What are the responsibilities and job description for the Policy Management System Project Manager - Northwest Hospital position at LifeBridge Health?
Summary
NOTE: THIS POSITION IS A SINAI POSITION WITH DUTY AT NORTHWEST HOSPITAL
Job Summary
The Policy Management System Project Manager reports to the Director of Accreditation & Regulatory Readiness and is responsible
for both the day-to-day management of the policy management system and for facilitating multiple performance improvement projects related to policies, procedures, and compliance. Through on-going collaboration with organizational leaders, administrators, and policy owners, the Policy Management System Project Manager will support compliance with regulatory requirements by guiding the document control process, conducting systematic reviews to ensure policies meet LBH guidelines, and identifying where compliance and/or operational opportunities for improvement exist in regard to policies.
The Policy Management System Project Manager will also work alongside of the LifeBridge Accreditation & Regulatory Readiness
Team Members and will support with on-site Regulatory Surveys and regulatory readiness activities as requested by the
Accreditation Team. This includes but is not limited to sending surveyor-on-site alerts, supporting in the Survey Command Center,
completing proactive compliance audits/ tracers, and assisting with regulatory required documentation compliance evaluations.
Requirements
Who We Are:
LifeBridge Health is a dynamic, purpose-driven health system redefining care delivery across the mid-Atlantic and beyond, anchored by our mission to “improve the health of people in the communities we serve.” Join us to advance health access, elevate patient experiences, and contribute to a system that values bold ideas and community-centered care.
What We Offer
Impact: Join a team that values innovation and outcomes, delivering life-saving care to our youngest and most vulnerable patients.
Growth: Opportunities for professional development, including tuition reimbursement and developing foundational skills for neonatal critical care leadership and advanced certification.
Support: A culture of collaboration with resources like unit-based practice councils and advanced clinical education support — improving both workflow efficiency and patient outcomes and allowing you to work at the top of your license.
Benefits: Competitive compensation (additional compensation such as overtime, shift differentials, premium pay, and bonuses may apply depending on job), comprehensive health plans, free parking, and wellness programs.
Why LifeBridge Health?
With over 14,000 employees, 130 care locations, and two million annual patient encounters, we combine strategic growth, innovation, and deep community commitment to deliver exceptional care anchored by five leading centers in the Baltimore region: Sinai Hospital of Baltimore, Grace Medical Center, Northwest Hospital, Carroll Hospital, and Levindale Hebrew Geriatric Center and Hospital.
Our organization thrives on a culture of CARE BRAVELY—where compassion, courage, and urgency drive every decision, empowering teams to shape the future of healthcare.
LifeBridge Health complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex or sexual orientation and gender identity/expression. LifeBridge Health does not exclude people or treat them differently because of race, color, national origin, age, disability, sex or sexual orientation and gender identity/expression.
NOTE: THIS POSITION IS A SINAI POSITION WITH DUTY AT NORTHWEST HOSPITAL
Job Summary
The Policy Management System Project Manager reports to the Director of Accreditation & Regulatory Readiness and is responsible
for both the day-to-day management of the policy management system and for facilitating multiple performance improvement projects related to policies, procedures, and compliance. Through on-going collaboration with organizational leaders, administrators, and policy owners, the Policy Management System Project Manager will support compliance with regulatory requirements by guiding the document control process, conducting systematic reviews to ensure policies meet LBH guidelines, and identifying where compliance and/or operational opportunities for improvement exist in regard to policies.
The Policy Management System Project Manager will also work alongside of the LifeBridge Accreditation & Regulatory Readiness
Team Members and will support with on-site Regulatory Surveys and regulatory readiness activities as requested by the
Accreditation Team. This includes but is not limited to sending surveyor-on-site alerts, supporting in the Survey Command Center,
completing proactive compliance audits/ tracers, and assisting with regulatory required documentation compliance evaluations.
Requirements
- Minimum of 3 years of experience with Project Management; 5 years of experience preferred.
- Bachelor's degree in Public Health or a clinical field preferred; Master's degree highly preferred.
- PMP Certification preferred.
- Six Sigma Certification preferred.
Who We Are:
LifeBridge Health is a dynamic, purpose-driven health system redefining care delivery across the mid-Atlantic and beyond, anchored by our mission to “improve the health of people in the communities we serve.” Join us to advance health access, elevate patient experiences, and contribute to a system that values bold ideas and community-centered care.
What We Offer
Impact: Join a team that values innovation and outcomes, delivering life-saving care to our youngest and most vulnerable patients.
Growth: Opportunities for professional development, including tuition reimbursement and developing foundational skills for neonatal critical care leadership and advanced certification.
Support: A culture of collaboration with resources like unit-based practice councils and advanced clinical education support — improving both workflow efficiency and patient outcomes and allowing you to work at the top of your license.
Benefits: Competitive compensation (additional compensation such as overtime, shift differentials, premium pay, and bonuses may apply depending on job), comprehensive health plans, free parking, and wellness programs.
Why LifeBridge Health?
With over 14,000 employees, 130 care locations, and two million annual patient encounters, we combine strategic growth, innovation, and deep community commitment to deliver exceptional care anchored by five leading centers in the Baltimore region: Sinai Hospital of Baltimore, Grace Medical Center, Northwest Hospital, Carroll Hospital, and Levindale Hebrew Geriatric Center and Hospital.
Our organization thrives on a culture of CARE BRAVELY—where compassion, courage, and urgency drive every decision, empowering teams to shape the future of healthcare.
LifeBridge Health complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex or sexual orientation and gender identity/expression. LifeBridge Health does not exclude people or treat them differently because of race, color, national origin, age, disability, sex or sexual orientation and gender identity/expression.