Clinical Policy Program Specialist

This position is hybrid, requiring minimally Monday and Tuesday in-person with the Clinical Policy Program Team, 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.

About the role

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. This role reinforces the clinical policy program guiding principles, standards, and 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 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.

The Clinical Policy Program Specialist functions as a key point of contact for the clinical policy program and reports progress, barriers, and successes to all stakeholders, notably the Clinical Policy Program Manager. As an expert in key stakeholder analysis and identification, this role helps ensure that appropriate reviewers and approvers are engaged and that feedback from key stakeholders is addressed. The role also aids in ensuring accountability for a document communication and educational plan for applicable locations and departments.

Responsibilities

• 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 on the clinical policy program and processes.
• Ensure that clinical documents are supported by current practice standards, are evidence-based, and reflect current practices in the organization.
• Maintain and monitor clinical documents to ensure they are reviewed and 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 and education plan.
• Assist others in understanding the necessity and process of change and support team members during change.
• Facilitate clinical policy program and project meetings, and develop presentations for team members and leaders.
• Identify and escalate barriers, issues, risks, resource requirements, and impacts to the clinical policy program and projects, notably to the Manager of the Clinical Policy Program.
• Advise team members on appropriate clinical document type and routes to other internal structures or programs as applicable (e.g., information services, forms, standard work/processes).
• Provide significant expertise in the development of clinical protocols as defined in the Clinical Protocols Policy.
• Provide leadership and critical thinking to resolve issues related to clinical documents.
• Partner with the Corporate Compliance team to navigate clinical and financial compliance concerns, including scope of practice and reimbursement.
• Ensure clinical documents are written in alignment with regulatory agencies and do not conflict with other internal Corewell Health documents.

Requirements

• 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.

Qualifications (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 or Project Management.
• 7 years of relevant experience working within an organization of size and complexity comparable to Corewell Health.

Benefits

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

Schedule

• Full time, 40 hours per week.
• Shift: Day (8 a.m. - 5 p.m.).
• Days worked: Monday to Friday.
• Weekend frequency: N/A.