Location Address:
Compensation Pay Range:
Minimum Offer $65,520.00Maximum Offer $111,612.80
Summary:
Responsible for intake and scoping of incoming draft clinical policies, for development of new policy, revision of current policy, multi-stakeholder review for compliance with standard work, publication, implementation across the health system ensuring regulatory compliance, evidence-based/evidence-informed practice, patient safety and quality assurance.
Responsibilities:
*Lead clinical policy development and governance
*Cross check for associated policies, guidelines, or protocols within the system to eliminate
duplication or multiple policies with similar requirements
*Ensure compliance with CMS, Joint Commission, OSHA, HIPAA, state regulations and
Licensing and Credentialing organizations, Professional Organization guidelines.
*Participates and Supports accreditation readiness and survey activities including
responding to actual surveys serving as a clinical policy resource.
*Participates in the development and implementation of regulatory Plans for Correction to
ensure compliance with standards and risk mitigation.
*Participates, serves as resource in Rapid Compliance Improvement activities including
conducting audits for policy compliance.
* Participates/provides resource for review of clinical events and incidents to identify areas
of opportunity with current policies, procedures or guidelines.
*Serves as Subject Matter Expert regarding policy and protocol development to include
verifying resources e.g., literature review for evidence-based practice and collaborating
with system resources for evidence-informed practice. This may include facilitation of
groups or teams in policy/protocol development as well as presentation of research and
literature reviews and comparison for optimal policy development.
*Oversees clinical policy review and approval cycles, ensuring effective document control,
retention, and archival of records as required.
*Partners with operational leaders on the implementation of clinical policies and procedures
to include clinical education collaboration for ensuring training is accurate per the
established policy, procedure or guideline.
*Participate in committees, work groups as appointed or deemed necessary.
Qualifications:
* Licensed as a Registered Nurse in the State of New Mexico
* Bachelor's degree in nursing, master's degree preferred.
* Minimum 5-years healthcare experience.
* Evidence of participation/leadership in policy or protocol development such as facilitation
of improvement initiatives requiring policy or protocol implementation or revisions,
quality, compliance, accreditation, or risk management activities, and performance
improvement
Key Competencies
Proficient knowledge of clinical healthcare operations, regulatory requirements, and clinical practice standards, Policy writing and development, review of the literature for evidence based practices, regulatory interpretation, proficient organizational skills, stakeholder collaboration and engagement, attention to detail, strong communication and presentation abilities, with the capacity to engage stakeholders and influence outcomes.
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Compensation Disclaimer
The compensation range for this role takes into account a wide range of factors, including but not limited to experience and training, internal equity, and other business and organizational needs.
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