Operations Manager (53428)

Westcare•Morristown, TN

About The Position

The Operations Manager oversees fee-for-service substance abuse programming across multiple facilities in Tennessee. The role ensures compliance with contractual obligations and fidelity to program standards, and includes both program operations and revenue-cycle billing activities. The position works with correctional staff, healthcare providers, and external stakeholders to support substance abuse treatment and reentry. Work is primarily performed in an office or other indoor setting, with extensive outdoor activities and travel required. Regular and prompt attendance is required.

Requirements

  • High school diploma or equivalent is required.
  • At least 5 years of experience in program management, preferably in substance abuse treatment or correctional settings.
  • Valid driver's license and ability to obtain and maintain WestCare vehicle insurance.
  • In-depth understanding of substance abuse treatment methodologies and evidence-based practices.
  • Familiarity with relevant regulations and program requirements.
  • Strong leadership and interpersonal skills, including the ability to manage teams and collaborate with diverse stakeholders.
  • Strong organizational and problem-solving abilities.
  • Commitment to improving outcomes for incarcerated individuals through effective substance abuse programming.
  • Strong ethical standards and commitment to integrity in program management.
  • Ability to work in a challenging, dynamic environment with flexibility and resilience.
  • Excellent verbal and written communication skills, including the ability to explain complex information clearly and concisely.
  • Ability to understand cognitive behavioral therapy models, addiction theories, and dynamics related to substance use and other criminogenic risk factors.
  • Knowledge of offender populations, criminal subcultures, cultural differences, substance abuse assessment tools, and therapeutic community concepts.
  • Ability to understand and comply with program documentation requirements and applicable ethical and professional standards of conduct.
  • Ability to stand and walk on even and uneven surfaces; sit for extended periods; bend, twist, reach, balance, and occasionally lift and carry up to 50 pounds.
  • Ability to use computer and telephone systems, including eye-hand coordination and fine hand manipulation for typing, writing, and handling files.
  • Ability to defend oneself and clients in physically abusive situations using approved physical de-escalation techniques.
  • Ability to speak, hear detailed information, and see clearly at close and distance ranges to perform essential duties.
  • Ability to analyze complex numerical and written data and verbal information and reach logical conclusions.
  • Ability to cooperate and communicate with clients, coworkers, managers, the public, and employees at all levels.
  • Ability to work under stress and in emotionally charged settings.

Nice To Haves

  • Bachelor's degree in Social Work, Psychology, Public Administration, Criminal Justice, or a related field is preferred.

Responsibilities

  • Manage fee-for-service substance abuse treatment programs across multiple facilities in Tennessee.
  • Ensure external service providers adhere to contract terms and conditions, monitor performance, and report compliance issues as needed.
  • Monitor fidelity to evidence-based practices and standards, and implement corrective actions to maintain program integrity.
  • Use data to assess program effectiveness, identify improvement areas, and prepare reports for stakeholders.
  • Assist with developing and managing program budgets and allocating resources efficiently.
  • Collaborate with correctional staff, healthcare providers, and external stakeholders to support substance abuse treatment and reentry.
  • Prepare and submit timely, accurate medical claims to insurance companies, government programs, and other payers.
  • Enter charges into the billing system based on patient services and coding information.
  • Post payer and patient payments to appropriate accounts and ensure accurate allocation of funds.
  • Review claim denials, identify reasons, and correct and resubmit claims as appropriate.
  • Audit patient accounts for billing and coding accuracy and identify discrepancies or errors.
  • Ensure billing complies with federal, state, and local regulations and internal policies and procedures.
  • Assist in preparing reports on billing activities, accounts receivable, write-off recommendations, and other key metrics for the Revenue Cycle Manager.
  • Identify opportunities to streamline billing processes and improve efficiency, and make recommendations to the Revenue Cycle Manager.
  • Embrace and embody the mission, vision, guiding principles, and clinical vision.
  • Perform other duties as assigned.
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