Director, Clinical Quality & Improvement

Job Summary:

This position is 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 center's continuous survey readiness program to maintain compliance with regulatory standards; and developing collaborative relationships with applicable government agencies, regulatory agencies, and other organizations.

Essential 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.

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.

Directs data collection and analyses to support quality improvement reporting by overseeing statistical analysis for quality improvement evaluations, special projects, and other work for multidisciplinary review.

Directs quality improvement and improvement risk management efforts by defining the standards for corrective action plans for improvement identified through utilization review, clinical records audit, claim denials, member satisfaction surveys, and auditing surveys across the organization.

Establishes the standards and integration of quality improvement performance metrics development, collection, and utilization at the regional and organizational level.

Oversees the development and standards of KP-wide quality improvement initiatives by directing the implementation of new technology, methods, and tools to develop stakeholders capabilities for process improvements into practice.

Serves as the subject matter expert for quality improvement processes and regulations for regions, internal and external committees, and key stakeholders.

Oversees and empowers continuous learning in stakeholder development through quality performance review processes.

Minimum Qualifications:

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.

Bachelor's 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.

Additional Requirements:

Knowledge, Skills, and Abilities (KSAs): Clinical Quality Expertise; Negotiation; Business Process Improvement; Risk Management; Compliance Management; Health Care Compliance; Health Care Policy; Applied Data Analysis; Health Care Data Analytics; Learning Measurement; Consulting; Managing Diverse Relationships; Delegation; Development Planning; Agile Methodologies; Process Mapping; Project Management; Risk Assessment; Health Care Quality Standards; Quality Improvement.

Primary Location: California, Walnut Creek, Walnut Creek Walnut Building
Hours Per Week: 40
Shift: Day
Workdays: Mon, Tue, Wed, Thu, Fri
Working Hours Start: 08:00 AM
Working Hours End: 05:00 PM
Job Schedule: Full-time
Job Type: Standard
Employee Status: Regular
Employee Group/Union Affiliation: NUE-NCAL-09|NUE|Non Union Employee
Job Level: Director/Senior Director
Job Category: Quality & Safety
Department: Walnut Creek Hospital - Hosp Adm-Quality Improvement - 0201
Travel: Yes, 50 % of the Time

Kaiser Permanente is an equal opportunity employer committed to a diverse and inclusive workforce. Applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), age, sexual orientation, national origin, marital status, parental status, ancestry, disability, gender identity, veteran status, genetic information, other distinguishing characteristics of diversity and inclusion, or any other protected status.
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