Clinical Policy Program Specialist

Corewell Health$80K — $95K *
Healthcare
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's Degree or equivalent in nursing, business, healthcare administration or related field
  • LIC-Registered Nurse (RN) - State of Michigan
  • 7 years of relevant experience in healthcare
  • Preferred: Master's Degree in nursing or related field
  • Preferred: Doctorate in nursing or related field

Responsibilities

  • Support the standardization and consolidation process for clinical documents across Corewell Health.
  • Ensure clinical documents are evidence-based and reflect current practices.
  • Maintain and monitor clinical documents for updates based on established policies.
  • Mentor in stakeholder analysis and document development processes.
  • Facilitate clinical policy program meetings and develop appropriate presentations.
  • Advise on clinical document types and their internal routing.
  • Provide leadership and critical thinking during issues related to clinical documents.

Benefits

  • Hybrid work model requiring in-person attendance 2 days a week.
  • Opportunities for mentorship and professional development.
  • Contribution to operational improvement initiatives in healthcare.
  • Engagement with diverse teams throughout the healthcare continuum.
Full Job Description
This position is hybrid, requiring minimally Monday and Tuesday in-person with the Clinical Policy Program Team, notably based in our Corporate Corewell Health West region at Corewell Health Place, with periodic visits to the Corporate Corewell Health East location at the Corewell Health Service Center.

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.


Qualifications

Required
  • Bachelor's Degree or equivalent in nursing, business, healthcare administration or related field
  • LIC-Registered Nurse (RN) - State of Michigan
  • 7 years of relevant experience in healthcare

Preferred
  • Master's Degree in nursing or related field
  • Doctorate in nursing or related field
  • 5 years of clinical nursing or clinical care
  • 5 years of Program Development/ Project Management
  • 7 years of relevant experience working within an organization of size and complexity comparable to Corewell health


Primary Location
SITE - Corewell Health Place - 100 Corewell Drive NW - Grand Rapids

Department Name
QSE Clinical Effectiveness and Pathways Clinical Standardization - Corporate

Employment Type
Full time

Shift
Day (United States of America)

Weekly Scheduled Hours
40

Hours of Work
8 a.m. - 5 p.m.

Days Worked
Monday to Friday

Weekend Frequency
N/A


About Corewell Health

Corewell Health Careers

Joining Corewell Health presents an unparalleled opportunity to become part of a leading team of healthcare professionals dedicated to excellence. Corewell Health is renowned for its commitment to innovation, leadership, and providing superior healthcare services.

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Career growth is a cornerstone of employment at Corewell Health. The company supports its team members' professional development through comprehensive training programs, including leadership training and diversity training. These initiatives ensure that every team member has the tools and knowledge necessary to excel in their roles and advance within the company.

Benefits and Culture

Corewell Health is committed to creating a workplace culture that values diversity and inclusion. Employees enjoy a competitive package of benefits that supports both their professional and personal lives. The company's culture promotes teamwork and respect, making it an ideal environment for those who value collaboration and innovation.

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The hiring process at Corewell Health is designed to be transparent and efficient. Candidates are encouraged to submit a resume and may be invited for an interview to discuss their qualifications and career goals in more detail. Corewell Health values a thorough approach to ensure that all potential team members align with the company’s values and vision for the future.

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