VP, Continuing Care Strategy & Operations-Northwest Region

Job Summary:

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.

This position is responsible to 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.

This position includes oversight of care delivery strategies for Medicare and Medicaid and the development of strategies for complex needs and vulnerable populations. Drive utilization management strategy and performance for government programs. Lead strategic planning for capacity and network management

This position will provide regional oversight and monitoring of the planning and implementation of continuum and community capacity management and strategic resource planning. This position deploys measurement systems, operational processes, goals, and investments to effectively improve the performance of the Market.

The executive will effectively 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.

Essential Responsibilities:

• Provide executive level leadership, strategic direction and drives performance over areas of accountability.
• Identify and implement actions in areas of accountability to improve quality, service, financial performance, and contractual compliance.
• Supports the structure and evidence-based practices to develop, implement and assure success of all areas related to the Continuum of Care and Care Without Delay, ensuring alignment with KP standards and an enterprise approach.
• Directs other activities as assigned that improve care to our members and the communities we serve.
• Ensures that Kaiser Permanente (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.
• Develops and manages the payroll, non -payroll, and capital budgets and expenditures for assigned areas.
• Identifying 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.
• Champions, implements, and shares continuum of care delivery innovations with other Markets to achieve organizational goals.
• Explores critical issues related to the Continuum of Care and Care for specific populations, such as complex needs patients; implementing evidence-based care delivery models to address those needs.
• In partnership with key constituents across KP, develops and implements the future vision for care across the continuum and as a progressive community health partner.