Managed Care Supervisor jobs in Louisiana

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 Associate / Baton Rouge
  • Ascent Health, Inc.
  • Baton Rouge, LA FULL_TIME
  • Ascent Health, Inc.
    Location: Baton Rouge, LA

    Managed Care Associate

    The Managed Care Associate plays a vital role in tracking daily clinical operations within our organization. This position involves working closely with supervisors, facilitators, and leadership at Ascent to ensure efficient coordination and tracking of all clinical submissions to Magellan, our Managed Care Organization (MCO). The Director of Managed Care supervises this position.

    Tracking Responsibilities
    • Maintain ongoing tracking of families referred to Wraparound.
    • Update the company census daily, including Magellan submissions, new referrals, assessments, and discharges.
    • Maintain electronic records of all submissions to Magellan, such as plans of care, discharges, new referrals, and assessments.
    • Handle FTP (File Transfer Protocol) drops of non-Medicaid paperwork to Magellan.
    • Manage initial document submissions to FTP for Magellan.
    • Keep track of due dates and short authorizations, communicating deadlines to staff on a weekly basis.
    • Complete and submit all discharge paperwork to Magellan.
    Other Responsibilities
    • Assign new referrals received from Magellan.
    • Enter new referrals into the Electronic Health Records (EHR) system.
    • Make initial contact with new referrals within 48 hours and update EHR.
    • Assign transfer cases within the company and in EHR.
    • Coordinate with Wraparound Supervisors.
    Required
    • Bachelor's degree in a human service-related field preferred.
    • Minimum of two years of relevant experience.
    • Proficiency in data entry using computers and computer systems. Experience working with an EHRs preferred.
    • Strong proficiency in MS Word, Excel, and Outlook.
    Key Competencies
    • Ability to maintain confidentiality in all aspects of client (i.e., HIPPA, FERPA, PL 46:56) staff and agency information.
    • Exceptional organizational and detail-oriented skills with the ability to meet deadlines.
    • Excellent interpersonal, verbal, and written communication skills.
    • Highly dependable and willing to work within a team.
    • Ability to communicate positively and professionally in a diverse and active environment.
    Benefits

    At Ascent, we are not only passionate about elevating the lives of the youth and families we serve but also the lives of our employees. Ascent offers a full range of benefits to regular, full-time employees. These benefits include:
    • Company insurance coverage that includes medical, dental, vision, and more, including a $6,000.00 employer contribution towards medical, dental, and vision premiums.
    • Paid holidays and paid time off.
    • Cell phone allowance and mileage reimbursement.
    • $500.00 loyalty increase each year of employment.
    About Ascent

    Ascent Baton Rouge offers Wraparound Services to the following Parishes: W. Feliciana, E. Feliciana, Pointe Coupee, E. Baton Rouge, W. Baton Rouge, Iberville, and Ascension. The wraparound process is an intensive, individualized care management process for youths with serious or complex needs. Research shows that the wraparound process does more for children than basic child welfare services alone. According to numerous independent studies, most youths in welfare programs that interacted with Ascent move on to less restrictive environments and are significantly less likely to engage in illegal or delinquent behavior. We believe everyone has been empowered with unique gifts and responsibilities and strive to elevate people from where they are today to where they can be tomorrow.

    We hope you will consider joining us in our mission to serve communities and inspire change!
  • 1 Day Ago

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Supervisor
  • Companion Care of SWLA
  • DeRidder, LA FULL_TIME
  • Companion Care is now accepting applications for supervisor position. Monday-Friday 8A-4:30P. Have High School Diploma and have a minimum of 5 years paid experience providing services to the elderly o...
  • 2 Days Ago

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Medicaid Program Manager 1--B (Managed Care Contracts Manager)
  • State of Louisiana
  • Baton Rouge, LA OTHER
  • The Louisiana Department of Health is dedicated to fulfilling its mission through direct provision of quality services, the development and stimulation of services of others, and the utilization of av...
  • 1 Day Ago

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Care supervisor
  • Catholic Charities Archdiocese of New Orleans
  • Orleans, LA FULL_TIME
  • Job Summary : Under the direct supervision of the Center Manager, serves as Home Care Team Leader responsible for the implementation of home care services for program participants, including completin...
  • 20 Days Ago

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Care supervisor
  • Extended Family Incorporated
  • Breaux Bridge, LA FULL_TIME
  • Extended Family Incorporated - DSW SUPERVISOR JOB DESCRIPTION EXTENDED FAMILY, INC. Do you enjoy making a significant difference in the lives of DSW’S & clients? We are seeking a dedicated DSW Supervi...
  • 1 Month Ago

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Cloud + Procurement Operations Associate
  • Managed Solution
  • Alexandria, LA FULL_TIME
  • DescriptionWhy clients love us:We are laser focused on delivering quality and excellence to our clients for their technology modernization needs, business and technology strategy, and cloud transforma...
  • 16 Days 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

Louisiana is bordered to the west by Texas; to the north by Arkansas; to the east by Mississippi; and to the south by the Gulf of Mexico. The state may properly be divided into two parts, the uplands of the north, and the alluvial along the coast. The alluvial region includes low swamp lands, coastal marshlands and beaches, and barrier islands that cover about 20,000 square miles (52,000 km2). This area lies principally along the Gulf of Mexico and the Mississippi River, which traverses the state from north to south for a distance of about 600 mi (970 km)) and empties into the Gulf of Mexico; ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Supervisor jobs
$72,731 to $100,369

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