Managed Care Supervisor jobs in Medford, OR

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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Supervisor
  • KLAMATH YOUTH DEVELOPMENT CENTER
  • Klamath Falls, OR FULL_TIME
  • Job Title: Supervisor

    Department: Intensive Adult Services

    Intro and job overview: Join our KBBH team and find meaningful work, inspiring colleagues, career growth, great compensation, and excellent benefits. Located in beautiful Southern Oregon.

    Join an outstanding multi-disciplinary team including an on-staff psychiatric team and licensed clinical staff. Klamath Basin Behavioral Health is an accredited NHSC facility. 

    Case Manager Benefits and pay range:

    • Salary: $64,690.58 – $80,863.23 DOE
    • Medical Insurance 
    • Dental Insurance 
    • Vision Insurance
    • 403 (b) Retirement Plan
    • Paid Vacation & Wellness Days
    • Life Insurance
    • Disability Insurance
    • Flexible Spending Account (FSA)
    • Health Savings Account (HSA)
    • Employee Discounts
    • Employee Assistance Program (EAP)
    • Wellness Program
    • Tuition Reimbursement Program

    Supervisor Summary: The SPMI Supervisor is responsible for the management of the intensive outpatient rental assistance and case management programs and shall ensure high quality clinical services are delivered and documented in compliance with local, state and federal regulations. The position may be called to provide direct service and to serve as a primary case manager, as needed.

    Supervisor Responsibilities and Qualifications: This job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities that are required of the employee. Duties, responsibilities, and activities may change, or new ones may be assigned at any time with or without notice.

    • Facilitate team meetings to ensure clients receive medically necessary services.
    • Provide individual and group supervision to team members; maintain training and supervision logs.
    • A minimum of 50% of time is dedicated to individual counseling, crisis intervention, case management, and other direct service to participants.
    • Assist Intensive Adult Manager in recruitment, hiring, and training new team membersto perform standards outlined within their performance evaluations.
    • Participate in training and meetings as assigned (rehabilitation management, utilizationreview, and another inter-agency).
    • Monitor and track workflow and day-to-day work of team members.
    • Complete multi-stage referrals for both SPMI and Rental Subsidy.
    • Maintain rental subsidy waiting pool.
    • Assign clients from rental subsidy waiting pool to case managers/SPMI clients to casemanagers.
    • Provide weekly rental subsidy grant reports to the Director of Administration.
    • Ensure quarterly reports for rental subsidy program participants are completed within specified timelines.
    • Maintain contact with Klamath Housing Authority, property management agencies, KEPRO and the Oregon Health Authority.
    • Coordinate PCA services between clients and PCAs
    • Monthly check ins with both client and PCA.
    • Enroll new PCAs as they apply.
    • Administer testing for new adult foster care staff.
    • Oversee annual adult foster care training for all adult foster care providers and staff to maintain their certification/licenses.
    • Enroll new adult foster care providers as they apply.
    • Provide weekly supervision to rental subsidy, SPMI case managers and peer support specialists assigned to the intensive adult services program.
    • Facilitate bi-monthly case management group supervision with all case managers/peer supports.
    • Provide support as needed to case managers/peer support in problem solving or resource coordination.
    • Coordinate client referrals for adult foster care services as appropriate.
    • Coordinate with ENCC for out of county adult foster care client placements or with PCI team for client placement when under civil commitment.
    • Provide psychotherapy/TIC evaluations/TIC reviews for rental subsidy/SPMI clients.
    • Attend daily and weekly clinical management program coordination meetings.
    • Maintain open communication with intensive services program managers (ACT, EASA, CBCS, CHOICE, Crisis, Respite, etc.) for the purposes of coordinating care for mutual clients.
    • Attend trainings as necessary for housing and SPMI populations.
    • Ensure timely completion of employee status change and/or payroll change forms. 
    • Other duties as assigned by supervisor or Program Directors.

    Supervisory Responsibilities: 

    • Directly supervises the Rental Subsidy Case Managers and SPMI Intensive Case Managers. 
    • Carries out supervisory responsibilities in accordance with the organization's policies and applicable laws. 
    • Responsibilities include interviewing, hiring, and training employees; planning, assigning, and directing work; timecard and time off approvals, performance evaluations; rewarding and disciplining employees; addressing complaints and resolving problems. 

    Supervisor Education: Must meet one of the requirements to qualify as a QMHP. QMHPs shall meet the following minimum qualifications and shall hold one of the following educational degrees:

    • Graduate degree in Psychology.
    • Bachelor’s degree in nursing and licensed by the state of Oregon.
    • Graduate degree in social work.
    • Graduate degree in a behavioral science field.
    • Graduate degree in recreational, music or art therapy.
    • Bachelor’s degree in occupational therapy and licensed by the State of Oregon.

    Supervisor Experience: Experience to demonstrate the competencies to identify precipitating events:

    • Gather histories of mental and physical disabilities, alcohol and drug use, past mental service, and criminal justice contracts.
    • Assess family, social and work relationships; conduct a mental health examination; document a multiaxial DSM diagnosis; write and supervise a treatment plan.
    • Conduct a comprehensive Mental Health Assessment and provide individual, family and/or group therapy within the scope of their training.

