Health Care Administration Jobs in Oak Ridge, Tennessee

Job Title: Marketing/Admissions Director - Harriman, TN Company: Signature Consulting Services Location: Harriman, TN Description: Are you seeking to join an organization that has Revolutionary Ideas and is dedicated to transforming the long-term care industry? If so, Signature HealthCARE is the place for you! We are challenging the status quo and bringing about a radical transformation in attitude, quality care and quality of life.  We are currently interviewing for an Marketing/Admissions Director for our facility, Harriman Care & Rehabilitation Center, located in Harriman, TN. Summary:Coordinate and implement effective facility marketing and sales programs. Ensure the facility meets its sales objectives. Lead and coordinate the admissions process. The Director of Marketing/Admissions is ultimately responsible for the facility’s census growth and quality mix. While this individual cannot market nor fill the building themselves, they must be able to develop and lead the facility marketing team to achieve business goals. Essential Duties & Responsibilities:Management duties including, but not limited to, hiring, training and developing, coaching and counseling, and terminating department staff as deemed necessary.Develop and implement a team-based, facility-level Marketing Plan to include: analyzing the local healthcare system; identifying and meeting needs of customers; determining core competitive advantages; building a core selling message; establishing reach and frequency for target customers and prospects and; coordinating selling strategies and tactics. Make external sales calls on target market in order to execute facility Marketing Plan and achieve census and quality mix goals. Understand census, quality mix and bed management needs of the facility.Maintain You’ve Got Leads database as a sales management tool. Work with the Administrator to identify and develop an Admission Support Team, to include Administrator, department heads, etc. This team will process admissions paperwork, ensure appropriate payor source, conduct tours, etc.Provide daily updates to the Admission Support Team regarding marketing and admissions activities.Maintain a close working relationship with the Director of Nursing and the Business Office Manager to ensure appropriate and efficient decisions about prospective admissions. Make admissions recommendations to facility management. When admissions determinations are made, communicate with nursing and housekeeping about appropriate room and bed selection.   Confirm that the Admissions Support Team obtains appropriate admission paperwork and signatures from residents or responsible parties prior to each admission. Communicate special needs of new admits to staff to facilitate a smooth transition.Lead development of a Public Relations campaign, to include media contacts, press releases, event management, etc., that would extol the virtues of the facility to the local community.Manage ancillary marketing programs to include Home and Community Based Services, Discharge Solutions, On-hold marketing, web page development, e-referral, and other company initiatives. Develop and implement Marketing Plan tactics to include special events targeted at community education, establishing facility as the expert in skilled nursing, specialty programs, and rehabilitation care in the communityMonitor and evaluate customer satisfaction surveys. Interpret data to meet market needs. Share results with the management team and others as appropriate to develop action plans, as needed. Maintain a waiting list in compliance with state and federal guidelines.Maintain a working knowledge of Federal and State regulations and reimbursement (Managed Care, Medicare, and Medicaid).  Provide assistance with new Stakeholder orientation regarding the marketing and admissions process.  Maintain a strong working knowledge of managed care referral processes.Other special projects and duties, as assigned. Job Requirements:·         Bachelor’s degree in Marketing, Business Administration, Communications, or related field preferred. Equivalent related work experience may be acceptable.·         Two (2) or more years experience in a sales/marketing position with a proven track record of success; healthcare experience a plus.·         One (1) to two (2) years management/supervisory experience.·         Demonstrated ability to understand and promote technical information (i.e. clinical outcomes, data points).·         Demonstrated intermediate to advanced skills in Microsoft Word, Excel Power Point and Outlook, Internet and Intranet navigation. ·         Highest level of professionalism with the ability to maintain confidentiality.·         Effective verbal and written English communication skills. ·         Proven effective public speaking and presentation skills.·         Ability to communicate at all levels of organization and work well within a team environment in support of company objectives. ·         Proven ability to lead others to achieve a common goal.·         Customer service oriented with the ability to work well under pressure.·         Strong attention to detail and accuracy, excellent organizational skills with ability to prioritize, coordinate and simultaneously maintain multiple projects with high level of quality and productivity.·         Strong analytical and problem solving skills. ·         Ability to work with minimal supervision, take initiative and make independent decisions.·         Strong follow-through skills and ability to be the driving force behind the completion of multiple Marketing/Admissions projects.·         Ability to deal with new tasks without the benefit of written procedures.·         Approachable, flexible and adaptable to change.We have excellent medical and dental benefits, 401K, PTO etc., etc.  Salary:  DOEEOE

