Health Underwriting Manager jobs in Coachella, CA
Health Underwriting Manager manages the health insurance underwriting program for individuals and/or groups for medical and/or dental insurance. Ensures integrity of underwriting activities and processes. Being a Health Underwriting Manager participates in the development of master policies and other official documents. Verifies that the account contracts are in compliance with government regulations. Additionally, Health Underwriting Manager typically is a RN with clinical experience. Requires a bachelor's degree. Typically reports to a director. The Health Underwriting Manager manages subordinate staff in the day-to-day performance of their jobs. True first level manager. Ensures that project/department milestones/goals are met and adhering to approved budgets. Has full authority for personnel actions. To be a Health Underwriting Manager typically requires 5 years experience in the related area as an individual contributor. 1-3 years supervisory experience may be required. Extensive knowledge of the function and department processes. (Copyright 2024 Salary.com)
Recently Added Health Underwriting Manager jobs
Behavioral Health Care Manager ACSW
- Borrego Health
-
Desert Hot Springs, CA
FULL_TIME
- Summary: Under the general supervision of the Licensed Clinical Social Worker, Clinic Site Manager and the Health Homes Program Operations Manager, the Associate Clinical Social Worker (ACSW) is responsible for working effectivly with the Health Homes Program members and Care Teams. The ACSW functions as a proactive team member in the integration of Behavioral Health services into the Primary Care setting. The ACSW will provide Care Management Services including but not limited to: outreach and engagement to members, engaging members in skilled therapeutic interactions to promote health behaviors, other behavioral health interventions within scope, coordination of care, resource linkages, working with other professionals and organizations in the community to ensure quality of care for members, seamless transitions of care, and facilitating the right care and the right time for the member. Is responsible to be a liaison between the Patient, Primary Care Providers and Behavioral Health Providers. Is responsible for caseload management Assists in the integration of whole-person care with goals towards meaningful data collection and improving the health and well-being of the targeted population. Demonstrates willingness to assist co-workers whenever needed. Maintains good working relationship with all clinic personnel. Provides compassionate quality care to the patients of Borrego Health. Compensation:$29.28 - $40.99 per hour Essential Duties and Responsibilities: Administrative Functions: Caseload Management: Responsible for primarily working with a caseload of HHP Members with behavioral health needs. Responsible for utilizing brief behavioral health therapeutic interventions as necessary to improve the Member’s ability to manage their own health. Provide formal and informal training and support for HHP Members on behavioral health conditions, including treatments and evidence-base for treatment. Responsible for assisting Members with care coordination needs, including, but not limited to, the following: Ensuring completion of the Complex Health Assessment (CHA) for all eligible HHP high-risk Members. Assimilate CHA information into a Shared Care Plan (SCP)/Health Action Plan (HAP) Communicate SCP with Member, approved family or caregiver and other Members of the care team. Participate in multi-disciplinary care team meetings to share information, update, and inform care plan. Coordinate with internal and external health partners to support Member’s comprehensive care needs Participate and lead (as necessary) for care transition plan responsibilities. Provide active, on-site support for Members and care team staff Assists patients to follow through in their care plan/wellness goals using both phone and in-person contact. Model the highest ethical behavior in relationships with co-workers, supervisors, Members, Providers, and colleagues in the community. Responsible for promoting a collaborative and effective working environment within the organization by engaging in evidenced-based communication strategies (such as Motivational Interviewing) when discussing responsibility/sharing of tasks, effectively resolving conflicts as they arise, and collaborating on Member case discussions. Provide formal and informal training and support for HHP members on behavioral health conditions, including treatments and evidence-base for treatment. In conjunction with the LCSW and/or HHP Operations Manager, the Behavioral Health Care Manager is responsible for providing consultation for the non-licensed members of the team when discussing tasks of a clinical nature. Responsible for building and maintaining a positive working relationship with Providers, including, but not limited to, communication via in-person, over the phone, and through digital means such as email and fax. Responsible for engaging with Members, both in-person and on the phone, in a manner that utilizes evidence-based approaches (such as Motivational Interviewing) that promotes collaboration between the Member and his or her medical/behavioral team, as well as to increase the Member’s sense of control over their whole health. Model commitment to continuous quality improvement by engaging in quality improvement initiatives and projects, such as by identifying and addressing gaps, and by identifying, developing, and testing new practices for improving the outcomes of the HHP. Assists with the coordination of medical and behavioral health