    Certificates, Licenses, Registrations: Valid Oregon driver’s license, insurable driving record. Personal automobile insurance is required if clients are transported, or any agency business is conducted by the employee using his/her personal vehicle. If the employee is an unlicensed therapist or is not actively in the licensing process, employee must meet the requirements to become MHACBO QMHP Certified. Certification or licensure must be maintained for the length of employment.

    Other Considerations: Klamath Basin Behavioral Health celebrates diversity and is committed to creating inclusive and equal access to all individuals regardless of race, color, religion, ethnic or national origin, gender, genetic information, age, disability, sexual orientation, gender identity, gender expression, and veteran's status. or any other basis covered by appropriate law. Our employment decisions are based on qualifications, merit, and agency need

     

  • 9 Days Ago

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Med Tech for Memory Care
  • Kinsington Place Memory Care
  • Grants Pass, OR PART_TIME,FULL_TIME
  • We need you!! Experience Not Required but is helpful (Willing to train the right person) 16 Bed Memory Care Community Pre-Service Dementia Training from Oregon Care Partners Required 6 hour class (Pai...
  • 11 Days Ago

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Home Care Aide/Caregiver
  • Sunshine In Home Care LLC
  • Medford, OR PART_TIME,FULL_TIME
  • Job description Caregivers neededSunshine In Home Care LLCMedford Or 97504 Job Type: Full-time / Part-time Sunshine In Home Care NOW HIRING caregivers.Are you interested in helping those in your commu...
  • 12 Days Ago

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In Home Care - Scheduler
  • Affordable At Home Care Medford
  • Medford, OR FULL_TIME
  • Affordable at Home Care is looking for a Scheduling Coordinator to join the Southern OR / Medford team. Expectations of the scheduler are as follows: * A can do attitude* Puzzle and problem solving sk...
  • 12 Days Ago

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Personal Care Attendant (PCA) Caregiver - NOC Shift
  • Prestige Care - Arbor Place
  • Medford, OR FULL_TIME
  • Position DetailsSalary: 17.50 - 22.00 Hourly Job Summary: Provides direct resident care, completes assignments as a universal worker, assists in maintaining a positive physical and psychosocial enviro...
  • 19 Days Ago

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Primary Care Family Nurse Practitioner (Integrative/Functional Medicine)
  • Complete Integrative Care
  • Medford, OR FULL_TIME,CONTRACTOR
  • Seeking Integrative / Functional / Preventative Medicine FNP Complete Integrative Care is a growing medical clinic in Medford; located in beautiful Southern Oregon. Sign on Bonus or Relocation Assista...
  • 15 Days Ago

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0 Managed Care Supervisor jobs found in Medford, OR area

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MANAGER TRAINEE
  • AutoZone, Inc.
  • Medford, OR
  • The Manager in Training (MIT) position is expected to be a short-term transitional role that provides both work assignme...
  • 4/23/2024 12:00:00 AM

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Personal Care Attendant (PCA) Caregiver - NOC Shift
  • Prestige Care - Arbor Place
  • Medford, OR
  • Position Details Salary: 17.50 - 22.00 Hourly Job Summary: Provides direct resident care,completes assignments as a univ...
  • 4/23/2024 12:00:00 AM

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Patient Placement Specialist
  • Asante Health System
  • Medford, OR
  • Apply Now Save Job Saved Not Ready to Apply? Join Our Talent Network! Patient Placement Specialist Additional Position D...
  • 4/23/2024 12:00:00 AM

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Phlebotomist
  • CSL Behring LTD
  • Medford, OR
  • The Opportunity Responsible for the efficient and effective collection of plasma from donors by performing venipuncture,...
  • 4/23/2024 12:00:00 AM

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Patient Access Rep 2 ED (Patient Registration)
  • Asante
  • Medford, OR
  • Additional Position Details: FTE: 0.9 FTE = 36 hours per week = Full Time | Variable Hours/Variable Days We will conside...
  • 4/22/2024 12:00:00 AM

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8257 - Community Health Nurse I (Health & Human Services)
  • Jackson County, OR
  • Medford, OR
  • Salary: $33.10 - $44.27 Hourly Location : Medford, OR Job Type: Full Time Job Number: 8257 Department: Health and Human ...
  • 4/20/2024 12:00:00 AM

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8298 - Part-Time Community Health Nurse I (Health & Human Services)
  • Jackson County, OR
  • Medford, OR
  • Salary: $33.10 - $44.27 Hourly Location : Medford, OR Job Type: Part-Time Job Number: 8298 Department: Health and Human ...
  • 4/20/2024 12:00:00 AM

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Medical Screener - Reception Technician (Customer Service)
  • CSL Plasma
  • Medford, OR
  • Responsibilities: Responsible for greeting donors at the plasma collection center and conducting a series of registratio...
  • 4/20/2024 12:00:00 AM

Medford is located approximately 27 miles (43 km) north of the northern California border at 42.3°N. According to the United States Census Bureau, the city has a total area of 25.74 square miles (66.67 km2), of which, 25.73 square miles (66.64 km2) is land and 0.01 square miles (0.03 km2) is water. The Pacific Ocean is about 75 miles (121 km) west of the city, and is the nearest coast. The nearest river is the Rogue River (8 mi or 13 km), and the nearest lake is Agate Lake (13 mi or 21 km). Nearby cities include Grants Pass, Klamath Falls, Ashland, Roseburg, Redding (California), and Crescent ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Supervisor jobs
$75,918 to $104,776
Medford, Oregon area prices
were up 2.5% from a year ago

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