20 Management jobs in Knoxville

Full Time, 80 Hours Per Pay Period, Day Shift

Covenant Health Overview:

Covenant Health is the region's top-performing healthcare network with 10 hospitals, outpatient and specialty services, and Covenant Medical Group, our area's fastest-growing physician practice division. Headquartered in Knoxville, Covenant Health is a community-owned integrated healthcare delivery system and the area's largest employer. Our more than 11,000 employees, volunteers, and 1,500 affiliated physicians are dedicated to improving the quality of life for the more than two million patients and families we serve every year. Covenant Health is the only healthcare system in East Tennessee to be named a Forbes "Best Employer" seven times.

Position Summary:

The Utilization Management Specialist I will perform utilization management functions to include medical necessity reviews to promote a utilization management program. The UM Specialist prepares and reviews necessary documentation for insurance utilization management processes and coordinates communication between members of the UM team to ensure timely follow through for status placement. The UM Specialist collaborates with attending physician if ambiguous documentation pertaining to patient status placement requires clarification. The UM Specialist utilizes electronic utilization management database for documentation of interventions and communications so as to ensure accurate reporting. Collaborates with patient account services, physicians, care coordinators, physician advisors and facility departments as related to utilization management. Communicates with hospital and payor medical directors in order to correctly determine the medical necessity of patient status with a patient advocacy focus.

• Reviews providers' requests for services and coordinates utilization management review.
• Reviews precertification requests for medical necessity for all payors as applicable, referring to the second level physician reviewer those that require additional expertise.
• Maintains accurate records of all communications and interventions related to utilization management.
• Sets up communications with payors and/or physicians as applicable.
• Collaborates with payor utilization management liaisons and medical directors as applicable.
• Reviews all cases received from the registration department to verify that the insurance pre-certification process has been completed in order to meet contractual obligations.
• Coordinates execution of notices (denials) of non-coverage when appropriate and communicates with key stakeholders to ensure that patient liability is correctly managed.
• Intervenes in Peer-to-Peer meetings between physicians and payors as applicable.
• Exhibits effective verbal and written communication skills in order to clearly present clinical and financial data to various audiences as necessary.
• Completes daily work lists for utilization review meeting the time frames set forth by Covenant Health.
• Performs medical necessity screening of clinical information for all payors.
• Develops and maintains a professional rapport with physicians and physician office staff.
• Performs daily chart reviews for observation hour calculations and observation charge entry in STAR.
• Performs delayed claims to determine appropriate number of Observation Hours as applicable. Adjusts charges for Observation Hours in STAR as applicable.
• Assist with all insurance requested audits and provides information to supervisor related to inaccurate and/or missing documentation as applicable.
• Uses effective relationship management, coordination of services, resource management, education, patient advocacy and related interventions to:
• Promote patient advocacy
• Promote quality of care
• Promote cost effective medical outcomes
• Promote appropriate admission status
• Provide continuity of care between utilization management and care coordinators
• Commits to professional development towards becoming an expert in utilization management including but not limited to:
• Knowing Medicare rules and regulations related to utilization
• Knowing payor policies related to utilization management
• Knowing Covenant Health's Policies related to utilization management.
• Keeping abreast of current changes affecting utilization management as applicable.
• Assists with delayed claims review to determine appropriate number of observation hours as applicable.
• Attends meetings as required and participates on committees as directed.
• Perform other related duties as assigned or requested.
• Supports, models and adheres to desired behaviors of the KBOS Constitution for caring which are; build a trusting environment by listening with an open mind and valuing different opinions; asking questions for understanding and allowing others to speak openly, do not gossip or criticize people behind their back, resolve conflicts, notice and express appreciation for good work and respect differences by listening with an open mind.
• Supports, models and adheres to the desired behaviors of the KBOS Constitution and Covenant Health for service which are; take ownership for our mistakes, resolve customer problems on the spot whenever possible, treat all people with respect and kindness, strive to meet or exceed customer expectations, collect and use customer feedback/data to improve processes and service and set an example for accountability and responsiveness: return e-mail and phone calls promptly, assure deadlines are met, keep commitments.

