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Clinical Policy Program Specialist

Clinical Policy Program Specialist

CompanyCorewell Health
LocationGrand Rapids, MI, USA, Southfield, MI, USA
Salary$Not Provided – $Not Provided
TypeFull-Time
DegreesBachelor’s, Master’s, PhD
Experience LevelSenior

Requirements

  • Bachelor’s Degree or equivalent in nursing, business, healthcare administration or related field
  • 7 years of relevant experience in healthcare

Responsibilities

  • Support the standardization and consolidation process for clinical documents across Corewell Health.
  • Collaborate with clinical governance structures throughout the enterprise to mentor, coach, and educate to the clinical policy program and processes.
  • Ensure that clinical documents are supported by current practice standards, are evidence-based, and are reflective of current practices in the organization.
  • Maintain/Monitor clinical documents and ensure that documents are reviewed/updated based on the Corewell Health Policy on Policies, Clinical Protocols Policy, and the Clinical Addendum to the Policy on Policies.
  • Mentor individuals in stakeholder analysis, document development, remedying stakeholder feedback, and the formulation of a communication/education plan.
  • Facilitate clinical policy program and project meetings.
  • Develop presentations appropriate for audiences such as team members and leaders.
  • Identify and escalate barriers, issues, risks, resource requirements and impacts to the clinical policy program/projects appropriately, notably to the Manager of the Clinical Policy Program.
  • Advise team members on appropriate clinical document type and routes to other internal structures/programs as applicable (e.g. information services, forms, standard work/processes, etc.).
  • Provides significant expertise in the development of clinical protocols as defined in the Clinical Protocols Policy.
  • Provides leadership and critical thinking as issues arise with concerns related to clinical documents and lends expertise in issue resolution.
  • Partner with the Corporate Compliance team as needed to navigate clinical and financial compliance concerns including, but not limited to, scope of practice and reimbursement.

Preferred Qualifications

  • Master’s Degree in nursing or related field
  • Doctorate in nursing or related field
  • 7 years of relevant experience working within an organization of size and complexity comparable to Corewell Health
  • 5 years of relevant experience in Clinical Nursing or Clinical Care
  • 5 years of relevant experience in Program Development/ Project Management
  • LIC-Registered Nurse (RN) – State of Michigan