Director, Medical Project Management

3 weeks ago

Fairfield CA, United States NorthBay Health Full time

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; 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. 
Baccalaureate Degree in nursing or a health care related field required.
California Nursing License required. 
Certification in the area of Case Management required within 6 months of hire. 
A minimum of 3 years of director level experience in Case Management and Population Health strongly preferred. 
Demonstrated results oriented management. 
Demonstrated effective project management skills. Must be able to deal with job-related stress, multiple projects and deadlines. Advanced computer skills (spreadsheets, graphs, tables and reports).
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. 

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