Managed Care Supervisor jobs in High Point, NC

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)

V
Supervisor-In-Charge
  • Victorian Senior Care
  • Archdale, NC PART_TIME
  • Overview

    Assists the ED/Administrator in the performance of management duties, routinely supervises other staff and generally maintains the home's operations in compliance with licensing rules and assumes full management of the home in the absence of the ED/Administrator.

    Responsibilities

    • Follow the policies and procedures of the facility governing the administering of medications to residents.
    • Note and report errors in the administration of medications.
    • Assist in developing and implementing procedures or programs of the facility that seek to determine what medication errors are taking place, when, where and why they occur and how they can be prevented.
    • Perform administrative requirements such as completing necessary forms, charts, reports, etc., and submit these as required.
    • Participate and cooperate with any facility surveys/inspections made by authorized government agencies as requested by Administrator.
    • Participate in QA Programs, the Pharmaceutical Services Committee and any other facility committee or program which affects the medication pass and seeks to improve the performance and accuracy of the medication process.
    • Attend and participate in Care Plan meetings as necessary.
    • Attend and participate in continuing education programs designed to keep you updated of changes in your profession, as well as to maintain your certification on a current status.
    • Follow established safety precautions and report all hazardous conditions and equipment.
    • Provide assistance to residents with activities of daily living according to residents' Care Plan.
    • Help maintain the self-respect, personal dignity and physical safety of each resident.
    • Work cooperatively with all other staff and relate favorably to residents, their families and visitors
    • Work with resident care coordinator and/or Administrator regarding resolution of residents’ needs.
    • Find coverage for all call-ins for direct care staff.
    • Keep updated work schedule as call outs or changes occur.
    • Assure that all training is kept up to date and documented for all staff.
    • Monitor the halls continuously.
    • Conduct orientation and supervision of staff during your assigned shift.
    • Assist with orientation of new residents into the home.
    • Assure the general well being of the residents at all times.
    • Meet visitors, responsible parties, family members and social workers and assist in reason for their visit.
    • Conduct tours of the facility as needed.
    • Be familiar with and be able to apply all of the adult care home's accident, fire safety, OSHA and emergency procedures.
    • Listen to the concerns or comments of staff and residents, and report issues to the Administrator.
    • Assure quick and appropriate response by staff to call lights, alarms, and other signaling devices.
    • Assure that the care plans of all residents are appropriately implemented.
    • Assure that medications are stored properly in the building.
    • Maintain a friendly, productive, working relationship with other members of the department of nursing, attending physicians, the Medical Director and Pharmacists.
    • Report any complaints or grievances made by residents to the Administrator
    • Help maintain the self-respect, personal dignity, and physical safety of each resident.
    • Be familiar with resident’s bill of rights and assist residents in exercising those rights.
    • Notify the Director immediately of any concerns of neglect/abuse/exploitation by other staff.
    • Follow all regulations as required by federal HIPPA laws.
    • Perform other duties as required by circumstances. 

    Qualifications

    • Must be at least 21 years old.
    • Must have minimum of six months of supervisory experience.
    • Must have a High School Diploma or GED.
    • Must be able to read, write, understand and follow directions.
    • Must possess good written and verbal communication skills.
    • Must be able to Lift, Push, Pull, and Carry a minimum of 50 Pounds.
    • Must be able to Bend, Stoop, Squat, and reach overhead as needed.
    • Must be CPR Certified or willing to become CPR certified within 60 days of hire.
    • Must have or obtain C.N.A. or Personal Care Aide Certificate (80-Hour) with Personal Care Aide training within 6-months of hire.
    • Must have or obtain 15-Hour Medication Aide Certificate within 30-days of Hire.
    • Must complete Medication Aide Check off within 30-days of Hire.
    • Must have or obtain Medication Aide Certification within 60-days of Check off.
    • Must have no substantiated findings on the NC Personnel Registry or Health Care Program and maintain during duration of employment.
    • Must have a clear SBI record and maintain during duration of employment.
    • Must have a two-step tuberculin skin test (first test prior to hire and second test within two weeks of first test).
    • Must possess the ability to make independent decisions when circumstances warrant such action.
    • Must possess the ability to deal tactfully with personnel, residents, family members, visitors, government agencies/personnel and the general public.
    • Must possess the ability and willingness to work harmoniously with other personnel.
    • Must be able to relate to and work with the ill, disabled, elderly, emotionally upset and at times hostile people within the community.
    • Must maintain resident confidentiality and resident rights at all times.
    • Must be available to assist in the evacuation of residents during emergency situations.
  • 18 Days Ago

