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Licensed Nurses & Physician Assistants

The Front Line of Patient Care

Our nurse professionals embody what it means to provide the best patient interactions possible. They also advance the art and science of nursing in a patient-centered, healing environment.

Senior Director, Hospital Care Management/SNF

Location: Portland, OR Additional Locations:
Job Number: 778080 Date posted: 03/13/2019

The Senior Director of Hospital Management and Skilled Nursing Facilities (SNF) has the responsibility, in partnership with regional leaders, for the development of clinical operational systems, processes and standards of practice as well as the day-to-day operational, financial, regulatory and planning accountability.  This position develops, implements, integrates, manages and innovates to ensure alignment with the region's mission and vision.  Departmental accountabilities include Care Management (inpatient care coordination and social work), SNF (placement desk and care coordination) and Patient Advocate Services.  Collaborates with NW Permanente, Hospital (both KP and non-KP), and Health Plan leaders to provide strategic leadership that ensures quality, safe, effective, efficient, and affordable patient care across the continuum. Uses expertise, influence, facilitation, coordination and change leadership to achieve results.  Fosters a team environment which empowers team members as leaders. Effectively collaborates with the Ambulatory, Continuum, Hospital, Medical Group, Program Office, other regions within KP, and labor partners to improve the quality of care and service that we provide to our members and our communities. Maintains compliance with all regulatory requirements and demonstrates an understanding of healthcare insurance programs. Works with and negotiates with non-Kaiser entities and contracted hospital management teams. Maintains knowledge of, and assures departmental compliance with, KP's Principles of Responsibility, policies and procedures, and applicable regulatory requirements and accreditation standards, including oversight of nursing professional practice standards, KP standards of care and clinical competency of staff in accordance with licensure and regulatory requirements; may also perform patient care to the extent necessary to maintain clinical expertise and competency to fulfill job responsibilities.

Essential Responsibilities:

  • Collaborates with NW Permanente, KFHP, and Health Plan leaders across the region to define and execute on strategic direction and patient care services. Informs and aligns future strategies by keeping up to date on care management research, practices and evidence. Develops and maintains effective communication and working relationships with clinical leadership in the hospital, Permanente leadership, and throughout the continuum of care. Coordinates approach across both hospitals. Effectively facilitates consensus building to accomplish goals and objectives.  Partners with Ambulatory, Continuum, Hospital, Medical Group, Program Office, other regions within KP, and labor partners to ensure KPNW is positioned to maintain ongoing regulatory compliance across the continuum of care, including NCQA accreditation, Joint Commission accreditation, Medicare 5 Star, CDPH and CMS care delivery compliance.

  • Develops, implements and maintains a broad perspective of Regional Care Management, evidence-based practices, identifies new trends, products and services to quality, safety, and affordability of care and services provided. Contributes to maximizing capacity and reducing the cost structure of KPNW through appropriate resource stewardship management. Improves affordability and efficiency through the design of efficient work processes, staffing systems, and the application of appropriate technology and innovative strategies.  Develops and monitors budgets and expenditures for assigned areas.

  • Continually improve, lead, and direct high quality, evidence-based, best practices, consistent, reliable, affordable, patient-centric services.  Maintains compliance with all regulatory requirements. Demonstrates understanding of healthcare insurance.  Requires understanding of contracts, ability to negotiate with non-Kaiser entities and work with contracted hospital management teams.  

  • Ensures the delivery of high-quality, integrated clinical patient care within the continuum and the effective use of resources by building strong, performance-based relationships with NWP and labor.  Supports the structure and processes to develop, implement and assure success of all areas related to the Continuum of Care. Ensures high levels of consumer experience and member retention by investing in, structuring, and directing medical operations in care management and SNF to meet customer needs and reinforcing a culture of excellence in customer service.

  • Recruits, selects, trains, retains, mentors, supervises, and evaluates staff. Facilitates inter-departmental relationships so that mission, vision, and goals of the department and organization are achieved. Fosters and maintains a culture of teamwork, innovation and performance improvement. Creates a safe environment that supports a motivated work force and is conducive to excellent customer service. Conducts on site rounding with team. In collaboration with VP Patient Care Services/Regional Chief Nurse Executive and through dotted line reporting to nursing leadership, provides clinical leadership and oversight of staff in the provision of nursing and other clinical services through nursing professional practice standards and Kaiser Permanente standards of care. Implements, supervises and maintains clinical practice and quality management standards, staff competencies and on-going development in accordance with regulations and accreditation requirements; ensures patient safety at point of care.

