Clinical Policy Compliance Specialist

Here, it's different. Come join us.

Children's Hospital Colorado has defined and delivered pediatric healthcare excellence for more than 100 years.

Here, the nation's brightest nurses, physicians, scientists, researchers, therapists, and care providers are creating the future of child health. With an optimist's outlook, a trailblazing spirit, and a celebrated history, we're making new strides every day.

We've been Magnet-designated four times by the American Nurses Credentialing Center and are consistently recognized among the best of the best pediatric hospitals with #1 rankings in Colorado and the region by U.S. News & World Report.

As a national leader in pediatric care, we serve children and families from all over the nation. Our System of Care includes four pediatric hospitals, 11 specialty care centers, 1,300+ outreach clinics and more than 10,000 healthcare professionals representing the full spectrum of pediatric care specialties.

Here, we know it takes all of us, every role, to deliver the best possible care to each child and family we treat.

That's why we build our teams toward a foundation of equity in access, advancement, and opportunity. We know teams of individuals with different identities and backgrounds can nurture creativity and innovation. We know we can see, treat, and heal children better when our team reflects the diversity of our patient population. We strive to attract and retain diverse talent because we know a truly inclusive and equitable workforce will help us one day realize our most basic calling: to heal every child who comes through our doors.

A career at Children's Colorado will challenge you, inspire you, and motivate you to make a difference in the life of a child. Here, it's different.

This Clinical Policy Compliance Specialist will work under the direction of the Clinical Policy Oversight Manager, Director of Performance, Practice and Innovation and the CNO to provide direction and support for nursing in planning, organizing, implementing and evaluating nursing/clinical/departmental policies and procedures. This Clinical Policy Compliance Specialist will also assist in translating regulatory/accreditation standards for staff. Will have a collaborative relationship with QPS through the Manager of Accreditation and the Chief Quality Officer to ensure resources to develop and implement auditing and observation processes for nursing division, to assess compliance with requirements for regulatory agencies.

Department Name: Nursing Innovations Outcomes
Job Status: Full-time, 40-hours per week, eligible for benefits
Shift: Days, Monday-Friday

• Education: Bachelor's degree or higher of Nursing; Master's degree of Nursing preferred
• Experience:
  • 5 years clinical experience, pediatric nursing and/or healthcare operations preferred
  • 3 years of experience in nursing related regulatory and policy compliance
• License/Certification: BLS for Healthcare Providers
  • Advanced Life Support and/or other certification(s) for specific roles may be required within 6 months of hire
• Membership: Membership in a professional nursing or health care organization

***This position may require a BLS certification from the American Heart Association. Click on the following link and enter your zip code to find an appropriate class near you. Please note BLS (CPR cards) from organizations other than American Heart Association, even if it says it is AHA approved, will not be accepted.***

http://ahainstructornetwork.americanheart.org/AHAECC/classConnector.jsp?pid=ahaecc.classconnector.home

Population Specific Care

• No Direct Patient Care

• Along with the Clinical Policy Oversight Manager is responsible for the Provision of Care chapter in the Joint Commission Hospital Accreditation Standards Handbook.
• Is responsible for content and process of Clinical Policies and Procedures, including but not limited to: Clinical Policy and Procedure Manual, Nursing Manual, Medication Management Manual, Telephone Triage Guideline Manual, and Standing Orders Manual.
• The Clinical Policy Compliance Specialist will collaborate with the Department of Quality and Patient Safety (QPS) through the Manager of Accreditation and the Chief Quality Officer to ensure coordination with resources in the division to execute on compliance issues.
• The Clinical Policy Compliance Specialist will provide Division of Nursing and Patient Care Services with support for creating and managing audit processes to assess compliance with requirements for regulatory agencies and for organizational policies and procedures.
• The Clinical Policy Compliance Specialist works with the Director of Performance Practice, and Innovations and the Manager of Accreditation to develop and implement auditing and observation processes for nursing division, and to assure effective and accurate reporting of findings from these processes.
• The scope of the role includes Division of Nursing and Patient Care Services across Children's Hospital Colorado and Network of Care.
• Translates regulatory/accreditation standards for staff (ANCC Magnet Standards, Joint Commission, CMS, CDPHE).

Scope/Organizational Responsibility

• Contacts: Typically with internal leadership or externally: involves preparation & requires skill, tact, persuasion and/or negotiation.
• Contacts: Frequently with other depts, sometimes externally; involves substantive matters possibly sensitive in nature.
• Financial Accountability: Responsible for personal use of resources, supplies and materials, tracking personal spending and submitting accurate expense reports.
• Impact of Decisions: Decisions limited to implementation and completion of departmental functions, goals and projects, and exert some influence on cross-departmental workflow and outcomes.
• Judgment: Sets priorities for own work within overall guidelines; manages own workflow in cooperation with others.

Physical Requirements

• Audio-Visual: Color Discrimination: Good
• Audio-Visual: Far Vision: Good
• Audio-Visual: Hearing: Good
• Audio-Visual: Near Vision: Good
• General Activity: Sit: 2-4 hrs. per day
• General Activity: Stand/Walk: 2-4 hrs. per day
• Motion: Bend: Up to 1/3 of time
• Motion: Carry: Up to 1/3 of time
• Motion: Lift: Up to 1/3 of time

Environment

• Equipment: telephone, computers, reading reports/graphs
• Mental and Emotional Requirements: Manages stress appropriately.
• Mental and Emotional Requirements: Works in close proximity to others and/or in a distracting environment.
• Mental and Emotional Requirements: Works with others effectively

It is our intention that all qualified applicants be given equal opportunity and that selection decisions be based on job-related factors. We do not discriminate on the basis of race, color, religion, national origin, sex, age, disability, or any other status protected by law or regulation. Be aware that none of the questions are intended to imply illegal preferences or discrimination based on non-job-related information.

The position is expected to stay open until the posted close date. Please submit your application as soon as possible as the posting is subject to close at any time once a sufficient pool of qualified applicants is obtained.

Colorado Residents: In any materials you submit, you may redact or remove age-identifying information such as age, date of birth, or dates of attendance at or graduation from an educational institution. You will not be penalized for redacting or removing this information.

Here, you matter. As a Children's Hospital Colorado team member, you will receive a competitive pay and benefits package designed to take care of your needs that includes base pay, incentives, paid time off, medical/dental/vision insurance, company provided life and disability insurance, paid parental leave, 403b employer match (retirement savings), a robust wellness program, and access to professional development tools, including an education benefit to help you advance your career.

As part of our Total Rewards package, Children's Colorado offers an annual employee bonus program that rewards eligible team members based on organizational performance. If organizational goals are met for the year, the bonus is paid out the following April.

Children's Colorado delivers annual base pay increases to eligible team members based on their performance over the previous year.