Managed Care Supervisor jobs in Peoria, IL

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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Clinical Supervisor
  • Camelot Care Centers, LLC of Illinois
  • Peoria, IL FULL_TIME
  • Pathways Camelot

    Job Description

    Job
    Title:
    Clinical Supervisor
    Program(s):
    Foster Care, In-Home Counselor
    State:
    Illinois
    Population Served:
    Children, Adolescents, and Family Reports To:
    Clinical Director/State Clinical Director FLSA Status: Exempt

    Mission Statement:
    Improving the lives of people by inspiring personal growth, health and wellness.


    SUMMARY

    Ensures that therapeutic interventions are provided to children and families in a caring, competent, and responsible way by performing the following duties.


    ESSENTIAL DUTIES AND RESPONSIBILITIES

    • Consistently exemplifies Camelot Customer Service Standards and Mission, Vision, and Values.
    • In conjunction with the Clinical Director, interfaces and liaisons with the Psychiatrist on a regular basis, maintains relationships, and monitors documentation within the agency. Assures the maintenance of up-to-date clinical documentation including treatment and medication consents for assigned locations.
    • Provides direct counseling services and maintains assigned caseload.
    • Assures the clinical quality of the therapeutic program as required by all applicable standards and policies; seeks out and analyzes problem areas in order to improve quality of care.
    • Provides clinical supervision to assigned clinical staff for a minimum of 60 minutes per month.
    • Participates in therapeutic interventions, court hearings, and school and community meetings as required for the program.
    • Participates in regular chart audit reviews in accordance with the Continuous Quality Improvement Plan.
    • Ensures that each assigned client has an appropriate diagnosis and an accurate assessment and current treatment/service plan. All plans are to meet Camelot Policy, State licensing regulatory, funding sources and accreditation requirements and be completed within the appropriate time frame.
    • Participates in other supervisory and administrative functions as directed by the Clinical Director.


    OTHER DUTIES

    • Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.
    • Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.


    SUPERVISORY RESPONSIBILITIES

    Manages assigned clinical staff directly. Is responsible for the overall direction, coordination, and evaluation of assigned staff. Carries out supervisory responsibilities and documentation in accordance with the organization's policies and applicable laws. Responsibilities include interviewing, hiring, and training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems.


    PHYSICAL DEMANDS

    The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

    While performing the duties of this job, the employee is regularly required to stand; walk; sit; use hands to finger, handle, or feel; and talk or hear. The employee is occasionally required to reach with hands and arms and stoop, kneel, crouch, or crawl. The employee must occasionally lift and/or move up to 50 pounds.


    WORK ENVIRONMENT

    The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The employee must be able to deal with architectural barriers in private homes. The noise level in the work environment is usually moderate.


    TRAVEL

    This position requires travel approximately 50% of the time.


    REQUIRED EDUCATION AND/OR EXPERIENCE

    Master’s degree in an approved Human Service discipline and in accordance with the applicable State Standards (i.e. Child, Family and Community Services; Guidance and Counseling; Human Development Counseling; Counseling; psychology; social work; counseling psychology; mental health; community counseling; clinical psychology; marriage and family therapy; marriage and family counseling; Divinity/Pastoral Care/Pastoral Counseling) areas from an approved college or university AND Obtain LCSW, LCPC, or LMFT within 6 months of hire. 1 year of direct experience providing services to children/adolescents and families in a therapeutic treatment environment AND Compliance with State or contractual requirements.

    PREFERRED EDUCATION AND EXPERIENCE
    2 years’ experience in child and adolescent counseling services.


    CERTIFICATES, LICENSES, REGISTRATIONS

    • Valid State Driver’s License (In good standing). If moving to Illinois after position is accepted, must obtain an Illinois Driver’s License within 30 days from Date of Hire.
    • CPR & First Aid Certification within 30 days from date of hire
    • Appropriate automobile insurance (at least state minimum)


    QUALIFICATIONS


    LANGUAGE SKILLS
    Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. Ability to write reports, business correspondence and procedure manuals. Ability to effectively present information and respond to questions from groups of managers, clients, customers and the general public.


    MATHEMATICAL SKILLS

    Ability to calculate figures and amounts such as discounts, interest, commissions, proportions, percentages, area, circumference, and volume.


    REASONING ABILITY

    Ability to define problems, collect data, establish facts, and draw valid conclusions. Ability to interpret an extensive variety of technical instructions in mathematical or diagram form and deal with several abstract and concrete variables.


    ADDITIONAL ELIGIBILITY QUALIFICATIONS

    • Current physical and TB (PPD) test within 30 days of employment.
    • Signed employee acknowledgement of physical health and infection control responsibilities.
    • Ability to work as a team member
    • Organizational skills
    • Communication skills
    • Time management skills
    • Ability to work flexible hours
    • Understanding of systems of care and reimbursement structures.

