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)
Convenient Home Care Services, Inc. is currently seeking RNs in Home Care, for our clients in Metro Boston area as well as Merrimack Valley region. Per-diem hours, weekdays and weekends, morning and afternoon shifts. Job Summary/Responsibilities:Clinical director, Provides professional direct skilled services in clients homes within the scope of nursing practice standards in collaboration with primary care physicians; manages and evaluates clients plans of care, observes and assesses clients condition(s); trains and/or educates clients and their families; other duties as assigned. Professional skilled nursing is performed under the supervision of the Administrator, Director of Clinical Services or Branch Manager. Qualifications: (Preferred unless required by law)1. Currently licensed “in good standing” and registered in Massachusetts.2. Minimum of one (1) year of experience as a professional home care nurse.3. Effective oral communicator, strong written communication skills, and able to interact with many different individuals in a professional manner.4. Familiar with various computer software packages, including Microsoft Word, PowerPoint, Outlook and Excel, Email applications, PowerPoint, Adobe Acrobat, Web-based home health care software (Kinnser and Axxess).Qualified applicants may send a cover letter and resume to Fax Number: (781) 642-0882,Call us @781-642-0880 email to the link provided, or apply in person Monday through Friday, 11 am to 3 pm at 681 Main Street, Suite 2-16 Waltham, MA 02451.Job Type: Full-time Salary: $82,000.00 /year Required experience: Professional Home Care Nursing: 1 year We have set up application questions for your job. Candidates will be asked to give a "yes" or "no" response to the following questions: Do you have at least 1* year of *Professional Home Care Nursing experience?
Required experience: Experience required: 1 year We have set up application questions for your job.
Job Types: Full-time, Part-time
Pay: $75,045.00 - $76,836.00 per year
Experience:
License/Certification:
Work Location: In person
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0 Managed Care Supervisor jobs found in Lowell, MA area