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| Job Title: | Quality Manager CSS |
| Job Ref No: | 1694582193 |
| Location: | Oregon |
| City: | Portland |
| Job Description: |
Directs comprehensive quality, compliance and utilization management programs within Continuing Care Services. Assures that services provided within Continuing Care Services and by contracted providers are consistent with high quality, cost-effective care meeting regulatory requirements. Reports directly to the department administrator. Essential Functions: - Leads and directs the department compliance program. - Assures services are provided and administered consistent with JCAHO, State, Federal and Kaiser Permanente standards. - Provides oversight of medical records policies and procedures. - Develops and manages audit functions to assure continual regulatory compliance. - Serves as a liaison with the Kaiser Permanente National Compliance Office. - Continually maintains up-to-date knowledge of regulatory and accreditation standards. - Assures continuous quality improvement is incorporated into clinical practice, day to day operations management and the department's strategic plan. - Works through clinical supervisors, RHIT, data analysts and staff to obtain data required for continuous quality improvement. Qualifications: Basic Qualifications: - 5 years of recent clinical experience in home health or hospice. - Bachelor's degree in nursing, physical, occupational or speech therapy. - Current RN license in State of Oregon. - Must obtain certification in quality management within 24 months of hire. - Active participation in quality, utilization management and compliance activities. - Excellent written, verbal and presentation skills. - Thorough knowledge of Home Health and Hospice benefits and regulatory requirements. - Knowledge of continuous quality improvement principles and practices. - Ability to utilize work processing, spreadsheet and presentation software Preferred Qualifications: - Minimum of 5 years of experience of quality/utilization management and or operations management experience in home health or hospice. - Master's degree in business, health care administration or medical informatics. - Certification in quality management. - Thorough knowledge of continuous quality improvement, patient safety, and regulatory compliance related to Home Health and Hospice services. - Ability to utilize word processing, database management, spreadsheet and presentation software. Salary Range: $103,050 - $137,350 |
| Employer: |
Kaiser Permanente. |
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