Utilities manager job description

AmTrust Financial Services, a fast-growing commercial insurance company, has an opportunity for a Utilization Review Manager for Workers Compensation where your clinical talent and leadership abilities contribute to our competitive edge.
PRIMARY PURPOSE: The Utilization Review Manager for telephonic case management services will oversee operations as well as a team of experienced worker's compensation nurse case managers. The ideal candidate will have a minimum of three (3) or more years' experience overseeing a nursing claims management program as well as in-depth understanding of worker's compensation injury claims and utilization management review programs. The Manager will lead the nurse case management team to strategize with claim professionals in management of medical and disability exposure, delivering quality telephonic case management to proactively drive best in class outcomes including appropriate medical treatment and engagement of the injured worker to achieve a safe and reasonable return to work. This position requires interaction with physicians, other medical providers, claims professionals, supervision, injured employees and employers.
Responsibilities
Manage, develop and direct staff to ensure the delivery of high-quality managed care services involving medical and disability case management achieving best in class outcomes for our customers and their injured workers. Responsible for all oversight of operational and administrative activities within the department/unit. Ensure staff adheres to established standards and protocols to effectively manage assigned caseload of medical and disability cases to evaluate and assess for optimal injured worker outcomes, continuous improvement opportunities, assure key performance metrics are met and/or exceeded. Recruits, coaches, develops staff to broaden and strengthen the skill sets to further promote talent within the organization both laterally and management opportunities, creating a high performing results-oriented staff. Management of performance management programs including communication of objectives, providing on-going coaching and conducting performance reviews, and as applicable initiate progressive disciplinary actions. Manages salary (and no-salary) budgets, makes recommendations to Zonal Director and leadership concerning promotions, terminations, and staffing authorizations. Acts as a technical expert and resource for staff which includes maintaining the highest level of authority within the department/unit specific office. Technical expertise and resource knowledge for all levels of care coordination from low to high severity or complex cases. Appropriately refers issues/concerns outside of authority level to Zonal Management level. Ensures appropriate compliance with all legislation, corporate policies, and programs. Assist Zonal Management and other departments with new business and/or renewal presentations and periodic claims service reviews. Implements new and revised policies and procedures. Performs additional duties and/or is assigned special projects as requested.
Qualifications
Education & Licensing
Ability to develop, manage and direct an office/unit operation and effectively communicate operational procedures to field/unit staff. Demonstrated leadership and innovation in achieving results. Advanced knowledge of principles and methods pertaining to the specific department, knowledge of department management practices, company operations (i.e. other staff and line departments), and policies. Active unrestricted RN license in a state or territory of the United States 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. Advanced insurance related designations are a plus. Written and verbal fluency in Spanish and English preferred.
Experience
Overall five (5) years of related case management experience or equivalent combination of education and case management experience required to include three (3) years of management or leadership role experience in case management.
Preferred previous clinical experience orthopedic, emergency room, critical care, home care or rehab experience.
Skills & Knowledge:
Knowledge of workers' compensation laws and regulations
Knowledge of case management practice
Knowledge of the nature and extent of injuries, periods of disability, and treatment needed
Knowledge of URAC standards, ODG, Utilization review, state workers compensation guidelines
Knowledge of pharmaceuticals to treat pain, pain management process, drug rehabilitation
Knowledge of behavioral health
Excellent oral and written communication, including presentation skills
PC literate, including Microsoft Office products
Leadership/management/motivational skills
Analytic and interpretive skills
Strong organizational skills
Excellent interpersonal and negotiation skills
Ability to work in a team environment
Ability to meet or exceed Performance Competencies

WORK ENVIRONMENT
When applicable and appropriate, consideration will be given to reasonable accommodations.

Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines
Physical: Computer keyboarding
Auditory/Visual : Hearing, vision and talking
Not ready to apply? Connect with us for general consideration.

Responsible for areas including Ammonia Refrigeration systems, buildings and grounds, utilities, electrical systems, compressed air systems, water heaters, HVAC, waste water treatment systems, and other infrastructure areas within all plant facilities.

Works with project manager as it relates to the projects involving the area of responsibilities. That may include planning and coordination of large or small projects as required.

The Refrigeration and Utilities Manager is the direct supervisor of the buildings and ground lead, PSM clerk, refrigeration specialists, facilities technician, and all other technical team members in the refrigeration and facilities. The refrigeration and facilities maintenance manager reports to the plant manager.

Advanced knowledge of ammonia refrigeration systems in food processing plants.Responsible for asset reliability to reduce downtime and assure peak plant efficiencies. Complete capital engineering design and projects with coordination with corporate engineering, production and in support of appropriate contractors and vendors.Direct responsibility for the refrigeration team and their performance.Responsible for all department metrics.Lead, manage and direct; in coordination with the plant maintenance manager; all activities for ConAgra Performance System Planned Maintenance Pillar.Prepare annual budgets and operate within established maintenance operating budget and monitor departmental expenditures.Assists with planning and cost estimates for annual and longer-term capital budgets.Thorough understanding of the PSM/RMP program and all other local/state/federal environmental regulations and ensure compliance with all operational permits.Directs all aspects of building operations including maintenance, repairs, and renovations.Establish criteria for assessing the quality of work performed by employees and contractors.Supervise the completion of work through review of reports, frequent site inspections and conferences with operations and vendors regarding electrical & plumbing equipment, HVAC systems, electric motors, ventilating fans, air conditioning and electrical control units.Investigate the condition of buildings, equipment and grounds, and recommends improvements in the facilities to ensure that needs are met.