    JOB DESCRIPTION ACCEPTANCE:
    MY SIGNATURE BELOW INDICATES THAT I HAVE READ AND UNDERSTAND THE JOB DESCRIPTION AND AGREE THAT I AM QUALIFIED AS TO EDUCATION AND SKILL TO MEET THE REQUIREMENTS OF THE POSITION WITH OR WITHOUT REASONABLE ACCOMMODATION(S):

    Employee’s Name Printed: ________________________________________________________

    Employee’s Signature: ____________________________________________________________
  • 16 Days Ago

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Signal Maintainer
  • BROE Group and it's managed affiliates
  • Ottawa, IL FULL_TIME
  • POSITION SUMMARY The Signal Maintainer repairs, inspects and maintains all grade crossing warnings, train control devices, and communication facilities located along assigned railroad system. Document...
  • 14 Days Ago

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OMNI Transportation - Engineer-H
  • BROE Group and it's managed affiliates
  • Ottawa, IL FULL_TIME
  • OmniTRAX is the second-largest private management company of short-line railroads in North America with expertise in simplifying the entire process of shipping by rail. We call it Rail Made Easy. Omni...
  • 29 Days Ago

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Day Shift Caregiver
  • Western Illinois Managed Home Services
  • Macomb, IL FULL_TIME,PART_TIME
  • CAREGIVERS…We know you have so many options when looking for employment. Come join our TEAM at Western Illinois Managed Home Services and see …. · What the “Western Way” is all about · What it is like...
  • 1 Month Ago

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RN Nurse Supervisor Weekends
  • Aperion Care Morton Villa
  • Morton, IL FULL_TIME
  • SUMMARY: The RN Nursing Supervisor performs professional supervisory nursing practice in the care of the physically and mentally ill. Work involves responsibility for supervising the provision of qual...
  • 9 Days Ago

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Managed Backup Engineer
  • Integrity Technology Solu
  • Bloomington, IL FULL_TIME
  • This position requires working in Bloomington, IL to physically build and deploy equipment to our client sites.SUMMARY: The Managed Backup Engineer is responsible for evaluating and implementing disas...
  • 1 Month Ago

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0 Managed Care Supervisor jobs found in Peoria, IL area

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Licensed Psychologist
  • Hiring Now!
  • Peoria, IL
  • Thriveworks is currently seeking Licensed Clinicians to provide a mix of telehealth and face-to-face sessions in Normal,...
  • 4/24/2024 12:00:00 AM

H
Clinical Social Worker
  • Hiring Now!
  • Peoria, IL
  • Thriveworks is currently seeking Licensed Clinicians to provide a mix of telehealth and face-to-face sessions in Normal,...
  • 4/23/2024 12:00:00 AM

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Internal Revenue Agent (Senior Revenue Agent (Examiner) -12 MONTH ROSTER
  • Department Of The Treasury
  • Peoria, IL
  • Duties WHAT IS THE SBSE - SMALL BUSINESS SELF EMPLOYED DIVISION? A description of the business units can be found at: ht...
  • 4/22/2024 12:00:00 AM

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Internal Revenue Agent (Reviewer - Examiner) 12 MONTH ROSTER - AMENDED
  • Department Of The Treasury
  • Peoria, IL
  • Duties WHAT IS THE WHISTLEBLOWER OFFICE (WBO) DIVISION? A description of the business units can be found at: https://www...
  • 4/21/2024 12:00:00 AM

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Internal Revenue Agent (Examiner) - 12 MONTH ROSTER
  • Department Of The Treasury
  • Peoria, IL
  • Duties WHAT IS THE SMALL BUSINESS/SELF-EMPLOYED (SB/SE) DIVISION? A description of the business units can be found at: h...
  • 4/21/2024 12:00:00 AM

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Customer Service - Donor Support Technician
  • CSL Plasma
  • Peoria, IL
  • Job Description Job Description Summary Responsible for preparing the donor, donor area and equipment for the pheresis p...
  • 4/20/2024 12:00:00 AM

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Pharmacist- Sign-On Bonus Available
  • WALGREENS
  • Peoria, IL
  • Job Objectives Provides pharmacy consulting services with empathy to patients regarding the effective usage of medicatio...
  • 4/20/2024 12:00:00 AM

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Pharmacist- Sign-On Bonus and Relocation Available
  • WALGREENS
  • Peoria, IL
  • Job Objectives Provides pharmacy consulting services with empathy to patients regarding the effective usage of medicatio...
  • 4/20/2024 12:00:00 AM

Peoria (/piˈɔːriə/ pee-OR-ee-ə) is the county seat of Peoria County, Illinois, and the largest city on the Illinois River. Established in 1691 by the French explorer Henri de Tonti, Peoria is the oldest European settlement in Illinois, and is named after the Peoria tribe. As of the 2010 census, the city was the seventh-most populated in Illinois (and the third largest outside the Chicago metropolitan area), with a population of 115,007. The Peoria Metropolitan Statistical Area had a population of 373,590 in 2011. Until 2018, Peoria was the global and national headquarters for Caterpillar Inc.,...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Supervisor jobs
$73,253 to $101,098
Peoria, Illinois area prices
were up 1.3% from a year ago

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