Job Title: Director of Budgeting Company: Mercy Health Partners Location: Knoxville, TN Description: Employment Opportunities Job Title: Director of Budgeting/Fin. Svcs/SMMC Location: Mercy Medical Center St. Mary’s - Knoxville900 E. Oak Hill Ave.Knoxville, TN 37917 Department: Financial Services/Accounting AdditionalInformation: Full time, Days EducationalRequirements: Mercy Health Partners in Knoxville ,TN , an integrated health system including seven acute care hospitals and a member of Catholic Healthcare Partners, is seeking a Director of Budgeting, Forecasting, and Corporate Reporting. The successful candidate must have a four year college or university program certificate or BS/BA degree; and five to eight years related hospital experience. This experience would need to be in Accounting and Finance preparing budgets, running reports, and analyzing data. In addition to these duties, the Director of Budgeting would be responsible for overseeing the productivity management process and work closely with CFO, VP of Finance, and VP of Reimbursement to develop budget reporting and analytics for management review and will lead preparation of month end reporting for internal and corporate use.

Job Title: Clinical Advisor RN - Secondary Case Manager Company: Humana Location: Knoxville, TN Description: Humana Inc., headquartered in Louisville, Kentucky, is one of the nation's largest publicly traded health benefits companies. Humana offers a diversified portfolio of health insurance products and related services - through traditional and consumer-choice plans - to employer groups, government-sponsored plans, and individuals. Today, Humana is a leader in consumer engagement. Throughout its diversified customer portfolio, the company provides guidance that can both help lower costs and lead to a better health plan experience.Role: Clinical Innovations / Clinical Advisor, RN Assignment: Secondary Case ManagerLocation: Knoxville, TN Are you a fit?Do you enjoy working with medical members? Do you have a desire to be in a position where you can ‘provide guidance to our member population as it is related to their health care needs? If so then read on!Assignment CapsuleYou will collaborate with other health care givers in reviewing actual and proposed medical care and services against established CMS Coverage Guidelines review criteria. Manage network participation, care with specialty networks, care with DME providers and transfers to alternative levels of care using your knowledge of benefit plan design Recommend services for Humana Plan members utilizing care alternatives available within the community and nationally Identify potentially unnecessary services and care delivery settings, and recommend alternatives if appropriate by analyzing clinical protocolsExamine clinical programs information to identify members for specific case management and / or disease management activities or interventions by utilizing established screening criteria Conduct admission review, post-discharge calls and discharge planning Key CompetenciesLeveraging Technology: You are technological savvy and know how to appropriately share and use your knowledge to improve business results.Problem Solving: You are a problem solver with the ability to encourage others in collaborative problem solving. Acting as both a broker and consultant regarding resources, you engage others in problem solving without taking over.Is Accountable: You meet clearly stated expectations and take responsibility for achieving results.Clinical Knowledge: You understand clinical program design, implementation, management/monitoring to support choice in consumer medical care. Understands the medical utilization implications of such programsCommunication: You actively listen to others to understand their perspective and ensure continuous understanding regardless of communication channel or audience. Role Essentials Active RN license in the state(s) in which the nurse is required to practiceAbility to be licensed in multiple states without restrictionsPrior clinical experience preferably in an acute care, skilled or rehabilitation clinical setting Ability to work independently under general instructions and with a teamValid drivers license and/or dependable transportation necessary (variable by region))Role Desirables Education: BSN or Bachelors degree in a related fieldHealth Plan experiencePrevious Medicare/Medicaid Experience a plusCall center or triage experience Previous experience in utilization management, discharge planning and/or home health or rehabBilingual is a plus Reporting RelationshipsYou will report to a Manager or Supervisor. This area is under the leadership of the SVP & Chief Operating Officer.Additional Information

