Managed Care Supervisor jobs in the United States

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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Managed Care Supervisor - Lime Spring
  • Penn State Milton S. Hershey Medical Center
  • Lancaster, PA FULL_TIME
  • Penn State Health Community Medical Group

    Location : US:PA:Lancaster
    Work Type : Full Time
    FTE : 1.0
    Shift : Day
    Hours : Monday - Friday 8:00a - 4:30p

    SUMMARY OF POSITION :

    Directly supervise, lead and coordinate the daily activities of Managed Care workers. Assists with management decisions and activities.

    RESPONSIBILITIES :

    • Supervise the work of employees to ensure adherence to quality standards, deadlines, and proper procedures, correcting errors or problems.
    • Resolve customer complaints or answer customers' questions regarding policies and procedures.
    • Provide employees with guidance in handling difficult or complex problems or in resolving escalated complaints or disputes.
    • Review records or reports pertaining to activities such as production and payroll to verify details, monitor work activities, or evaluate performance.
    • Discuss job performance problems with employees to identify causes and issues and to work on resolving problems.
    • Prepare and issue work schedules, deadlines, and duty assignments for staff.
    • Participate in the recruitment, interviewing, and selection of employees.
    • Interpret and communicate work procedures and company policies to staff.
    • Provide input into the evaluation of employees' job performance and conformance to regulations and recommend appropriate personnel action.
    • Train or instruct employees in job duties or company policies or arrange for training to be provided.
    • Research, compile, and prepare reports, manuals, correspondence, or other information required by management or governmental agencies.
    • Implement corporate or departmental policies, procedures, and service standards in conjunction with management.
    • Coordinate activities with other supervisory personnel or with other work units or departments.
    • Participate in the work of subordinates to facilitate productivity or to overcome difficult aspects of work.
    • Make recommendations to management concerning such issues as staffing decisions or procedural changes.
    • Develop or update procedures, policies, or standards.
    • Maintain records pertaining to inventory, personnel, orders, supplies, or maintenance.
    • Consult with managers or other personnel to resolve problems.

    MINIMUM QUALIFICATIONS :

    • High School Diploma or GED required.
    • Working knowledge of team function within the organization.


    If chosen for this position, you may required to pass a Post Offer Employment Physical Exam in accordance with the measurements listed in the Work Task Analysis (WTA) report. This job description is a general outline of duties performed and is not to be misconstrued as encompassing all duties performed within the position. All individuals (including current employees) selected for a position will undergo a background check appropriate for the position's responsibilities.

    Penn State Health is fundamentally committed to the diversity of our faculty and staff. We believe diversity is unapologetically expressing itself through every person's perspectives and lived experiences. We are an equal opportunity and affirmative action employer. All qualified applicants will receive consideration for employment without regard to age, color, disability, gender identity or expression, martial status, national or ethnic origin, political affiliation, race, religion, sex (including pregnancy), sexual orientation, veteran status, and family medical or genetic information. If you are unable to use our online application process due to an impairment or disability, please call 717-531-8440 between the hours of 7:30 AM and 4:30 PM, Eastern Standard Time, Monday through Friday, email hrsolutions@pennstatehealth.psu.edu or download our Accommodation Instructions for Job Applicants PDF for more detailed steps for assistance.

  • 21 Days Ago

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RN/HOUSE SUPERVISOR
  • Supervisor
  • Rochester, IN FULL_TIME
  • About Woodlawn Health: Woodlawn Health is located in Fulton and Marshall County, Indiana. We are a rural health system earning the right to care for our community! Our flagship hospital and three rura...
  • 28 Days Ago

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Hospital Billing Supervisor- Commercial and Managed Care (CCMC)
  • UCLA Health Careers
  • Los Angeles, CA FULL_TIME
  • DescriptionTake on an important leadership role in a world-class health organization. Help ensure the financial efficiency of a dynamic healthcare leader. Take your professional expertise to the next ...
  • 25 Days Ago

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Hospital Billing Supervisor- Commercial and Managed Care (CCMC)
  • University of California - Los Angeles Health
  • Los Angeles, CA FULL_TIME
  • DescriptionTake on an important leadership role in a world-class health organization. Help ensure the financial efficiency of a dynamic healthcare leader. Take your professional expertise to the next ...
  • 25 Days Ago

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Managed Care Biller
  • Cassena Care
  • Woodbury, NY FULL_TIME
  • Cassena Care is seeking a Managed Care Medical Biller to join our dynamic team of professionals.responsibilities include but are not limited to: Collect, enter and process primary and/or secondary cla...
  • 11 Days Ago

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Managed Care Manager
  • Aperion Care
  • Lincolnwood, IL FULL_TIME
  • Description: In support of Managed Care Case Management perform the duties of facilitating daily referral request for all Commercial, MMAI and Medicare Advantage plans for skilled care stays for all A...
  • 1 Month Ago

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Registered Respiratory Therapist (Part-Time)
  • OhioHealth
  • Columbus, OH
  • We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong p...
  • 2/27/2024 12:00:00 AM

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Registered Respiratory Therapist - Full Time Nights
  • OhioHealth
  • Columbus, OH
  • We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong p...
  • 2/15/2024 12:00:00 AM

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Registered Respiratory Therapist (Part-Time/Casual)
  • OhioHealth
  • Columbus, OH
  • We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong p...
  • 1/18/2024 12:00:00 AM

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Registered Respiratory Therapist - Full Time Days
  • OhioHealth
  • Columbus, OH
  • We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong p...
  • 1/18/2024 12:00:00 AM

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Registered Respiratory Therapist (Part-Time/Casual)
  • OhioHealth
  • Columbus, OH
  • We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong p...
  • 1/3/2024 12:00:00 AM

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Registered Respiratory Therapist (5,000 sign on bonus)
  • OhioHealth
  • Columbus, OH
  • We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong p...
  • 12/18/2023 12:00:00 AM

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Registered Respiratory Therapist/ Part-Time/Casual
  • OhioHealth
  • Columbus, OH
  • We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong p...
  • 12/8/2023 12:00:00 AM

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Respiratory Therapist Reg
  • OhioHealth
  • Columbus, OH
  • We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong p...
  • 11/30/2023 12:00:00 AM

Income Estimation for Managed Care Supervisor jobs
$76,147 to $105,091