Manager, Clinical Compliance

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As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.

Company: Oak Street Health 

Title: Manager, Clinical Compliance 

Location: Treehouse

Role Description:

The Manager, Clinical Compliance is responsible for the review, interpretation, and implementation of clinical, regulatory and state practice requirements related to the Board of Nursing, Board of Pharmacy, State Health Departments, and other bodies. The scope of regulations are specific to nursing and unlicensed personnel. This role will serve as the lead functional contact for CVS Health compliance-related alerts and updates. Additionally, this role is responsible for developing and implementing medication safety and administration standards related in-center medications, vaccines, and standing orders. 

Core Responsibilities:

• In partnership with key stakeholders, review current policies and procedures, to identify possible gaps in regulatory clinical compliance, then collaborate cross-functionally to close the gaps. 

• Identifies and develops regulatory clinical compliance training specific to federal, state, and local regulations, in partnership with the Learning team. 

• Serves as a source for operational and clinical leadership on compliance policies and related matters, including scope of practice delineation, and impact on various business initiatives. 

• Creates clinical compliance audit structures, performs audits, reviews audit findings, and develops implementation plans. Works with VP, Clinical support and key partners to develop mitigation plans for centers, cascading implementation plans across all centers and incorporating new workflows into new or existing SOPs.

• Serves as the OSH clinical point-of-contact for centers receiving on-site regulatory audits or surveys (including health departments, Board of Pharmacy). Responsible for notifying CVS, tracking and documenting all surveys and needed action items.

• Partners closely with CVS to identify and interpret Board of Pharmacy regulations requirements for OSH when entering new states.  

• Responsible for ensuring OSHA regulatory compliance across centers

  • Emergency Action Plan (EAP)

  • Workplace injury  

• In partnership with CVS, reviews and analyzes current and proposed laws, mandates, and regulations that may impact nursing and care team roles and provides practice solutions and actionable guidance to cross-functional teams. 

• Responsible for building mechanisms to monitor adherence to practice for updated laws, mandates, and regulations 

• Responsible for operational execution of in-center medication management strategy including medication administration and safety SOPs, reviewing in-clinic medication formulary, and in-center medication documentation, in partnership with Pharmacy & Therapeutics committee. 

• Responsible for building and executing strategy around vaccine operations; supports centers in mitigating vaccine excursions 

• Supports development and ensures medical leader approval for standing orders for care model efficiency 

• Ability to travel up to 10% of the time to Oak Street Health markets

• Other duties as assigned

What are we looking for?

• Demonstrated experience in driving clinical compliance in regulated or accredited environments, including The Joint Commission or other accrediting bodies. 

• Bachelor degree in nursing required; advanced degree preferred. 

• Current license to practice as a registered nurse. 

• Minimum of 6-8 years nursing experience.

• 3 years management experience preferred. 

• Somebody who embodies being “Oaky” (see below).

• Ability to interpret regulatory mandates and integrate into core operational procedures. <