Job Title: Clinical Advisor - Case Manager Company: Humana Location: Knoxville, TN Description: Humana Inc., headquartered in Louisville, Kentucky, is one of the nation's largest publicly traded health benefits companies. Humana offers a diversified portfolio of health insurance products and related services - through traditional and consumer-choice plans - to employer groups, government-sponsored plans, and individuals. Today, Humana is a leader in consumer engagement. Throughout its diversified customer portfolio, the company provides guidance that can both help lower costs and lead to a better health plan experience.Role: Clinical Innovations / Clinical Advisor, RN Assignment: Case Manager Location: Knoxville, TNAre you a fit?Do you enjoy working with medical members? Do you have a desire to be in a position where you can ‘provide guidance to our member population as it is related to their health care needs? If so then read on!Assignment CapsuleYou will collaborate with other health care givers in reviewing actual and proposed medical care and services against established CMS Coverage Guidelines review criteria. Manage network participation, care with specialty networks, care with DME providers and transfers to alternative levels of care using your knowledge of benefit plan design Recommend services for Humana Plan members utilizing care alternatives available within the community and nationally Identify potentially unnecessary services and care delivery settings, and recommend alternatives if appropriate by analyzing clinical protocolsExamine clinical programs information to identify members for specific case management and / or disease management activities or interventions by utilizing established screening criteria Conduct admission review, post-discharge calls and discharge planning Key CompetenciesLeveraging Technology: You are technological savvy and know how to appropriately share and use your knowledge to improve business results.Problem Solving: You are a problem solver with the ability to encourage others in collaborative problem solving. Acting as both a broker and consultant regarding resources, you engage others in problem solving without taking over.Is Accountable: You meet clearly stated expectations and take responsibility for achieving results.Clinical Knowledge: You understand clinical program design, implementation, management/monitoring to support choice in consumer medical care. Understands the medical utilization implications of such programsCommunication: You actively listen to others to understand their perspective and ensure continuous understanding regardless of communication channel or audience. Role Essentials Active RN license in the state(s) in which the nurse is required to practiceAbility to be licensed in multiple states without restrictionsPrior clinical experience preferably in an acute care, skilled or rehabilitation clinical setting Ability to work independently under general instructions and with a teamValid drivers license and/or dependable transportation necessary (variable by region))Role Desirables Education: BSN or Bachelors degree in a related fieldHealth Plan experiencePrevious Medicare/Medicaid Experience a plusCall center or triage experience Previous experience in utilization management, discharge planning and/or home health or rehabBilingual is a plus Reporting RelationshipsYou will report to a Manager or Supervisor. This area is under the leadership of the SVP & Chief Operating Officer.Additional Information

Job Title: Hospital Tennessee Director of Pharmacy LW1055XAS Company: Staffpointe Health Search Location: Knoxville, TN Description: Company: Staffpointe Health Search Title: Hospital Tennessee Director of Pharmacy LW1055XAS JobID: Register to View 5169 City: Knoxville State: TN Description: Director of Pharmacy needed for a 50100 bed hospital in the Chattanooga TN area. RpH required with 35 years experience at least two of which as a manager. PharmD degree is a strong plus. This is an attractive location and a strong company. If you are qualified and interested please send your resume as an MS Word attachment to Larry White at --- or call Larry at Register to View . For additional opportunities register for free at www.staffpointe.com. Refer to this job as LW1055XAS

Job Title: Chief Nursing Officer Company: Hound Location: Knoxville, TN Description: Chief Nursing Officerbody .text15 .bgsearchbox .text12 .text12 a:link.text12 a:active.text12 a:visited.text12 a:hover.textorange12 .textorange12 a:link.textorange12 a:active.textorange12 a:visited.textorange12 a:hover Search Jobs Direct from Employer Career Pages Hound is the only job-search engine listing jobs directly from employer career pages of employer websites. Hound offers the most authentic collection of unadvertised jobs (more than 700,000). Several job boards and recruiters use Hound to track down potential jobs. Hound does not allow any advertisers. It brings you unbiased information about jobs. Job Title:Chief Nursing OfficerJob Responsibilities and Requirements: A Master's degree (MSN, MBA or M. A. ) or equivalent; or BS/BA with four to ten years related experience and/or training; or equivalent combination of education and experience. For More information of this job, Please Click Here. Note: There will be charge of $29.95 per month (or a lower monthly rate based on agreement length) after your 72 hours FREE Trial to use our service.

