Job Description

At NorthBay Health this Director provides oversight for all aspects of Care Management and Population Health which includes: Utilization Management, Utilization Review, Inpatient, Outpatient and Complex Case Management, Discharge Planning, Denial Management, and Social Services for the NorthBay Healthcare Group. This director will collaborate with Quality and Operations leadership to support key Population Health quality measures. 

The Director in collaboration establishes overall direction for the above listed areas and implements policies, processes and procedures in support of these programs. They provide direct supervision to personnel and they are responsible for program development, documentation compliance, and compliance with health plan requirements. In collaboration with the leader in Quality they will support strategic direction; identifies key measures of success (e.g. length of stay and readmission rates), and implements key processes to maximize efficiency of resource utilization. They will assume overall responsibility for coordinating/managing patient centered care activities for patients within the context of these functions. They will ensure cost effective and quality patient outcomes through the supervision of clinical/professional staff, collaboration with medical staff, nursing, and support staff. They will operate from an expert knowledge base of UM and Case Management and ensures compliance with state/federal and other regulatory and accreditation body requirements. 

This individual must be fiscally responsible, be able to take on new responsibilities as needed, be able to accept accountability, maintain confidentiality, and operate effectively under pressure, display confidence and integrity in all interactions, and maintain a sense of humor.

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Education:  

• Baccalaureate Degree in nursing or a health care related field required.
• Master’s Degree required.

Licensure/Certification:  

• California Nursing License required. 
• Certification in the area of Case Management required within 6 months of hire. 

Experience:  

• Three to five years of related clinical experience in area of responsibility. 
• A minimum of 3 years of director level experience in Case Management and Population Health strongly preferred. 

Skills:  

• Demonstrated initiative, follow through and ability to work independently. Demonstrated results oriented management. 
• Demonstrated effective project management skills. Excellent written and verbal communication and presentation skills.
• Must be able to deal with job-related stress, multiple projects and deadlines. Advanced computer skills (spreadsheets, graphs, tables and reports).

Interpersonal Skills:  

• Demonstrates the NorthBay Way.
• The NorthBay Way is a set of value-based behaviors that are to be consistently demonstrated and role modeled by all employees that work at NorthBay Healthcare. 
• The NorthBay Way principles consist of Caring, Communication, Collaboration, and Competence. 

Compensation: 

• Budgeted salary range is $200K - $230K (Offered annual salary based on years of experience)
• Incentive Bonus eligible, up to the optimum achievement 15% of the eligible annualized salary 
• Discretionary, unlimited PTO for Director level positions 

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