Manager, Scheduling & Provider Relations (Brentwood, TN-Hybrid)

Core Civic•Brentwood, TN

4d•$93,000 - $96,000•Hybrid

About The Position

At CoreCivic, our employees are driven by a deep sense of service, high standards of professionalism and a responsibility to better the public good. CoreCivic is currently seeking a Manager, Scheduling & Provider Relations. Come join a team that is dedicated to making an impact for the people and communities we serve. This is a hybrid position requiring 3 days onsite in Brentwood, TN. The Manager, Scheduling and Provider Relations coordinates the activities of staff engaged in the scheduling of offsite inmate patient consult requests for participating CoreCivic facilities. Reviews scheduling and referral information to verify that records are accurate and complete and can be used to analyze patient patterns/utilization. Acts as a liaison between scheduling and provider network teams to identify provider network gaps and opportunities. Collaborates with CoreCivic facilities to discuss any offsite scheduling concerns. Helps to define problems, makes recommendations, and implements process improvements in conjunction with the Senior Director, Centralized Scheduling, and Provider Network as needed. Coordinates the implementation of new provider network agreements to ensure utilization of contracted services. Leads tracking and analysis of scheduling metrics (e.g., wait times, provider delays) and maintains a comprehensive scheduling dashboard to support operational decision-making and issue escalation. Collaborates with external software vendors to ensure all referrals are transmitted appropriately. Provides oversight for urgent referrals and acts as back-up for appointment schedulers when short-staffed.

Requirements

Graduate from an accredited college or university with a degree in Nursing is required.
2+ years of clinical nursing experience is required.
Must possess a current, unrestricted RN license in the state of employment.
Must demonstrate knowledge of medical practice protocols related to appointment scheduling via use of manual/computerized scheduling system, medical terminology, and diagnoses.
Must possess strong customer service skills.
Must be highly organized with the ability to multi-task, work under pressure, and manage changing priorities and moderate workload and a keen eye to detail.
Proficiency in Microsoft Office applications is required.

Nice To Haves

Certified Case Manager (CCM) certification is preferred.
Knowledge of medical scheduling platforms, scheduling software or AllScripts preferred.

Responsibilities

Coordinates the activities of staff engaged in the scheduling of offsite inmate patient consults for participating CoreCivic facilities.
Reviews scheduling and referral information to verify that records are accurate and complete and can be used to analyze patient patterns/utilization.
Supervises staff in the performance of their duties and evaluates as prescribed by the facility and company policy.
Monitors and tracks number of outpatient referrals, referral priority, and cancelled referrals.
Tracks urgent/time-sensitive referrals to meet regulatory contract deadlines.
Oversees the scheduling dashboard to identify outdated referrals and leads efforts to resolve referral backlogs.
Analyzes weekly offsite reporting to identify potential specialty care gaps or scheduling delays.
Partners with Provider Network department to assess specialty provider needs by market, including periodic site visits
Collaborates with Health Services Administrators (HSAs), site Medical Directors and Utilization Management team to ensure proper entry of referrals and medical records in scheduling system.
Liaises with external software vendors to identify system issues that suggest opportunities for improvement with the scheduling process and escalates for review or resolution.
Schedules inmate medical appointments and procedures in provider offices, hospitals, and diagnostic labs, at the nearest network provider when possible and within contractual timeframes as ordered by the Licensed Independent Practitioner.
Reviews appointment requests and documents basic medical history in scheduling system.
Verifies that appointment is consistent with the diagnosis and indication for consult request and that required approvals are documented.
Verifies consult requests are with an in-network, participating medical facility, and within scope per contract.
Takes and responds timely to telephone calls to establish or confirm appointments.
Confirms appointment times with designated CoreCivic facility staff members via required method of communication.
Manages escalation of provider-related issues impacting scheduling, including delays and documentation deficiencies.
Escalates unresolved concerns as appropriate.
Provides hands-on scheduling support during staff absences, including entering data into electronic systems, ensuring data integrity and accuracy, and updating records as consults progress toward confirmation.
Addresses customer service issues, when applicable, and directs to the appropriate manager or resource.
Performs duties in a compliant manner by following department and company policies, as well as state and federal regulations.
Maintains required levels of confidentiality.
Domestic U.S. travel is required.