Top 19 Utilization management Jobs in Keyser, Wv

Manager Ambulatory Services
PVH Potomac Valley Hospital —Keyser, WV
- Full-time
- OSHA
- Hospital
- Mid-level
Paramedic Field Supervisor
Valley Health —Keyser, WV
- $29.40 - $44.10 an hour
- Full-time
- PALS Certification
- Inventory management
- Customer service
- Wellness program
- Health savings account
Discharge Planner
PVH Potomac Valley Hospital —Keyser, WV
- Weekends as needed
- Nursing
- Hospital
- Inpatient
Discharge Planner
GRMC Garrett Regional Medical Center —Oakland, MD
- $22.24 - $33.36 an hour
- Weekends as needed
- Acute care
- Nursing
- Hospital
- Wellness program
- Disability insurance
10d
Unit Director, Inpatient Behavioral Health
UPMC —Cumberland, MD
- $51.08 - $71.49 an hour
- Full-time
- Acute care
- Nursing
- RN License
Nurse Navigator
GRMC Garrett Regional Medical Center —Oakland, MD
- $31.54 - $47.32 an hour
- Part-time
- Nursing
- RN License
- Bachelor of Science
- Wellness program
- Disability insurance
7d
Alcohol and Drug Trainee (ADT)
Potomac Community Services —Cumberland, MD
- $41,600 - $47,840 a year
- Spanish
- Microsoft Outlook
- Word processing
Quick Apply
Unit Director, OR
UPMC —Cumberland, MD
- $51.08 - $71.49 an hour
- Full-time
- Nursing
- RN License
- Bachelor of Science
7d
Certified Supervised Counselor – Alcohol and Drug (CSC-AD)
Potomac Community Services —Cumberland, MD
- $43,680 - $49,920 a year
- Spanish
- Microsoft Outlook
- Word processing
Quick Apply
House Supervisor - RN (Relief)
GRMC Garrett Regional Medical Center —Oakland, MD
- $52.92 an hour
- Overtime
- Acute care
- Nursing
- RN License
- Wellness program
- Disability insurance
Patient Access Specialist Per Diem
Ensemble RCM LLC —Romney, WV
- $17.00 - $18.15 an hour
- Full-time
- Acute care
- Hospital
- Customer service
- Tuition reimbursement
Hospital - Clinical Pharmacist Specialist (Bone Marrow Transplant)
UT Health Science Center at San Antonio —United States
- Hospital
- Outpatient experience
- 3 years
Quick Apply
Remote Physician (MD/DO), PMR or Neurology, Outpatient Prior Authorizations (REMOTE/FT) (IC to FTE)
Virtix Health —United States
- $125 an hour
- 8 hour shift
- Remote
- Background check
- Medicine
- Doctoral degree
- Work from home
Quick Apply

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utilization management jobs near keyser, wv

Manager Ambulatory Services

PVH Potomac Valley Hospital -
Keyser, WV

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Job Details

Full-time

Qualifications

Collaborate with healthcare professionals
Clinical staff performance evaluation
Managed Registered Nurses (RNs)
Clinical program budget management
Nursing department supervision
Committee work
Team member evaluation
Clinical staff policy implementation
OSHA
Managing healthcare operations budgets
Coaching
Staff scheduling
Employee relations
Nursing team management
Operations coordination planning
Clinical staff development programs
Performance feedback (performance evaluation method)
Mid-level
3 years
High school diploma or GED
Team development
Hiring
Continuing education (CE) programs (healthcare teaching and curriculum development)
Clinical staff training
Medicare regulations
Clinical training
Team training
Healthcare quality assurance policy development
Continuous clinical improvement initiatives
Resource utilization in healthcare

Full Job Description

Welcome! We’re excited you’re considering an opportunity with us! To apply to this position and be considered, click the Apply button located above this message and complete the application in full. Below, you’ll find other important information about this position.

Responsible for providing leadership and management of assigned areas. Translates the objectives, plans and procedures into effective actions to ensure quality patient care.

MINIMUM QUALIFICATIONS :

EDUCATION, CERTIFICATION, AND/OR LICENSURE:

1. Associate’s Degree OR High school diploma AND three (3) years of healthcare experience.

2. Obtain certification in Basic Life Support within 30 days of hire date.

3. State criminal background check and Federal (if applicable), as required for regulated areas.

EXPERIENCE:

1. Two (2) years in a healthcare management/supervisory position.

CORE DUTIES AND RESPONSIBILITIES: The statements described here are intended to describe the general nature of work being performed by people assigned to this position. They are not intended to be constructed as an all-inclusive list of all responsibilities and duties. Other duties may be assigned.

1. Plans, organizes, implements and evaluates the delivery of patient care in accordance with the policy and procedures, philosophy and mission.

2. Develops, implements and supports strategies for the delivery of quality patient care based on the requirements of the medical service while achieving positive patient relations in a teaching environment.