Minimum Education:

None specified; will accept any combination of formal education and/or prior work experience sufficient to demonstrate possession of the knowledge, skill and ability needed to perform the essential tasks of the job, typically such as would be equivalent to a high school diploma or GED. Preference may be given to individuals possessing a HS diploma or GED.

Minimum Experience:

At least two (2) years of utilization management, case management or equivalent experience.

Licensure Requirements:

Current Tennessee LPN license is preferred

About Admiral Communities Admiral Communities is a growing property management company specializing in mobile home parks. To support our continued growth and streamline operations, we are hiring a Director of Operations to collaborate closely with the Chief Operating Officer (COO) and oversee the day-to-day management of our portfolio. Key Responsibilities : Leadership & Team Management : Supervise and provide guidance to the Regional Manager and Office Staff. Collaborate with the COO to set operational goals and ensure alignment with company strategy. Support Virtual Assistants (VAs) and Administrative staff in optimizing workflow and task delegation. Operational Oversight : Oversee property management functions, including leasing, tenant services, and maintenance. Monitor KPIs such as occupancy rates, rent collection, property condition, and utility recapture across all properties. Identify and implement process improvements to enhance operational efficiency. Compliance & Risk Management : Ensure compliance with local, state, and federal regulations related to mobile home communities. Address escalated issues from tenants, vendors, or staff with professionalism and urgency. Financial Management : Work with the COO and Regional Manager to develop budgets and financial forecasts. Monitor operational expenses and recommend cost-saving measures without compromising service quality. Strategic Execution : Act as a key contributor to the strategic initiatives of Admiral Communities, ensuring successful implementation at the operational level. Drive innovation by exploring and integrating new tools, systems, or methods to enhance property management services. Required Education and Experience : Education : A college degree is required. MBA preferred. Experience : A minimum of 7 years of operations experience in property management is required, preferably overseeing multi-site operations or portfolios. Key Qualifications : Leadership and Team Management : Proven ability to lead and mentor cross-functional teams, including remote staff and contractors. Experience managing staff and contractors effectively, fostering accountability and collaboration across all levels of the organization. Communication and Conflict Resolution : Strong communication skills to facilitate effective interaction between communities, management, and the corporate office. Experience in managing and resolving conflicts with dissatisfied tenants while maintaining professionalism and empathy. Operational and Technical Expertise : Proficiency in Microsoft Office products, property management software, and reporting tools to support operational efficiency. Experience in creating and analyzing reports to monitor key performance indicators (KPIs) and drive decision-making. Project and Capital Management : Demonstrated experience in planning, managing, and completing capital projects, including budgeting and resource allocation. Problem-Solving and Decision-Making : Ability to reason through complex situations and make sound, logical decisions independently. Effective in managing multiple priorities and resolving operational challenges with creativity and efficiency. Organizational and Multi-Tasking Skills : Strong organizational skills with the ability to manage and prioritize multiple projects simultaneously. Work Environment / Physical Demands : The Director of Operations will work from the corporate office or one of the property offices, frequently making onsite inspections of existing and new parks in their district. Primarily sedentary work in an office environment with occasional walking, sitting, lifting, and bending. Frequent use of near vision for reading and computer use. While visiting properties, the role may involve prolonged standing, walking, lifting heavy objects, and inspection of equipment, grounds, and systems. Oversight of capital projects may require on-site activity in construction zones and navigating unusual conditions. Regular air and / or ground travel is required. Position Type / Expected Hours of Work : This is a full-time, exempt position. Standard work hours are Monday through Friday, 8 a.m. to 5 p.m. Must be willing to work extended hours, including weekends and holidays, when necessary. Preparedness to respond to off-hour events and emergencies is required. Travel Requirements : Regular travel within the region is required. Occasional travel to other regions may be necessary. Reliable transportation, a valid driver's license, and insurance are mandatory. Compensation and Bonus : Salary : Competitive, based on experience. Bonus : Discretionary bonuses may be offered based on performance. Special Requirements : Employment is subject to a criminal background check. Equal Opportunity Employer Admiral Communities is an equal opportunity employer and does not discriminate on the basis of age, race, religion, color, sex, national origin, marital status, or physical or mental disability. In compliance with the Immigration Reform and Control Act of 1986, we will hire only U.S. citizens and aliens lawfully authorized to work in the United States. #J-18808-Ljbffr

