Top 28 Utilization management Jobs in Camden, Tn

Director of Operations
First Call Ambulance —Waverly, TN
- CPR Certification
- Clean driving record
- PALS Certification
Field Care Coordinator - Remote in TN
UnitedHealthcare —Paris, TN
- $29 - $52 an hour
- Full-time
- Nursing
- Microsoft Outlook
- RN License
- AD&D insurance
- Employee stock purchase plan
Licensed Field Care Coordinator - TN
UnitedHealthcare —Huntingdon, TN
- $29 - $52 an hour
- Full-time
- Nursing
- Microsoft Outlook
- RN License
7d
RN-Case Manager
Baptist Memorial Health Care —Huntingdon, TN
- Weekends as needed
- Nursing
- RN License
- Hospital
Case Manager (Part-Time)
Project Transition —Hurricane Mills, TN
- $19.25 - $21.00 an hour
- Part-time
- Clean driving record
- Psychiatry
- Mid-level
Quick Apply
Residential Advisor (Full-Time/Part-Time)
Project Transition —Hurricane Mills, TN
- $17 an hour
- Part-time
- Clean driving record
- Psychiatry
- Customer service
- Disability insurance
- Health insurance
Quick Apply
Registered Nurse - RN (Home Health)
Optum —Paris, TN
- $64,132 - $96,198 a year
- Full-time
- CPR Certification
- RN License
- Writing skills
Quick Apply
Remote Orthopedic Physician (MD/DO) Outpatient Prior Authorizations (IC to FTE)
Virtix Health —United States
- $125 an hour
- 8 hour shift
- Remote
- Background check
- Medicine
- Doctoral degree
- Work from home
Quick Apply
Physician ED Claims Reviewer
Vytwo —United States
- Full-time
- Remote
- Mid-level
- 2 years
Quick Apply
Remote Psychologist - US Location
APN Staffing & Employment Solutions —United States
- $100,000 a year
- Full-time
- Remote
- Word processing
- Writing skills
- Mid-level
Quick Apply
8d

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Field Care Coordinator - Remote in TN
UnitedHealthcare —Paris, TN
Valid driver's license, access to reliable transportation and the ability to travel up to 75% within advertised counties and surrounding areas to meet with…
$29 - $52 an hour

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Utilization Review Specialist - Autism
Nationwide Children's Hospital —Columbus, OH
Bachelor’s Degree in Social Work, Psychology, or related field, required. Conducts utilization reviews of behavioral health cases to determine medical necessity…
Utilization Management Specialist
ST VINCENT FAMILY SERVICES —Columbus, OH
Associate's Degree required; Bachelor's Degree preferred in Healthcare Administration, Business Administration, Social Work, Public Health, or related field.
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Director of Operations

First Call Ambulance -
Waverly, TN

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Job Details

Qualifications

Vendor relationship building
Community relations
Direct patient care
CPR Certification
Customer communication
Staff supervision
Team supervision
BLS Certification
Coaching
Driver's License
Team training
Paramedic License
Patient interaction
Public relations

Full Job Description

Definition:

The Director of Operations is responsible for planning, directing, and coordinating the overall field operations of a business unit throughout a designated geographical area. Duties and responsibilities include formulating processes and best practices, managing daily operations and clinical compliance, and effectively and efficiently planning and executing the use of equipment, materials, and personnel to best meet the needs of customers, facilities, and the community in which it serves.

Specific Duties:

