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Emotions and Our Careers
Public Interest
Legal Staff
Government and Government Relations
Min 5 yrs required
Policies and Procedure Manager Duties: Under supervision of Chief Ethics and Compliance Officer, directs, coordinates, plans and manages the development and review status of policies and procedures affecting daily operations – operational and clinical - of the Native Tribal Health and Native Medical Center, respectively, the policies and procedures program to directly support compliance with applicable ethical standards, laws, regulations, policies, procedures, and professional practice standards and thereby supporting the workforce in risk mitigation, corrective action plans and loss control. In compliance with governing instruments, oversees and manages verses the operational process for development review, revisions, approval and implementation for Consortium and Center board polices, operational policies and procedures. Regularly consults with the CECO and General Counsel in bringing policies and procedures from draft to implementation. Provides guidance and support to the workforce in managing their department or program procedures and coordinates the continual development, review, revision, approval, implementation and maintenance of policies and procedures. Oversees/assures the implementation by the appropriate document “owners†and maintains the tracking system for the status of all Consortium policies and procedures and Centerpolicies and procedures. Advises workforce in identifying stakeholders who may be affected by changes in new or revised policies and procedures. May participate in the development and performance of strategic risk assessments, work plans, and budgets. Analyzes and proofreads policies and procedures for accuracy, readability, coherence, clarity and consistency. Reviews policies and procedures with subject matter experts and stakeholders. Verifies that documents do not conflict with Consortium authority, regulatory requirements, and/or other Centerpolicies and procedures. Notifies the Consortium workforce when Consortium Corporate policies and procedures – excluding divisional/departmental - are due for review and revisions. Notifies Centerworkforce when new or revised policies and procedures are available for input and comments after originator/owner has obtained major stakeholder input and concurrence prior to sending document(s) to the designated approval body. Maintains archival process for Consortium Corporate and Centerpolicies and procedures, when either are revised, deleted or incorporated into existing documents. Researches as requested for policies and procedure - either current or archived as appropriate for revisions, investigations and/or as requested for legal purposes. Develops strategies to effectively communicate and assist “owners†with the content and intent of policies and procedures. Prepares and presents policies and procedures’ reports, review status, results, and recommendations to committees such as the Chief Executive Team of Consortium , the CenterExecutive Management Team, CenterClinical Quality Committee, and the Consortium Rules and Bylaws Committee of the Board of Directors and Joint Operating Board Policy Committee. Promotes workforce awareness of organizational policies and procedures. Provides and/or facilitates education and training in policies and procedures for new and existing employees through the policy and procedure system. Provides ongoing advice, consultation, and feedback on policies and procedures. Maintains accurate policy and procedure databases, websites, and archives. Assists managers by providing guidance to them in their compliance monitoring and corrective action plan activities through the revision or development of policies and procedures. Assists others in providing guidance in drafting their departmental policies and procedures and making use of the corporate and/or Centertemplates and providing them an appropriate numbering system for their policies and procedures. Conducts auditing and monitoring activities of policies and procedures for Consortium Compliance and ANMC. Prepares written findings and recommendations for each activity. Refers issues, as appropriate, that may involve non-compliance to the Chief Ethics and Compliance Officer, the CenterExecutive Management Team and/or Joint Operating Board Policy Committee. Monitors and reviews trends in health organization policies and procedures. Conducts research and benchmarking exercises and implements best practices as appropriate. Functions as policy and procedure liaison between internal/external customers, internal/external auditors, business partners, committees, consultants, insurance carriers, federal/state agency staff, and contractors. Performs other duties as assigned specific to corporate compliance, including assistance on investigations. Performs other duties as assigned.
Qualification and Experience
Qualifications: A Bachelor’s Degree in English, Paralegal Studies, Healthcare Administration, Nursing, or related field. Progressively responsible professional work-related experience, education, or training may be substituted on a year-for-year basis for college education. 5+ years of policy development and management, legal or paralegal experience, health care administration, and/or health care operational experience. An equivalent combination of relevant education and/or training may be substituted for experience. Knowledge of health care operations, including clinical issues, risk management and corporate compliance programs. Knowledge of policy and procedure concepts. Knowledge of ethical principles and compliance program elements. Knowledge of applicable federal/state laws, regulations, accreditation standards, and other operational guidelines and directives. Skill in oral and written communication. Skill in preparing and presenting formal reports Skill in analysis, proofreading and problem solving. Skill in reading and interpreting policies and procedures and legal documents. Skill in applying effective education and training techniques. Skill in interpreting and applying laws, rules, and regulations relating to regulatory compliance. Skill in operating a personal computer utilizing a variety of software applications. Skill in project management and assessing and prioritizing multiple tasks, projects and demands.
Tracking Code: 20161693
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