Director, Clinical Quality & Improvement

Kaiser Permanente • Walnut Creek, CA

307d • $188,500 - $243,870

About The Position

In addition to the responsibilities listed above, this position is also responsible for directing clinical quality and patient safety management programs including budgets, annual evaluations and revisions, consultation services, education initiatives, measurement of outcomes, and improvement strategies related to clinical, accreditation, regulatory and licensing (AR&L), risk management, and infection prevention and control; establishing standards for the evaluation, design, development, and implementation of evidence-based guidelines, principles, and/or programs related to area of work as well as to reduce variation in clinical practice, optimize patient outcomes, and ensure organizational compliance; directing the collection, analysis, reporting, and presentation of clinical data to identify trends, outliers, and areas for improvement to inform short- and long-term strategy and project goals; developing strategies for education initiatives regarding quality improvement activities, changes to existing processes to meet regulatory requirements, and translating external demands into program goals; serving as an expert resource to the team on the monitoring, reporting, and development of mitigation plans for all occurrences which may lead to medical center liability; supporting the medical centers continuous survey readiness program to maintain compliance with regulatory standards; and developing collaborative relationships with applicable government agencies, regulatory agencies, and other organizations.

Requirements

• Minimum two (2) years of experience managing operational or project budgets.
• Minimum five (5) years of experience in a leadership role with direct reports.
• Minimum two (2) years of experience with databases and spreadsheets or continuous quality improvement (CQI) tools.
• Minimum seven (7) years of experience in clinical setting, health care administration, or a directly related field.
• Bachelors degree in Business Administration, Health Care Administration, Nursing, Public Health, or related field AND Minimum eight (8) years of experience in health care quality assurance/improvement or directly related field OR Minimum eleven (11) years of experience in health care quality assurance/improvement or a directly related field.
• Professional Healthcare Quality Certificate within 24 months of hire OR Professional in Patient Safety Certificate within 24 months of hire OR Professional in Healthcare Risk Management Certificate within 24 months of hire.

Nice To Haves

• Master's degree in Business Administration, Health Care Administration, Nursing, Public Health, or related field.
• Health care clinical license from the practicing/applicable state (e.g., Registered Nurse (RN), Registered Pharmacist (RPh), Physical Therapist, Occupational Therapist, Speech Therapist, Social Worker).

Responsibilities

• Prepares individuals for growth opportunities and advancement; builds internal collaborative networks for self and others.
• Solicits and acts on performance feedback; drives collaboration to set goals and provide open feedback and coaching to foster performance improvement.
• Demonstrates continuous learning; oversees the recruitment, selection, and development of talent; ensures performance management guidelines and expectations to achieve business needs.
• Stays up to date with organizational best practices, processes, benchmarks, and industry trends; shares best practices within and across teams.
• Motivates and empowers teams; maintains a highly skilled and engaged workforce by aligning resource plans with business objectives.
• Provides guidance when difficult decisions need to be made; creates opportunities for expanded scope of decision making and impact.
• Oversees the operation of multiple units within a department by identifying member and operational needs; ensures the management of work assignment completion.
• Translates business strategy into actionable business requirements; ensures products and/or services meet member requirements and expectations while aligning with organizational strategies.
• Gains cross-functional support for business plans and priorities; assumes responsibility for decision making; sets standards, measures progress, and fosters resolution of escalated issues.
• Communicates goals and objectives; analyzes resources, costs, and forecasts and incorporates them into business plans; prioritizes and distributes resources.
• Removes obstacles that impact performance; guides performance and develops contingency plans accordingly; ensures teams accomplish business objectives.
• Directs data collection and analyses to support quality improvement reporting.
• Oversees statistical analysis for quality improvement evaluations, special projects, and other work for multidisciplinary review.
• Defines the standards for integrating multiple utilization data reporting systems to develop and maintain a variety of statistical reports.
• Presents and advises on the application of quality improvement metric reports to demonstrate improvements and effectiveness of quality improvement programs.
• Serves as a technical expert to senior and executive management by interpreting and implementing strategies to improve data collection, reporting, and analysis.
• Directs quality improvement and improvement risk management efforts.
• Defines the standards for corrective action plan for improvement identified through utilization review, clinical records audit, claim denials, member satisfaction surveys, and auditing surveys.
• Ensures current and future process improvements are compliant with established internal and external regulation requirements.
• Defines the standards for root cause analysis, failure mode and effect analysis, and other assessments in response to significant events.
• Establishes the standards and integration of quality improvement performance metrics development, collection, and utilization.
• Consults with senior and executive management in setting the standards for performance metrics, standards, and methods to establish improvement success.
• Monitors the delivery of measurable results and alignment with strategic objectives.
• Oversees the development and standards of KP-wide quality improvement initiatives.
• Directs the implementation of new technology, methods, and tools to develop stakeholders capabilities for process improvements.
• Serves as the technical advisor to senior management on data-driven improvement principles, tools, and problem-solving methods.
• Synthesizes key information, breaking down issues into logical components, and identifying barriers to overcome.
• Consults with regional internal and external stakeholders to define the strategies for quality improvement processes.
• Serves as the subject matter expert for quality improvement processes and regulations.
• Provides consultation on the interpretation, interaction, and implementation of current policies, regulations, and legislation.
• Maintains collaborative, results oriented partnerships to ensure current and future compliance.
• Defines the standards for educational programs to raise awareness for current and changes in regulation requirement.
• Identifies systematic barriers to process improvements issues and weighs practical, technical, and KP capability considerations.
• Oversees and empowers continuous learning in stakeholder development through quality performance review processes.

Benefits

• 401k
• health insurance
• dental insurance
• vision insurance
• life insurance
• disability insurance
• paid holidays
• paid volunteer time
• tuition reimbursement
• professional development
• employee stock purchase plan

What This Job Offers

• Job Type: Full-time
• Career Level: Director
• Industry: Ambulatory Health Care Services
• Education Level: Bachelor's degree