Kaiser Permanente RN Program Manager, Quality (ASC) in Clackamas, Oregon

Responsible for providing a broad range of administrative, facilitative and technical support functions in the Ambulatory Surgery Centers (ASC) accreditation and regulatory activities, quality improvement, and patient safety to support regional programs and initiatives. Drives business value through partnerships to identify problems and define optimal outcomes, applies analytical and critical thinking to generate insightful, innovative, and practical solutions to regional issues, demonstrates execution skills to meet client expectations while delivering value and minimizing potential obstacles and risks, and manages stakeholder relationships. Maximizes team performance by working collaboratively with ASC leadership and front-line staff from diverse backgrounds and capabilities and pursues personal training and skill development opportunities that build expertise, professionalism and confidence.

Essential Responsibilities:

  • Content area of expertise: Assists in the planning and execution of short and long term ASC quality and patient safety priorities in alignment with regional and organization-wide goals. Ensures projects have clear and measurable goals and objectives and monitors results. Keeps abreast of industry/regulatory trends. Implements work plans in the areas of accreditation, regulation, policy administration, quality, and patient safety to improve performance and/or to reduce variation in practice and promote efficient use of healthcare resources. Assists with the development and implementation of regional strategies that include a region-wide plan for routine surveillance of quality and patient safety systems and policy administration in the region's ambulatory surgery centers.

  • Working knowledge of regulatory and accrediting body standards related to accreditation and licensure. Ensures local compliance; participates in survey activities and policy development and administration. Participates in regional cross-functional teams, as appropriate, to drive clinical improvements and efficient use of resources. Supports the implementation of regional work plans to ensure overall program goals are accomplished and intermittent milestones are achieved in a timely manner. Drives the completion of work plans through organization and facilitation of meetings, monitoring of work tasks, and the completion of periodic status reports as required. Interacts with ASC leadership and/or workgroups to provide regularly scheduled updates for progress related to initiatives and to communicate possible issues that threaten established timelines. Closely monitors the overall initiatives to determine the scope and targeted outcomes of the program are maintained, remain appropriate to overall end goal and stay within the boundaries of the program timeline and budget.

  • Program Communication: The Program Manager is responsible for communication around regulatory, policy, patient safety and quality program status and issues. Validates data and completes regular status reports as required. Appropriately communicates concerns, identifies possible causes, considers alternatives, documents accordingly and provides communication to program leads, business owners, and leadership.

  • Program Resources Coordination: The Program Manager, in conjunction with Service Line Chiefs, ASC Chiefs of Staff, ASC leadership, and the Senior Director of Quality and Patient Safety, coordinates resources, completes or delegates work activities to ensure the work is completed according to the work plan. Completes work activities in the most efficient and customer-friendly manner. Closely monitors work activities to keep the work plan on target. Works as a mentor or coach to continually identify opportunities for learning and skill development of members of the ASC team. May perform other duties as assigned.

  • Provides leadership, consultation, advice and recommendations, coaching, education, and decision- making support to leadership teams, employees and professional peers related to clinical practices, adverse outcomes, policies and procedures, and performance measurement and quality improvement activities.

  • Demonstrates proficiency in analytic tools and data collection, analysis and presentation.

  • Demonstrates proficiency in effective communication and negotiation skills. Seeks and capitalizes upon opportunities to provide education in performance and quality improvement, human factors and lean/six sigma theories. Acts as a leader in issues of policy administration, performance measurement, quality improvement, and patient safety.

Basic Qualifications:


  • Minimum five (5) years of experience in ambulatory surgery, hospital or other acute care nursing center.

  • Minimum three (3) years of experience in area of specialization (i.e. policy administration, processes and tools, Root Cause Analysis, FMEA, Lean, Six Sigma, etc.)

  • Minimum two (2) years of experience in Quality, Risk or Accreditation.


  • Bachelor's degree in health care or related fieldOR four (4) years of experience in a directly related field.

  • High School Diploma or General Education Development (GED) required.

License, Certification, Registration

  • Current Oregon RN license required at time of hire/transfer.

  • Certified Professional in Health Care Quality (CPHQ) required within 24 months of hire/transfer.

Additional Requirements:

  • Demonstrated ability to develop and manage multiple work plans.

  • Demonstrated ability to develop constructive interpersonal and professional relationships with diverse populations (administrators, physicians, nurses, aides, technicians and other personnel).

  • Demonstrated self-motivation and ability to work independently and as a contributing team member.

  • Demonstrated project management skills.

  • Ability to use appropriate judgment to review recommendations from nationally recognized benchmarks and determine appropriate next steps for the organization.

  • Advanced written and verbal communication methods to convey key quality and regulatory metrics to internal and external customers.

  • Flexibility in work assignments and work locations within the organization.

  • Demonstrated group facilitation skills.

  • Demonstrated problem solving skills.

  • Positive and supportive attitude even when dealing with adverse outcomes.

  • Proficient in PC based computer skills, as well as Excel and PowerPoint.

  • Ability to work in a Labor Management Partnership.

Preferred Qualifications:

  • Minimum five (5) years of applicable quality improvement experience in an acute care setting.

  • Minimum three (3) years of experience with Utilization Management and/or Risk Management principles and practices

  • Experience in nursing management.

  • Bachelor's degree or higher in a healthcare related field

  • Lean Belt training.

  • Certified Professional in Health Care Quality (CPHQ).

  • COGNOS expertise

  • Involvement with self-governed work teams, abstraction and interpretation of performance data, or demonstrated use of CQI tools and techniques.

  • Demonstrated knowledge of statistics, systems theory and organizational behavior.


TITLE: RN Program Manager, Quality (ASC)

LOCATION: Clackamas, Oregon


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.