
Reviews all new investigational protocol submissions and assigns to committee members as directed by Institutional Review Board chair. Drafts agenda of meetings. Assists investigators and CRC’s with completion of appropriate forms.
Prepares and distributes Institutional Review Board Meeting packets for Institutional Review Board members.
Attends meetings of the Institutional Review Board and takes thorough minutes. Prepares drafts of letters to Investigators on the results of proposed studies.
Ensures a tracking system is in place for all studies and that timely reminders and follow-through by committee occur.
Maintains files as required to meet FDA requirements. Audits files routinely for compliance.
Reviews and processes all incoming mail to determine appropriate actions.
Maintains current policies and procedures for the Institutional Review Board. Ensures annual review and update at a minimum.
Coordinate complaint resolution process. Refer appropriate subject calls to Institutional Review Board Chairperson. Work with individuals to resolve issues as requested by Institutional Review Board Chairperson. Maintain policy regarding complaint resolution.
Participates in Quality Improvement activities. Documents outcomes. Recommends processes for improvement.
Maintains IRB member roster and tracks attendance to ensure compliance with federal guidelines.
Maintains monthly Emergency Department and Daily on-call schedules.
Maintains medical staff and allied health staff credentials and OPPE files.
Tracks and documents medical staff and allied health practitioner staff expirable documents including follow-up contact with individuals to obtain copies of appropriate licensure, DEA, certifications, health testing and certificate of malpractice insurance coverage.
Purge and archive inactive medical staff and allied health practitioner staff credentials files for offsite storage.
Performs other duties as assigned in Medical Staff Resources Department including but not limited to coverage of office, assisting with new provider orientations, responding to affiliation verification requests and assisting with processing of credentials files and audits, assists with coordination of Ethics Committee consultations,

Founded in 1924 in Louisville, Kentucky, Baptist Health is a full-spectrum health system dedicated to improving the health of the communities it serves. The Baptist Health family consists of nine hospitals, employed and independent physicians, and more than 400 points of care, including outpatient facilities, physician practices and services, urgent care clinics, outpatient diagnostic and surgery centers, home care, fitness centers, and occupational medicine and physical therapy clinics.
Baptist Health’s eight owned hospitals include more than 2,300 licensed beds in Corbin, Elizabethtown, La Grange, Lexington, Louisville, Paducah, Richmond and New Albany, Indiana. Baptist Health also operates the 410-bed Baptist Health Deaconess Madisonville in Madisonville, Kentucky in a joint venture with Deaconess Health System based in Evansville, Indiana. Baptist Health employs more than 23,000 people in Kentucky and surrounding states.
Baptist Health is the first health system in the U.S. to have all of its hospitals recognized by the American Nursing Credentialing Center with either a Magnet® or Pathway to Excellence® designation for nursing excellence.
Baptist Health’s employed provider network, Baptist Health Medical Group, has nearly 1,500 providers, including more than 750 physicians and more than 740 advanced practice clinicians. Baptist Health’s physician network also includes more than 2,000 independent physicians.
Learn more at BaptistHealth.com.