VP, Continuing Care Strategy & Operations-Northwest Region

VP, Continuing Care Strategy & Operations-Northwest Region

About the role

This position has responsibility for ensuring quality care and appropriate services are provided to KP members experiencing Continuing Care Services and the implementation of Care Without Delay across the Market, ensuring effective, service-oriented, and efficient care.

Responsibilities

• Establish strategic direction and a system view to support the Markets provision of the continuum of care services: Home Health, Advanced Care at Home, Hospice, Palliative Care, Acute Rehab Services, Dialysis/ESRD network management and services for members, EPRP, SNF, Medical Transportation/Ambulance Services, Outside Medical Services and Referrals, DME, and Utilization Management.
• Oversee care delivery strategies for Medicare and Medicaid and develop strategies for complex needs and vulnerable populations. Drive utilization management strategy and performance for government programs. Lead strategic planning for capacity and network management.
• Provide regional oversight and monitoring of the planning and implementation of continuum and community capacity management and strategic resource planning. Deploy measurement systems, operational processes, goals, and investments to improve performance.
• Collaborate with Market area leaders, PMG, National Office staff, other Markets within KP, community providers, KP contracting, and labor partners to improve the quality of care and service that we provide to our members and our communities.

Requirements

• Provide executive level leadership, strategic direction, and drive performance over areas of accountability.
• Identify and implement actions in areas of accountability to improve quality, service, financial performance, and contractual compliance.
• Support the development, implementation, and assurance of success of all areas related to the Continuum of Care and Care Without Delay, ensuring alignment with KP standards and an enterprise approach.
• Direct other activities as assigned that improve care to our members and the communities we serve.
• Ensure that KP is strategically positioned in the Market to maintain ongoing regulatory compliance across the continuum of care, including NCQA accreditation, Medicare 5 Star compliance, DPH and CMS care delivery compliance.
• Develop and manage the payroll, non-payroll, and capital budgets and expenditures for assigned areas.
• Identify future demand by levels of care; including community resource capacity.
• Utilization Management: Lead the implementation of UM plans and agreements with KP hospitals and Core contracted/partner hospitals and non-core hospitals.
• Champion, implement, and share continuum of care delivery innovations with other Markets to achieve organizational goals.
• In partnership with key constituents across KP, develop and implement the future vision for care across the continuum and as a progressive community health partner.

Qualifications

• Minimum ten (10) years of experience in a senior leadership capacity (such as administrator, service line leader, or functional leader) with accountabilities in the following areas: hospital operations, administrative clinical management, post-acute operations, and health plan operations.
• Bachelor's degree in a nursing, business, or related clinical field.
• Masters degree in a clinical field such as nursing strongly preferred.

Skills

• Strategic planning and execution
• Leadership and collaboration
• Quality improvement and regulatory compliance
• Healthcare operations and finance
• Continuum of care and care without delay

Benefits

• N/A

Pay

• N/A

Schedule

• N/A