No experience requited, hiring immediately, appy now.Waste Management is currently accepting applications for a Trash Collector! Primary duties of the Trash Collector include: - Operating garbage trucks - Collecting and dumping trash receptacles - Following route assignments as directed Waste Management offers an excellent benefits package that includes medical, dental, vision, life, 401(k) savings and more. Submit your application now to become a Trash Collector with Waste Management!

Known for being a great place to work and build a career, KPMG provides audit, tax and advisory services for organizations in today's most important industries. Our growth is driven by delivering real results for our clients. It's also enabled by our culture, which encourages individual development, embraces an inclusive environment, rewards innovative excellence and supports our communities. With qualities like those, it's no wonder we're consistently ranked among the best companies to work for by Fortune Magazine, Consulting Magazine, Seramount, Fair360 and others. If you're as passionate about your future as we are, join our team.

KPMG is currently seeking an Associate Director, Security Delivery Management to join our Enterprise Security Services Organization. This role is a remote work opportunity.

• Oversee the end-to-end delivery of security solutions and services, ensuring high standards of performance, compliance, and customer satisfaction
• Develop and maintain relationships across a matrix of leaders and groups as the trusted subject matter professional recommending necessary approaches to effectively execute project outcomes; maintain exceptional leadership, planning, and coordination skills to manage multiple projects and initiatives simultaneously
• Through direct delivery or in consultation to other project managers, drive continuous enterprise security service maturity and process improvement via effective, and efficient scoping, measurement, analysis, communication, as well as solutioning methodologies for sustainable outcomes aligned to the affordability and risk tolerance of the organization
• Leverage contemporary technology tools, develop and manage complex project plans inclusive of fiscal and change management aspects, while ensuring strategic alignment to subordinate projects or other interdependent security programs, and initiatives
• Apply advanced program and project risk management/mitigation methodologies to identify risks, coordinating escalation awareness and solutioning of issues with stakeholders; monitor project performance using relevant metrics, and KPIs, providing regular status reports and insights to all relevant stakeholders
• Provide active oversight, coaching, mentoring, and knowledge-sharing with direct reporting or project aligned personnel; possess people management oversight for a small to mid-sized team of entry level through intermediate level project management professionals located onshore or offshore

• Minimum eight years of recent experience in the management of large, complex projects, programs or initiatives simultaneously with preference within physical and cyber security areas
• Bachelor's degree from an accredited college or university is preferred; Project Management Professional (PMP) certification required; Six Sigma, Kaizen/Lean, or other industry recognized project management experience and/or certification is preferred
• Advanced knowledge of project management and workflow methodologies applicable to the role (such as Microsoft suite of tools, Smartsheets, Primavera, Jira, and ServiceNow)
• Demonstrated experience in project financial management, including budgeting, forecasting, and cost control
• Excellent verbal/written communication, collaboration, analytical and presentation skills to lead an environment driven by customer service and teamwork, with the expert ability to engage and brief senior executive audiences; ability to set goals and participate in strategic initiatives for a team is required; foster the development of high-performance teams, and interface with all levels of the organization
• This position is remote based with up to five percent travel may be required
• Applicants must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future; KPMG LLP will not sponsor applicants for U.S. work visa status for this opportunity (no sponsorship is available for H-1B, L-1, TN, O-1, E-3, H-1B1, F-1, J-1, OPT, CPT or any other employment-based visa)

KPMG LLP (the U.S. member firm of KPMG International) offers a comprehensive compensation and benefits package. KPMG is an equal opportunity employer. KPMG complies with all applicable federal, state and local laws regarding recruitment and hiring. All qualified applicants are considered for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, citizenship status, disability, protected veteran status, or any other category protected by applicable federal, state or local laws. The attached link contains further information regarding the firm's compliance with federal, state and local recruitment and hiring laws. No phone calls or agencies please.

