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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.

Quality Specialist (Medical Data Mining)

Location: San Francisco, CA Additional Locations:
Job Number: 696742 Date posted: 06/13/2018
Supervises and monitors one or more of the following activities, continuing medical education, quality assurance, medical staff services and quality projects.

Essential Functions:
- Supervises the daily quality activities, ensuring timely and accurate data collection, follow up of issues and quality of work.
- Develops, implements and monitors quality departments policies and procedures; ensures they are in compliance with The Joint Commission, NCQA, CME, federal, state and local requirements.
- Assists in developing and revising QA monitors to meet accreditation/regulatory standards.
- Provides reports based on timely and accurate data collection, identifies trends and monitors issues.
- Monitors the budgets, researches variances, and identifies opportunities to reduce costs.
- Coordinates and facilities staff support to various committees (e.g., quality, accreditation) which includes agenda preparation and monitoring of outstanding issues. Coaches staff and ensures their competency.
- Develops, implements, coordinates, and evaluates the CME programs, credentialing and privileges for permanent or temporary physicians and allied health providers.
- Coordinates and prepares for CME, accreditation, licensing, and quality surveys/audits.
- Maintains and monitors the various quality databases which may include quality reviews, CME, credentials and privileges and provider profiles.
- Assists in preparation of educational materials and course objectives. Maintains link between medical staff affairs and quality improvement, risk management, continuing medical staff education.
- Kaiser Permanente conducts compensation reviews of positions on a routine basis. At any time, Kaiser Permanente reserves the right to reevaluate and change job descriptions, or to change such positions from salaried to hourly pay status. Such changes are generally implemented only after notice is given to affected employees.

Basic Qualifications:
- Minimum two (2) years of experience in quality improvement or accreditation required.
- Bachelor's degree in a health care related field or business administration OR four (4) years of experience in a directly related field.
- High School Diploma or General Education Development (GED) required.
License, Certification, Registration
- N/A
Additional Requirements:
- Ability to perform statistical analysis.
- Current knowledge of The Joint Commission, NCQA, federal, state, & local requirements.
- Knowledge in application of adult learning theory in program development.
- Must be able to work in a Labor/Management Partnership environment.

Preferred Qualifications:
- Previous supervisory experience recommended.

- Knowledge of medical terminology, procedure coding, data extraction, and/or healthcare experience preferred.

Primary Location: California,San Francisco,San Francisco 350 St. Josephs 350 St Josephs Ave. Scheduled Weekly Hours: 40 Shift: Day Workdays: Mon, Tue, Wed, Thu, Fri Working Hours Start: 8:00 AM Working Hours End: 4:30 PM Job Schedule: Full-time Job Type: Standard Employee Status: Regular Employee Group/Union Affiliation: Salaried, Non-Union, Exempt Job Level: Individual Contributor Job Category: QA / UR / Case Management Department: Cardiac Services Travel: No

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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Jan 24, 2018

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