Job Summary:
In addition to the responsibilities listed above, this position is responsible for managing patient safety programs and initiatives by coordinating the response to significant events of safety hazards, accidents, incidents, threats, significant events, through monitoring efforts and onsite evaluations; and collaborating with key stakeholders to develop patient care and satisfaction programs which aim to improve outcomes.
Essential Responsibilities:
+ Provides developmental opportunities for others; builds collaborative, cross-functional relationships. Solicits and acts on performance feedback; works closely with employees to set goals and provide open feedback and coaching to drive performance improvement. Pursues professional growth; develops and provides training and development to talent for growth opportunities; supports execution of performance management guidelines and expectations. Leads, adapts, implements, and stays up to date with organizational change, challenges, feedback, best practices, processes, and industry trends. Fosters open dialogue amongst team members, engages, motivates, and promotes collaboration within and across teams. Delegates tasks and decisions as appropriate; provides appropriate support, guidance, and scope; encourages development and consideration of options in decision making.
+ Manages designated work unit or team by translating business plans into tactical action items; oversees the completion of work assignments and identifies opportunities for improvement; ensures all policies and procedures are followed. Aligns team efforts; builds accountability for and measuring progress in achieving results; determines and ensures processes and methodologies are implemented; resolves escalated issues as appropriate; sets standards and measures progress. Fosters the development of work plans to meet business priorities and deadlines; obtains and distributes resources. Removes obstacles that impact performance; identifies and addresses improvement opportunities; guides performance and develops contingency plans accordingly; influences teams to execute in alignment with operational objectives.
+ Manages data collection and analyses to support quality improvement efforts by: overseeing statistical analysis for quality improvement evaluations, special projects, and other work for multidisciplinary review; integrating multiple utilization data reporting systems to develop and maintain a variety of statistical reports in a format which enables care providers to see variations in practice patterns; presenting quality improvement metric reports to demonstrate improvements and effectiveness of quality improvement programs to department and program managers; and serving as a technical expert to direct reports, supervisor, and stakeholders by interpreting trends, potential errors, and other analyses, by advising on the application of results in problem resolution for data source analysis.
+ Manages quality improvement and improvement risk management efforts by: leading the implementation of corrective action plan for areas of improvement identified through utilization review, clinical records audit, claim denials, member satisfaction surveys, and auditing surveys; ensuring process improvements are compliant with established internal and external regulation requirements at the local and state level; empowering team members to complete root cause analysis, failure mode and effect analysis, and other assessments in response to significant events near misses, and good catches in order to identify areas of improvement and evaluate newly internalized processes and programs; and overseeing escalations of high-risk issues and trends to appropriate entity for resolutions.
+ Manages quality improvement performance metrics development, collection, and utilization at the department level by: implementing best practices in the development of performance metrics, standards, and methods to establish improvement success; consulting with multiple stakeholders, often with competing/conflicting objectives, to ensure development of cohesive and reachable metrics are practical, meet multidisciplinary standards, and are approved at the department level; and ensuring the delivery of measurable results and alignment with strategic objectives by integrating metric utilization into workflows with sound methodology.
+ Manages the development of quality improvement initiatives by: leveraging the application of advanced methods and tools to develop stakeholders capabilities for process improvements; integrating the use of advanced data-driven improvement principles, tools, and problem-solving methods, including Lean/Six-Sigma concepts and techniques using quality improvement metrics; synthesizes key information and works to break down issues into logical parts for the creation of milestones, detailed workplans, and documentation practices in order to create a clear, logical, and realistic plan; and consulting with key stakeholders to implement quality improvement processes to have consistent design and application of improvement methodologies.
+ Serves as the subject matter expert for quality improvement processes and regulations for within assigned teams, departments, and facilities by: providing consultation on the interpretation and interaction of current policies, and how they interact with the current climate, and potential changes to regulations and legislation; facilitating committees and projects to influence decisions on the enforcement, development of policies or procedures of regulations and auditing processes; fostering collaborative, results oriented partnerships to ensure credentialing regulations are followed and provides insight to the regulation climate; initiating the development of educational programs to raise awareness for current and changes in regulation requirement, internal concerns, and system/database usage; and empowering team members to anticipate issues and weighs practical and technical considerations in addressing issues and coordinates with the appropriate stakeholders to develop resolutions.
+ Develops stakeholder development and quality performance review processes by: implementing utilization and performance reviews processes by utilizing multidisciplinary criteria and guidelines, and takes a systematic approach to quality improvement; identifying performance areas of improvement for program/department/facility, provides feedback and coaching as needed, and develops a development plan; presenting performance review reports at the program level to department managers; and designing the curriculum for training and educational programs related to process improvement for quality improvement programs.
Minimum Qualifications:
+ Minimum two (2) years of experience in a leadership role with or without direct reports.
+ Minimum two (2) years of experience with databases and spreadsheets or continuous quality improvement (CQI) tools.
+ Minimum four (4) 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 six (6) years of experience in heath care quality assurance/improvement or a directly related field OR Minimum nine (9) years of experience in heath 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
Additional Requirements:
+ Knowledge, Skills, and Abilities (KSAs): Negotiation; Business Process Improvement; Risk Management; Compliance Management; Health Care Compliance; Health Care Policy; Applied Data Analysis; Health Care Data Analytics; Learning Measurement; Consulting; Delegation; Development Planning; Agile Methodologies; Process Mapping; Project Management; Risk Assessment; Health Care Quality Standards; Quality Improvement
COMPANY: KAISER
TITLE: Manager, Quality & Safety Improvement, Patient Safety (KFH/HP)
LOCATION: Atlanta, Georgia
REQNUMBER: 1293693
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, state and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran, or disability status.