  • Performs other duties as requested.

  • Basic Qualifications:


  • Minimum ten (10) years of progressive experience in a hospital or clinical care health setting

  • Minimum five (5) years of direct and progressive experience in leading health care services in a health care system as a director or manager over nursing staff

  • Minimum three (3) years of experience in care delivery systems and integrated processes, and process improvement within a health care delivery system

  • Minimum three (3) years of care management experience or continuing care services

  • Education

  • Academic degree in Nursing required (bachelor's or master's degree)

  • Master's degree in Nursing or related field required

  • License, Certification, Registration

  • Current Oregon and Washington RN license required. License in state where assigned required upon hire/transfer, application for license in secondary state required within 2 weeks of hire/transfer and must be obtained within 90 days

  • Basic Life Support (BLS) for Health Care Providers required upon hire/transfer.

  • Additional Requirements:

  • Previous hospital experience.

  • Working knowledge of group process, improvement and change processes, prevention and therapeutic strategies, supervision, project evaluation

  • In depth appreciation of line management accountabilities

  • Knowledge of information systems

  • Ability to analyze, integrate and use quantitative data informed decisions about quality improvement and collaborating with clinical staff, back office staff, and team to achieve expected outcomes

  • Supervisory experience in health care setting

  • Knowledge of trends and policies in healthcare

  • Personal influence and credibility with clinical staff and physicians

  • Demonstrated skills in communication, group process, strengthening teams, and comfort in interdisciplinary teams

  • Demonstrated skills in complex project management with the ability to anticipate needs and make decisions

  • Ability to attend to details, prioritize and complete multiple tasks independently in a fast-paced environment and following agreed upon timeline

  • Financial, service and quality analysis

  • Demonstrated excellent written and verbal communication, interpersonal, group process, organizational development and conflict resolution skills, including service recovery and complaint resolution skills

  • Skilled in leading and delivering results through the efforts of others

  • Experience leading in partnership with labor and clinician leaders

  • Ability to lead in a culturally diverse environment and promote culturally competent care

  • Knowledge of patient safety systems and techniques

  • Knowledge of EMR infrastructure and analytics

  • Thorough knowledge of regulations and standards regarding practice of licensed and non-licensed staff (nurses, social workers, nursing assistants, community navigators) and health care facilities

  • Demonstrated knowledge of clinical and operational processes, staff licensure/certification, clinical competency requirements, and scope of practice concepts

  • Strong knowledge and understanding of pathophysiology disease process and clinical care delivery

  • Preferred Qualifications:

  • Thorough knowledge of customer quality issues, service delivery planning and quality and process improvement methods, organizational development principles and adult learning, effectively applied as a leader within a large integrated health care system

  • Thorough knowledge of care management and disease management practices and processes

  • Thorough knowledge of KPNW's information systems, including use of KP HealthConnect for documentation and streamlining of work processes

  • Experience in various healthcare settings, i.e. mental/behavioral health, inpatient, ambulatory and community-based services

  • Knowledge of utilization management & experience with MCG or InterQual Care Guidelines software

  • Doctor of Nursing Practice (DNP)
  • Primary Location: Oregon,Portland,Kaiser Permanente Building 500 NE Multnomah St. Scheduled Weekly Hours: 40 Shift: Day Workdays: Mon, Tue, Wed, Thu, Fri, Sat, Sun Working Hours Start: Varies Working Hours End: Varies Job Schedule: Full-time Job Type: Standard Employee Status: Regular Employee Group/Union Affiliation: Salaried, Non-Union, Exempt Job Level: Director/Senior Director Job Category: Nursing Licensed Specialty: Case Management Department: Continuum of Care Travel: Yes, 10 % of the Time 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.

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    Through professional practice and leadership, nurses at Kaiser Permanente continually advance the art and science of nursing. But we recognize that what we do is more than clinical practice. We believe that every interaction — whether it is with a patient, a colleague, a physician, or anyone else — has the potential to be extraordinary. And we find that approaching our daily routine with this in mind gives each and every action new meaning and allows us to focus on the moment, empowering us to deliver expert care.

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