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Assistant Manager - Utilization Manager Medical Case Build PH

Role/ Responsibilities

• Serves as a content model expert and mentor to the team regarding practice standards, quality of interventions, problem resolution and critical thinking
• Monitor transactions with an ongoing basis and take corrective steps where necessary or make incremental improvements.
• Assist new hires such that they are productive on the floor in the shortest possible time frame
• Provides inputs on process and system to the team members.
• Client Interaction, where required at the level of Supervisors.
• Ensure compliance with internal policies and procedures, external regulations and information security standards.

  • Oversee and manage day-to-day operations to ensure all metrics are met, revenue are maximized and monitor team performance as per agreed KPIs
  • Communicates productivity expectations, balance workload (e.g., daily team meetings to discuss new updates), monitor efficiency and initiate control measures to minimize variances in workload over time
  • Monitor transactions with an ongoing basis and take corrective steps where necessary or make incremental improvements
  • Provide coaching and feedback to team members to enable them to improve their performance
  • Ensures the team's understanding and use of information system capability and functionality
  • Provide inputs on process and system to the team members.
  • Articulate performance expectations and team objectives while collecting and interpreting balanced measure to evaluate individual staff and team performance
  • Ensures compliance with internal policies and procedures, external regulations and information security standards
  • Establish an environment and work style that promotes the concept of teamwork, cross product integration, and continuum of care thinking that results in strong performance
  • Ability to work in a continually challenging environment
  • Good written and verbal communication skills
  • Good leadership skills
  • Customer Service oriented
  • Quality oriented
  • Empathy for effective on the job coaching and feedback
  • Understanding of end-to-end processes and appreciation of critical parameters

  • Registered nurse with at least 1 year of clinical and/or UM experience
  • Ability to interpret assignments and understand department strategy
  • Adaptable with the ability to thrive in a fast paced environment with strong attention to detail
  • Capacity to multi-task, including use of multiple computer applications simultaneously
  • Effective verbal and listening communication skills
  • Experience making decisions and working independently with little supervision
  • Must be passionate about contributing to an organization focused on continuously improving consumer experiences

See also

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