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Mgr Pulmonary Clinical Services

This position supports Kaiser Permanente´s code of conduct and compliance by adhering to all laws and regulations, accreditation and Licensure requirements, and internal policies and procedures. Kaiser Permanente is proud to be an equal opportunity/affirmative action employer.DEPARTMENT: Outpatient Respiratory TherapySCHEDULE: Full-Time Regular, 40 Hours per Week, Day Shift, Monday through Friday: 8:00-5:00. Schedule to be dependent upon departmental needs.Position Summary: Manages staff in providing delivery of high quality, patient-focused, and cost-effective pulmonary care services in a widely diverse culture across the CSA. Accountable for service area and across the continuum of care. Ensures compliance with federal, state, and local regulations.Education/License/Certification: Bachelor´s degree in Respiratory Care, Health Care Administration, Nursing , Business Admin , or completion within 2 years, or equivalent experience. Registered RRT therapist and current State Respiratory Care Practitioner license required. Master´s degree preferred.Qualifications: Progressive mgmt exp in respiratory care, in a multi-faceted health care system, multi-service provider setting or academic setting required. (Usually 4 yrs). Knowledge of federal, state, and local regulations. Demonstrated knowledge of budgeting, staffing, systems, quality improvement, and clinical care delivery in an inpatient setting. Must be able to work in a Labor/Management Partnership environment.Preferred Qualifications: Responsible for managing the daily operations of the Diablo Service Area Outpatient Respiratory Therapy Department located at the Martinez Medical Office Building. Progressive management experience in respiratory care, in a multi-faceted health care system, multi-service provider setting or academic setting required. (4/ 5 yrs). Knowledge of federal, state, and local regulations. Demonstrated knowledge of budgeting, staffing, systems, quality improvement, and clinical care delivery in an inpatient setting. Must be able to work in a Labor/Management Partnership environment. Experience in managing supply/ demand applications -usually 2 to 3 years. Certificates of training or 2/ 3 years of experience in the following preferred: In house observed full EEG sleep studies. Ambulatory sleep studies. CPAP Titration including fitting adjustments and patient follow up PFT Testing including but not limited to Spirometry, Lung Volumes, DLCO and ´6minute´ walk testing. Experience with electronic medical records including PFT integration. Pulmonary Rehab management. Oxygen Clinic management Duties: Develops, implements, and monitors quality of CSA pulmonary standards across the continuum of care. Ensures all programs support the organizations goals and strategic plans. Coordinates plans of treatment, customer focused delivery of services, and cost effective utilization of services. Ensures all patient care is in compliance with administrative, legal, and regulatory requirements and follows established policies and procedures. Works with other health care providers to develop, implement, and provide efficient pulmonary care services and outcomes. Reviews best practice models including systems development and cost effective care delivery models. Develops, implements, and evaluates standards of practice, to improve quality and service to members. Meets short and long term financial goals by continually planning, developing, monitoring, adjusting and evaluating annual budgets. Identifies opportunities to reduce costs, while maintaining quality of services. Manages staff, ensuring all are fully competent in providing the highest quality of care to members. Determines appropriate staffing to maintain the service levels. Develops and presents in-service programs to medical center staff. Manages and resolves human resource, employee and department safety, and risk management issues. Kaiser Permanente conducts compensation reviews of positions on a routine basis. At any time, Kaiser Permanente reserves the right to reevaluate and change job descriptions, or to change such positions from salaried to hourly pay status. Such changes are generally implemented only after notice is given to affected employees. Consistently supports compliance and the Principles of Responsibility (KP´s code of conduct) by maintaining confidentiality, protecting the assets of the organization, acting with ethics and integrity, reporting non-compliance, and adhering to applicable Federal and State laws and regulations, accreditation and licensure requirements, and KP policies and procedures. In addition to defined technical requirements, accountable for consistently demonstrating service behaviors and principles defined by the Kaiser Permanente Service Quality Credo, the KP Mission as well as specific departmental/organizational initiatives. Also accountable for consistently demonstrating the knowledge, skills, abilities, and behaviors necessary to provide superior and culturally sensitive service to each other, to our members, and to purchasers, contracted providers and vendors. PLEASE NOTE: - Kaiser Permanente is an AA/EEO employer -

DEPARTMENT: Respiratory Care ServicesSCHEDULE: On call, 0 hours/week, Variable shifts. Scheduled days and hours are dependent upon departmental needs and may include holidays and weekends; will follow the contract for notification of schedule change.EDUCATION: High School Diploma/GED. Graduate from a respiratory care education program supported by CoARC or accredited by CAAHEP required, with 62 semester hours of college credit, including a background in the basic sciences, or a baccalaureate degree in an area other than respiratory care or Associates of Arts of Science degree, preferred. Respiratory Care Practitioners who received their RCP license prior to 1986 and currently working at Kaiser Permanente are exempt from this educational requirement. Experience Requirement: At least one year of recent critical care experience preferred, may be required for this particular position. At least one year of clinical experience in neonatal/pediatric respiratory care preferred, may be required for this particular positionLICENSE/CERTIFICATION: Registered by the National Board for Respiratory Care. Certified or Registered Pulmonary Function Technologist by the National Board for Respiratory Care preferred, maybe required for this particular position. Registered by the Board of Registered Polysomnographic