RN Clinical Policy Manager

Location Address: 9521 San Mateo NE Albuquerque, NM 87113-2237

Compensation Pay Range: Minimum Offer $65,520.00 Maximum 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.

How you grow, learn and thrive matters here.

• Educational and career development options, including tuition and certification reimbursement, scholarship opportunities
• Staff Safety (a wearable badge that allows nurses to quickly and discreetly call for help when safety is a concern)
• Differentials for night/weekend shifts, higher education, certifications and various lead roles (for eligible positions)
• Malpractice liability insurance
• Loan forgiveness through the New Mexico Higher

Education

• Department

• EPIC electronic charting system

• Type of Opportunity: Full time

• FTE: 1.00

• Job Exempt: Yes

• Work Shift: Days (United States of America)

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

• We’re all about well-being, starting with yours.

• Presbyterian employees have access to a fun, engaging and unique wellness program, including free on-site and community-based gyms, nutrition coaching and classes, mindfulness and meditation resources, wellness challenges and more

• Learn more about our employee benefits.

• About Presbyterian Healthcare Services

• Presbyterian exists to improve the health of patients, members, and the communities we serve. We are locally owned, not-for-profit healthcare system of nine hospitals, a statewide health plan and a growing multi-specialty medical group. Founded in New Mexico in 1908, we are the state's largest private employer with nearly 14,000 employees - including more than 1600 providers and nearly 4,700 nurses

• Our health plan serves more than 580,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care) and Commercial health plans

• AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses

• 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

• We’re Determined to Support New Mexico's Well-Being | Presbyterian Healthcare Services