access issues with PCP offices, specialists, and ancillary services. Collaborates on Member care issues with other teams, participating in weekly systematic case reviews and ad hoc case reviews, and consults with Nurse Care Manager, Licensed Clinical Social Worker, and/or the Behavioral Health Clinician before taking any action that is clinical in nature. Ensures documentation is accurate and in compliance with regulatory requirements and accreditation standards. Participates in staff meetings, trainings, committee meetings, or other activities as needed or as directed by Leadership Team Members. Maintains up-to-date documentation and non-billable notes on patients. Other duties as assigned. Clinical Functions: Provides quality care to the patients of Borrego Health, within the scope of practice outlined by state or federal law. Delivers care in accordance with established standard of care and accepted community standards. Understands the organizations commitment to provide high quality patient care. Promotes a Patient centered environment. Strategic: Develop and implement processes in accordance to vision, goals and objectives for department that are in alignment with organizational strategic plan Communicates vision, goals, and objectives within own departments and with other departments, including regular department updates regarding current activities Develops, cultivates and maintains future leaders of the organization and empowers them to lead and succeed Maintains awareness of job responsibilities, challenges, barriers and needs within reporting line. Monitors department progress and maintains accountability, recommending, and participating in department and/or personnel evaluation and improvement efforts as necessary Effectively collaborates with other departments to work toward shared goals and common vision Maintains awareness of how department fits into the bigger organizational picture Maintains knowledge of regulatory and oversight requirements and ensures compliance Program: Maintains awareness of direct report’s systems and processes, and participates in process improvement initiatives, as necessary Representative of Borrego Health internally and externally Presents and pursues opportunities for further organizational development and growth Acknowledges role in productivity and quality improvement Ensures development and maintenance of department policies and procedures, and adheres to appropriate organization-wide implementation processes Financial: Maintains department-level budgets that adequately balance the financial needs of the departments against the needs for fiscal responsibility. Service: Actively supports, promotes, and works to fulfill the Mission, Vision and core values of Borrego Health. Embodies Borrego Health’s core values- Accountability, Compassion, Integrity, Respect, Commitment, Loyalty and Excellence. Provides excellent internal and external customer service. Demonstrates Borrego Health’s Standards of Customer Service Behavior: Compassion, Attitude, Communication, Appearance, Sense of Ownership, and Teamwork. Participates in on-going customer service trainings. In every action, seeks to promote Borrego Health as a top service organization. Contributes to the success of the organization by participating in quality improvement activities. Complies with all Borrego Health policies and procedures and proactively participates in the implementation of new initiatives. Safety: Ensures compliance with policies and procedures related to safe work practices. Uses all appropriate equipment and/or tools to ensure workplace safety. Immediately reports unsafe working conditions. Privacy/Compliance: Maintains privacy and security of all patient, employee, and volunteer information and access to such information. Such information is accessed on a need to know basis for business purposes only. Complies with all regulations regarding corporate integrity and security obligations. Reports unethical, fraudulent or unlawful behavior or activity. Upholds strict ethical standards Qualifications: Minimum Qualifications: A Master’s Degree in Social Work. Required: Associate Clinical Social Worker (ACSW) License. All staff that is presently working within a clinic is required to have a Current and Valid CPR and First Aide certification on file with the Human Resources Department. This is for clinical and administrative staff. This new license requirement is mandatory for continued employment, CPR and First Aide certification must be obtained through the American Heart Association. Internet certificates do not comply and for this reason are not valid. Special Conditions of Employment: Experience: Previous experience in the medical field and /or, in the Behavioral Health / Mental Health field is preferred. An understanding of, or ability to learn, Behavioral Health as associated with Chronic Medical Diseases. An understanding of, or ability to learn, Biological and Physiological nature of Mental Illness Diseases. An understanding of, or ability to learn, Insurance and basic Medical terminology
- 24 Days Ago
Behavioral Health Care Manager ACSW
- DAP Health
-
Palm Springs, CA
OTHER
- Job Details Job Location: Fully Remote - Palm Springs, CA Position Type: Full Time Salary Range: $26.50 - $34.39 Hourly Job Category: Health Care DescriptionJob Summary: The Behavioral Health Care Man...
- 28 Days Ago
RN Clinical Manager-Home Health- Full Time- Palm Springs
- Bridge Home Health and Hospice
-
Palm Springs, CA
FULL_TIME
- Overview Are you looking for a place where you can make a genuine difference in our patients’ lives? With over 25 locations and growing, Our culture of love for our patients and employees is the top p...
