Kaiser Permanente · 3 months ago
Executive Director, Care Coordination & Resource Stewardship
Hyattsville, MD
Full-time
Onsite
Director/Executive
8+ years expKaiser Permanente is a leading healthcare organization focused on delivering quality care and services. The Executive Director will be responsible for developing and implementing the Care Without Delay philosophy and overseeing care management and coordination across various healthcare settings to ensure compliance and meet the needs of members.
Health CareHospitalMental HealthNon ProfitPersonal Health
Responsibilities
This position is responsible for leading the market strategy, planning, and execution of a patient centered and integrated approach to care coordination and resource stewardship across the continuum of care
This position will provide executive leadership and oversight for the development of a comprehensive care coordination and resource stewardship strategy work
Provides leadership to health plan and medical group providers in the development of regional strategies to coordinate and plan the provision of health care services across the continuum of care for patients with complex needs
Creates the structure and processes to identify populations with complex needs and to develop, implement and evaluate programs, policies, and standards for continuum of care services that develop coordinated plans of treatment and delivery systems to provide excellent service to those members with complex needs
Defines and communicates strategic objectives and scope
Articulates issues or problems from a broader organizational/mission perspective and escalates unresolved barriers and roadblocks
Champions new ways of meeting targets and/or goals. Explores critical issues not explicitly addressed by others. Anticipates and plans for future issues or problems
In collaboration with internal and external leaders/stakeholders develop, implement, and promote an integrated strategy and operational plan for care coordination and case management within and across hospital, post-acute and skilled nursing facility settings to improve, facilitate and streamline the care delivery process, the patient and provider experience to improve quality, cost, and experience
Ability to lead and manage through influence and change. Demonstrated ability to lead professionals through influence and collaboration
Identifies and institutes performance improvement efforts based on evidence-based research, practices, and patient outcomes
Understands the finances of various care settings, contributes ideas, and plans for efficient stewardship of resources appropriately
Facilitates the rapid transfer of best practices
Partners with health plan and medical group leaders to ensure optimize care coordination across care setting, programs and the continuum
Ensure compliance with all applicable care coordination and case management regulatory and accreditation guidelines such as Medicare, DHCS/Medicaid, Department of Managed Healthcare (DMHC), The Joint Commission (TJC), and National Committee for Quality Assurance (NCQA) regulatory requirements, as appropriate
Actively supports Executive Resource Steering Committee and co- chairs or contributes to regional/market or enterprise committees and workgroups
Recruits and develops high performing and highly engaged leaders, including a talent pipeline
Qualification
Required
Minimum eight (8) years of substantial experience progressive operational experience in clinical and leadership roles in a multi-faceted health care system and multi-provider settings
Bachelors degree in Nursing, Health Services Business Administration, Public Health/Administration or related field
Registered Nurse License (Maryland) OR Compact License: Registered Nurse
Extensive experience within the continuum, including but not limited to hospital, skilled/ post-acute, ambulatory, care coordination, and resource stewardship operations
Strong understanding of data analytics, healthcare, population health, medical delivery, and medical management; robust understanding of industry trends and best practices
Demonstrated knowledge and experience with Medicare and Medicaid managed care, NCQA, TJC and other regulatory requirements
Successful experience managing a broad range of financial and organization issues, such as organizations redesign, improving internal controls, financial turnaround, creating a performance-oriented organization and change management
Decisiveness, action-oriented, personal integrity, capability to persevere in difficult situations and a focus on strategic leadership issues. Candidate should also possess an open, collaborative leadership style that promotes teamwork and partnership while achieving desired results
Demonstrated ability to successfully plan, organize, and manage programs and projects with proven track record of effective collaboration and strong leadership and people leadership competencies
Ability to understand and synthesize data as it translates to care management related to programmatic implications; strategic thinker who values data and can draw the best conclusions and shape the best path forward
Strong and demonstrated experience with leading with best practices and proven methodologies for process improvement, scalability, and automation to support long-term growth objectives
Preferred
Master-s degree preferred
Company
Kaiser Permanente
Kaiser Permanente is a health organization that offers disease prevention, mental healthcare, and chronic disease management services.
10001+ employees
Funding
Current Stage
Late StageTotal Funding
$7.48M2018-07-17Grant· $0.08M
2014-08-05Grant· $7.4M
Leadership Team
Gregory Adams
Chair and Chief Executive Officer
James L. Robinson III
Senior Vice President/Area Manager
Recent News
2026-01-24
2026-01-23
2026-01-23
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