Policy Coordinator

Dinwiddie, VA 23841, USA
Posted on  

Job Description

Title: Policy Coordinator

State Role Title: 49171 - Health Care Compliance Spec I

Hiring Range: Salary to commensurate with experience

Pay Band: 4

Agency: Dept Behavioral Health/Develop

Location: Central State Hospital

Agency Website: https://dbhds.virginia.gov/facilities/csh/

Recruitment Type: General Public - G

Job Duties

The Policy Coordinator has the responsibility to evaluate, monitor, and coordinate compliance with performance standards, both internal and external (as set by DBHDS, The Joint Commission, etc.) and advise on areas of non-compliance. This position will ensure that data used to determine hospital compliance is monitored and reported accurately and efficiently. This position will ensure hospital policies are up-to-date and consistent with regulatory and legislative requirements.

Job Duties:
  • Maintain multiple spreadsheets and engage in 100% reporting of tracked data points, ensuring accurate reporting to multiple agencies and systems.
  • Daily-Receive and enter all Incident Reports into the Patient Incident Tracking System and CHRIS.
  • Scan daily hospital activity report (AOD Report) to track and report aggressive incidents and other reportable events.
  • Accurately enter Seclusion and Restraint data daily and PAIRS reportable incidents.
  • Create and submit monthly reports to dLCV and generate other reports as needed.
  • Run reports related to tracked data in the Electronic Health Record.
  • Identify and correct any errors in reported events.
  • Manage the hospital’s policy program; coordinate with the responsible staff for policy development; ensure internal consistency between policies.
  • Ensure that only the most current versions of forms are available by monitoring attachment links in the Portal or electronic policy system.
  • Assure that hospital forms and policies are properly formatted and connected.
  • In a systematic manner, maintains the Master collection of all current and previous hospital Policies and official forms and maintains a database of policy review dates and revisions, reviewers, etc.
  • Maintains a working knowledge of policy/procedure content in order to serve as a resource person to management, staff, and committees.
  • Ensure that policies are posted on the facility intranet site and are consistent with the current version.
  • Prepares policy updates to keep all staff aware of changes in policy and/or new policy.
  • Assist with performance improvement plans, revises and submits data and reports as required.
  • Ensure staff understands the quality improvement process.
  • Provides a wide variety to support to the QRM department and Chief.
  • Demonstrates the ability to multitask and the ability to move back and forth between several different projects.
  • May serve as the QRM representative on hospital committees.
  • Provides administrative support to the QRM department.
  • Provides back up coverage for other department members as needed.
  • May be required to perform other duties as assigned.


Minimum Qualifications

  • Working knowledge of agency and state policies and procedures;
  • Knowledge of TJC standards;
  • Understanding of health care quality assurance, performance improvement, and risk management practices;
  • Ability to communicate effectively with all levels of staff and the general public, both verbally and in writing;
  • Considerable experience with computer software, including ability to create and use spreadsheets in an advanced manner (e.g. use of formulas, pivot tables);
  • Ability to create visual representations of data, and desktop publishing.

Additional Considerations

  • Experience within Quality Assurance, Risk Management, Health Informatics, Medical Records, or similar.
  • Experience with auditing or other performance monitoring, particularly as related to TJC standards and regulations.
  • Experience with navigating electronic health records and data entry.
  • College degree in business, hospital administration, or other human services field is valued.

Special Instructions

You will be provided a confirmation of receipt when your application and/or résumé is submitted successfully. Please refer to “Your Application” in your account to check the status of your application for this position.

Central State Hospital only accepts online applications via RMS. Resumes and other documents may accompany the application but will not serve as a substitute for an application. Faxed, e-mailed or mailed applications will not be accepted. Please refer to your RMS account for the status of your application and this position. This posting will remain open for a minimum of five (5) business days.

An extensive criminal history background investigation, not limited to employment references, drug testing and E-Verify will be conducted.

Central State Hospital offers a comprehensive benefit package to include your choice of four health insurance plans, paid life insurance and retirement plans, 12 paid holidays, annual and sick leave.

Applicants must list all relevant experience that you wish to be considered for this position. Applicants will be provided confirmation of receipt when your application and/or resume is submitted. Please refer to “Your Application” in your account to check the status of your application for this position. A fingerprint-based criminal history check and reference checks are required for the selected candidate for this position. Under Virginia Code §37.2-314 and 37.2-408.1, the Department of Behavioral Health and Developmental Services is prohibited from employing or using as volunteers, persons who have been convicted of specific “barrier” crimes or persons who may be the subject of pending “barrier” charges.

DBHDS facilities are no longer required to ensure that all staff members are vaccinated against COVID-19. However, facilities encourage and educate staff on the benefits, and continue to offer COVID-19 vaccination programs to staff, residents/clients. Employees may be required to disclose immunization status for purposes of infection prevention and/or management of outbreaks. Upon acceptance of a job offer, new recruits will be asked to disclose their vaccination status (and for those fully vaccinated, proof of vaccination) during the pre-employment process. If you have any questions, contact the Office of Human Resources.

Commonwealth’s Alternate Hiring Process: In support of the Commonwealth’s commitment to inclusion, individuals with disabilities are encouraged to apply through the Commonwealth Alternative Hiring Process. To be considered for this opportunity, applicants will need to provide their Certificate of Disability (COD) provided by a Certified Rehabilitation Counselor with the Department of Aging and Rehabilitative Services (DARS). Veterans are encouraged to answer Veteran status questions and submit their disability documentation, if applicable, to DARS, to get their Certificate of Disability. To obtain a Certificate of Disability go to: https://www.vadars.org/drs/cpid/PWContact.aspx, or call DARS at 800-552-5019.

Reasonable accommodations are available to persons with disabilities during the application and/or interview process per the Americans with Disabilities Act. Contact Human Resources at (804) 524-7111 for assistance.

DBHDS is an equal Opportunity Employer. Employment opportunities are open to all regardless of race, sex, color, national origin, religion, sexual orientation, gender identity, age, veteran status, political affiliation, genetics, or disability. Minorities, Individuals with Disabilities, Veterans, and people with National Service experience are encouraged to apply. EEO/AA/TTY

Contact Information

Name: Central State Hospital

Phone: 804-524-7000

Email: https://dbhds.virginia.gov/facilities/csh/


In support of the Commonwealth’s commitment to inclusion, we are encouraging individuals with disabilities to apply through the Commonwealth Alternative Hiring Process. To be considered for this opportunity, applicants will need to provide their AHP Letter (formerly COD) provided by the Department for Aging & Rehabilitative Services (DARS), or the Department for the Blind & Vision Impaired (DBVI). Service-Connected Veterans are encouraged to answer Veteran status questions and submit their disability documentation, if applicable, to DARS/DBVI to get their AHP Letter. Requesting an AHP Letter can be found at AHP Letter or by calling DARS at 800-552-5019.

Note: Applicants who received a Certificate of Disability from DARS or DBVI dated between April 1, 2022- February 29, 2024, can still use that COD as applicable documentation for the Alternative Hiring Process.


Each agency within the Commonwealth of Virginia is dedicated to recruiting, supporting, and maintaining a competent and diverse work force. Equal Opportunity Employer

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