Assists with the management of a comprehensive quality management program to encompass the performance of the medical staff, nursing staff, and support services for KFH/Health Plan at a specified Service Area. Works with the medical center leadership team to ensure that the program effectively measures, assesses and continuously improves the quality of care and service provided. Assumes role of Director as needed.
Supports the Service Area quality management program which meets organizational goals, as well as, the requirements of customers and regulatory and accrediting agencies.
Mitigates medical/legal liability through development of a program which links risk management activities with those of continuous performance improvement.
Works closely with the medical, nursing, and support staff to ensure compliance to regulatory requirements.
Provides education and technical support to the Service Area in developing, implementing and maintaining quality improvement activities.
Manages the creation and maintenance of provider-specific quality profiles to be used for credentialing.
Develops and maintains relationships and effective communication with all levels of Service Area, Region and Program Office.
Prepares reports as required to Quality Committee from KFH to the Kaiser Permanente Board of Directors.
Ensures annual evaluations and revisions to the Service Area Quality Program.
Assists with the management of department staff.
Assists with development, monitoring and control of 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. (My HR Forms).
May be expected to perform other duties as assigned.
License, Certification, Registration
California RN license required.
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.
Clinical nursing experience preferred.
One (1) or more years of experience in a management or supervisory capacity.
Total Quality Management certification or Certified Professional of Healthcare Quality (CPHQ) preferred.
Bachelor's in nursing or health care related field or business administration preferred
Master's degree preferred
Prefer 5+ years of quality management experience
Prefer strong knowledge of peer review and department review process
Prefer experience with performance improvement, Improvement Advisor course completion with successful project
Strong communication skills and able to collaborate with teammates of all levels
Leadership experience 3+ years
Primary Location: California,Los Angeles,4733 Sunset Annex 4733 W.
Sunset Blvd. Scheduled Weekly Hours: 40 Shift: Day Workdays:
Mon, Tue, Wed, Thu, Fri 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: Team Leader/Supervisor Job Category: QA / UR / Case Management Department:
Quality Management Travel: Yes, 5 % of the Time
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