3. Ensures staff provides quality, effective care consistent with relevant policies, procedures and access and service standards. Monitors and evaluates quality of care.

4. Works closely with staff and peers to identify opportunities to improve patient care. Coordinates activities between the clinical service and other clinical units to ensure quality patient care.

5. Facilitates the development of departmental policies and procedures and ensures compliance. Ensures department is in compliance with applicable regulations, i.e., CLIA, OSHA, Medicare, etc.

6. Promotes customer satisfaction in a professional, constructive manner.

7. Collaborates with Medical Director to ensure program goals are established and achieved.

8. Responsible for the coordination, organization and delegation of operational aspects of the department to ensure effective, efficient delivery of services

9. In conjunction with Director/ Administrator , Clinical Services and in accordance with mission and goals, determines the service needs in terms of patient and staff requirements.

10. Assures that staff provides patient focused care. Resolves patient care issues as identified.

11. Reviews outcomes and evaluates operational systems to ensure ongoing improvement. Creates a work environment that promotes continuous quality improvement, team building and ongoing personal development.

12. Collaborates with medical staff and other personnel in promoting and planning optimal patient care. Collaborates regularly with physicians and ancillary service providers to review practices, services and resolve issues.

13. Selects, hires, trains , manages and evaluates the effectiveness of employees on a continuous basis. Promotes teamwork, contributing to positive employee morale.

14. Performs performance evaluations that provide objective, constructive feedback regarding strengths and opportunities for improvement. Coaches and counsels to correct identified performance deficiencies.

15. Establishes goals, and provides follow up within established Human Resources policies.

16. Ensures compliance with policies and ensures staff meets the established access and service standards.

17. Devises communication system to keep all personnel informed of operations.

18. Fosters a competent staff through the provision of orientation, inservices, continuing education programs and professional development.

19. Assists with the creation and oversight of clinic budgets.

20. Demonstrates an awareness of departmental budget for personnel, materials and services through efficient use of the same. Assures cost effective staffing patterns, schedules and appropriately utilizes staff.

21. Reviews trends with Medical Director/ Administrator . Monitors utilization of equipment and supplies and prioritizes budget requests to ensure safe patient care and optimal utilization of resources. Approves and maintains payroll documents. Analyzes trends to develop long range plans for budget needs.

22. Participates in committees and completes additional projects as assigned.

23. Supervisory Responsibilities: Directly supervises support staff within clinical unit in the provision of patient services, i.e., Staff Nurse, Lead Nurse, LPN, Ambulatory Nursing Assistants, Ambulatory Care Assistants, Insurance Specialists, Coordinator, Patient Registration, and technical staff.

PHYSICAL REQUIREMENTS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

1. Requires good to excellent health in order to assist patients and move equipment and supplies.

2. Lifting up to 60 pounds, pushing carts, positioning patients, less than 50% of work time.

3. May require bending and stretching movements.

WORKING ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

1. Clinical environment.

2. Regular and constant exposure to communicable disease and bloodborne pathogens.

Additional Job Description:

Scheduled Weekly Hours:

Shift:

Exempt/Non-Exempt:

United States of America (Exempt)

Company:

PVH Potomac Valley Hospital

Cost Center:

499 PVH Physician Practice Admin

Address:

100 Pin Oak Lane

Keyser

West Virginia

Equal Opportunity Employer

West Virginia University Health System and its subsidiaries (collectively "WVUHS") is an equal opportunity employer and complies with all applicable federal, state, and local fair employment practices laws. WVUHS strictly prohibits and does not tolerate discrimination against employees, applicants, or any other covered persons because of race, color, religion, creed, national origin or ancestry, ethnicity, sex (including gender, pregnancy, sexual orientation, and gender identity), age, physical or mental disability, citizenship, past, current, or prospective service in the uniformed services, genetic information, or any other characteristic protected under applicable federal, state, or local law. All WVUHS employees, other workers, and representatives are prohibited from engaging in unlawful discrimination. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, training, promotion, discipline, compensation, benefits, and termination of employment.

Apply Now

Refine Your Search

utilization management jobs in keyser, wv

Manager Ambulatory Services

Paramedic Field Supervisor

Discharge Planner

Discharge Planner

Unit Director, Inpatient Behavioral Health

Nurse Navigator

Alcohol and Drug Trainee (ADT)

Unit Director, OR

Certified Supervised Counselor – Alcohol and Drug (CSC-AD)

House Supervisor - RN (Relief)

Patient Access Specialist Per Diem

Hospital - Clinical Pharmacist Specialist (Bone Marrow Transplant)

Remote Physician (MD/DO), PMR or Neurology, Outpatient Prior Authorizations (REMOTE/FT) (IC to FTE)

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Welcome! We’re excited you’re considering an opportunity with us! To apply to this position and be considered, click the Apply button located above this message and complete the application in full. Below, you’ll find other important information about this position.

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