Policy Change Supervisor supervises a group of insurance policy change technicians to ensure that policy changes and requests are carried out according to established guidelines. Determines action on changes for which a policyholder has applied, but which are not covered by policy provisions, and computes costs or allowances for policy changes. Being a Policy Change Supervisor contacts policy owners and field agents with pertinent information that may affect a policy change. Does not have underwriting approval. Additionally, Policy Change Supervisor requires a bachelor's degree. Typically reports to a manager or head of a unit/department. The Policy Change Supervisor supervises a group of primarily para-professional level staffs. May also be a level above a supervisor within high volume administrative/ production environments. Makes day-to-day decisions within or for a group/small department. Has some authority for personnel actions. To be a Policy Change Supervisor typically requires 3-5 years experience in the related area as an individual contributor. Thorough knowledge of functional area and department processes. (Copyright 2024 Salary.com)
Nemours is seeking a Policy Specialist to join our Nemours Children’s Health team in Wilmington, DE.
Under the direction of the Manager of Regulatory & Accreditation Affairs, the Policy Specialist acts as a champion for Nemours Children’s Health, Delaware Valley (NCHDV) policy development, review and approval processes and is one of the two Policy Tech Document Control Administrators for NCHDV.
Facilitates Delaware Valley workgroups/committees, utilizing specialized knowledge, to interact dynamically, interdependently, and adaptively toward a common mission and valued goals/objectives, in concordance with the Quality & Patient Safety Department strategic goals.
Coordinates/facilitates collaboration among quality/process improvement, patient safety, data analytics, and regulatory domains within the Quality & Patient Safety Department.
Essential Functions
1. Facilitates teams to develop and revise Patient Care policies, procedures, and job aids.
• Coaches’ individuals and teams on how to incorporate behaviors for error prevention into guidance documents.
• Facilitates teams to achieve consensus on care practices and to reduce eliminate barriers.
• Ensures that best practices and relevant professional practice guidelines are incorporated.
• Assures that regulatory requirements and accreditation standards are represented in guidance documents.
• Coaches process owners to include all key stakeholders who provide the needed subject matter expertise, evidence, or informed opinions.
• Assures that roles and responsibilities are clearly defined.
• Consults/coaches workgroups through practice change implementation, communication, and staff education process.
• Assures that roles and responsibilities are clearly defined.
2. Manages the maintenance of Patient Care policies, procedures, and job aids.
• Manages the overall process and assures that the guidance documents are approved by the appropriate leadership.
• Develops/ prepares org-wide communications & announcements about policy updates, and partners with Internal Communications team to implement.
• Prepares/finalizes documents for publication.
• Partners with the Accreditation Specialist to post on the intranet.
• Provides direction to process owners on insuring best practices to implement policies.
• Oversees and provides direction for document revision according to the established guidelines.
3. Leads efforts to standardize policy process, systems, and tools in an effort to streamline work, eliminate redundancies, and establish a more user-friendly and searchable on-line policy and procedure resource for front line staff and leaders.
4. Provide leadership and expert consultation to ensure timely and accurate development/revision of standardized work processes/practices.
5. Ensures alignment between strategic goals/objectives and action plans, in collaboration with Director(s) and Manager(s) of Regulatory, Patient Safety, Analytics, and Quality/Performance Improvement. Communicates & addresses action plans follow-up & accountability.
6. Co-leads the Medical Staff / Patient Care Policy Committee and supports the processing of documents in the development, review, and approval phases of the document cycle.
7. Participates in continuous regulatory readiness activities as directed by the Regulatory and Accreditation Affairs Program Manager.
8. Provides committee representation as it relates to policy structure, governance, and process.
9. Identifies, communicates & addresses barriers to effectively seek resolution collaboratively with key stakeholders.
Requirements
Bachelor’s Degree
One to three years of experience:
Previous policy writing experience required, preferably in a hospital setting (or experience as a clinician responsible for working on a team developing and/or revising department policies).
Strong project management experience required.
Knowledge of Joint Commission, Centers for Medicare/Medicaid Services (CMS) or State Health Department regulations preferred.
Knowledge of accreditation standards, survey readiness processes, and regulations applicable to hospitals and healthcare settings preferred.
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