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Clinical Policy Regulatory Manager

Work Schedule/Days:  Day / Monday - Friday
Employment Type:  Full-Time
Location:  Support I 
Requisition #:  64083

 

JOB SUMMARY

Responsible for the oversight and review of the clinical policy process throughout the areas of Children’s Healthcare of Atlanta including the review, revision, development, and writing of policies to maintain compliance with The Joint Commission, Centers for Medicare and Medicaid, federal regulations and state regulations. Partners with Director, Nursing Research, Accreditation Services and other clinical leaders to ensure quality outcomes related to quality and patient safety.

EDUCATION

Bachelor of Science in Nursing 

CERTIFICATION SUMMARY

•    Licensure as Registered Nurse in the single State of Georgia or Multi-State through the Enhanced Nurse Licensure Compact 
•    Professional Nursing Certification upon hire or must be acquired within one year of hire

EXPERIENCE*

Minimum five years of experience in a healthcare setting, preferably in nursing. 

PREFERRED QUALIFICATIONS*

•    Master’s degree in Nursing or other healthcare related field
•    Operations leader with experience in accreditation and regulatory compliance, policy development and management, leadership and research.  
•    Experience with evidence based practice and benchmarking with peer hospitals

KNOWLEDGE SKILLS & ABILITIES*

•    Sound analytical and writing skills in context of policy writing
•    Works well with others and engages multiple levels of experts, leaders and stakeholders
•    Learning agility and flexibility; quick/intellectual processing skills 
•    Exceptional complex project management and data management skills 
•    Strong attention to detail
•    Expert at extensive literature reviews and internal and external benchmarking 
•    Proficient at a high level in the use of Microsoft Excel, Word, and PowerPoint. 

JOB RESPONSIBILITIES*

1.  Analyzes compliance with accreditation standards, regulatory rules and Children’s Healthcare of Atlanta policies. 
2.    Liaises with Nursing Research, Legal Affairs, Quality, Risk Management, Learning, Accreditation, and clinical departments.
3.    Leads nursing policy governance structure with teams such as the Clinical Policy Team to ensure implementation and sustainment of policies.
4.    Develops infrastructure for policy development, revision and overall management. 
5.    Drives robust and standardized policy management system by prioritizing policies for review and contributing to development of policies utilizing extensive literature review and evidence-based research. 
6.    Uses change management principles to guide policy roll out, education plan, and implementation in alignment with the Change Governance Council. 
7.    Develops systematic reporting and monitoring for analysis of policy adoption and compliance.
8.    Utilizes evidence-based practice and benchmarking with peer hospitals to promote best practice 
9.    Partners with clinical operations leaders and educators to determine gaps and learning plan needs
10.    Partners with Shared Leadership and various levels of stakeholders to validate workflows and anticipate challenges.

SYSTEM RESPONSIBILITIES*

Safety: Practices proper safety techniques in accordance with hospital and departmental policies and procedures. Responsible for the reporting of employee/patient/visitor injuries or accidents, or other safety issues to the supervisor and in the occurrence notification system. 
Compliance: Monitors and ensures compliance with all regulatory requirements, organizational standards, and policies and procedures related to area of responsibility. Identifies potential risk areas within area of responsibility and supports problem resolution process. Maintains records of compliance activities and reports compliance activities to the Compliance Office.
The above statements are intended to describe the general nature and level of work performed by people assigned to this classification.  They are not intended to be an exhaustive list of all job duties performed by the personnel so classified.

PHYSICAL DEMANDS*

Ability to lift up to 15 lbs independently not to exceed 50 lbs without assistance
Bending/Stooping - Occasionally (activity or condition exists up to 1/3 of time)
Hearing/Speaking - Effective communication with employees, supervisors/managers and staff. Effective communications with patients and visitors, as required.
Climbing - Occasionally (activity or condition exists up to 1/3 of time)
Lifting - Occasionally (activity or condition exists up to 1/3 of time)
Pushing/Pulling - Occasionally (activity or condition exists up to 1/3 of time)
Sitting - Frequently (activity or condition exists from 1/3 to 2/3 of time)
Standing - Frequently (activity or condition exists from 1/3 to 2/3 of time)
Walking - Frequently (activity or condition exists from 1/3 to 2/3 of time)

WORKING CONDITIONS*

Some potential for exposure to blood and body fluids

 

About Us:

Children’s Healthcare of Atlanta has been 100 percent committed to kids for more than 100 years. A not-for-profit organization, Children’s is dedicated to making kids better today and healthier tomorrow.

With 3 hospitals, 20 neighborhood locations and a total of 673 beds, Children’s is the largest healthcare provider for children in Georgia and one of the largest pediatric clinical care providers in the country. Children’s offers access to more than 60 pediatric specialties and programs and is ranked among the top children’s hospitals in the country by U.S. News & World Report.

Children’s has been recognized as a Fortune 100 Best Place to Work, a Best Place for Working Mothers, and as a top employer for diversity and millennials.  We offer a comprehensive compensation and benefit package that supports our mission, vision and values.  We are proud to offer an array of programs and services to our employees that have distinguished us as a best place to work in the country.  Connect to our mission of making kids better today and healthier tomorrow. 

Have questions about the recruitment process?  Check out What to Expect.

Address:  1575 Northeast Expressway, Bldg 1, Atlanta, GA  30329
Function:  Legal/Compliance - Audit/Compliance/Risk


Nearest Major Market: Atlanta

Job Segment: Clinic, Manager, Medicaid, Medicare, Pediatric, Healthcare, Management