KPMG does not currently require partners or employees to be fully vaccinated or test negative for COVID-19 in order to go to KPMG offices, client sites or KPMG events, except when mandated by federal, state or local law. In some circumstances, clients also may require proof of vaccination or testing (e.g., to go to the client site).

KPMG recruits on a rolling basis. Candidates are considered as they apply, until the opportunity is filled. Candidates are encouraged to apply expeditiously to any role(s) for which they are qualified that is also of interest to them.

Los Angeles County applicants: Material job duties for this position are listed above. Criminal history may have a direct, adverse, and negative relationship with some of the material job duties of this position. These include the duties and responsibilities listed above, as well as the abilities to adhere to company policies, exercise sound judgment, effectively manage stress and work safely and respectfully with others, exhibit trustworthiness, and safeguard business operations and company reputation. Pursuant to the California Fair Chance Act, Los Angeles County Fair Chance Ordinance for Employers, Fair Chance Initiative for Hiring Ordinance, and San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.

Known for being a great place to work and build a career, KPMG provides audit, tax and advisory services for organizations in today's most important industries. Our growth is driven by delivering real results for our clients. It's also enabled by our culture, which encourages individual development, embraces an inclusive environment, rewards innovative excellence and supports our communities. With qualities like those, it's no wonder we're consistently ranked among the best companies to work for by Fortune Magazine, Consulting Magazine, Seramount, Fair360 and others. If you're as passionate about your future as we are, join our team.

KPMG is currently seeking an Associate Director, Digital Management to join our Digital Nexus Technology organization.

• Manage ad hoc reporting requests and lead project-related tasks to enhance existing data solutions; work collaboratively with stakeholders from Business Performance Group, Advisory, Audit, and Tax to elicit requirements and communicate effectively
• Provide accurate project estimates and manage resources to ensure timely delivery; oversee day-to-day operational activities and prioritize workstreams to meet business expectations
• Develop and implement AI agents to automate processes and improve efficiency; provide expert feedback on AI solutions used by larger project teams and contribute to strategic discussions on AI deployment
• Collaborate with business leaders to enhance data products, integrating new attributes as requested; modify existing reports and dashboards to align with business needs
• Foster a culture of open communication and teamwork, supporting KPMG's commitment to work-life balance
• Ensure high-quality deliverables following best practices in data management and reporting

• Minimum eight years of recent experience directing and developing data engineering and analytics teams
• Bachelor's degree from an accredited college or university in Computer Science, Information Technology, Data Science, or a related field; master's degree from an accredited college or university is preferred
• Ability to understand the business value of data and enable partner solutions leveraging firm-wide data assets; ability to make decisions of very high complexity, often autonomously; as well as to build and lead teams of highly skilled and marketable data professionals
• Exceptional verbal/written communication, collaboration, negotiation, and influencing skills to lead an environment driven by customer service and teamwork
• Able to direct, motivate and empower others to work towards the organization's goals, ensuring efficient allocation of resources across multiple functions
• Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. KPMG LLP will not sponsor applicants for U.S. work visa status for this opportunity (no sponsorship is available for H-1B, L-1, TN, O-1, E-3, H-1B1, F-1, J-1, OPT, CPT or any other employment-based visa)

KPMG LLP (the U.S. member firm of KPMG International) offers a comprehensive compensation and benefits package. KPMG is an equal opportunity employer. KPMG complies with all applicable federal, state and local laws regarding recruitment and hiring. All qualified applicants are considered for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, citizenship status, disability, protected veteran status, or any other category protected by applicable federal, state or local laws. The attached link contains further information regarding the firm's compliance with federal, state and local recruitment and hiring laws. No phone calls or agencies please.

KPMG does not currently require partners or employees to be fully vaccinated or test negative for COVID-19 in order to go to KPMG offices, client sites or KPMG events, except when mandated by federal, state or local law. In some circumstances, clients also may require proof of vaccination or testing (e.g., to go to the client site).