Job Title: Clinical Coordinator - Knoxville, TN Company: UnitedHealth Group Location: Knoxville, TN Description: UnitedHealth Group is an innovative leader in the health and well-being industry, serving more than 55 million Americans. Through our family of companies, we contribute outstanding clinical insight with consumer-friendly services and advanced technology to help people achieve optimal health.AmeriChoice is part of the family of companies that make UnitedHealth Group one of the leaders across most major segments of the US health care system.   If you're ready to help make health care work better for more people, you can make a historic impact on the future of health care at AmeriChoice.   We contract with states and other government agencies to provide care for over two million individuals. Working with physicians and other care providers, we ensure that our members obtain the care they need with a coordinated approach.   This enables us to break down barriers, which makes health care easier for our customers to manage. That takes a lot of time. It takes a lot of good ideas. Most of all - it takes an entire team of talent. Individuals with the tenacity and the dedication to make things work better for millions of people all over our country.   Position Responsibilities: Positions in this function includes those responsible for initial triage of members, administrative intake of members or managing the admission/discharge information post-notification, working with hospitals and the clinical team. Includes managing incoming calls, managing requests for services from providers/members, providing information on available network services and transferring members as appropriate to clinical staff. Manages the referrals process, processes incoming and outgoing referrals, and prior authorizations.   Position Description: Supporting the case management team.Sending correspondences to physicians' offices.Answering the phones and checking voicemail.Referring callers to appropriate resources.Gathering and reviewing healthcare data for state reports.Assisting with special projects as needed.   You can be a part of this team. You can put your skills and talents to work in an effort that is seriously shaping the way health care services are delivered.Qualifications: High School Diploma or GED is required.1 + year experience working in an Administrative Support position is required.Intermediate skills using MS/Office (Word, Excel & Outlook) is required.Knowledge of Medical Terminology is required.Healthcare experience is preferred.MS/PowerPoint & MS/Access is a plus.Experience with Electronic Medical Records is desired.College degree is preferred.Tenncare or Medicaid experience is preferred. Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V   UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.

Job Title: Clinical Coordinator - Knoxville, TN-321662 Company: UnitedHealth Group Location: Knoxville, TN Description: Job Category:Medical & Clinical OperationsReference Code:321662Position Type:Full-time, Regular UnitedHealth Group is among the most ambitious Fortune 25 companies you'll ever meet. Through our family of businesses, we're working to make the health care system perform better for more people, in more ways than ever.Simply put, we think the entire system can be greater than it's ever been. And that drives us to work harder, aim higher, and expect more from one another.Here, you'll be empowered to make an immediate impact for millions of others. And you'll achieve more than you ever expected. How does that fit with your plans? Clinical Coordinator - Knoxville, TN-321662UnitedHealth Group is an innovative leader in the health and well-being industry, serving more than 55 million Americans. Through our family of companies, we contribute outstanding clinical insight with consumer-friendly services and advanced technology to help people achieve optimal health.DescriptionAmeriChoice is part of the family of companies that make UnitedHealth Group one of the leaders across most major segments of the US health care system. If you're ready to help make health care work better for more people, you can make a historic impact on the future of health care at AmeriChoice. We contract with states and other government agencies to provide care for over two million individuals. Working with physicians and other care providers, we ensure that our members obtain the care they need with a coordinated approach. This enables us to break down barriers, which makes health care easier for our customers to manage. That takes a lot of time. It takes a lot of good ideas. Most of all - it takes an entire team of talent. Individuals with the tenacity and the dedication to make things work better for millions of people all over our country. Position Responsibilities: Positions in this function includes those responsible for initial triage of members, administrative intake of members or managing the admission/discharge information post-notification, working with hospitals and the clinical team. Includes managing incoming calls, managing requests for services from providers/members, providing information on available network services and transferring members as appropriate to clinical staff. Manages the referrals process, processes incoming and outgoing referrals, and prior authorizations. Position Description: Supporting the case management team. Sending correspondences to physicians' offices. Answering the phones and checking voicemail. Referring callers to appropriate resources. Gathering and reviewing healthcare data for state reports. Assisting with special projects as needed. You can be a part of this team. You can put your skills and talents to work in an effort that is seriously shaping the way health care services are delivered.Qualifications Qualifications: High School Diploma or GED is required. 1 + year experience working in an Administrative Support position is required. Intermediate skills using MS/Office (Word, Excel & Outlook) is required. Knowledge of Medical Terminology is required. Healthcare experience is preferred. MS/PowerPoint & MS/Access is a plus. Experience with Electronic Medical Records is desired. College degree is preferred. Tenncare or Medicaid experience is preferred. Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing. Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Job Title: RN Field Case Manager Company: M. Salerno & Associates, Inc. Location: Knoxville, TN Description: RN Field Case Manager - Workers' Compensation Aggressive, innovative and growing Medical Case Management and Legal Nurse Consulting firm with an outstanding reputation in the Southeastern USA is seeking qualified applicants for RN Field Case Management position in East Tennessee and SW Virginia. Qualified applicants must be self-starters, motivated, committed and a team player. Will cover local and surrounding areas. Must be willing to obtain RN license in contiguous states as needed. Position will start out part time hours and build to full time over a 90 day probationary period. Generous benefit package offered. Serious applicants ONLY need apply. Headquartered in Maryville, TN, we provide case management services to some of the largest employers in the Southeast. Our staff is made up of highly qualified and experienced Registered Nurse Case Managers with a wide variety of clinical backgrounds and case management and medical-legal consulting experience. Must be willing to cross-train into both areas. The qualified candidate will be responsible for assessing and analyzing an injured employee to evaluate the medical and vocational needs and facilitate the patient’s appropriate and timely return to work. The field case manager serves as a liaison between the patient/family, employer, medical providers, attorneys, insurance companies, and healthcare personnel. The candidate will coordinate all medical aspects of the claim while working hand-in-hand with the claims adjuster to develops a dynamic plan of care in order to facilitate the patient’s appropriate and timely return to work. Interviews patients in their homes, work-sites, or physician’s office to provide ongoing case management services. Monitors patient progress toward desired outcomes through assessment and evaluation. Communicates both in-person and telephonically with patient, medical providers, attorneys, employers and insurance carriers. Prepares all required documentation of case work activities. May arrange referrals, consultations and therapeutic services for patients. Confers with specialists concerning course of care and treatment. Develops and administers educational and prevention programs. Applies all laws and regulations that apply to the provision of case management rehabilitation services. Applies all special instructions required by individual insurance carriers and referral sources. Testifies as required to substantiate any relevant case work or reports. Performs other duties as assigned. QUALIFICATIONS – Must be a Registered Nurse with current state RN license. Previous Field Case Management experience preferred. Catastrophic Case Management helpful. CCM, CRRN, COHN, or CDMS eligibility or current certification encouraged. These designations are required where dictated by state law. Knowledge of state laws and regulations governing delivery of rehabilitation services a must. Knowledge of workers’ compensation and medical disability industry helpful. Strong problem solving and analytical skills. Must be able to demonstrate strong communication, organizational, and interpersonal skills. Must demonstrate strong working knowledge of computers, scanning documents, faxing and proficiency with MS Outlook and MS Word. Must be willing and able to do day travel as needed. Interviews will begin the week of March 1, 2010.

