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)
Supervisor, Managed Care Contracts/Insurance Cases
Full Time
The Parker Jewish Institute for Health Care and Rehabilitation is seeking a Supervisor to oversee the management and implementation of our Managed Care contracts with health insurance plans.
Reporting to the VP of Finance, this key administrative role will be responsible for working closely to obtain new contracts across all of Parker's lines of business, complete credentialing/re-credentialing with Health Insurers, work across the company to inform departments and staff of current in-network insurances, and oversee Parker related insurance functions for acquiring and maintaining insurance coverage.
Collaborative, key administrative role in a renowned health care facility among innovative and committed leaders in the industry. Excellent professional environment providing an opportunity to learn, grow and have an impact on the overall results.
About Parker
The Parker Jewish Institute for Health Care and Rehabilitation, conveniently located on the Queens-Nassau County border in New Hyde Park, New York, is a non-profit health care facility that offers inpatient programs such as sub-acute/short term rehabilitation, long-term care and nursing home care, as well as community health services encompassing certified home health care and a comprehensive community hospice program that serves terminally ill patients in their own homes or in nursing facilities, including Parker's nursing home.
Quality care means hiring quality people, and Parker Jewish Institute for Health Care and Rehabilitation has a longstanding reputation for excellence and innovation in resident and patient care.
Why Work at Parker
Position Qualifications