Bachelor's degree in Industrial Engineering or related technical field preferred.Minimum ten years' experience in ammonia refrigeration - food processing preferred.Strong knowledge of PSM and RMP programs.Thorough knowledge of Process Safety Management programs, refrigeration SOP's, HACCP and USDA regulations.Must be computer literate; experienced in using computer software applications such as CAD, Microsoft Excel, Word, PowerPoint, MS Project Management, etc.Understanding of PLC and logic controls for high speed operating equipment.Prior experience using production environment SAP preferred.Prior experience managing yearly budget.Broad knowledge & experience in project management & facilities administration with demonstrated ability to manage projects and personnel.Ability to interact with all levels of the organization.Excellent written and verbal communication skills along with superb time management and project scheduling skills.Ability to lead teams and achieve results.
Physical Requirements
While performing the duties of this job, the employee is regularly required to talk and hear. The employee frequently is required to stand and walk. The employee is occasionally required to sit; use hands to finger, handle, and feel; reach with hands and arms; climb or balance; stoop, kneel, crouch, or crawl; taste and smell. The employee must occasionally lift and/or move up to 50 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and ability to adjust focus. The employee will be exposed to a noisy environment that varies from hot to cold in temperature. 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.

Our Benefits:

We care about your total well-being and will support you with the following, subject to your location and role:
Health: Medical, dental and vision insurance, company-paid life, accident and disability insurance Wealth: great pay, incentive opportunity, matching 401(k) and stock purchase plan Growth: online courses, virtual and classroom development experiences Balance: paid-time off, parental leave, flexible work-schedules (subject to your location and role)

Our Company:

Conagra Brands is one of North America's leading branded food companies. We have a rich heritage of making great food, and a team that's passionate about innovation and growth. Conagra offers choices for every occasion through iconic brands, such as Birds Eye , Marie Callender's , Banquet , Healthy Choice , Slim Jim , Reddi-wip , and Vlasic , and emerging brands, including Angie's BOOMCHICKAPOP , Duke's , Earth Balance , Gardein , and Frontera .
We pride ourselves on having the most impactful, energized and inclusive culture in the food industry. For more information, visit www.conagrabrands.com.

Conagra Brands is an equal opportunity employer and considers qualified applicants for employment without regard to sex, race, color, religion, ethnic or national origin, gender, sexual orientation, gender identity or expression, age, pregnancy, leave status, disability, veteran status, genetic information and/or any other characteristic or status protected by national, federal, state or local law.

Intercare Therapy, Inc. (ICT) provides evidence-based behavior services that support individuals with autism and related disorders and their families. Our mission is to increase independence and improve the quality of life of our client families. As an organization, we strive to be:

· The employer of choice for all staff, by providing a long-term career opportunity, supportive and collaborative organizational culture, and fulfilling individualized professional experience and development.

· The preferred service provider to our clients, families and funding sources, providing high quality clinical care and high‐touch customer service.

The Client Utilization Manager has the primary responsibility for monitoring and supporting department efficiencies for scheduling productivity across our regions. The position oversees the department's Caseload Planners to ensure the timely assignment of cases and optimization of contract authorization hours for optimal contact utilization. The Client Utilization Manager reports to the Senior Director of Client Services and Operations.

This position requires the candidate be fully vaccinated for COVID-19 pursuant to the California Department of Health guidelines or vaccination requirements set forth by Intercare funding sources.

Primary ResponsibilitiesAssist with resource planning to maximize team productivity Serve as internal systems experts for departmental tools creating workflows along with team training and support Maintain and issue client codes including management of the client code tracking system Maintain professional and technical knowledge by tracking emerging trends in call center operations for department enhancement and team training Handle any escalated call issue documenting outcomes and providing regular updates to the Senior Director of Client Services and OperationsAddress client/staff questions and issues with timeliness and accuracy Provide direct supervision of the Caseload Planners, to provide mentorship via training, trouble shooting customer service issues and guidance for performance improvement Generate utilization data for staff and clients Audit clinical staff schedules and identify any payroll adjustments Address questions and issues with timeliness and accuracy by documenting via email all phone calls. Provide courteous, positive, professional interactions with customers (client families and staff) for schedule management and support Conduct weekly team meetings, provide feedback to improve the protocols and assure team knowledge base Work with territory caseload planners to assist with maximize staff and client authorizations/schedules Participate in department meetings Maintain great relationships with staff and client families Provide backup support to the Client Experience Manager and Onboarding Manager Manage digital video accounts for Telehealth services Review and monitor lead pipeline to assure targeted monthly launch rates are met Identify areas to increase client count and/or expand coverage location(s) Comply with company policies, procedures, timelines and budget Learn, respect and represent the Intercare history, mission and brand

Required skills and experience Minimum of three (3) years of experience in leadership roles helping team deliver on quantitative goals Advanced Excel and Microsoft Office skills Ability to learn and adapt to new technology platforms Demonstrated ability to coach a team on delivering an exceptional client and stakeholder experience Ability to design new workflows or identify ways to complete tasks more efficiently Understanding of the funding source landscape and deep familiarity with healthcare insurance authorization and billing processes Experience leading through change and helping champion new systems and ways of thinking High degree of independence and ability to take initiative
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If you have a BCBA and have experience in any of the following fields, we encourage you to apply:
Behavior Analyst, Autism, Social Learning, Social Skills, Developmental Condition, Psychology, Sociology, Social Services, Children, ABA

Intercare Therapy will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of the Los Angeles Fair Chance Initiative for Hiring (Ban the Box) Ordinance.

Intercare Therapy supports a diverse workforce and is an Equal Opportunity Employer.