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JOB SUMMARY
Ay NorthBay Healthcare the Utilization Management (UM) is a collaborative process which assesses, plans, implements, coordinates, monitors and evaluates options and services to meet an individual’s health needs through communication and available resources to promote quality, cost effective outcomes.
UM Case Managers work under the direction of the Manager of UM and the AVP of Care Coordination. UM Case Managers work across the continuum of the system in collaboration with patients, physicians, staff, broker services and administration to ensure appropriate care at the appropriate level to the high-risk members.
The UM Case Manager utilizes clinical knowledge and competence, positive communication skills, problem solving and conflict resolution techniques, ability to effect change, strong skills in assessment, organization, and time management. The UM process requires a focus on critical thinking skills, customer service skills, setting appropriate goals and measuring outcomes to effectively ensure optimal patient outcomes with consideration to financial and healthplan resources. The UM Case Manager at NorthBay Healthcare must be able to demonstrate adherence to the department and system policies, procedures, quality assurance, guidelines and goals of the department and the organization.
PRIMARY JOB DUTIES
Compensation: Based on years of experience:$73.52-$88.64
Part Time
Business Services
$97k-117k (estimate)
06/24/2024
08/24/2024
northbaysolutions.com
ANDOVER, MA
100 - 200
2010
Private
BRIAN BARKER
<$5M
Business Services
NorthBay develops a cloud-based platform that offers big data, mobile and web enterprise solutions.