- 1 Month Ago
Environmental Health and Safety Manager
- Armtec Defense Technologies
-
Coachella, CA
FULL_TIME
- Environmental Health and Safety Manager, Armtec Defense TechnologiesArmtec Defense Technologies (Armtec) is an operating unit of the Transdigm Group (NYSE: TDG), an industry leader in aerospace and de...
- 9 Days Ago
Clinical Manager (Home Health)
- Desert Oasis Healthcare
-
Palm Springs, CA
FULL_TIME
- The Home Health Clinical Manager is a qualified individual that provides oversight of all patient care services and personnel. Oversight must include making patient and personnel assignments, coordina...
- 21 Days Ago
Manager RN - Home Health
- Providence
-
Hesperia, CA
OTHER
- Description$10,000 hiring bonus for eligible external hires that meet required qualifications and conditions for paymentHOME HEALTH RN MANAGER - St. Joseph Health System Home Care Services - St Mary H...
- 24 Days Ago
Filters
- Current Active Filter
- Coachella, CA
Clear All
- Filter Jobs By posted time
- Within 1 Day
- Within 2-7
- Within 1 Month
- Within 3 Months
0 Health Underwriting Manager jobs found in Coachella, CA area
Account Manager - Personal Lines
- Rrc - Ruiz Recruiting & Consulting
-
Corona, CA
- RRC - Ruiz Recruiting & Consulting is a specialized recruitment firm dedicated to collaborating with startups and enterp...
- 4/18/2024 12:00:00 AM
Branch Manager
- RoundPoint Mortgage Servicing Corporation
-
Temecula, CA
- **Branch Manager** at RoundPoint Mortgage Servicing Corporation Temecula, CA **Summary** The Branch Manager is responsib...
- 4/18/2024 12:00:00 AM
Customer Service Representative/Insurance Agent
- Winchester Insurance Services Inc
-
Murrieta, CA
- Job Description Job Description The Customer Service//Licensed personal lines insurance agent, Responsible for maintaini...
- 4/18/2024 12:00:00 AM
Sales Representative - Remote
- InsuraTec Services Group
-
Indio, CA
- Sales Representative - Remote Company: InsuraTec Services Group Location: Remote About Us: InsuraTec Services Group is a...
- 4/17/2024 12:00:00 AM
Loan Officer
- Full Realty Services, Inc.
-
Murrieta, CA
- Job Description Job Description About Us: At 21st Century Lending, we pride ourselves as a forward-thinking Mortgage Bro...
- 4/17/2024 12:00:00 AM
Temecula, CA - Field Inspector - Insurance Loss Control
- H & S Loss Control Inspections
-
Temecula, CA
- Qualified Field Inspectors for Insurance Loss Control are needed in your area! Immediate placement available. Pay: We pa...
- 4/16/2024 12:00:00 AM
Palm Springs, CA - Field Inspector - Insurance Loss Control
- H & S Loss Control Inspections
-
Palm Springs, CA
- Qualified Field Inspectors for Insurance Loss Control are needed in your area! Immediate placement available. Pay: We pa...
- 4/16/2024 12:00:00 AM
Industrial Laundry Equipment Service Technician
- Bestway Laundry Solutions
-
Corona, CA
- Job Description Job Description About the Role: Responsible for diagnosing, installing, and/or repairing electrical comp...
- 4/16/2024 12:00:00 AM
About Coachella, California
Coachella (/koʊˈtʃɛlə/, /koʊ.əˈtʃɛlə/) is a city in Riverside County, California; it is the easternmost city in the region collectively known as the Coachella Valley (or the Palm Springs area). It is located 28 miles (45 km) east of Palm Springs, 80 miles (130 km) east of Riverside, and 130 miles (210 km) east of Los Angeles.
Known as the "City of Eternal Sunshine", Coachella is largely a rural and agricultural community in the desert and one of the state's fastest growing cities in the late 20th century. When it first incorporated back in 1946, it had 1,000 residents, but the population was 4...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Health Underwriting Manager jobs
$129,354 to $167,833
Coachella, California area prices
were up 3.0% from a year ago
were up 3.0% from a year ago
What does a Health Underwriting Manager do?
Health Underwriting Manager in Springfield, OH
A health insurer or Health Plan accepts responsibility for paying for the health care services of covered individuals in exchange for dollars, which are referred to as premiums.
February 23, 2020
Health Underwriting Manager in Bellingham, WA
Underwriting helps decide whether to accept an applicant.
January 16, 2020
Health Underwriting Manager in Danbury, CT
Excellent underwriting capabilities can make possible not only sustained risk taking but also greater efficiency, organizational growth, a better customer experience—and even improved patient health.
December 08, 2019