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)
Job description
Utilizes knowledge and application of nursing principles to provide direct care in the home.
Receives referrals and makes or schedules client visits as needed.
Attend case conference meetings, and takes report on client progress with agency personnel to facilitate coordination of care.
Conducts a minimum of five charts audits per month and reports these findings to the Clinical Supervisor in writing.
Provides services within the scope of practice as defined by At Home Care, Inc
Observes, records and reports to the clinical supervisor the clients response to services and changes in the clients condition.
Schedules home visits for supervisory visit/PCA care for each client monthly
Participates in staff conferences regarding client care.
Participates in all client satisfaction initiatives.
Assist with plan development and implementation for client satisfaction.
Job Type: Full-time
Pay: $11.00 - $15.00 per year
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Work Location: In person
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0 Managed Care Supervisor jobs found in Alexandria, LA area