Medical Policy Manager jobs in Montana

Cabinet Peaks Medical Center is looking for a Policy Program Manager to join our Nursing Administration!

The Policy Program Manager has direct oversight of the MCN Policy and Procedure Software.  This software provides fundamental controls for CPMC’s organizational policies and procedures.  The Policy Program Manager will keep CPMC current with regulations, standards, and evidence-based practice whether administrative or clinical.  They will be the liaison between the leadership team and staff to help develop, communicate, and manage essentials related to policies and procedures.  They will also serve as a liaison with the contract database software and the financial team. 

Major Job Duties & Responsibilities

Patient/Customer Satisfaction:  Implements practices & programs that improve patient's experience and/or improves the health of our population.  Achieves established patient/customer satisfaction scores.  Utilizes tools (AIDET, rounding, etc.) to increase patient satisfaction

Planning:  Aligns all work and resource management with CPMC mission, vision, values, goals and strategic initiatives.  Actively participates in planning long-term strategies for the department.  Keeps up to date on industry trends, regulatory changes, etc.  Translates strategies into annual measurable goals for department, utilizes tracking and reporting tools on a consistent basis.  Meets deadlines.

Financial results:  Develops yearly budget for department(s) that align with strategic goals.  Monitors actual expenditures against budgeted amounts and develops corrective action plans for significant variances. Identifies opportunities to reduce per capita cost of healthcare.

Quality:  Identifies quality standards, measures performance, implements action plans to correct deficiencies & continuously improves processes to meet patient/customer needs.  Provides timely responses (email, phone calls) to customers.

Management of staff:  Determines headcount needs, devises work schedules, hires high quality personnel, communicates in timely manner (monthly staff meetings), conducts effective, on-time performance evaluations, applies HR policies consistently, handles employee performance problems quickly and per policies, rewards and recognizes staff accomplishments.

Compliance:  Stays abreast of and ensures compliance with all CPMC policies & procedures, laws, regulatory requirements, Medicare Conditions of Participation, etc.  Develops and maintains current department policies and procedures.

Create robust policy and procedure search capabilities.

Complete audit trails for documents.

Provide tracking and reporting.

Oversee archiving and version control.

Oversee the policy approval and workflow process.

Educate new leadership in the software program.

Provide education in policy manager for new hires.

Ensure compliance with regulations related.

Skills, Knowledge & Abilities

Ability to demonstrate competency performing all essential functions of the job, with or without reasonable accommodation.  Ability to facilitate organizational meetings, delegate and organize tasks to ensure completion of projects timely.  Must be able to navigate external software and be the liaison between staff and the program and troubleshooting. 

Experience

3-5 years’ experience in a leadership position that required exposure to program and policy development. 

Educational Requirements

ASN Required.

BSN degree is preferred.

Montana RN license required.

Schedule

Monday through Friday

Benefits Package Available.

Cabinet Peaks Medical Center is committed to providing a safe, efficient, and productive work environment for all employees. To help ensure a safe and healthful working environment, each applicant to whom an offer of employment has been made will be required as a condition of employment to undergo a substance test. Additional pre-employment items may be required. Please contact Human Resources for details.