Qualifications: Current California RN license required. Two (2) to three (3) years experience as a hospital nurse required. Previous experience (usually 2+ years) in a quality improvement role. Experience in a "patient advocate" role to insure a "patient" centered focus. Familiarity with medical procedures and terminology. Strong planning, organizing, interpersonal and conflict resolution skills. Detailed knowledge of Title 22, JCAHO and NCQA requirements for licensure and accreditation. Proficient with PC applications including database, spreadsheet, and word processing. Consistently demonstrates the knowledge, skills, abilities, and behaviors necessary to provide superior and culturally sensitive service to each other, to our members, and to customers, contracted providers, and vendors.
Preferred Qualifications: Bachelor's degree in Health Care related field. Current Certified Professional of Healthcare Quality (CPHQ). Computer skills to include Word.
Duties: Consults with Service Line Leaders, Chiefs of Service, Medical Staff Committee Chairpersons, Physicians and Department Administrators in charge of special care areas to assist them in developing ongoing evaluation programs to identify, resolve, and report opportunities to improve patient care. May represent the Department on Medical Staff committees. Designs, conducts and evaluates studies and problem focused reviews requested by the Medical Center Administration, medical staff, or department administrators which frequently involve sensitive, confidential, or medical legal issues. Performs and oversees ongoing Quality Improvement activities across the medical center to assure timeliness, accuracy and compliance with licensing and regulation requirements. Use and educate end users on data display tools, including statistical process control methods. Participate in risk management by investigating problems encountered by patients, identifying patterns and trends in patient care problems, and developing policies and procedures to reduce risks. Monitors compliance with quality improvement requirements. Assist in the supervision and direction of the activities performed by the Quality Improvement Analysts and support staff. Assist in the preparation of the Quality of Care reports that are sent to the Region offices and the Board of Directors. Develop and conduct presentations on the quality improvement standards and the Medical Center Quality Improvement Plan to insure compliance with JCAHO, NCQA and other regulatory agency standards. Conducts special clinical studies related to patient care management. Participate in the annual development of the Medical Center goals for Quality Improvement. Consistently supports compliance and the Principles of Responsibility (Kaiser Permanente's Code of Conduct) by maintaining the privacy and confidentiality of information, protecting the assets of the organization, acting with ethics and integrity, reporting non compliance, and adhering to applicable federal, state and local laws and regulations, accreditation and licenser requirements (if applicable), and Kaiser Permanente's policies and procedures. In addition to defined technical requirements, accountable for consistently demonstrating service behaviors and principles defined by the Kaiser Permanente Service Quality Credo, the KP Mission as well as specific departmental/organizational initiatives. Also accountable for consistently demonstrating the knowledge, skills, abilities, and behaviors necessary to provide superior and culturally sensitive service to each other, to our members, and to purchasers, contracted providers and vendors. Kaiser Permanente is an EEO/AA Employer.