Job Title: Clinical Coordinator - Knoxville, TN-322909 Company: UnitedHealth Group Location: Knoxville, TN Description: Job Category:Medical & Clinical OperationsReference Code:322909Position Type:Full-time, Regular UnitedHealth Group is among the most ambitious Fortune 25 companies you'll ever meet. Through our family of businesses, we're working to make the health care system perform better for more people, in more ways than ever.Simply put, we think the entire system can be greater than it's ever been. And that drives us to work harder, aim higher, and expect more from one another.Here, you'll be empowered to make an immediate impact for millions of others. And you'll achieve more than you ever expected. How does that fit with your plans? Clinical Coordinator - Knoxville, TN-322909UnitedHealth Group is an innovative leader in the health and well-being industry, serving more than 55 million Americans. Through our family of companies, we contribute outstanding clinical insight with consumer-friendly services and advanced technology to help people achieve optimal health.DescriptionAmeriChoice is part of the family of companies that make UnitedHealth Group one of the leaders across most major segments of the US health care system. If you're ready to help make health care work better for more people, you can make a historic impact on the future of health care at AmeriChoice. We contract with states and other government agencies to provide care for over two million individuals. Working with physicians and other care providers, we ensure that our members obtain the care they need with a coordinated approach. This enables us to break down barriers, which makes health care easier for our customers to manage. That takes a lot of time. It takes a lot of good ideas. Most of all - it takes an entire team of talent. Individuals with the tenacity and the dedication to make things work better for millions of people all over our country. Position Description: Positions in this function includes those responsible for initial triage of members, administrative intake of members or managing the admission/discharge information post-notification, working with hospitals and the clinical team. Includes managing incoming calls, managing requests for services from providers/members, providing information on available network services and transferring members as appropriate to clinical staff. Manages the referrals process, processes incoming and outgoing referrals, and prior authorizations. Primary Responsibilities: Supporting the case management team Sending correspondences to physicians' offices Answering the phones and checking voicemail Referring callers to appropriate resources Gathering and reviewing healthcare data for state reports Assisting with special projects as needed You can be a part of this team. You can put your skills and talents to work in an effort that is seriously shaping the way health care services are delivered.QualificationsQualifications: High School Diploma or GED is required 1 + year experience working in an Administrative Support position is required Intermediate skills using MS/Office (Word, Excel & Outlook) is required Knowledge of Medical Terminology is required Healthcare experience is preferred MS/PowerPoint & MS/Access is a plus Experience with Electronic Medical Records is desired College degree is preferred Tenncare or Medicaid experience is preferred Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing. Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.