Continuum of Care Service Director (EY237) ( Job Number: 189921 ) occupation at Kaiser Permanente in San Francisco

Kaiser Permanente is at present recruited Continuum of Care Service Director (EY237) ( Job Number: 189921 ) on Sat, 15 Jun 2013 08:01:05 GMT. Directs, plans, organizes, evaluates and coordinates operations of the Utilization/ Resource Mgmt Department focused on the achievement of satisfactory patient outcomes and has overall responsibility for the coordination of care services provided by the hospital. The position carries 24/7 operational responsibility. Provides oversight of the utilization mgmt functions within the organization as...

Continuum of Care Service Director (EY237) ( Job Number: 189921 )

Location: San Francisco California

Description: Kaiser Permanente is at present recruited Continuum of Care Service Director (EY237) ( Job Number: 189921 ) right now, this occupation will be placed in California. More details about this occupation opportunity kindly see the descriptions. Directs, plans, organizes, evaluates and coordinates operations of the Utilization/ Resource Mgmt Departmen! t focused on the achievement of satisfactory patient outcomes and has overall responsibility for the coordination of care services provided by the hospital. The position carries 24/7 operational responsibility. Provides oversight of the utilization mgmt functions within the organization as directed by its policies and procedures and are aligned w/ federal, state and local regulations. Coordinates w/ TPMG and appropriate hospital staff to provide for the seamless transition of patients across the continuum of care. Represents Health Plan for Hospital operations.

Coordinates with TPMG and appropriate hospital staff to provide for the seamless transition of patients across the continuum of care. Works with KFHP/H and the Medical Group to develop strategic plans and, provide quality cost effective care and services which are aligned with federal, state, and local regulations. Represents Health Plan for Hospital operations.

Essential Functions:

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• Directs, organizes, plans and coordinates the utilization/! resource mgmt and social services process assuring that the organizational goals and objectives for KFH/P are met.
• Directs development and implementation of quality and utilization standards across the hospital to ensure coordinated plans of treatment, customer focused delivery of services, and cost effective utilization of necessary services.
• Ensures compliance w/ administrative, legal and regulatory requirements of the Health Plan contract and governmental and accrediting agencies.
• Oversees the development of department standards as identified by regulatory agencies, including The Joint Commission, NCQA, CMS, DHS, DPHS, and DMHC.
• Maintains a state of continuous regulatory readiness.
• Maintains oversight of the concurrent and retrospective inpatient reviews and appeal process.
• Collaborates w/ other Service Directors in identifying and implementing innovative models and best practices.
• Develops services that ach! ieve a high level of customer satisfaction.
• Utilizes research data to implement clinical changes and the delivery of patient care and member services.
• Evaluates processes and makes recommendations to improve resource mgmt systems and patient care outcomes.
• Participates in Executive Team's strategic planning forums.
• Utilizes data to support quality patient outcomes and presents to Executive Team ongoing and reliable information about the treatment and patient flow throughout all levels of care and providing expertise in utilization mgmt, regulatory compliance and coordination of care.
• Directs through managers all activities within the Resource Mgmt department including Social Services.
• Responsible for efficient utilization of resources and develops processes to screen, interview, hire, train, and maintain the competency of all department staff.
• Develops, implements, and monitors departmental policies and procedur! es which support and meet the organization's goals and business objecti! ves.
• Manages and resolves human resource, labor relations, employee, and department safety and risk mgmt issues.
• Participates in region wide peer group and leadership activities to drive consistency of operations and performance improvement.
• Develops and manages systems and relationships w/ outside vendors and contract and quality oversight w/ external vendors.
• Develops budget and resource allocations for areas of responsibility.
• Manages the financial performance and identifies and implements appropriate strategies to reduce costs and improve quality of care and services.
• Focuses on prevention/intervention and identification if issues/problems prior to their impact on operations and patient care.
• Assumes other duties as directed.

Qualifications

Basic Qualifications:

• Eight (8) years of experience in patient care.
• Five (5) years of progressive management experience.!
• BSN or BA in health care related field required.
• Master's degree preferred.
• Graduate of accredited school of nursing.
• Current California RN license required.
• BLS required.
• Demonstrated knowledge of Knox, Keene Act, Federal HMO Act, Nurse Practice Act, The Joint Commission, and all other local, state, and federal regulations.
• Demonstrated strong interpersonal communication skills.

Schedule Details:
Full-time regular, 40 hours a week, day shift. May include weekends and after hours, based on departmental needs.
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If you were eligible to this occupation, please email us your resume, with salary requirements and a resume to Kaiser Permanente.

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This occupation starts available on: Sat, 15 Jun 2013 08:01:05 GMT

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