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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 Director Home Health Hospice

Location: Union City, CA Additional Locations:
Job Number: 802892 Date posted: 06/24/2019
Description:

Responsible for multiple medical center facilities. Serves as a critical link in the identification and resolution of issues affecting the home care agency. Integrates the quality management/performance improvement program with clinical and business goals/objectives. Supervises and coordinates activities of assigned quality program staff. Provides oversight, planning and coordination of Quality management activities, including patient care reviews, compliance audits, concurrent and retrospective clinical record reviews. Trends and analyzes utilization, outcome and quality data.


Essential Responsibilities:

  • 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 ensure compliance.

  • Provides education and technical support to the agency in developing, implementing and maintaining quality improvement activities.

  • Consults on performance review methodologies and performance improvement teams.

  • Collaborates with clients, TPMG, and community in designing processes that continually improve the quality and levels of care and the delivery of service.

  • Identifies and implements practices to improve quality and service.

  • Manages the creation and maintenance of provider-specific quality improvement profiles to be used for credentialing.

  • Develops systems, templates and processes to identify and monitor indicators which best measure improvement in care delivery as well as credentialing and recredentialing of providers.

  • Establishes mechanisms for proactive identification of issues and tracking of corrective action to minimize negative impact and maximize learning.

  • Ensures that the agency's Performance Improvement Program is comprehensive and integrated, in compliance with all licensing and regulatory requirements and consistent with policies, procedures and standards.

  • Participates in the development, implementation and evaluation of best practices for Home Care.

  • Collaborates with supervision in implementing regional/agency/organizational goals and objectives.

  • Develops and maintains relationships and effective communication with all levels of physicians and staff in order to facilitate problem identification and resolution.

  • Effectively communicates both verbally and in writing to assure that the staff, leadership and Quality teams are informed of the status and issues related to the Performance Improvement program, utilization management and risk management.

  • Negotiates organizational barriers for employees and ensures that necessary resources are available and accessible.

  • Effectively creates and facilitates collaboration and cooperation among diverse groups, people, departments, and professional disciplines.

  • Works closely with Directors to address patient care issues with a goal toward resolution while maintaining confidentiality.

  • Oversees Quality Improvement and prepares quarterly reports for the hospital to the Kaiser Permanente Board of Directors.

  • Coordinates completion of annual evaluations and revisions to the Quality Improvement Program.

  • Manages department staff.

  • Makes recommendations regarding the need for staff, space and other resources.

  • Instills a sense of customer focus in employees/volunteers.

  • Holds self and others to high standards of performance, and is accountable for results achieved and not achieved.

  • Recognizes achievements of staff/volunteers through rewards, recognition, and public communication.

  • Supervises work of other Quality department staff.

  • Provides quality oversight of both internal and external contracts.

  • 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:

    Experience

  • Minimum three (3) years of experience in quality or performance improvement in a health care setting.

  • Education

  • Bachelor's degree in health care administration, nursing, or public administration or related field required.

  • License, Certification, Registration

  • Current California RN license (preferred) or other clinical licensure required.


  • Additional Requirements:

  • Knowledge of federal, state and accreditation standards applicable to Home Health/Hospice required.

  • Knowledge of governmental and other regulatory standards, requirements, and guidelines related to quality improvement.

  • Strong working knowledge of ongoing monitoring techniques (including criteria development and statistical analysis); care delivery in home care; total quality management 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. 

  • Management experience.

  • Management/operations experience in Home Health or Hospice.

  • Master's degree in nursing/administration/health related field preferred.
  • Primary Location: California,Union City,Union City Landing Administration 30116 Eigenbrodt 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: Director/Senior Director Job Category: QA / UR / Case Management Department: Home Health and Hospice Travel: Yes, 25 % 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.

    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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