KPMG recruits on a rolling basis. Candidates are considered as they apply, until the opportunity is filled. Candidates are encouraged to apply expeditiously to any role(s) for which they are qualified that is also of interest to them.

Los Angeles County applicants: Material job duties for this position are listed above. Criminal history may have a direct, adverse, and negative relationship with some of the material job duties of this position. These include the duties and responsibilities listed above, as well as the abilities to adhere to company policies, exercise sound judgment, effectively manage stress and work safely and respectfully with others, exhibit trustworthiness, and safeguard business operations and company reputation. Pursuant to the California Fair Chance Act, Los Angeles County Fair Chance Ordinance for Employers, Fair Chance Initiative for Hiring Ordinance, and San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.

• Paid training
• A monthly paycheck
• Montgomery GI Bill
• Federal and State tuition assistance
• Retirement benefits for part-time service
• Low-cost life insurance (up to $400,000 in coverage)
• 401(k)-type savings plan
• Student Loan Repayment Program (up to $0,000, for existing loans)
• Health care benefits available
• VA home loans
• Bonuses, if applicable
• Most non-prior service candidates will earn between 200 and 250 per drill weekend, subject to change

• Military enlistment in the Army National Guard
• Must be at least a junior in high school, or have a high school diploma or a GED certificate
• Must be between the ages of 17 and 35
• Must be able to pass a physical exam and meet legal and moral standards
• Must meet citizenship requirements (see NATIONALGUARD.com for details)

Part Time, 48 Hours per pay period, Day shift

Parkwest Overview:

Headquartered in Knoxville, Covenant Health is a community-owned integrated healthcare delivery system and the area's largest employer.

Parkwest is Covenant Health's and West Knoxville's premier medical facility and a top-performing heart hospital, offering our patients world-class treatment with all the convenience and warmth of home.

In addition to providing the area's leading cardiac services, Parkwest has been nationally recognized for award-winning care throughout our facility. For 2020-21, Parkwest received recognition from U.S. News & World Report as one of the "Top 10" hospitals in Tennessee.

Knoxville located in East Tennessee is the third largest in the state, well-known for its proximity to the Great Smoky Mountains National Park, and is the home of the University of Tennessee. Living in Knoxville means experiencing all four seasons. Best of all, each of them is pretty mild! Combine all that with the abundant natural beauty of the surrounding mountains, and you have a city that truly offers something for everyone. Knoxville has a vibrant arts culture, seasonal festivals, top-notch foodie and incredible outdoor recreation. It's a perfect blend of big-city amenities and Southern charm.

Position Summary:

Responsible for creating and maintaining policies & procedures, development and monitoring of patient quality/safety processes resulting in overall quality of nursing care provided by the nursing staff. Works autonomously and confidentially. Advanced computer skills are a necessity. Responsible for identifying staff needs and foster the concept of patient centered care along with Managers and Educators.

• Participates in organization and functions of nursing and hospital organizations.
• Ability to work cooperatively and effectively with all administrative, nursing, medical and paramedical personnel.
• Ability to coordinate, direct and motivate personnel under his/her supervision.
• Provide leadership in solving problems.
• Assure maintenance of adequate records of patients and evaluation of adequacy of hospital environment and individual needs.
• Assist in planning and implementing educational programs for all levels.
• Participates in the development and control of the budget for the department.
• Develop and maintain a staffing plan which promotes utilization of all personnel.
• Participates in monthly meetings and other committees as required.
• Acts as a consultant to hospital nursing staff and provides in-service education upon request.
• Provides leadership and direction to staff, and acts as a resource person in all aspects of planning and implementation.
• Evaluates staff performance according to hospital and nursing guidelines.
• Follows policies, procedures, and safety standards. Completes required education assignments annually. Works toward achieving goals and objectives, and participates in quality improvement initiatives as requested.
• Other duties as assigned and special projects as identified by nursing administration.

Minimum Education:

None specified; however, must be sufficient to meet the standards for achievement of the below indicated license and/or certification as required by the issuing authority.

Minimum Experience:

Five (5) years of clinical experience in nursing, cath lab, cardiac diagnostics or radiology.

