee.
- Collaborated with physician and administrative leadership to support Medical Staff governance and regulatory compliance initiatives.
- Provided oversight of credentialing policies, privileging criteria, and Medical Staff governance processes.
Medical Staff Coordinator
Dana-Farber Cancer Institute
04.2012 - 09.2014
- Coordinated credentialing and recredentialing activities for physician staff.
- Managed FPPE and OPPE processes to support ongoing provider competency evaluation.
- Maintained compliance with Medical Staff, regulatory, and accreditation standards.
- Supported Medical Staff leadership and committee functions.
Medical Staff Coordinator
Athol Memorial Hospital
06.2006 - 04.2012
- Coordinated credentialing and recredentialing for medical staff and allied health professionals, ensuring compliance with industry standards.
- Developed and implemented allied health credentialing program, enhancing oversight and quality of care.
- Developed and launched FPPE and OPPE programs to support provider performance evaluation.
- Facilitated Medical Staff committees and governance activities, maintaining regulatory compliance and supporting effective decision-making.
Education
Associate of Applied Science (AAS) - Medical Staff Management
National American University
01-2012
Skills
- Provider Credentialing & Privileging
- Medical Staff Governance
- Accreditation & Regulatory Compliance
- Joint Commission Readiness
- CMS & NCQA Standards
- FPPE/OPPE
- Bylaws & Policy Management
- Medical Staff Services Leadership
- Strategic Planning
- Process Improvement & Operational Excellence
- Team Development & Performance Management
- MD-Staff, Midas Seeker, MSOW, ECHO
Affiliations
- National Association Medical Staff Services (NAMSS), 01/01/13, Present
- Massachusetts Association of Medical Staff Services (MAMSS), 01/01/12, 01/01/17
Certification
- Certified Professional Medical Services Management (CPMSM), 01/01/21
- Certified Provider Credentialing Specialist (CPCS), 01/01/13
- Advisory Board Leadership Institute Program, 01/01/17
Accomplishments
- Lead a Medical Staff Services team supporting credentialing, privileging, and onboarding activities for more than 3,400 providers, including 550+ trainees and 900+ rotating trainees.
- Reduced average initial applicant processing time by 54%, from 129 days to 59 days, through workflow redesign, process standardization, and performance management initiatives.
- Maintained continuous accreditation readiness and supported successful Joint Commission and CMS surveys throughout leadership tenure.
- Advise Medical Staff leadership, Department Chiefs, and executive stakeholders on credentialing, privileging, and regulatory compliance matters.
- Presented regionally and nationally on credentialing and privileging topics, demonstrating recognized expertise within the Medical Staff Services profession.
- Progressed from Medical Staff Coordinator to Manager through increasing levels of leadership responsibility and organizational impact.
Professional Presentations
- MD-Staff Educational Conference, 02/01/24
NCQA System Controls Panel
- Massachusetts Association for Physician Assistants (MAPA) Conference, 03/01/19
Privileging for Fluoroscopy
- Massachusetts Association for Physician Assistants (MAPA) Conference, 09/01/18
Introduction to Credentialing
Systems Expertise
- MD-Staff
- Intellicred
- Midas Seeker
- MSOW
- ECHO
Timeline
Manager, Medical Staff Services
Boston Children's Hospital
12.2019 - Current
Manager, Medical Staff Services
Saint Vincent Hospital
09.2014 - 12.2019
Medical Staff Coordinator
Dana-Farber Cancer Institute
04.2012 - 09.2014
Medical Staff Coordinator
Athol Memorial Hospital
06.2006 - 04.2012
Associate of Applied Science (AAS) - Medical Staff Management
National American University