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Company

QTC Management, Inc.

Address , Nashville, 37214, Tn
Employment type FULL_TIME
Salary
Expires 2023-06-19
Posted at 1 year ago
Job Description

Job Summary:

Oversees the status of operational team, schedules and prepares reports, monitors and develops resolutions to meet productivity, quality, and client satisfaction goals and objectives. Participates in ongoing projects under the supervision of the Operations Manager or Project Manager.

Essential Duties and Responsibilities:

  • Manage processes and procedures to ensure timely and quality completion of work according to clients contractual obligations
  • Manage processes focused on effective customer service, ensure immediate escalation of issues, and participate in meetings to discuss the case management process
  • Direct the training of team members on workflow and contractual modifications expeditiously
  • Responsible for the specific team performance in order to achieve the operational goals of timeliness, quality, and customer service
  • Ensure the use of best practice workflows and operational excellence in activities are utilized
  • Responsible for the daily operational workflow, to include communication with external and internal customers, resolution of claimant, provider, and client issues, and identify workflow concerns for specific cases and employees
  • Analyze and report on a monthly and quarterly basis operational statistics
  • Responsible for coordinating subordinate employee onboarding and training, performance assessment, work assignments, salary, and recognition/disciplinary actions
  • Perform other duties and responsibilities as assigned

Competencies:

  • Proficient in Windows operating systems and Microsoft Office suites
  • Strong communication skills, both verbal and written
  • Strong working knowledge of case management programs
  • Strong leadership skills with the ability to prioritize and delegate effectively
  • Ability to effectively manage competing priorities with a sense of urgency
  • Possess and demonstrate skills necessary to analyze information, problems, procedures and situations
  • Possess excellent organizational and follow-up skills, with a strong attention to detail
  • Demonstrated ability to work independently, take initiative and be self-motivated
  • Sound knowledge and understanding of medical terminology and body systems
  • Strong working knowledge of electronic scheduling systems and Electronic Medical Records (EMR)

Education and/or Experience: (includes certificate & licenses)

  • Minimum 4-7 years of supervisory or management experience preferably in a heath care setting
  • Must be able to successfully pass National Agency Check with Inquiries (NACI) background investigation
  • Project management and medical case management life cycle experience is preferred
  • Bachelor’s degree from an accredited college in a healthcare related field or equivalent experience/combined education

This job description supersedes all prior job descriptions and is intended to describe the general content and essential requirements for the position listed above. It is not to be construed as an exhaustive statement of requirements, duties and responsibilities. Management reserves the right to add or change the duties of this position as required at any time.

QTC Management Inc. is a VEVRAA Federal contractor and an Equal Opportunity Employer. The company has an ongoing commitment to affirmative action and the creation of a workplace free of discrimination, harassment and retaliation. The company recruits, hires, trains, and promotes individuals in all job titles without regard to race, color, creed, religion, ancestry, national origin, age, sex, pregnancy, sexual orientation, gender identity, genetic information, people with disabilities protected under law, and protected veteran status.

Experience

Preferred
  • 4 - 7 years: Supervisory or management experience preferably in a heath care setting

Education

Required
  • Bachelors or better
Preferred
  • High School Diploma or better

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c)