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Care Management Director

1 month ago

Hillsboro, United States Kaiser Permanente Full time
Job Summary:

As a Care Management Manager at Kaiser Permanente, you will be responsible for overseeing daily department operations and providing support and assistance to the manager. You will be assigned distinct areas of focus within the department, such as quality/training, regional plan hospital staff management, and KP hospital staff management.

The Associate Manager under your supervision will hold direct administrative authority for the department and be directly accountable to the manager. You will be a backup resource for the staff in the absence of the manager and facilitate workflow in the department and with ancillary departments and outside services.

Key Responsibilities:
  • Assure the provision of high-quality, reputable, and cost-effective services while meeting regulatory requirements through supervision and management of multidisciplinary professional and support staff.
  • Manage department personnel, provision of safe, cost-effective, quality patient transitions, a safe work environment, and the facilitation of educational activities for the staff.
  • Direct reports and supervision authority over those reports.
  • Use established channels of communication to share information, receive feedback, and report problems.
  • Facilitate the communication of plans and decisions to staff and providers to facilitate linkages and flow of information to others.
  • Build credibility with physicians as a champion for patient transitions, quality, social work, and care coordination professionalism.
  • Effectively facilitate consensus building to accomplish goals and objectives.
  • Provide constructive feedback and reports problems as well as positive comments.
  • Build and maintain an environment that recognizes and values differences in staff, physicians, patients, and communities.
  • Collaborate with social work and nursing programs to provide required resources.
  • Routinely round on staff to communicate key messages and identify concerns and issues.
  • Routinely round on patients to gain feedback.
  • Act as an expert resource for staff and utilize knowledge in clinical areas of practice.
  • Direct supervision and evaluation of professional/staff practices, research, and trends.
  • Apply knowledge to the development of standards of care and practice to ensure optimal patient outcomes.
  • Create, modify, and evaluate policies and procedures.
  • Maintain personal and professional growth of staff and others.
  • Partner with medical staff and other disciplines to assist with the establishment of patient care goals for department development.
  • Evaluate department care delivery model and the needed staff or resources to provide safe, optimal care.
  • Ensure a safe, therapeutic environment, both for in-the-moment organizational support and long-term.
  • Ensure staff is educated on risk management and compliance issues and correct action is identified in areas of potential liability.
  • Ensure staff support for expedited patient transitions by initiating escalation paths.
  • Collaborate with all departments involved in transitions in care and/or community partners.
  • Articulate the organization's performance improvement program and goals.
  • Develop, implement, and maintain quality/service monitoring processes.
  • Key contributor in the formulation of department goals that are reflective of measurable objectives and evidence-based practices.
  • Maintain department compliance with all regulatory requirements.
  • Monitor department quality/service programs with safety, environment, pharmacy, and documentation issues.
  • Support the quality/trainer role and facilitate the quality plan developed by the staff.
  • Facilitate and seek resolution of customer complaints and facilitate improvement in processes or circumstances to improve the level of customer satisfaction.
  • In collaboration with the Director, provide leadership and direction in accordance with the organization and departmental goals, objectives, and behavioral standards of the organization.
  • Perform performance evaluations and regular rounding with staff.
  • Provide counseling, coaching, and monitoring of personnel.
  • Perform/participate in the corrective action process.
  • Facilitate inter-departmental relationships so that mission, vision, goals of department and organization are achieved.
  • Demonstrate critical thinking and use of evidence-based practice.
  • Support the Unit-Based Teams (UBT) to accomplish tasks and goals.
  • Actively participate/lead committees and task forces as needed.
  • Ensure staff compliance with all mandatory classes and education.
  • Facilitate a culture of creative thinking and act as a change agent to challenge the status quo.
  • Responsible for own professional growth and supports work-life balance.
  • Ensure staff has the knowledge and skills to provide appropriate, safe care to patients and families through education, coaching, training, teaching, or experience.
  • Work with outside vendors, agencies to assure coordination of services and represent the organization in a professional manner.
  • Primarily responsible for managing Equal Employment Opportunity and other HR investigations for the department.
  • Managing reporting of Company employee information, and manages employee relations training and assistance activities.
  • Develops and maintains regional Care Management written resources and standards of care, including procedures, clinical practice resources, nursing staff competencies.
  • Works with physician advisors, business partners, and colleagues for Care Management, Quality Assurance, health systems, and Electronic Medical Record to maintain regional quality and appropriate resource utilization.
  • Provides clinical oversight to staff in the department (professional and support staff) to ensure staff are at capacity and have resources available to ensure growth and development.
  • Oversees orientation and development of curriculum.
  • Defining and communicating professional practice.
  • Collaborates with other department leaders in the development of department budget, providing input and evaluation of processes, equipment, and make recommendations.
  • Educate team members on financial implications of department operations.
  • Drives towards achieving financial and operational targets.
  • Participates in weekend and holiday call.