QA \ UR \ Case Management Jobs


Risk\Patient Safety Principal Consultant Oakland, CA


This position seeks risk management and patient safety, and human factors engineeringexpertise which can be applied in the deployment of strategic clinical priorities including surgical safety, maternal and child health, infection prevention and control, and medication safety. Job-related activities focus on the prevention of patient harm and organizational risk by emphasizing safety science principles of risk mitigation, appropriate controls, and monitoring to assure the reliable delivery of outcomes. This includes the provision of safety science and risk education, and the facilitation of knowledge-sharing of internal and external best practices related to the clinical priorities. Additionally, this position would support organizational clinical risk management/patient safety activities including event investigations, medical malpractice analyses, national recall efforts, and preparing reports on professional liability cases and risk management patterns, trends and issues.

Essential Functions:
- Ensures that Department programs are designed to achieve stated objectives, including those related to loss prevention, loss control, and compliance in a timely manner and within budgetary restraints. Leads peer group meetings and programs that interface with the clinical risk management and patient safety functions program wide.
- Represents KP at conferences and associations to voice the organizations accomplishments and perspectives.
- Assists regional Risk Management / Patient Safety in developing priorities, aims, and plans and provides coaching and advice to colleagues on successful implementation strategies.
- Training: Develops and delivers presentations, educational materials, and position papers to all levels of leadership and management regarding program-wide patient safety and clinical risk management performance, programs, and projects. Integrates industry trends, organizational data (e.g., sentinel events, lawsuits, pce's) and other sources of information (e.g., the literature) to identify potential threats and opportunities.
- Identifies team membership needs, negotiates time commitments, and identifies resource needs related to assigned projects. Manages project teams and analytical staff to achieve project objectives on time, within scope, and on budget.
- Collaborates with KP national / regional entities that impact the Organization's Risk Management / Patient Safety performance (e.g., PPL Claims Management) and develops shared priorities and performance improvement objectives.
- Participates in the MDQR assessment process, and partners with NCO and Internal Audit, where appropriate, to develop specific findings and recommendations to chart improvement path.


Basic Qualifications:
- Minimum eight (8) years of related experience.
- Bachelor's degree required.
- High School Diploma or General Education Development (GED) required.
License, Certification, Registration
- CPHRM required within two (2) years.

Additional Requirements:
- Requires full knowledge of own area of functional responsibility and working knowledge of another function.
- Thorough knowledge of policies, practices, and systems.
- Requires strong writing and presentation skills.
- Requires strong knowledge of quality assurance, performance improvement, and root cause analysis, as well as failure modes and effects analysis, system safety, and performance reporting.
- Requires basic understanding of medical malpractice and claims management processes.
- Must be able to work in a Labor/Management Partnership environment.

Preferred Qualifications:
- Master's degree preferred.

- CPHRM or CPPS certification preferred.

Primary Location: California,Oakland,Ordway One Kaiser Plaza

Scheduled Hours (1-40): 40

Shift: Day

Working Days: Mon, Tue, Wed, Thu, Fri

Schedule: Full-time

Job Type: Standard

Employee Status: Regular

Employee Group: Salaried, Non-Union, Exempt

Job Level: Individual Contributor

Job: QA / UR / Case Management

Public Department Name: National Risk Management & Patient Safety

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, state and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran, or disability status.

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