Member Services Supervisor supervises a group of member services representatives that address health plan or HMO member inquiries, questions and concerns in all areas including enrollment, claims, benefit interpretation, and referrals/authorizations for medical care. Responsible for researching more complex questions, investigating the cause of the issue, and responding to members on escalated issues. Being a Member Services Supervisor assists with hiring, training, ongoing monitoring and QA, performance evaluations and any corrective actions of member services representatives. Requires a high school diploma or its equivalent. Additionally, Member Services Supervisor typically reports to a manager. The Member Services Supervisor supervises a small group of para-professional staff in an organization characterized by highly transactional or repetitive processes. Contributes to the development of processes and procedures. Thorough knowledge of functional area under supervision. To be a Member Services Supervisor typically requires 3 years experience in the related area as an individual contributor. (Copyright 2024 Salary.com)
Job Description
Location: Ridgecrest, CA 93555
Schedule: Monday - Friday 8am-5pm, can include evenings and weekends
GENERAL DESCRIPTION:
•This position is responsible for providing oversight to the delivery of support services within the Community Facilitator program; provides supervision, mentorship, and support to assigned staff (Direct Support Professionals) and individuals.
ESSENTIAL RESPONSIBILITIES/DUTIES: Essential functions of the job are denoted. Other duties may also be assigned. Please note that the essential functions may vary depending on department size, organizational structure and/or geographic location. Reasonable accommodations may be made to allow individuals to perform the essential functions of the job or restructure marginal functions.
•Recruit, interview, hire, and match appropriate staff to met individuals’ needs.
•Ensure the provision of quality support services to individual’s in accordance to the established Support Plans.
•Identify staff training needs and arrange for appropriate ways for the needs to be met.
•Develop and revise support plans with family members, staff, and the individual.
•Complete Consumer Profile annually. Revise as needed.
•Maintain contact and communication with assigned families.
•Arrange and staff bi-monthly (every other month) meetings to note progress on identified goals and plans.
•Arrange for ongoing funding.
•Provide back-up hands-on support, as needed.
•Review staff paperwork for accuracy and provide training as needed.
•Complete all required paperwork and reports for assigned individuals.
•Interact as needed with Regional Center Case Managers.
•Comply with all policies and procedures of the organization.
•Monitor support provided for quality.
•Other responsibilities as assigned.
MINIMUM QUALIFICATIONS: The following are the minimum qualifications which an individual needs in order to successfully perform the duties and responsibilities of this position. Please note that the minimum qualifications may vary based upon the department size and/or geographic location.
•Bachelor’s degree in a related Human Service field.
•Two years experience providing intensive support to individual with significant behavior challenges.
•Six (6) years hands-on experience working with persons with developmental disabilities demonstrating significant behavior challenges, may be substituted for the degree.
•Knowledge of appropriate, non-invasive behavioral supports.
KNOWLEDGE/SKILLS/ABILITIES:
•Ability to communicate clearly, concisely, and persuasively.
•Ability to use Smart Phone.
•Ability to interact effectively at all levels and across diverse cultures.
•Ability to be an effective team member.
•Internalize and implement organization culture and values.
•Valid Drivers License, working vehicle, and proof of insurance.
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