Clinical Policy Program Specialist

This is a hybrid position that will require onsite presence 2 to 3 days per month.

Job Summary

The Clinical Policy Program Specialist at Corewell Health is a key team member in clinical practice and operational improvement initiatives, particularly as it relates to policies, procedures, protocols, and guidelines [henceforth referred to as "document(s)"]. This role reinforces the clinical policy program guiding principles/standards/processes, facilitating document improvement by providing project and program coordination, surveillance, and collaborative expertise across the healthcare continuum. The role requires a deep understanding of healthcare and the ability to work autonomously while effectively interfacing with various teams to streamline document-related workflows and contribute to the overall excellence. This role ensures alignment of projects with the organization's goals for consolidation and electronic document management, ensuring integrity of the clinical document lifecycle from proposal to ongoing cyclical review. This role functions as a key point of contact for the clinical policy program and reports progress, barriers, and successes to all stakeholders; most notably, the Clinical Policy Program Manager.

The Clinical Policy Program Specialist functions as an expert in the clinical document program and processes. As an expert in key stakeholder analysis and identification, this role helps to ensure that appropriate reviewers and approvers are identified and engaged. Moreover, this role ensures that feedback from key stakeholders is remedied and aides in ensuring accountability for a document communication/educational plan for the applicable locations/departments.

Essential Functions

• 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. Assist others in understanding the necessity and process of change and supporting team members during change.
• 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. Help to ensure clinical documents are written in alignment with regulatory agencies and not in conflict with other internal Corewell Health documents.

How Corewell Health cares for you

• Comprehensive benefits package to meet your financial, health, and work/life balance goals. Learn more here.
• On-demand pay program powered by Payactiv.
• Discounts directory with deals on the things that matter to you, like restaurants, phone plans, spas, and more!
• Optional identity theft protection, home and auto insurance, pet insurance.
• Traditional and Roth retirement options with service contribution and match savings.

Qualifications

Required

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

Preferred

• 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<