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Dir II Quality(242154)

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Company: Kaiser Permanente

Location: Los Angeles, CA

Date Posted: September 19, 2014

Source: Kaiser Permanente

Description

Develops, implements and directs the comprehensive quality programs for hospitals and/or ambulatory sites which include one or more of the following quality assessment and improvement, utilization management, discharge planning, risk management, professional staff services or accreditation 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 Functions:
Directs the medical center's quality and/or utilization management programs in order to meet the organizational goals.
Coordinates departmental activities so as to meet the requirements of consumers and regulatory and accrediting agencies.
Reduces medical/legal liability through development of a program which links risk management activities with those of continuous quality 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 ...

Description

Develops, implements and directs the comprehensive quality programs for hospitals and/or ambulatory sites which include one or more of the following quality assessment and improvement, utilization management, discharge planning, risk management, professional staff services or accreditation 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 Functions:
Directs the medical center's quality and/or utilization management programs in order to meet the organizational goals.
Coordinates departmental activities so as to meet the requirements of consumers and regulatory and accrediting agencies.
Reduces medical/legal liability through development of a program which links risk management activities with those of continuous quality 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.
May design and manage the discharge planning process, including clinical oversight.
Interprets and applies the Nurse Practice Act for clinical assessments for discharge planning.
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 Medical Center in developing, implementing and maintaining quality improvement activities.
May develop and maintain a functional/health status outcomes assessment program.
Facilitates care delivery systems quality improvement and clinical process improvement throughout the continuum of care to improve the services provided.
Manages the creation and maintenance of provider-specific quality improvement profiles to be used for credentialing.
Develops and maintains relationships and effective communication with all levels of medical center physicians and staff in order to facilitate problem identification and resolution.
Oversees Quality Improvement and Liability Case Review Quarterly Reports to Regional Clinical Services, and prepares quarterly reports from the hospital to the Kaiser Permanente Board of Directors.
May direct and manage 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 and response plans.
Coordinates completion of annual evaluations and revisions to the Quality Improvement Program. Manages department staff.
Develops, monitors, and controls department budgets.
Makes recommendations regarding the need for staff, space and other resources.
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.

Qualifications

Basic Qualifications:
Experience
Minimum three (3) years of experience in Quality Improvement in a health care setting.
Education
Bachelor's degree in nursing, health care related field or business administration required.
License, Certification, Registration
Current California RN license required.

Additional Requirements:
Experience designing, developing, and implementing physician management programs.
Management experience.
Demonstrated 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); medical care delivery in hospital and outpatient settings; 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.
Master's degree preferred.

Total Quality Management certification or Certified Professional of Healthcare Quality (CPHQ) preferred.

Primary Location
: California-Los Angeles-West Los Angeles Medical Center 6041 Cadillac Ave. Scheduled Hours (1-40): 40 Shift: Day Working Days: Mon, Tue, Wed, Thu, Fri Working Hours Start: 8:30 AM Working Hours End: 5:00 PM

Schedule
: Full-time

Job Type
: Standard

Employee Status
: Regular Employee Group: Salaried Employees

Job Level
: Individual Contributor

Job
: Quality Management Public Department Name: Quality Management

Travel
: No Job Eligible for Benefits: Yes

External hires must pass a background check/drug screen. We are proud to be an equal opportunity/affirmative action employer.

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