V
Supervisor-In-Charge
  • Victorian Senior Care
  • Asheboro, NC FULL_TIME
  • Overview Assists the ED/Administrator in the performance of management duties, routinely supervises other staff and generally maintains the home's operations in compliance with licensing rules and ass...
  • 18 Days Ago

V
Supervisor-In-Charge
  • Victorian Senior Care
  • Randleman, NC PART_TIME
  • Overview Assists the ED/Administrator in the performance of management duties, routinely supervises other staff and generally maintains the home's operations in compliance with licensing rules and ass...
  • 11 Days Ago

C
RN Clinical Supervisor
  • Coleman Care
  • High Point, NC FULL_TIME
  • The Clinical Supervisor serves as liason nurse between the medical community and the agency initiating services, orientates, establishes and evaulates in home aide services to patient's in their homes...
  • 17 Days Ago

A
Supervisor
  • Aspen Dental
  • High Point, NC FULL_TIME
  • At Aspen Dental, we put You first, offering the security and job stability that comes with working with a world-class dental service organization (DSO). Our best-in-class training program, competitive...
  • Just Posted

V
Personal Care Aide / CNA
  • Victorian Senior Care
  • Archdale, NC FULL_TIME
  • Overview Provide assistance to residents in an Assisted Living Community with activities of daily living as needed according to individual and physician-directed Care Plan. Responsibilities Provide as...
  • 18 Days Ago

Filters

Clear All

  • Filter Jobs by companies
  • More

0 Managed Care Supervisor jobs found in High Point, NC area

P
Plant Manager
  • PET Dairy
  • High Point, NC
  • PET Dairy is a farmer-owned brand of Dairy Farmers of America (DFA), a dairy marketing cooperative owned by more than 12...
  • 4/25/2024 12:00:00 AM

C
Production Supervisor 1st Shift - NC
  • CASCADE DIE CASTING GROUP INC
  • High Point, NC
  • Job Details Level Experienced Job Location Atlantic Division - High Point, NC Position Type Full Time Education Level No...
  • 4/24/2024 12:00:00 AM

R
Hospital Liaison (LPN/CNA/EMT encouraged to apply!)
  • Rotech
  • High Point, NC
  • About Rotech Rotech Healthcare Inc. is a national leader in providing ventilators, oxygen, sleep apnea treatment, wound ...
  • 4/24/2024 12:00:00 AM

C
RN (Registered Nurse) - $40-63/Hour - High Point, NC
  • ConnectRN
  • High Point, NC
  • connectRN is an app created by a nurse, with nurses and aides' needs in mind. Every day, connectRN helps thousands of nu...
  • 4/24/2024 12:00:00 AM

F
Lift Truck Operator 1st shift
  • Furnitureland South, Inc.
  • Jamestown, NC
  • Essential Functions and Responsibilities Reasonable accommodations may be made to enable individuals with disabilities t...
  • 4/22/2024 12:00:00 AM

S
Carpentry Framer
  • Symbiotic Services
  • High Point, NC
  • Job Description JOB TITLE: Framer DEPARTMENT: Woodshop FLSA STATUS: Non-Exempt REPORTS TO: Woodshop Supervisor SUMMARY U...
  • 4/21/2024 12:00:00 AM

C
Groundskeeper (Oak Hollow Golf Maintenance)
  • City of High Point, NC
  • High Point, NC
  • Salary: $33,384.00 - $42,775.20 Annually Location : High Point, NC 27265 Job Type: Full-Time Job Number: 5588 Department...
  • 4/21/2024 12:00:00 AM

F
Lift Truck Operator 2nd shift
  • Furnitureland South, Inc.
  • Jamestown, NC
  • $17.00 Per Hour M-F 4PM- 12:30AM Essential Functions and responsibilities Reasonable accommodations may be made to enabl...
  • 4/21/2024 12:00:00 AM

High Point is a city located in the Piedmont Triad region of the state of North Carolina. Most of the city is located in Guilford County, with portions spilling into neighboring Randolph, Davidson, and Forsyth counties. High Point is North Carolina's only city that extends into four counties. As of the 2010 census the city had a total population of 104,371, with an estimated population of 108,629 in 2014. High Point is currently the ninth-largest municipality in North Carolina, and the 259th largest city in America. High Point is known for its furniture, textiles, and bus manufacturing. The ci...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Supervisor jobs
$72,263 to $99,731
High Point, North Carolina 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