Managed Care Supervisor jobs in Benton Harbor, MI

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)

C
Care Management Supervisor
  • Corewell Health
  • Benton, MI FULL_TIME
  • Job Summary

    Supervises assigned care management staff. Plans, organizes, and supervises all assigned clinical and program services. Ensures appropriate clinical supervision and case consultation for clinical staff including overseeing and supporting professional staff development. Supervises within established clinical quality standards and quality management plan protocols. Evaluates staff competencies and identifies training needs.

    Essential Functions
    • Supervises the activities of assigned professional and support staff who are engaged in planning and prioritizing care for individuals and population of patients, focusing on strategies that will promote optimal health within populations. Supervises office operations assuring adequate levels of support for quality clinical care. Monitors clinical activity, staff productivity, and the efficiency an effectiveness of the services provided. Communicates & holds staff accountable to new policies/procedures. Prepares, maintains, and submits reports as required. Maintains files and records.
    • Maintains professional relationship with providers when cases require referral for specialized treatment or to another level of care. Reports problems with providers to provider relations or management staff. Assures clinical staff compliance with credentialing requirements, and monitors utilization and referral patterns, clinical case loads and program needs.
    • Anticipates customer needs and supervises the provision of services to all customers, including patients, physicians, hospital departments, and staff. Coordinates requests for services, information, records, and data on a timely basis. Researches and resolves problems.

    Qualifications
    • Required Bachelor's Degree or equivalent in nursing, social work, or health care related field
    • Preferred Master's Degree except required in Behavioral Health
    • 1 year of relevant experience Skills, knowledge, abilities typically gained through 1 year of related experience Required
    • 5 years of relevant experience full time clinical Required
    • 1 year of relevant experience of clinical supervision and administrative management responsibility or equivalent Required
    • 1 year of relevant experience in field of practice of clinical social work, professional nursing practice or community service work Required
    • LIC-Registered Nurse (RN) - STATE_MI State of Michigan required Or
    • LIC-Master Social Worker (MSW-Master) - STATE_MI State of Michigan required
    • CRT-Case Manager, Certified (CCM) - CCMC Commission for Case Manager Certification preferred
    • CRT-Basic Life Support (BLS) - AHA American Heart Association preferred Or
    • CRT-Basic Life Support (BLS) - ARC American Red Cross preferred
    • LIC-Driver's License - STATE_MI State of Michigan Caring Circle Hospice Upon Hire required

      Physical Demands

      • Pallet to Waist (6" from floor) > 5 lbs: Seldom up to 10 lbs
      • Waist to Waist > 5 lbs: Seldom up to 10 lbs
      • Waist to Chest (below shoulder) > 5 lbs: Seldom up to 10 lbs
      • Waist to Overhead > 5 lbs: Seldom up to 5 lbs
      • Bilateral Carry > 5 lbs: Seldom up to 10 lbs
      • Unilateral Carry > 5 lbs: Seldom up to 5 lbs
      • Pushing Force > 5 lbs: Seldom up to 20 lbs
      • Pulling Force > 5 lbs: Seldom up to 15 lbs
      • Sitting: Frequently
      • Standing: Occasionally
      • Walking: Occasionally
      • Forward Bend - Standing: Seldom
      • Forward Bend - Sitting: Seldom
      • Trunk Rotation - Standing: Seldom
      • Trunk Rotation - Sitting: Seldom
      • Squat: Seldom
      • Supine Lying: Seldom
      • Stair Climbing: Seldom
      • Crawling / Kneeling: Seldom
      • Driving: Seldom
      • Reach - Above Shoulder: Seldom
      • Reach - at Shoulder or Below: Seldom
      • Handling: Occasionally
      • Forceful Grip > 5 lbs
        : Seldom
      • Forceful Pinch > 2 lbs: Seldom
      • Finger/Hand Dexterity: Frequently
      • Visual Acuity ¹
        [None = No; Seldom = Yes]: Seldom

      Primary Location

      SITE - Professional Building Meadowbrook - 2550 Meadowbrook Rd - Benton Harbor

      Department Name

      Department of Clinical Transformation - Care - CHS

      Employment Type

      Full time

      Shift

      Day (United States of America)

      Weekly Scheduled Hours

      40

      Hours of Work

      8:00 a.m. to 5:00 p.m.

      Days Worked

      Monday to Friday

      Weekend Frequency

      N/A

      CURRENT COREWELL HEALTH TEAM MEMBERS – Please apply through Find Jobs from your Workday team member account. This career site is for Non-Corewell Health team members only.

      Corewell Health is committed to providing a safe environment for our team members, patients, visitors, and community. We require a drug-free workplace and require team members to comply with the MMR, Varicella, Tdap, and Influenza vaccine requirement if in an on-site or hybrid workplace category. We are committed to supporting prospective team members who require reasonable accommodations to participate in the job application process, to perform the essential functions of a job, or to enjoy equal benefits and privileges of employment due to a disability, pregnancy, or sincerely held religious belief.

      Corewell Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, gender, pregnancy, sexual orientation, gender identity or expression, veteran status, or any other legally protected category.

