Managed Care Supervisor jobs in Indiana

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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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 rural clinics are located in Rochester, Indiana. We also have clinics in Akron and Argos, Indiana.

    Our Mission is to provide excellent healthcare services by highly skilled staff in a compassionate and caring manner. We know that our employees are essential to the care we provide! When you join the Woodlawn Family, you have opportunities to bring your family to events such as breakfast with the Easter Bunny, Woodlawn Picnic, and other things throughout the year.

    Our core values are as follows: Courtesy, Respect, Caring, Professionalism, Confidentiality, Integrity, and Accountability.

     

    PRIMARY DUTIES:

    • Assumes the responsibility of being the highest ranking administrative person in charge of the facility when other higher ranking administrators are not in house.
    • Assesses, evaluates, intervenes on inpatient wound care needs of patients.
    • Assists in the monthly scheduling process as needed. Determines adequate staffing coverage on the nursing units is maintained to the best level possible by assessing the number and level of personnel needed to provide quality patient care. Adjusts staffing and assignments appropriately by calling in or sending home staff as deemed necessary.
    • Other duties as needed.

    EDUCATIONAL REQUIREMENTS AND QUALIFICATIONS:

    • Currently licensed in the state of Indiana as an RN. Maintains this licensure and provides any licensure renewals or changes to Human Resources.
    • For the Wound Care Specialist role, a master’s degree in nursing and wound certification is required.
    • Must possess Basic Life Support certification or obtain prior to providing direct patient care. Maintains BLS certification per hospital policy.
    • Must possess and maintain Advanced Cardiac Life Support (ACLS), Pediatric Advanced Life Support (PALS), and Neonatal Resuscitation Program (NRP) certification or be willing to obtain within reasonable time frame after hire.
    • Temperature, Airway, Blood pressure, Lab work, Emotional support (S.T.A.B.L.E.) certification is desirable but not required.

    Shift: Nights

    WOODLAWN HEALTH OFFERS:

    • Tuition Assistance
    • Loan Forgiveness
    • Certification Pay
    • Low nurse patient ratios
    • Free education/training
  • 16 Days Ago

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Managed Care Specialist
  • Brickyard Healthcare
  • Indianapolis, IN FULL_TIME
  • We rely on and trust our Managed Care Specialist (RN or LPN) to provide centralized or field based case management for managed care and commercial insurance payers and residents. The right candidate f...
  • 6 Days Ago

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Managed Care Specialist
  • Anveta, Inc
  • Nashville, IN CONTRACTOR
  • Role: Managed Care Specialist Location: Tennessee Duration: 6 MonthsJob DescriptionKey Responsibilities Determine individual and family eligibility for our Client’s care programs. Assist in coordinati...
  • 11 Days Ago

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PBM / Managed Care Pharmacist
  • Pharmacy Careers
  • Indianapolis, IN FULL_TIME
  • We are currently seeking a skilled and motivated Pharmacist with expertise in Pharmacy Benefit Management (PBM) and Managed Care. In this pivotal role, you will be responsible for overseeing medicatio...
  • 21 Days Ago

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PBM / Managed Care Pharmacist
  • Pharmacy Careers
  • Fort Wayne, IN FULL_TIME
  • We are currently seeking a skilled and motivated Pharmacist with expertise in Pharmacy Benefit Management (PBM) and Managed Care. In this pivotal role, you will be responsible for overseeing medicatio...
  • 23 Days Ago

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Rental Car Shift Supervisor
  • Managed Labor Solutions
  • Indianapolis, IN FULL_TIME
  • Are you able to manage people while driving performance success? Looking to work a later shift? Managed Labor Solutions (MLS), a leading nationwide rental car outsourcing company, is looking for the n...
  • 2 Months Ago

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Child Care Supervisor
  • Stratton Mountain
  • Stratton Mountain, VT
  • Please note, this position is located at Stratton Mountain Resort in Stratton Mountain, VT Year Round At Stratton, we ar...
  • 6/11/2024 12:00:00 AM

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Animal Care Supervisor
  • Petco Health and Wellness Company, Inc.
  • Miami, FL
  • The Operations Leader Animal Care promotes and ensures the efficient and effective operations of the Companion Animal De...
  • 6/11/2024 12:00:00 AM

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Residential Care Supervisor
  • THE CENTERS FOR HABILITATION
  • Gilbert, AZ
  • Job Description Job Description Direct Care Supervisor II (Tempe) 3196 WHO WE ARE: TCH has been serving the needs of ind...
  • 6/11/2024 12:00:00 AM

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Care Supervisor
  • ComForCare
  • Lansdale, PA
  • Benefits: Bonus based on performance Competitive salary Flexible schedule Paid time off Wellness resources Full job desc...
  • 6/7/2024 12:00:00 AM

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Animal Care Supervisor
  • Petco
  • Rochester, MN
  • Create a healthier, brighter future for pets, pet parents and people! If you want to make a real difference, create an e...
  • 6/6/2024 12:00:00 AM

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Direct Care Supervisor
  • Mosaic
  • Axtell, NE
  • If making a positive impact in the lives of others is a constant on your to-do list — you’ll LOVE working with a team th...
  • 6/6/2024 12:00:00 AM

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Direct Care Supervisor
  • Mosaic
  • Kearney, NE
  • If making a positive impact in the lives of others is a constant on your to-do list — you’ll LOVE working with a team th...
  • 6/6/2024 12:00:00 AM

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Animal Care Supervisor
  • Petco
  • Wausau, WI
  • Create a healthier, brighter future for pets, pet parents and people! If you want to make a real difference, create an e...
  • 6/3/2024 12:00:00 AM

Indiana /ˌɪndiˈænə/ (listen) is a U.S. state located in the Midwestern and Great Lakes regions of North America. Indiana is the 38th largest by area and the 17th most populous of the 50 United States. Its capital and largest city is Indianapolis. Indiana was admitted to the United States as the 19th U.S. state on December 11, 1816. Indiana borders Lake Michigan to the northwest, Michigan to the north, Ohio to the east, Kentucky to the south and southeast, and Illinois to the west. Before becoming a territory, various indigenous peoples and Native Americans inhabited Indiana for thousands of ye...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Supervisor jobs
$74,184 to $102,374

Managed Care Supervisor in Columbia, SC
The Supervisor Business Services of Government Billing and Collections will be responsible for the overall AR management of all government inventory.
January 02, 2020
Managed Care Supervisor in Colorado Springs, CO
In Service to Our Community is achieved through streamlined, coordinated and comprehensive high-quality, compassionate care close to home.
February 15, 2020
Managed Care Supervisor in Portland, ME
·        Minimum one year resolving claims issues with Payer Relations representatives to handle managed care contract implications.
February 19, 2020