Managed Care Supervisor jobs in the United States

Managed Care Supervisor supervises and coordinates activities of personnel in the managed care operations department of a healthcare facility. Oversees staff that process referrals, authorizations, billing, utilization review, and capitation for hospital services. Being a Managed Care Supervisor experienced in utilization review techniques and protocols. Requires a bachelor's degree. Additionally, Managed Care Supervisor typically reports to a manager or head of a unit/department. May require Registered Nurse (RN). Makes day-to-day decisions within or for a group/small department. Has some authority for personnel actions. The Managed Care Supervisor supervises a group of primarily para-professional level staffs. May also be a level above a supervisor within high volume administrative/ production environments. To be a Managed Care Supervisor typically requires 3-5 years experience in the related area as an individual contributor. Thorough knowledge of functional area and department processes. (Copyright 2024 Salary.com)

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Managed Care Supervisor - Lime Spring
  • Penn State Milton S. Hershey Medical Center
  • Lancaster, PA FULL_TIME
  • Penn State Health Community Medical Group

    Location : US:PA:Lancaster
    Work Type : Full Time
    FTE : 1.0
    Shift : Day
    Hours : Monday - Friday 8:00a - 4:30p

    SUMMARY OF POSITION :

    Directly supervise, lead and coordinate the daily activities of Managed Care workers. Assists with management decisions and activities.

    RESPONSIBILITIES :

    • Supervise the work of employees to ensure adherence to quality standards, deadlines, and proper procedures, correcting errors or problems.
    • Resolve customer complaints or answer customers' questions regarding policies and procedures.
    • Provide employees with guidance in handling difficult or complex problems or in resolving escalated complaints or disputes.
    • Review records or reports pertaining to activities such as production and payroll to verify details, monitor work activities, or evaluate performance.
    • Discuss job performance problems with employees to identify causes and issues and to work on resolving problems.
    • Prepare and issue work schedules, deadlines, and duty assignments for staff.
    • Participate in the recruitment, interviewing, and selection of employees.
    • Interpret and communicate work procedures and company policies to staff.
    • Provide input into the evaluation of employees' job performance and conformance to regulations and recommend appropriate personnel action.
    • Train or instruct employees in job duties or company policies or arrange for training to be provided.
    • Research, compile, and prepare reports, manuals, correspondence, or other information required by management or governmental agencies.
    • Implement corporate or departmental policies, procedures, and service standards in conjunction with management.
    • Coordinate activities with other supervisory personnel or with other work units or departments.
    • Participate in the work of subordinates to facilitate productivity or to overcome difficult aspects of work.
    • Make recommendations to management concerning such issues as staffing decisions or procedural changes.
    • Develop or update procedures, policies, or standards.
    • Maintain records pertaining to inventory, personnel, orders, supplies, or maintenance.
    • Consult with managers or other personnel to resolve problems.

    MINIMUM QUALIFICATIONS :

    • High School Diploma or GED required.
    • Working knowledge of team function within the organization.


    If chosen for this position, you may required to pass a Post Offer Employment Physical Exam in accordance with the measurements listed in the Work Task Analysis (WTA) report. This job description is a general outline of duties performed and is not to be misconstrued as encompassing all duties performed within the position. All individuals (including current employees) selected for a position will undergo a background check appropriate for the position's responsibilities.

    Penn State Health is fundamentally committed to the diversity of our faculty and staff. We believe diversity is unapologetically expressing itself through every person's perspectives and lived experiences. We are an equal opportunity and affirmative action employer. All qualified applicants will receive consideration for employment without regard to age, color, disability, gender identity or expression, martial status, national or ethnic origin, political affiliation, race, religion, sex (including pregnancy), sexual orientation, veteran status, and family medical or genetic information. If you are unable to use our online application process due to an impairment or disability, please call 717-531-8440 between the hours of 7:30 AM and 4:30 PM, Eastern Standard Time, Monday through Friday, email hrsolutions@pennstatehealth.psu.edu or download our Accommodation Instructions for Job Applicants PDF for more detailed steps for assistance.

