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Director, Patient Care Services

1 month ago


Pasadena, United States Kaiser Permanente Full time
Job Summary:
Serves as Chief Clinical lead of the Home Care Agency, required to have expert knowledge in Hospice or Home Health delivery systems. Assists an Area Administrator of Home Health/Hospice in planning, developing, managing, delivering, evaluating/improving nursing and other direct patient care treatment/clinical services provided in the home setting by a multi-disciplinary professional staff. Accountable to the Region and assigned service area for delivery of Home Health, Hospice and Home Palliative Care program(s) and service(s) to patient population. Essential Responsibilities:
  • Coordinates and supervises the delivery of home care services, activities and patient care provided by an interdisciplinary staff/team in the home setting.
  • Ensures practices, services and operating procedures comply with administrative, legal and regulatory requirements of the Health Plan and governmental and accrediting agencies
  • Ensures that quality, utilization, access, clinical care and financial standards/goals are achieved or exceeded. Integrates patient care services with departmental, service line and organizational/strategic goals and objectives.
  • Participates and assures the development of quality and performance criteria, policies procedures and service standards. Monitors implementation and utilization for performance, tracking and trending.
  • Staff may include RNs, PHNs, LVNs Social Workers, Physical/Occupational Therapists, Physical Therapy Assistants, Certified Occupational Therapy Assistants, Speech Language Pathologists, Home Health and Hospice Aides, Chaplains and Volunteers.
  • Monitors and facilitates workflow, maximizing utilization of resources to provide the highest quality of care.
  • Manages staff, provides clinical supervision/leadership and implements, delivers and evaluates/improves assigned programs and services.
  • Ensures compliance in meeting all regulations and standards related to home health, Medicare, TJC, Title 22, and other federal, state, and local requirements.
  • Ensures agency follows the change management process for implementation and development of new forms, policies and procedures.
  • Ensures accuracy and completeness of patient records, including ensuring staff meet documentation standards through orientation, training and review
  • Identifies service delivery/quality issues and assures that corrective actions/service recovery plans for improvement are adjusted, implemented, sustained, and revised as needed.
  • Determines the appropriate staffing requirements and develops processes to interview, hire, train and maintain the competency of all department staff.
  • Assesses professional development needs of staff and plans for training/continuing education of professional staff.
  • Displays competency in navigating contracts and working in a Labor/Management Partnership environment.
  • Serves as a role model for professional practices and development.
  • Determines the appropriate staffing requirements and develops processes to interview, hire, train and maintain the competency of all department staff.
  • Must be able to Interpret and explain the program benefits to all customers, including physicians, staff, members and caregivers
  • Act as a liaison and provide resources to ensure monitoring, consultative expertise, orientation and continuing education
  • Establishes, implements, and maintains patient care and service standards to meet member service needs and expectations.
  • Acts as a liaison and provide resources to ensure monitoring, consultative expertise, orientation and continuing education to contract agencies.
  • Establishes, implements, and maintains patient care and service standards to meet member service needs and expectations.
  • Acts as patient advocate resolving patient care issues.
  • Participates and/or leads special projects and committees.
  • Attends and/or conducts meetings, committees in the department and medical center(s).
  • In collaboration with the Area Home Care Administrator, Continuing Care Leaders and other appropriate medical and non-medical staff, evaluates clinical outcomes and performance of programs/services and makes appropriate recommendations for new modalities/programs or modification/improvement of existing programs.
  • Conducts a quality management/improvement/assurance program to ensure compliance with standards for home health services/programs and external regulatory agency requirements.
  • In collaboration with the Area Home Health/ Home health Administrator, Continuing Care Leaders and other appropriate medical and non-medical staff, evaluates clinical outcomes and performance of programs/services and makes appropriate recommendations for new modalities/programs or modification/improvement of existing programs.
  • Performs other duties as assigned.