At NorthBay Healthcare the Director, Care Management provides oversight for all aspects of Care Management which includes: Utilization Management, Utilization Review, Inpatient, Outpatient and Complex Case Management, Discharge Planning, Denial Management, and Social Services for the NorthBay Healthcare Group. The Director in collaboration with the AVP of Quality & Care Management establishes overall direction for the above 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 AVP of Quality & Care Management 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.
The Director 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.
California Nursing License required.
Baccalaureate Degree in nursing or a health care related field required.
Master’s Degree required.
Certification in the area of Case Management required.
Three to five years of related clinical experience in area of responsibility.
Three to five years of demonstrated progressive management experience with increasing scope of responsibility with 3-5 years as a manager of case management experience required and 2 years of Director experience preferred.
Demonstrated initiative, follow through and ability to work independently.
Demonstrated results oriented management
Demonstrated effective project management skills
Interpersonal Skills - 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.
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).
NorthBay Healthcare provides sophisticated healthcare services not only in our two hospitals — NorthBay Medical Center in Fairfield and NorthBay VacaValley Hospital in Vacaville California — but in our primary care and specialty care practices. From oncology to open heart surgery, and from birth through the end of life, NorthBay Healthcare has teams of medical experts ready to assist in your care. It is our goal to exude warmth and caring as we meet and greet patients, family and visitors in our hospitals and medical offices. Our dedication to our patients continues throughout their healthcare journey.