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)
First MCO, a NJ licensed managed care organization, offers medical case management services to numerous Auto and Workers’ Compensation carriers. A position is currently available for a Per Diem Field Case Manager. Candidate must have excellent computer and time management skills for this work from home position. Exceptional verbal and written communication skills are also needed to interact with claimants, insurance professionals, and health care providers. Previous case management/UR experience is a plus. RN license and valid Driver’s License is required. Great opportunity for professional development. No rotating shifts, weekends or holidays.
First Managed Care Option, Inc., is an Equal Opportunity Employer and takes pride in maintaining a diverse environment. We do not discriminate in recruitment, hiring, training, promotion, or any other employment practices for reasons of race, color, religion, gender, national origin, age, sexual orientation, marital or veteran status, disability, or any other legally protected status.
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0 Managed Care Supervisor jobs found in Passaic, NJ area