Coordinator of Care Service Director
Company: Kaiser Permanente
Location: San Jose
Posted on: April 8, 2021
Important Update: In response to the COVID-19 pandemic, Kaiser
Permanente is moving to a virtual recruitment process including
telephone and video interviews to help ensure the health and safety
of our employees, candidates, and communities. Also, some hiring
activities may be delayed or suspended in certain geographic areas
and job categories. For more information on Kaiser Permanente's
response to COVID-19, visit our Resource Center . Our nurse
professionals embody what it means to provide the best patient
interactions possible. They also advance the art and science of
nursing in a patient-centered, healing environment. Coordinator of
Care Service Director Location: San Jose, CA Job Number: 934077
Date posted: 02/01/2021 Submit Interest Description: Provides
direction of operations by departments focused on the achievement
of satisfactory patient outcomes including overall responsibility
for the coordination of care services provided by the hospital or
within the continuum of care. Responsible for coordinating with the
medical group and appropriate staff to ensure a seamless transition
of patients across the continuum of care. Oversees the utilization
management functions across the region in accordance to policies
and procedures as well as federal, state and local regulations.
- Directs, organizes, plans and coordinates the utilization/
resource management 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
with 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 with other Service Directors in identifying and
implementing innovative models and best practices, Develops
services that achieve 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 management 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 management, regulatory compliance and
coordination of care.
- Directs through managers all activities within the Resource
Management 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 procedures which support and meet the organization's
goals and business objectives. Manages and resolves human resource,
labor relations, employee, and department safety and risk
- Participates in region wide peer group and leadership
activities to drive consistency of operations and performance
improvement. Develops and manages systems and relationships with
outside vendors; contract and quality oversight with external
- 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; recommends and develops new programs
for specialized patient populations to improve quality and effect
improved utilization of services. Monitors utilization indicators;
identifies and escalates issues; and initiates and evaluates action
plans for achieving the area's goals/targets.
- Utilizes KP Health Connect to evaluate the qulity of care
provided and to manage the clinical operations and to monitor
qulity, appropriateness, and accuracy of KP Health Connect
documentation by staff. Maintains role specific KP Health Connce
documentation by staff. Maintains role specific KP Health Connect
- Kaiser Permanente conducts compensation reviews of positions on
a routine basis. At any time, Kaiser Permanente reserves the right
to reevaluate and change job descriptions, or to change such
positions from salaried to hourly pay status. Such changes are
generally implemented only after notice is given to affected
employees. Basic Qualifications: Experience
- Minimum eight (8) years of experience in patient care.
- Minimum five (5) years of management experience. Education
- Bachelor's degree in health services, business administration,
public health, nursing or related discipline required. License,
- Current California license required in any of the following
clinical professions: Registered Nurse, Pharmacist, Clinical Social
Worker, Physical Therapist, Occupational therapist, Speech
Therapist or Dietitian. Additional Requirements:
- 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.
- Must be able to work in a Labor/Management Partnership
environment. Preferred Qualifications:
- Master's degree preferred. Primary Location: California,San
Jose,San Jose Hospital Scheduled Weekly Hours: 40 Shift: Day
Workdays: Mon, Tue, Wed, Thu, Fri Working Hours Start: 8:00 AM
Working Hours End: 5:00 PM Job Schedule: Full-time Job Type:
Standard Employee Status: Regular Employee Group/Union Affiliation:
NUE-NCAL-09-NUE-Non Union Employee Job Level: Director/Senior
Director Job Category: Nursing Licensed Specialty: Continuing Care
(Home Health / Hospice / SNF) Department: San Jose Hospital -
UR-Discharge Planning - 0201 Travel: No Kaiser Permanente is an
equal opportunity employer committed to a diverse and inclusive
workforce. Applicants will receive consideration for employment
without regard to race, color, religion, sex (including pregnancy),
age, sexual orientation, national origin, marital status, parental
status, ancestry, disability, gender identity, veteran status,
genetic information, other distinguishing characteristics of
diversity and inclusion, or any other protected status.
External hires must pass a background check/drug screen. Qualified
applicants with arrest and/or conviction records will be considered
for employment in a manner consistent with federal and state laws,
as well as applicable local ordinances, including but not limited
to the San Francisco and Los Angeles Fair Chance Ordinances.
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Keywords: Kaiser Permanente, San Jose , Coordinator of Care Service Director, Executive , San Jose, California
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