Technologists preferred, may be required for this particular position. Neonatal/Pediatric Specialist by the National Board preferred, may be required for this particular position. Respiratory Care Practitioners who received their RCP license prior to 1986 and currently working at Kaiser Permanente are exempt from obtaining their CRT credential. Respiratory Care Practitioner, Respiratory Care Board of California. Registered by the National Board of Respiratory Care. Depending on the particular specialty, ACLS, NRP or PALS may be required for this particular position. BLS required. JOB SUMMARY: Under physician supervision, in accordance with policies and procedures approved by the Medical Director, is expected to assume primary clinical responsibility for all respiratory care modalities and to exercise considerable independent clinical judgment in the respiratory care of patients. Must be capable of serving as a technical resource person to the physician regarding current practices in respiratory care and to the hospital staff regarding effective and safe methods for administering respiratory care. Works under the general supervision of an administrative supervisor or the direction of a technical lead to deliver respiratory care services to patients in all areas of the hospital. Must be able to adapt to the particular area of duty assignment and to perform special duties required by the assignment. Standards of performance for the area to which the individual is assigned must be maintained. Special duties may include provision of basic and advanced respiratory care to neonatal and pediatric patients in the res making rapid decisions and assisting physicians to respond to status changes in neonatal and pediatric patients. Special duties may include performance of a variety of diagnostic tests of the cardiopulmonary system and to determine the effect of disease and treatment on that system. QUALIFICATIONS: High School Diploma/GED; Graduate of an accredited respiratory care education program supported by CoARC or accredited by CAAHEP, required, with 62 semester hours of college credit, including a background in the basic sciences, or a baccalaureate degree in an area other than respiratory care or Associates of Arts of Science degree, preferred. Licensed Respiratory Care Practitioner in the State of California. Certification (CRT) from the National Board of Respiratory Care. Respiratory Care Practitioners who received their RCP license prior to 1986 and currently working at Kaiser Permanente are exempt from obtaining their CRT credential Registered by the National Board of Respiratory Care BLS required Certified or Registered Pulmonary Function Technologist by the National Board for Respiratory Care, preferred, may be required for this particular position Registered by the Board of Registered Polysomnographic Technologists, preferred, may be required for this particular position Neonatal/Pediatric Specialist by the National Board, preferred, may be required for this particular position. At least one year of recent critical care experience preferred, may be required for this particular position. At least one year of clinical experience in neonatal/pediatric respiratory care preferred, may be required for this particular position. -Ability to read and comprehend simple instructions, technical manuals, and short correspondence or memos. -Ability to write simple correspondence. -Ability to speak and understand spoken English. -Ability to effectively present information in one-on-one and small group situations to customers, clients, and other employees of the organization. Must be willing to work in a Labor Management Partnership environment. Also refer to Position Specifications outlined in the appropriate collective bargaining agreementDUTIES: Selects Reviews, Obtains and Interprets Data: Reads and evaluates physician´s orders, clarifying as needed. Accurately transcribes physician orders to electronic charting system or departmental patient master. Reviews patient information including history, lab data, radiologic studies, progress notes, respiratory and cardiovascular monitoring data and performs assessment/data collection in systematic manner. Systematically assesses patient´s overall cardiopulmonary status by inspection, palpation, percussion, auscultation, and patient interview. Interprets data to formulate goal-directed plan of care and determines requirements for treatment such as type and duration of therapy, precautions to be observed, equipment required, and medication and dosages. Determines modifications to physician orders, which optimize patient, care and makes recommendations to physician. Recommends procedures to obtain additional data including radiographs, bronchoscopy, Gram stain and C&S, spirometry, blood gas analysis, lung mechanics, work of breathing, EKG, noninvasive monitoring. Performs Diagnostic Modalities: Performs procedures and interprets results: ABG sampling and analysis, co-oximetry, spirometry, pressure-volume and flow-volume loops, cuff pressure, sputum induction. May perform EKG´s May place Holter monitor. May perform pulmonary function, and sleep diagnostic tests. May perform Exercise Stress Tests. May perform indirect calorimetry. Selects Assembles and Checks Equipment for Proper Function, Operation and Cleanliness: Selects, assembles and checks equipment for cleanliness, proper function and safe operation. Ensures proper function and ready availability of respiratory related life support equipment. Troubleshoots and performs minor repairs of equipment. May perform Quality control procedures for blood analysis devices. May perform Quality control, calibrate, maintain and troubleshoot pulmonary function diagnostic equipment. Participates in routine departmental programs of cleaning, disinfecting and sterilizing of respiratory care and other related equipment. Participates in routine departmental preventive maintenance program and performs basic repairs. Orders/stocks departmental supplies. Initiates, Conducts and Modifies Prescribed Therapeutic or Diagnostic Procedures: Operates all medical equipment within manufacturer and department guidelines to safely treat patients. Checks and adjusts alarms. Observes established safety and security procedures and protects patients from nosocomial infection. Explains planned therapy or procedure and goals to patient in understandable terms to achieve optimal therapeutic outcome. Conducts therapeutic procedures to maintain a patent airway, remove bronchopulmonary secretions.