Managed Care Supervisor jobs in Norfolk, VA

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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Credential and Managed Care Coordinator
  • Virginia Oncology Associates
  • Norfolk, VA FULL_TIME
  • Overview:



    Virginia Oncology Associates, the largest group of medical professionals in Hampton Roads and Northeast North Carolina devoted exclusively to cancer care and blood disorders, has an exciting opportunity for a Credentialing Managed Care Coordinator for our office in Norfolk.

    ***Please take this quick survey once you've submitted your resume to complete the application process: Credential and Managed Care PI Survey
    Responsibilities:
    • Credentials and re-credentials providers according to quality standards and company policies and procedures. Notifies providers of licensure expirations and submits licensure applications and renewal forms with payment to State agencies and appropriate departments. Recommends process improvements.
    • Maintains current provider licensure files and provides information to hospitals and other healthcare providers as appropriate. Requests and completes hospital credentialing and privileges applications for providers.
    • Obtains and maintains provider participation in managed care plans in a timely manner and communicates information to practice sites and business office.
    • May implement and maintain the contract management system to include terms of the contract, providers credentialed to the payer and other contracted service providers (labs, hospitals).
    • May complete EOB analyses or fee schedule variance reporting on a monthly basis for the top Managed Care payers according to policy and procedure. May produce monthly managed care reports and implement new analysis tools to assist in reporting functions.
    • May maintain expected reimbursement by CPT code for the top payer contracts in each market and communicate changes to system librarian.
    • May develop and provide maintenance of proformas for all contracts.
    • Supports Network Contracting Representative/Manager in general administrative functions.
    • Trains junior and practice staff with respect to credentialing contracts, policies and procedures.
    • Other duties as requested or assigned.
    Qualifications:
    • High school diploma or equivalent required.
    • Technical certification or Associates Degree a plus.
    • At least five (5) years of credentialing related work experience required.
    • Proficiency with computer systems and Microsoft (Office Outlook, Word, Power Point, and Excel) required.
    • CPCS certification is preferred.
  • 11 Days Ago

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Managed Care Coordinator - Foster Care
  • The Elevance Health Companies, Inc.
  • NORFOLK, VA OTHER
  • Anticipated End Date: 2024-06-03 Position Title: Managed Care Coordinator - Foster Care Job Description: The Foster Care Managed Case Manager is responsible for overall management of member's individu...
  • 1 Day Ago

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Managed Care Coordinator - Foster Care
  • Elevance Health
  • Norfolk, VA FULL_TIME
  • Job Family: MED > Care Coord & Care Mgmt (Non-Licensed) Type: Date Posted: Apr 16, 2024 Anticipated End Date: May 20, 2024 Reference: JR113650 Description The Foster Care Managed Case Manager is respo...
  • 7 Days Ago

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(RN or LPN) Supervisor
  • Consulate Health Care of Norfolk
  • Norfolk, VA FULL_TIME
  • Looking for qualified Licensed RN/LPN Supervisors to join our team at the Consulate Health Care of Norfolk! For Our 3 - 11pm / 11 - 7am Shifts! You will have shift options, flexibility to build your s...
  • Just Posted

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(RN or LPN) Supervisor
  • Consulate Health Care
  • Norfolk, VA PART_TIME
  • Looking for qualified Licensed RN/LPN Supervisors to join our team at the Consulate Health Care of Norfolk! For Our 3 - 11pm / 11 - 7am Shifts! You will have shift options, flexibility to build your s...
  • Just Posted

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Floor Care Supervisor
  • Threes Co Carpet & Uphostery I
  • Norfolk, VA FULL_TIME
  • Starting salary 21.77 per hour Part time position averaging 30 hours per week Some nights and weekends required Work Duties: Keep track of employee hours. Maintain equipment and supplies Take charge o...
  • 20 Days Ago

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0 Managed Care Supervisor jobs found in Norfolk, VA area

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Licensed Talk Therapist
  • Thriveworks
  • Norfolk, VA
  • Thriveworks is currently seeking Licensed Clinicians to provide a mix of telehealth and face-to-face sessions in Norfolk...
  • 4/25/2024 12:00:00 AM

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Electrician Journeyman
  • Lighting Maintenance Inc
  • Norfolk, VA
  • Job Description Job Description Sign on Bonus up to $5,000.00 Lighting Maintenance Inc ("LMI") has immediate openings fo...
  • 4/25/2024 12:00:00 AM

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Registered Nurse (RN)
  • IN GOOD HANDS HOME HEALTHCARE LLC
  • Norfolk, VA
  • Job Description Job Description Benefits/Perks Flexible Scheduling Competitive Compensation Careers Advancement Job Summ...
  • 4/24/2024 12:00:00 AM

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Electrician Journeyman
  • Lighting Maintenance Inc
  • Norfolk, VA
  • Job Description Job Description Work 4 - 10 hr days - 3 day weekends!!! Lighting Maintenance Inc ("LMI") is accepting ap...
  • 4/24/2024 12:00:00 AM

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Floor Care Supervisor
  • Threes Co Carpet & Uphostery I
  • Virginia Beach, VA
  • Job Description Job Description Starting salary 21.77 per hour Part time position averaging 30 hours per week Some night...
  • 4/23/2024 12:00:00 AM

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Licensed Psychologist
  • Thriveworks
  • Norfolk, VA
  • Thriveworks is currently seeking Licensed Clinicians to provide a mix of telehealth and face-to-face sessions in Norfolk...
  • 4/23/2024 12:00:00 AM

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Part Time Licensed Talk Therapist
  • Thriveworks
  • Norfolk, VA
  • Thriveworks is currently seeking Licensed Clinicians to provide a mix of telehealth and face-to-face sessions in Norfolk...
  • 4/23/2024 12:00:00 AM

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Floor Care Supervisor
  • Threes Co Carpet & Uphostery I
  • Virginia Beach, VA
  • Job Description Job Description Starting salary 21.77 per hour Part time position averaging 30 hours per week Some night...
  • 4/22/2024 12:00:00 AM

According to the United States Census Bureau, the city has a total area of 96 square miles (250 km2), of which 54 square miles (140 km2) is land and 42 square miles (110 km2) (43.9%) is water. Norfolk is located at 36°55′N 76°12′W / 36.917°N 76.200°W / 36.917; -76.200 (36.8857° N, 76.2599° W) The city is located at the southeastern corner of Virginia at the junction of the Elizabeth River and the Chesapeake Bay. The Hampton Roads Metropolitan Statistical Area (officially known as the Virginia Beach-Norfolk-Newport News, VA-NC MSA) is the 37th largest in the United States, with an estimated...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Supervisor jobs
$71,730 to $98,996
Norfolk, Virginia area prices
were up 1.2% 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