  • 3 Days Ago

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RN/HOUSE SUPERVISOR
  • Supervisor
  • Rochester, IN FULL_TIME
  • About Woodlawn Health: Woodlawn Health is located in Fulton and Marshall County, Indiana. We are a rural health system earning the right to care for our community! Our flagship hospital and three rura...
  • 2 Months Ago

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Hybrid - RN Supervisor of Care Management - Managed Care
  • Compass Healthcare Consulting & Placement
  • Manhattan, NY FULL_TIME
  • Compass Healthcare Consulting & Placement a Healthcare Recruitment Company is conducting a search for an experienced RN Supervisor of Care Management for a Hybrid/Remote position, for a Managed Care P...
  • Just Posted

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Referral and Managed Care Specialist
  • Care For The Homeless
  • New York, NY FULL_TIME
  • SUMMARY: The Referral and Managed Care Specialist will be responsible for (1) coordinating patient referrals (2) providing support to patients and staff regarding the managed care referral process. Th...
  • 17 Days Ago

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Managed Care Biller
  • Cassena Care
  • Woodbury, NY FULL_TIME
  • Cassena Care is seeking a Managed Care Medical Biller to join our dynamic team of professionals.responsibilities include but are not limited to: Collect, enter and process primary and/or secondary cla...
  • 3 Days Ago

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Supervisor, Enhanced Care Management - Managed Care Clinical Operations
  • Rady Children's Hospital-San Diego
  • Murrieta, CA FULL_TIME
  • This is a casual, grant funded position with an end date of 06/30/26JOB SUMMARY:The Enhanced Care Management (ECM) Supervisor manages the daily operations of the satellite ECM Program which includes b...
  • 1 Month Ago

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SALES TEAM MEMBER
  • Columbus Region
  • Columbus, OH
  • ** Sales Team Member** Store - COLUMBUS-EASTON, OH **We're here for the Makers! Come be a part of the team where innovat...
  • 5/19/2024 12:00:00 AM

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Full Time Toddler Nanny
  • Jovie of NC OH VA
  • Columbus, OH
  • Do you enjoy playing outside and coming up with fun daily activities? Do you love superheroes and sports? If so, this is...
  • 5/19/2024 12:00:00 AM

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Associate Scientist I, Analytical Development (Proteins)
  • Forge Biologics
  • Columbus, OH
  • About Forge Forge, a member of Ajinomoto Bio-Pharma Services, is a gene therapy development engine, focused on enabling ...
  • 5/19/2024 12:00:00 AM

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Travel MRI Tech - $2,292 per week in Westerville, OH
  • Cynet Health
  • Westerville, OH
  • Weekly Pay Range - $2063 To $2292 Summary : An MRI technician administers magnetic resonance imaging in order to diagnos...
  • 5/19/2024 12:00:00 AM

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Behavioral Health Technician
  • Advanced Recovery Systems
  • Columbus, OH
  • Overview: We are looking to add Behavioral Health Technicians at our Groveport, OH Facility! All shifts (Full Time, Part...
  • 5/18/2024 12:00:00 AM

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Health Center Clinical Supervisor
  • Lutheran Social Services of Central Ohio
  • Columbus, OH
  • Health Center Clinical Supervisor Full Time | Day Shift | 8am-5pm | Monday-Friday $75k-80k/yr + eligible for $5k/yr bonu...
  • 5/17/2024 12:00:00 AM

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Therapeutic Recreation Specialist (Vacancy)
  • City of Columbus, OH
  • Columbus, OH
  • Definition Under direction, is responsible for planning, organizing, promoting, conducting, and evaluating therapeutic r...
  • 5/16/2024 12:00:00 AM

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Housekeeping Manager (Short North Luxury)
  • Le Meridien Columbus, The Joseph
  • Columbus, OH
  • Compensation Type: Yearly Highgate Hotels: Highgate is a leading real estate investment and hospitality management compa...
  • 5/10/2024 12:00:00 AM

Income Estimation for Managed Care Supervisor jobs
$76,313 to $105,316