Managed Care Supervisor jobs in Lancaster, 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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Managed Care Supervisor - Lime Spring
  • Penn State Milton S. Hershey Medical Center
  • Lancaster, PA FULL_TIME
  • Penn State Health Community Medical Group

    Location : US:PA:Lancaster
    Work Type : Full Time
    FTE : 1.0
    Shift : Day
    Hours : Monday - Friday 8:00a - 4:30p

    SUMMARY OF POSITION :

    Directly supervise, lead and coordinate the daily activities of Managed Care workers. Assists with management decisions and activities.

    RESPONSIBILITIES :

    • Supervise the work of employees to ensure adherence to quality standards, deadlines, and proper procedures, correcting errors or problems.
    • Resolve customer complaints or answer customers' questions regarding policies and procedures.
    • Provide employees with guidance in handling difficult or complex problems or in resolving escalated complaints or disputes.
    • Review records or reports pertaining to activities such as production and payroll to verify details, monitor work activities, or evaluate performance.
    • Discuss job performance problems with employees to identify causes and issues and to work on resolving problems.
    • Prepare and issue work schedules, deadlines, and duty assignments for staff.
    • Participate in the recruitment, interviewing, and selection of employees.
    • Interpret and communicate work procedures and company policies to staff.
    • Provide input into the evaluation of employees' job performance and conformance to regulations and recommend appropriate personnel action.
    • Train or instruct employees in job duties or company policies or arrange for training to be provided.
    • Research, compile, and prepare reports, manuals, correspondence, or other information required by management or governmental agencies.
    • Implement corporate or departmental policies, procedures, and service standards in conjunction with management.
    • Coordinate activities with other supervisory personnel or with other work units or departments.
    • Participate in the work of subordinates to facilitate productivity or to overcome difficult aspects of work.
    • Make recommendations to management concerning such issues as staffing decisions or procedural changes.
    • Develop or update procedures, policies, or standards.
    • Maintain records pertaining to inventory, personnel, orders, supplies, or maintenance.
    • Consult with managers or other personnel to resolve problems.

    MINIMUM QUALIFICATIONS :

    • High School Diploma or GED required.
    • Working knowledge of team function within the organization.


    If chosen for this position, you may required to pass a Post Offer Employment Physical Exam in accordance with the measurements listed in the Work Task Analysis (WTA) report. This job description is a general outline of duties performed and is not to be misconstrued as encompassing all duties performed within the position. All individuals (including current employees) selected for a position will undergo a background check appropriate for the position's responsibilities.

    Penn State Health is fundamentally committed to the diversity of our faculty and staff. We believe diversity is unapologetically expressing itself through every person's perspectives and lived experiences. We are an equal opportunity and affirmative action employer. All qualified applicants will receive consideration for employment without regard to age, color, disability, gender identity or expression, martial status, national or ethnic origin, political affiliation, race, religion, sex (including pregnancy), sexual orientation, veteran status, and family medical or genetic information. If you are unable to use our online application process due to an impairment or disability, please call 717-531-8440 between the hours of 7:30 AM and 4:30 PM, Eastern Standard Time, Monday through Friday, email hrsolutions@pennstatehealth.psu.edu or download our Accommodation Instructions for Job Applicants PDF for more detailed steps for assistance.

  • 12 Days Ago

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Managed Care Specialist - Lime Spring
  • Penn State Health
  • Lancaster, PA FULL_TIME
  • Penn State Health Community Medical Group Location : US:PA:Lancaster Work Type : Full Time FTE : 1.00 Shift : Varied Hours : Varied JOB SUMMARY: Responsible for coordinating patient referrals and trac...
  • 1 Month Ago

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Register Nurse | RN | Supervisor
  • BAYADA Home Health Care
  • Lancaster, PA FULL_TIME
  • BAYADA Home Health Care is seeking a Registered Nurse (RN) to fill the position of Nurse Manager/Home Care RN for our Lancaster, PA Pediatric home care office. This office provides best in class care ...
  • 13 Days Ago

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Registered Nurse Supervisor (RN)
  • Extended Family Care
  • Lancaster, PA FULL_TIME
  • Extended Family Care, a well established Home Care Agency in Lancaster, PA has an Immediate Need for a Home Care Nursing Supervisor (RN) $7500 sign on bonus - 1st half paid after 6 months of consecuti...
  • 27 Days Ago

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Youth Care Worker-Supervisor
  • Lancaster County, PA
  • Lancaster, PA FULL_TIME
  • Position Summary Discover a rewarding career with us! Our full-time positions come with an array of excellent benefits including comprehensive healthcare coverage, a pension plan, flexible spending ac...
  • 1 Day Ago

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LPN Supervisor (Personal Care)
  • Luthercare
  • Columbia, PA FULL_TIME
  • Experience the Luthercare Difference!The best and the brightest always have choices in our industry. If you have what it takes, we have what you want! Licensed Practical Nurses (LPN) are vitally impor...
  • 1 Month Ago

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0 Managed Care Supervisor jobs found in Lancaster, PA area

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Maintenance Supervisor
  • WK Kellogg Co
  • Lancaster, PA
  • At WK Kellogg Co, we exist to create joy and connection to inspire Gr-r-reat days. We believe that doing good is always ...
  • 4/16/2024 12:00:00 AM

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Home Caregiver
  • Lifelong Home Care
  • Lancaster, PA
  • Job Description Job Description JOB SUMMARY: Responsible for providing non-medical, in-home care for the comfort and gen...
  • 4/15/2024 12:00:00 AM

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Pharmacy Facility Manager
  • Health Direct
  • Lancaster, PA
  • Overview: For over 50 years, the HealthDirect team has been dedicated to the unique pharmacy needs of individuals residi...
  • 4/15/2024 12:00:00 AM

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Case Aide
  • Bethanna
  • Lancaster, PA
  • Job Description Job Description The Case Aide will be responsible for developing the weekly schedule for transportation ...
  • 4/14/2024 12:00:00 AM

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Security Officer (Monday Only)
  • Penn Medicine Lancaster General Health
  • Lancaster, PA
  • Summary Job Description POSITION SUMMARY: Provides security for patients, employees, and visitors; initiates appropriate...
  • 4/14/2024 12:00:00 AM

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Caregiver/Home Health Aide
  • MAMA 816 LLC
  • Lancaster, PA
  • Job Description Job Description Description: Caregivers provide service to individuals in their own homes and communitie...
  • 4/13/2024 12:00:00 AM

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Registered Nurse (RN) - Weekend - Night Shift
  • Universal Health Services
  • Lancaster, PA
  • Responsibilities Lancaster Behavioral Health Hospital is hiring full-time RNs for weekend (Friday, Saturday, and Sunday)...
  • 4/12/2024 12:00:00 AM

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Warehouse Forklift Operator Associates
  • Ryder System Inc.
  • Lancaster, PA
  • Position Description Ryder is hiring immediately for Permanent, Full-TimeForklift Operators in Lancaster, PA Warehouse P...
  • 4/11/2024 12:00:00 AM

Lancaster (/ˈlæŋkəstər/ LANG-kə-stər) is a city located in South Central Pennsylvania which serves as the seat of Pennsylvania's Lancaster County and one of the oldest inland towns in the United States. With a population of 59,322, it ranks eighth in population among Pennsylvania's cities. The Lancaster metropolitan area population is 507,766, making it the 101st largest metropolitan area in the U.S. and second largest in the South Central Pennsylvania area. The city's primary industries include healthcare, tourism, public administration, manufacturing, and both professional and semi-professi...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Supervisor jobs
$74,624 to $102,989
Lancaster, 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