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)
Sabino Canyon is looking for an amazing Registered Nurse to join our team. The hours for this position are flexible and could be part-time or full-time depending on the nurse. We are excited to have someone that will help maintain our 5-star facility status, be an advocate for both staff and patients, and to have fun with both as well!
Responsibilities:
- Manage and oversee the daily operations of the nursing department
- Develop and implement policies and procedures to ensure efficient and effective patient care
- Provide leadership and guidance to nursing staff, including training and development
- Collaborate with other healthcare professionals to coordinate patient care
- Monitor patient outcomes and quality of care, making adjustments as necessary
- Ensure compliance with all regulatory requirements and standards of practice
- Participate in performance improvement initiatives to enhance patient outcomes
Skills:
- Experience in utilization review and triage processes
Note: This job description is intended to provide a general overview of the position. It is not an exhaustive list of all responsibilities, skills, or qualifications required for the role.
Job Type: Full-time
Pay: $35.00 - $45.00 per hour
Benefits:
Schedule:
Work setting:
Ability to Relocate:
Work Location: In person
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