RN-Quality and Safety Oversight Manager (KFH/HP) at Kaiser Permanente - San Diego, California | Job Transparency - Job Transparency | Find Your Dream Job with Full Salary Transparency

Job Summary:
Manages the development of quality strategies in alignment with KFHP strategic priorities, mission, and vision. Manages the teams coordination across areas to recommend actions based on reviews of regional quality reports. Guides the identification of new opportunities for improvement and establishes team priorities. Leads the implementation of clinical quality improvement action plans and puts forth recommendations to senior leadership. Determines accountability areas for team members, ensures quality issues are identified and resolved, and takes action on escalated issues from team members. Serves as a subject matter expert for clinical quality processes and regulations for team members and leverages processes and tools for others to increase their regulatory knowledge. Manages others to review and act on results of data analysis, monitor corrective action plans, and review and approve quality policies. Guides the oversight of and coordination with the functions of Quality Committees and subcommittees. Leads the annual approval of Quality Program description, work plans, and annual evaluations.

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.

Serves as the subject matter expert for clinical quality improvement processes and regulations 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; serving and leading on committees, projects to influence decisions on the enforcement, development of policies, or procedures of regulations and auditing processes and ensuring successful implementation of core priorities; fostering collaborative, results-oriented partnerships with practitioners, staff, and/or management across clinical and administrative roles to ensure credentialing regulations are followed and providing 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 to anticipate issues, weigh practical and technical considerations in addressing issues, and coordinate with the appropriate stakeholders to develop resolutions.

Manages the quality of care complaints and review by: directing the grievance meetings, cases, reviews, referrals, and other mechanisms by collaborating with key stakeholders, the ombudsman, and external regulatory services; responding to and directing the preparations of all documentation, records, and information requested; analyzing and managing the process flow of investigations and claims for potential errors, red flags, and areas of improvement; and monitoring critical quality improvement metrics, cases, quality care incidents, and near misses according to established protocols on a periodic basis.

Leads the development and implementation of infection prevention and control programs to improve employee and patient safety by: initiating and managing epidemiological investigations of significant clusters of infection or serious communicable disease concerns as a part of prevention, surveillance, and outbreak management; coordinating outbreak containment efforts within the area of focus; and consulting with Administration on infection control implications of architectural design, renovation, and construction.

Manages risk management efforts by: leading corrective action plan for areas of improvement identified through utilization review, clinical records audit, claim denials, patient satisfaction surveys, and auditing surveys across departments; 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; requesting the completion of health outcome analysis to continuously monitor oversight effectiveness; and managing team members to escalate high-risk issues and trends to appropriate entity for resolutions.

Manages patient safety programs and initiatives by: coordinating the response to significant events of safety hazards, accidents, incidents, and threats through monitoring efforts and onsite evaluations; and collaborating with key stakeholders to develop patient care and satisfaction programs which aim to improve patient flow, clinical support, patient services, and seamless transition of care.

Provides consultation for the development of new clinical quality improvement programs by: consulting with teams and departments and developing relationships with departments, key stakeholders, and senior management to conduct needs analysis to develop new guidelines, metrics, and operational definitions of quality improvement through qualitative and quantitative program evaluation, analyzing program performance, performance reviews, and peer/department review groups; serving as a subject matter expert and leveraging a variety of heal

RN-Quality and Safety Oversight Manager (KFH/HP)

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