Managed Care Supervisor jobs in Nashua, NH

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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MDS/Managed Care Documentation Specialist (RN preferred)
  • thecourvilles-nashua
  • Nashua, NH FULL_TIME
  • The Courville at Nashua is a Senior Healthcare Community in Nashua, NH. We are locally owned and operated and committed to providing personalized service and care. We’re looking for Full-time MDS/Managed Care Documentation Specialist (RN preferred) to join our dedicated staff.

    Job Description: This position is perfect for an experienced healthcare professional. Successful candidates will have a passion for human kindness and wellness for life. This position may offer some flexibility, but it is primarily a site-based position and requires coming into the office.

    Case Manager responsibilities include:

    • Update insurance companies on patients’ clinical status
    • Submit patient health information to agencies for appeal processes
    • Ability to navigate through electronic medical records
    • Strong organizational skills to manage case mix and deadlines
    • Strong communication skills to inform managers of patient’s status
    • Customer service driven when assisting patients with insurance coverage

    MDS Coordinator:

    • Complete ICF & PPS MDS’ in a timely manner
    • RAPS
    • Comprehensive Care Plans on ICF & Skilled Residents
    • Update care plans with quarterly’s 30 days and 60 day Medicare assessments
    • Provide care plan schedule to Social Worker in timely manner
    • Schedule weekly assessments with Recreation Director, Social Worker, Dietician & Rehab Director
    • Complete overall Quarterly and Annual schedule of MDS assessments for ICF residents
    • Complete monthly schedule of ICF MDS assessments due for Unit managers on 1st floor 2nd and 3rd floor
    • Able to complete assessments utilizing MDS 3.0 according to long term care regulations 
    • Proficient with computer skills 
    • MDS 3.0 experience 
    • Knowledge of Point Click Care systems 

     Scheduling interviews now to come meet our team, tour our community, and see what HumanKindness means at The Courvilles:

    • Strong teamwork ethic
    • Welcoming environment
    • Hospitality-focused care
    • Innovative leader in senior healthcare
    • Slower-paced, more personal setting
    • Get to know our residents and their families

    Benefits: Employee benefits include competitive wages, medical insurance, dental insurance, earned time, 401K,  flexible spending accounts, and paid life insurance for eligible employees.

  • 1 Month Ago

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MDS/Managed Care Documentation Specialist (RN preferred)
  • The Courville at Nashua
  • Nashua, NH FULL_TIME
  • The Courville at Nashua is a Senior Healthcare Community in Nashua, NH. We are locally owned and operated and committed to providing personalized service and care. We’re looking for Full-time MDS/Mana...
  • 1 Month Ago

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Field Supervisor- Home Care
  • FCP Live-In
  • Thornton, NH FULL_TIME
  • FCP Live-In is hiring a Field Supervisor Position Summary The Field Supervisor will work collaboratively with the Executive Director of Client and Caregiver Services, senior management, administrative...
  • 3 Days Ago

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RN CARE TRANSITIONS SUPERVISOR
  • Covenant Health
  • Nashua, NH FULL_TIME
  • Summary Collaborates with all areas of Care Coordination including inpatient, outpatient, emergency room, ambulatory care, community partners and transitions to achieve the best possible patient outco...
  • 10 Days Ago

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MAT Nurse Care Coordinator
  • Harbor Care
  • Nashua, NH FULL_TIME
  • Position: MAT Nurse Care Coordinator Department: Nursing Reports to: Director of Nursing Pay Status: Full-time Salary: Non-exempt Location: 45 High Street The Job: Do you want to make sustainable chan...
  • 15 Days Ago

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Primary Care Physician - MD/ DO
  • Harbor Care
  • Nashua, NH FULL_TIME
  • Position: Medical Doctor - Primary Care Physician - MD/DO Department: Medical Department Reports to: Medical Director Pay Status: Full time, Exempt, Salary Schedule: Monday through Friday, 8:00 AM to ...
  • 14 Days Ago

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0 Managed Care Supervisor jobs found in Nashua, NH area

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Consultant Care Specialist
  • Oxford Global Resources
  • Beverly, MA
  • POSITION SUMMARY The Consultant Care Specialist is responsible for diverse day-to-day consultant facing activity, to inc...
  • 4/26/2024 12:00:00 AM

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Lab Animal Caretaker - Comparative Medicince Services
  • Tufts University
  • Boston, MA
  • Job Description - Lab Animal Caretaker - Comparative Medicince Services (21001933) **Job Description** Lab Animal Careta...
  • 4/26/2024 12:00:00 AM

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Legal Admin Specialist (Estate & Gift Tax) (Estate Tax Technical Advisor) (TEMP NTE 1 YR MBE, MBP)
  • Department Of The Treasury
  • Nashua, NH
  • Duties WHAT IS THE SMALL BUSINESS SELF EMPLOYED (SBSE)DIVISION? A description of the business units can be found at: htt...
  • 4/26/2024 12:00:00 AM

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Summer Camp - Camp Directors
  • Town of Brookline
  • Brookline, MA
  • The Brookline Recreation department is seeking qualified, energetic, and compassionate candidates for the 2024 summer ca...
  • 4/25/2024 12:00:00 AM

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Day Support Specialist
  • Ne Arc
  • Danvers, MA
  • >> Day Support Specialist Day Support Specialist Summary Title:Day Support SpecialistID:2445Location:DanversShift:Monday...
  • 4/25/2024 12:00:00 AM

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Supervisory Internal Revenue Agent (12 month roster) AMENDED
  • Department Of The Treasury
  • Nashua, NH
  • Duties WHAT IS THE LBI - LARGE BUSINESS AND INTERNATIONAL DIVISION? A description of the business units can be found at:...
  • 4/25/2024 12:00:00 AM

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Foster Care Supervisor
  • Northeast Center for Youth & Families, Inc. (NCYF)
  • Malden, MA
  • Job Description Job Description Benefits: 401(k) Dental insurance Health insurance Paid time off Signing bonus Vision in...
  • 4/24/2024 12:00:00 AM

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Pharmacy Operations Specialist
  • St Mary's Health System
  • Nashua, NH
  • Summary # Assists the Director of Pharmacy Services and Pharmacy Clinical Operations Supervisor in maintaining daily ope...
  • 4/24/2024 12:00:00 AM

Nashua is a city in Hillsborough County, New Hampshire, United States. As of the 2010 census, Nashua had a population of 86,494, making it the second-largest city in the state after Manchester. As of 2017 the population had risen to an estimated 88,341. Built around the now-departed textile industry, in recent decades it has been swept up in southern New Hampshire's economic expansion as part of the Boston region. Nashua was twice named "Best Place to Live in America" in annual surveys by Money magazine. It is the only city to get the No. 1 ranking on two occasions—in 1987 and 1998. Nashua is ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Supervisor jobs
$82,543 to $113,919
Nashua, New Hampshire area prices
were up 1.4% from a year ago

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