Managed Care Supervisor jobs in Baton Rouge, LA
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)
Recently Added Managed Care Supervisor jobs
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! - 11 Days Ago
Nutritional Care Supervisor
- GENERAL HEALTH SYSTEM
-
Baton Rouge, LA
FULL_TIME
- JOB PURPOSE OR MISSION: Responsible for day-to-day supervision in Nutritional Care. Makes decisions that may affect the division, department and/or GHS System’s financial and performance objectives an...
- 10 Days Ago
Care Manager / Case Manager / Home Care Supervisor
- Community Connection Programs
-
Baton Rouge, LA
FULL_TIME
- Job Summary: The Field Supervisor at Community Connection Programs, Inc. plays a crucial role in ensuring the delivery of high-quality home care services to our clients. This position involves oversee...
- 10 Days Ago
Animal Shelter Dog Care Supervisor
- Companion Animal Alliance
-
Baton Rouge, LA
FULL_TIME
- Animal Care Supervisor: Job Summary: Responsible for providing a high standard of care and humane handling for all shelter animals and maintaining a safe and sanitary facility for animals and people. ...
- 28 Days Ago
Supervisor
- Mammoth Holdings LLC
-
Plaquemine, LA
FULL_TIME
- DescriptionCar Wash SupervisorWhat’s in it for You?Great compensation - Up to $14 per HourComplete benefit package available at Full Time after waiting period.Paid Time OffLearning & Growth Opportunit...
- 1 Day Ago
Supervisor
- Diversified Maintenance
-
Baton Rouge, LA
FULL_TIME
- Summary The supervisor coordinates activities of employees engaged in cleaning and maintaining premises of commercial, industrial, and medical establishments by performing the following duties. You wi...
- 2 Days Ago
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0 Managed Care Supervisor jobs found in Baton Rouge, LA area
Construction Tech 1 (4-Day Workweek!)
- BREC, LA
-
Baton Rouge, LA
- Salary: $12.41 Hourly Location : Baton Rouge, LA Job Type: CIP Non-Exempt Job Number: CTECH12024 Department: Capital Imp...
- 4/25/2024 12:00:00 AM
Travel Chaperone
- Cayuse Holdings
-
Baton Rouge, LA
- **Overview** The Travel Chaperone will be responsible for providing personalized care and services to youth in ORR care ...
- 4/25/2024 12:00:00 AM
SITE SUPERVISOR
- BrightSpring Health Services
-
Baton Rouge, LA
- Our Company ResCare Community Living Overview Operations Management focuses on efficiently meeting the needs of our clie...
- 4/25/2024 12:00:00 AM
ESS Paraprofessional
- East Baton Rouge Parish School System
-
Baton Rouge, LA
- Position Type: PARAPROFESSIONAL/Paraprofessional- Special Education Date Posted: 2/6/2024 Location: LaSalle Elementary C...
- 4/24/2024 12:00:00 AM
Occupational Therapist HH, LA Baton Rouge HH STN, HH, 1036901, NonExempt
- Ochsner Home Health of Baton Rouge
-
Baton Rouge, LA
- We are hiring for an Occupational Therapist. PRN At [Ochsner Home Health Baton Rouge], a part of LHC Group, we embrace a...
- 4/23/2024 12:00:00 AM
LPN Pediatric Private Duty
- LHC New
-
Baton Rouge, LA
- Summary We are hiring a Pediatric Private Duty LPN (Licensed Practical Nurse) in the Baton Rouge area to provide pediatr...
- 4/22/2024 12:00:00 AM
National Float Pool Registered Nurse - RN
- Fresenius Medical Care
-
Baton Rouge, LA
- POSITION FEATURES: *This role is with the Fresenius National Float Pool *Frequent overnight national travel is required ...
- 4/22/2024 12:00:00 AM
Program Coordinator of Youth Enrichment
- BREC, LA
-
Baton Rouge, LA
- Salary: $44,137.60 Annually Location : Baton Rouge, LA Job Type: Full Time Exempt Job Number: PCYE2024 Department: Recre...
- 4/21/2024 12:00:00 AM
About Baton Rouge, Louisiana
Baton Rouge (/ˌbætən ˈruːʒ/ BAT-ən ROOZH; from French bâton rouge [bɑtɔ̃ ʁuʒ] (listen), meaning 'red stick') is the capital of the U.S. state of Louisiana. Located on the eastern bank of the Mississippi River, it is the parish seat of East Baton Rouge Parish, the most populous parish in Louisiana. It is the 99th most populous city in the United States, and second-largest city in Louisiana after New Orleans. It is also the 16th most populous state capital. As of the U.S. Census Bureau's July 2017 estimate, Baton Rouge had a population of 227,549, down from 229,493 at the 2010 census. Baton Rou...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Supervisor jobs
$72,339 to $99,836
Baton Rouge, Louisiana area prices
were up 1.2% from a year ago
were up 1.2% from a year ago
What does a Managed Care Supervisor do?
Managed Care Supervisor in Austin, TX
The F/MCC Supervisor will ensure adequate team staffing, team training, participates in staff hiring and performance reviews.
December 07, 2019
Managed Care Supervisor in Lowell, MA
The individual will have a focus on assessing, interpreting, and analyzing the impact of utilization of services within the Winchester PHO to maximize performance in the managed care contracts that support the BILH Network.
February 18, 2020
Managed Care Supervisor in Montgomery, AL
The hospital offers a full range of medical services including maternity care and a Level IIB Special Care Nursery.
January 15, 2020