Managed Care Supervisor jobs in Erie, PA

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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Child Care Group Supervisor
  • Highmark Health
  • Erie, PA FULL_TIME
  • Company : Allegheny Health Network

    Job Description :

    GENERAL OVERVIEW:

    Oversees the daily operation of the individual classroom through the supervising of assistants and meeting each child’s individual needs through the primary caregiving system. Ensure licensing regulations and STARS standards are maintained within the center in the absence of the management.

    ESSENTIAL RESPONSIBILITIES:

    • Establishes a well-managed, child oriented learning environment which is healthy, interesting and attractive. Provides a safe environment that will prevent and eliminate injuries. Maintains clean classroom equipment as outlined by established standards. (25%)
    • Provides supervision and leadership of staff and volunteers through active direction and active involvement in childcare provided in the Playroom. (25%)
    • Implements planned and purposeful play activities which are supportive of a child's needs during their visit to the Playroom. (20%)
    • Plans for, orders and collects needed materials and equipment to support the activities within budgeted guidelines and in consultation with immediate supervisor. (20%)
    • Greets and registers children from parent/guardian, noting any special instructions that parent may provide. Ensures that child leaves with parent or authorized individual. (10%)

      QUALIFICATIONS:

      Minimum

      • Bachelor's degree in Child Life, Human Development and Family Studies, Counseling, Child Development, Therapeutic Recreation or Child Psychology.
      • Previous experience working with children.
      • Child Abuse and Criminal Background Clearances.
      • CPR Certification

        Preferred

        • Computer skills / Microsoft Office Suite.

          Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.

          Compliance Requirement : This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.


          As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy.

          Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.

          Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability.

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          Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity ( https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf )

          We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below.

          For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org

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          Hours: Day (United States of America)
          Employment Type: FULL_TIME

  • 11 Days Ago

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Child Care Group Supervisor
  • Allegheny Health Network
  • Erie, PA FULL_TIME
  • Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: Oversees the daily operation of the individual classroom through the supervising of assistants and meeting each child’s individua...
  • 12 Days Ago

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DCW Supervisor - Home Care Agency
  • Community Resources for Independence
  • Erie, PA FULL_TIME
  • $19.00 Hour Areas of coverage: Erie and Crawford County Full-time Mon-Fri and weekends as needed Medical, Dental, and Vision 401K(match) PTO (Vacation, Personal, and Illness) The DCW Supervisor is res...
  • 6 Days Ago

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DCW Supervisor - Home Care Agency
  • Community Resources for Independence
  • Erie, PA FULL_TIME
  • $19.00 Hour Areas of coverage: Erie and Crawford County Full-time Mon-Fri and weekends as needed Medical, Dental, and Vision 401K(match) PTO (Vacation, Personal, and Illness) The DCW Supervisor is res...
  • 6 Days Ago

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Child Care Assistant Group Supervisor
  • Allegheny Health Network
  • Erie, PA FULL_TIME
  • Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: Assist in the daily functions the classroom as directed by the lead teacher/group supervisor through the principals of the primar...
  • 13 Days Ago

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Registered Nurse (RN) Supervisor, Long Term Care
  • Genie Healthcare
  • Fairview, PA CONTRACTOR
  • Registered Nurse (RN) Supervisor 6 Week Contract.Long Term Care.$63/hour blended rate. Weekly pay.Fairview PA.5x8 hour shifts. Rotating weekends.1 year of Registered Nurse (RN) Supervisor experience r...
  • 30 Days Ago

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0 Managed Care Supervisor jobs found in Erie, PA area

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Pharmacy Technician
  • Community Health Net
  • Erie, PA
  • SUMMARY Under the direction of a licensed Pharmacist fills medication orders and other health care products for Communit...
  • 4/25/2024 12:00:00 AM

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Production Assistant (Truck Driver)
  • Salvation Army - ARC
  • Erie, PA
  • Job Description Job Description Reports To: Expeditor Grade: Non-exempt Function: The Production Assistant will complete...
  • 4/24/2024 12:00:00 AM

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Executive Sous Chef (Athenaeum Hotel Kitchen)
  • Hotel Resource
  • Erie, PA
  • **Other****Executive Sous Chef (Athenaeum Hotel Kitchen)**Executive Sous Chef (Athenaeum Hotel Kitchen) The Athenaeum Ho...
  • 4/24/2024 12:00:00 AM

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NON-DRIVING Direct Care Worker
  • Aveanna
  • Erie, PA
  • NON-DRIVING Direct Care Worker ApplyRefer a FriendBack Job Details Requisition #: 192575 Location: Erie, PA 16503 Catego...
  • 4/24/2024 12:00:00 AM

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Certified Nurse Aide
  • Interim HealthCare
  • Erie, PA
  • Certified Nursing Assistant In Erie, PA Founded in 1966, our commitment to our employees is expressed through our passio...
  • 4/23/2024 12:00:00 AM

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Child Care Worker
  • Gaudenzia
  • Erie, PA
  • Overview: Do You have the heart to serve others and making a lifelong impact? Picture yourself at Gaudenzia as a Child C...
  • 4/23/2024 12:00:00 AM

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Transportation Driver
  • Tys Healthy Healers
  • Erie, PA
  • Job Description Job Description Transportation Driver Job Description Follows instructions of Supervisor Follow routes w...
  • 4/22/2024 12:00:00 AM

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Private Duty Nurse LPN
  • Aveanna Healthcare
  • Erie, PA
  • Are you looking for a change of pace? Trying to find a new job outside of the nursing home or hospital? Aveanna Healthca...
  • 4/21/2024 12:00:00 AM

Erie (/ˈɪəri/; EER-ee) is a city on the south shore of Lake Erie and the county seat of Erie County, Pennsylvania, United States. Named for the lake and the Native American Erie people who lived in the area until the mid-17th century, Erie is the fourth-largest city in Pennsylvania, as well as the largest city in Northwestern Pennsylvania, with a population of 101,786 at the 2010 census. The estimated population in 2017 had decreased to 97,369. The Erie metropolitan area, equivalent to all of Erie County, consists of 276,207 residents. The Erie-Meadville, PA Combined Statistical Area has a pop...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Supervisor jobs
$70,359 to $97,104
Erie, Pennsylvania area prices
were up 1.5% 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