Functional Title: Operations Manager.

Educational Background: B.S Nursing

Qualifications:

· 8+ years of related experience or equivalent combination of education and experience

required to include 2+ years of direct clinical care OR 2+ years of case

management/utilization management required. 

· Bachelor's degree in nursing (BSN) from accredited college or university or equivalent

work experience preferred. Certification in case management, pharmacy,

rehabilitation nursing or a related specialty is highly preferred. 

· Proficiency in all Microsoft Office products including Project, Word, Excel, PowerPoint,

Visio, and SharePoint

· Knowledge of behavioral health, medical bill coding, case management practice, URAC

standards, Utilization review, pharmaceuticals to treat pain, pain management

process, drug rehabilitation, state workers compensation guidelines, periods of

disability, and treatment needed is preferred

· Excellent oral and written communication, including presentation skills 

· Leadership/management/motivational skills as well as analytic and strong

organizational skills 

· Ability to work in a team environment and to meet or exceed Performance

Competencies 

· Previous experience of managing a team size of 100 FTEs

Main Roles and Responsibilities:

· Manages overall operations and is responsible for the effective and successful

management of productivity, quality control, and safety measures as established and

set by the project.

· Ensures safe and efficient operations. Serves as a company representative on

regulatory and mandatory issues.

· Enhances the operational procedure, systems, and principles in the areas of

information flow and management, business processes, enhanced management

reporting, and look for opportunities to expand systems.

· Carries out supervisory responsibilities in accordance with company's policies and

applicable laws.

Additional Roles and Responsibilities:

· Interviewing, selection, and hiring

· Training new and existing employees

· Planning, assigning, and directing work to subordinates

· Authoring and discussing with employees performance appraisals

· Addressing employee performance and corrective action plans

· Driving employee motivation and rewards

· Communicating job expectations

· Contributing operations information and recommendations to strategic plans and

reviews; prepare and complete action plans; implement production, productivity,

quality, and customer-service standards; resolve problems; complete audits; identify

trends

Skills and Proficiencies:

· Leadership

· Conflict Management

· Organization

· Decision-Making

· People Management

· Data Entry Skills

· Data Processing Skills

· Reporting Skills

· Deadline-Oriented

· Critical Thinking Skills

· Problem Solving Skills

· Planning and Organizing

· Excellent Communication Skills

· Persuasiveness

· Influencing and Leading

· Stress Tolerance