Licensure Requirement:

Must have current Tennessee Nursing, RCIS, or Radiological Technician license.

RN License

Join to apply for the Director of Care Management role at North Knoxville Medical Center 1 month ago Be among the first 25 applicants Join to apply for the Director of Care Management role at North Knoxville Medical Center Sign-On Bonus and Relocation Assistance available. Day shift with Monday-Friday Schedule. Job Summary The Director, Care Management is responsible for overseeing the implementation, development, and management of the Care Management and Resource Management programs. This position ensures compliance with all regulatory requirements, establishes efficient processes for patient care and discharge planning, and provides leadership to the Care Management team. The Director works collaboratively with staff, physicians, and community resources to deliver patient-centered care and achieve optimal outcomes. Essential Functions Oversees the implementation and maintenance of an effective and compliant Care Management program that meets all regulatory and accreditation standards. Provides leadership and direction to staff, ensuring accountability for duties and adherence to roles within their scope of practice. Conducts chart reviews to evaluate severity of illness (SI) and intensity of services (IS) for admissions, continued stays, and discharge planning. Refers cases not meeting criteria to the Physician Advisor or Utilization Management Committee and ensures appropriate follow-up. Identifies avoidable days and implements communication systems to address and resolve them effectively. Coordinates discharge planning and social services functions to ensure compliance with federal and state laws and Joint Commission standards. Acts as a liaison to community agencies, providing resources and services for post-hospital placement and support. Ensures accurate and timely reporting of CPS (Child Protective Services) or APS (Adult Protective Services) cases as mandated, and educates staff on mandatory reporting requirements. Interprets and enforces policies and regulations set by CMS, Joint Commission, and other governing bodies, ensuring department compliance. Participates actively in Patient Care Conferences and Length of Stay (LOS) meetings to support efficient care delivery and discharge planning. Performs other duties as assigned. Complies with all policies and standards. Qualifications Bachelor's Degree in Nursing required Master's Degree in Nursing, Healthcare Administration, or a related field preferred 4-6 years of clinical nursing experience required 3-5 years of experience in care management or utilization review required 1-3 years of leadership experience in a healthcare setting required Knowledge, Skills and Abilities In-depth knowledge of care management principles, discharge planning, and regulatory compliance requirements. Strong leadership and team-building skills to guide and motivate staff. Excellent communication and interpersonal skills to collaborate effectively with multidisciplinary teams and external partners. Analytical and problem-solving skills to address complex patient care and operational issues. Proficiency in electronic medical records (EMR) and care management software. Commitment to patient-centered care and continuous quality improvement. Licenses and Certifications RN - Registered Nurse - State Licensure and/or Compact State Licensure required BCLS - Basic Life Support within seven (7) days of hire or transfer to position required Sign-On Bonus and Relocation Assistance available. Benefits Competitive salary with a comprehensive benefits package, including: 401(k) match Paid Time Off (PTO) Medical, dental, vision and flexible spending accounts Life and disability insurance and more To Apply, please email INDLEAD "This position is not eligible for immigration sponsorship now or in the future. Applicants must be authorized to work in the U.S. for any employer." Seniority level Seniority level Director Employment type Employment type Full-time Job function Job function Management Industries Advertising Services Referrals increase your chances of interviewing at North Knoxville Medical Center by 2x Get notified about new Director of Care jobs in Powell, TN . Knoxville, TN $140,000.00-$50,000.00 1 week ago Assistant Director of Nursing - 2,000 BONUS La Follette, TN 90,000.00- 110,000.00 2 weeks ago Director of Rehabilitation - PTA or COTA Director of Operations - Solar Renewables Knoxville, TN 65,000.00- 70,000.00 8 hours ago Knoxville, TN 129,000.00- 186,000.00 1 day ago La Follette, TN 75,000.00- 85,000.00 2 weeks ago Alcoa, TN 129,000.00- 186,000.00 1 day ago Senior Field Medical Director, Mid-South - Hematology Knoxville, TN 222,800.00- 292,800.00 13 hours ago We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI. #J-18808-Ljbffr