Demonstrates complete knowledge, understanding and compliance of company policies and procedures.
Works with the Business Leaders on developing strategic plan.
Works with Business Leaders on developing and meeting annual budget.
Responsible for overall profit and loss management of operations.
Responsible for managing local vendor relations and accounts payable management.
Responsible for monitoring staffing levels in all operations in order to maintain operational efficiency.
Ensures that all field staff maintain a high level of customer service when dealing with patients, patient families, co-responders, other healthcare providers and the general public.
Ensures that all field staff in all operations maintain appropriate certification and licensure for their position.
Ensures security and privacy of all company and patient information at all times in accordance HIPPA and all other local, state and federal regulations.
Ensures that all operations are in full compliance with all local, state and federal regulations regarding the ordering, storage, use and record keeping of controlled substances.
Ensures that all operations are in full compliance with all company policies regarding clinical protocols and field documentation.
Ensures that all operations are in full compliance with all local, state and federal contracts, regulations and ordinances.
Displays a positive mental attitude toward the position held, the company, and its employees, clients, partners or affiliates.
Clearly, effectively, and professionally express him/herself verbally and in writing,
Responds to all incidents involving serious personal injury, excessive damage to company equipment or excessive damage to private property involving company personnel or equipment.
Monitor the use of services, vehicles, equipment, facilities, and staff to ensure effective use of resources and assess the need for additional staff, equipment, and services.
Review and analyze facility activities and data to aid planning and risk management to improve service utilization and quality.
Direct, supervise and evaluate work activities of all personnel assigned to the Operations Division.
Facilitate communication between EMS staff, support staff, and members of management as appropriate.
Establish and implement operations division policies, goals, objectives, and procedures.
Review financial statements, sales and activity reports, and other performance data to measure productivity and goal achievement and to determine areas needing cost reduction and program improvement.
Responsible for annual re-certification of all ambulances.
Maintains and ensures compliance of Standard Operating Procedures for all company operations.
Ensures completion of annual skills evaluation for all personnel as needed.
Assists other division directors as needed.
Develop and maintain computerized record management systems to store, process data, and produce reports, such as personnel activities and information.
Coordinate activities as appropriate with other division leaders concerned with reference to pricing, sales, training, human resources or distribution of services.
Determine staffing requirements, and assist other division directors with interviewing, hiring and training new employees as needed.
Maintain awareness of advances in EMS diagnostic and treatment equipment, data processing technology, government regulations, health insurance changes, and financing options.
Performs other duties as directed by management.

Minimum Requirements:

All Paramedic requirements (Current Paramedic Certification)
- Must possess a high degree of personal integrity and responsibility.
- Currently licensed, certified or registered by the appropriate state agencies.
- Currently certified in CPR by the AHA or other appropriate organization.
- Currently certified in ACLS, PALS and/or other specialty certifications as required.
- Currently licensed with the appropriate level of state motor vehicle operator’s license.
- Currently has a clean driving record in accordance with company standards.
- Must have and demonstrate the ability to work effectively with minimal supervision, using good judgment.
- Must have and demonstrate the ability to work efficiently and interact in a constructive and professional manner with other employees, public safety personnel and medical staff.
- Must have and demonstrate the ability to interact effectively and professionally with patients, customers, clients, family members, bystanders, and the general public in such a manner as to reflect positively on the company.
- Must demonstrate a level of skill and ability consistent with the provision of high-quality patient care.
- Must have and demonstrate the ability to perform effectively as team leader and team member in patient care situations.
- Must have and demonstrate the ability to perform effectively in carrying out public relations and community education functions with members of the medical community and general public in promoting the company.
All Paramedic Field Supervisor requirements
Must have and demonstrate the ability function as a leader evaluating, coaching, training and directing field staff.
Must have and demonstrate solid business management and administrative skills

Physical Requirements:

The ability to reach, push and pull.
The ability to sit or stand for long periods of time.
The ability to complete all job duties during any and all hours of the day and night.
The ability to use mouse or keyboard to input data into computer over long periods of time.
The ability to view graphic and text data on multiple computer screens for long periods of times.

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Refine Your Search

utilization management jobs in camden, tn

Director of Operations

Field Care Coordinator - Remote in TN

Licensed Field Care Coordinator - TN

RN-Case Manager

Case Manager (Part-Time)

Residential Advisor (Full-Time/Part-Time)

Registered Nurse - RN (Home Health)

Remote Orthopedic Physician (MD/DO) Outpatient Prior Authorizations (IC to FTE)

Physician ED Claims Reviewer

Remote Psychologist - US Location

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