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)
Guidance Care HMO is looking to hire Full Time employees in our Liaison Department.
Our Liaison Department assists nursing homes with various billing inquiries and other issues related to Managed Care.
Applicants must have experience in either medical billing or case management (authorization requests, clinical review processes etc.) as it relates to skilled nursing facilities.
The position requires exceptional organization skills as well the ability to multitask in a fast paced work environment. Proficiency in EMR’s preferred.
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