      An interconnected, collaborative culture where all are encouraged to bring their whole selves to work, is vital to the health of our organization. As a health system, we advocate for equity as we care for our patients, our communities, and each other. From workshops that develop cultural intelligence, to our inclusion resource groups for people to find community and empowerment at work, we are dedicated to ongoing resources that advance our values of diversity, equity, and inclusion in all that we do. We invite those that share in our commitment to join our team.

      You may request assistance in completing the application process by calling 616.486.7447.

    • 1 Month Ago

    C
    Critical Care Clinical Nurse Supervisor
    • Corewell Health
    • Joseph, MI FULL_TIME
    • About this unitThe Critical Care Unit (CCU) is an 18-bed mixed ICU managing adult surgical, trauma, neuro, medical, and cardiothoracic/vascular patients. Nurse to patient ratio is 1:2 and adjusted for...
    • 1 Month Ago

    F
    Patient Care Technician - PCT
    • Fresenius Medical Care
    • Benton, MI FULL_TIME
    • About this role: As a Patient Care Technician (PCT) at Fresenius Medical Care, you play a vital part in supporting people who entrust us with their care, their families, and your fellow care team memb...
    • 4 Days Ago

    H
    Caregiver/Home Care Aide
    • Home Sweet Home In-Home Care
    • Paw Paw, MI PART_TIME
    • Great benefits! Home Sweet Home In-Home Care is currently seeking non-medical Caregivers. The right people will have strong customer service skills, be responsible individuals and have a heartfelt des...
    • 4 Days Ago

    H
    Caregiver/Home Care Aide
    • Home Sweet Home In-Home Care
    • Dowagiac, MI PART_TIME
    • Great benefits! Home Sweet Home In-Home Care is currently seeking non-medical Caregivers. The right people will have strong customer service skills, be responsible individuals and have a heartfelt des...
    • 4 Days Ago

    H
    Caregiver/Home Care Aide
    • Home Sweet Home In-Home Care
    • Bridgman, MI PART_TIME
    • Great benefits! Home Sweet Home In-Home Care is currently seeking non-medical Caregivers. The right people will have strong customer service skills, be responsible individuals and have a heartfelt des...
    • 4 Days Ago

    Filters

    Clear All

    Filter Jobs By Location
    • Filter Jobs by companies
    • More

    0 Managed Care Supervisor jobs found in Benton Harbor, MI area

    M
    Home Health Physical Therapist $10,000 Bonus
    • Mary Free Bed at Home
    • Benton Harbor, MI
    • At Mary Free Bed at Home, were looking to add to our extraordinary care team. Grounded by our belief that outstanding ca...
    • 3/27/2024 12:00:00 AM

    P
    Nurse Aide
    • Pace of Southwest Michigan Inc
    • Saint Joseph, MI
    • We are seeking Nurse Aides to assist our participants in our community! Job Summary The Nurse Aide is a non-certified pe...
    • 3/27/2024 12:00:00 AM

    M
    Part-Time Maintenance Supervisor
    • Montessori House of Children- Brookview School
    • Benton Harbor, MI
    • Job Description Job Description Brookview Montessori School seeks to fill the position of Part-time Maintenance Supervis...
    • 3/27/2024 12:00:00 AM

    P
    Fleet (Route) Maintenence Supervisor
    • Penske
    • Stevensville, MI
    • Responsibilities As a Penske Maintenance Supervisor you will use your excellent communication, organization, and multita...
    • 3/27/2024 12:00:00 AM

    M
    Home Health RN $15,000 Bonus
    • Mary Free Bed Rehabilitation Hospital Grand Rapids
    • Benton Harbor, MI
    • Job Title Home Health RN $15,000 Bonus Location Benton Harbor, MI, USA Additional Location(s) Employee Type Employee Wor...
    • 3/27/2024 12:00:00 AM

    R
    Dietary Aide
    • Royalton Manor
    • Saint Joseph, MI
    • Are you looking for an opportunity to work in your community to build relationships and make a difference? Do you enjoy ...
    • 3/25/2024 12:00:00 AM

    L
    BOARD CERTIFIED BEHAVIOR ANALYST - LEVEL 1
    • LOGAN Community Resources, Inc.
    • Benton Harbor, MI
    • WHO IS LOGAN? LOGAN Community Resources is our full name but who are we? LOGAN is a non-profit organization with communi...
    • 3/24/2024 12:00:00 AM

    L
    IN HOME - BOARD CERTIFIED BEHAVIOR ANALYST
    • LOGAN Community Resources, Inc.
    • Benton Harbor, MI
    • This position is eligible for: Full-Time: Sign-on Bonus - $600 at 75 days and $600 at 1 year of employment. Part-Time: S...
    • 3/24/2024 12:00:00 AM

    Benton Harbor is a city in Berrien County in the U.S. state of Michigan which is located southwest of Kalamazoo, and northwest of South Bend, Indiana. In 2010, the population was 10,038 according to the census. It is the smaller, by population, of the two principal cities in the Niles–Benton Harbor Metropolitan Statistical Area, an area with 156,813 people. Benton Harbor and the city of St. Joseph are separated by the St. Joseph River and are known locally as the "Twin Cities".[not in citation given] Fairplain and Benton Heights are unincorporated areas adjacent to Benton Harbor. According to...
    Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
    Income Estimation for Managed Care Supervisor jobs
    $74,027 to $102,169
    Benton Harbor, Michigan area prices
    were up 1.3% from a year ago

    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