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Kaiser Permanente Careers

Quality Assurance, UR & Case Management

Passion + Vision + Integrity = Excellence

Ensure consistency and the highest ethical standards across our entire organization. Our quality assurance team drives ongoing improvement by fostering an environment of support, providing technical and specialized consultative services, and inspiring ongoing excellence.

Director Quality

Location: Panorama City, CA Job Number: 700354 Date posted: 05/15/2018
Description: Develops, implements and directs the comprehensive quality programs for KFH/Health Plan Service Area. Director may have oversight over one or more of the following: quality assessment and improvement, patient safety, risk management, professional staff services or accreditation, regulatory and licensing. Works with the medical center leadership team to ensure that the programs effectively measures, assesses and continuously improves the quality of care and service provided.

Essential Responsibilities:
  • Directs the Service Area's quality program in order to meet the organizational goals.
  • Facilitates departmental activities so as to meet the requirements of customers and regulatory and accrediting agencies to include peer and departmental reviews
  • Mitigates medical/legal liability through development of a program which links risk management activities with those of continuous performance improvement.
  • Serves as a critical link in the identification and resolution of issues which affect the organizational image.
  • Works closely with designated Chiefs of Service and Department Administrators to address patient care issues with a goal toward resolution while maintaining confidentiality.
  • Determines strategy for changing existing processes to meet regulatory requirements and translating external demands into program goals.
  • Works closely with the medical, nursing, and support staff to enhance compliance and patient safety.
  • Provides education and technical support to the Service Area in developing, implementing and maintaining quality improvement activities.
  • Facilitates performance improvement throughout the continuum of care to improve the care, treatment and services provided.
  • Manages the creation and maintenance of provider-specific quality profiles to be used for credentialing.
  • Develops and maintains relationships and effective communication with all levels of Service Area. Collaborates with various stakeholders on projects, initiatives and facilitates spread of best practices. Prepares reports as required to Quality Committee from KFH to the Kaiser Permanente Board of Directors.
  • Contributes to the management of the accreditation, regulation, and licensing activities to include communicating the programs/processes to providers and medical staff, preparing of surveys and inspections, and completing assessments, response plans and measures of success.
  • Responsible for the completion of annual evaluations and revisions to the Quality Program.
  • Directs human resources management processes: hires, fires, promotes, demotes, manages and evaluates staff performance and development. Develops, monitors, and controls department budgets.
  • Makes recommendations regarding the need for staff, space and other resources.
  • May be expected to perform other duties as assigned.
  • Ensures annual evaluation of Health Plan facility contracts for quality assurance.
    Works collaboratively with Regional and Service area departments to promote and implement quality patient care through appropriate measurements of care.
  • Patient Safety: Accountable to promote an organizational culture of safety and ensure appropriate patient safety standards and guidelines are implemented consistently in the delivery of health care to our patients, including but not limited to: TJC, National Quality Forum, and Leapfrog. See Patient Safety Management Accountabilities Addendum for job specific accountabilities. (My HR Forms).

  • Basic Qualifications:
  • Minimum five (5) years of experience in Quality Improvement in a health care setting.
  • Minimum three (3) years management experience.
  • Bachelor's degree

    License, Certification, Registration
  • California RN license required

    Additional Requirements:
  • Experience designing, developing, and implementing physician peer review.
  • Demonstrated knowledge of governmental accreditation and other regulatory standards, requirements, and guidelines related to quality performance.
  • Strong working knowledge of ongoing monitoring processes (including criteria development and statistical analysis); medical care delivery in hospital and outpatient settings; performance improvement principles, tools, and techniques.
  • Effective communication, negotiation and leadership skills.
  • Must be able to work in a Labor/Management Partnership environment.

    Preferred Qualifications:
  • Clinical nursing experience preferred.
  • Total Quality Management certification or Certified Professional of Healthcare Quality (CPHQ) preferred.

  • Bachelor's degree in Nursing or Health Care related field or business administration preferred
  • Master's degree preferred in Nursing or Health Care related field or Business Administration.

    Primary Location: California,Panorama City,North 2 Medical Offices 8250 Woodman Ave. Scheduled Weekly Hours: 40 Shift: Day Workdays: Mon, Tue, Wed, Thu, Fri Working Hours Start: 8:00 AM Working Hours End: 5:00 PM Job Schedule: Full-time Job Type: Standard Employee Status: Regular Employee Group/Union Affiliation: Salaried, Non-Union, Exempt Job Level: Manager with Direct Reports Job Category: QA / UR / Case Management Department: Quality Travel: No
    Kaiser Permanente is an equal opportunity employer committed to a diverse and inclusive workforce. Applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), age, sexual orientation, national origin, marital status, parental status, ancestry, disability, gender identity, veteran status, genetic information, other distinguishing characteristics of diversity and inclusion, or any other protected status.

    External hires must pass a background check/drug screen. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with federal and state laws, as well as applicable local ordinances, including but not limited to the San Francisco and Los Angeles Fair Chance Ordinances.
  • About QA, Ur & Case Management Careers

    Careers In QA, Ur & Case Management

    As an organization, we are committed to delivering the same exemplary care no matter who you are, where you are, or what your needs. But how are those standards defined, measured, and assessed? That's where our quality assurance team comes in. Implementing the action plans and initiatives that will drive successful practices, you'll work across the organization to foster the necessary education, communication, and innovation that will enable us to operate as one KP — with our mission and goals in complete alignment.

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