Member Services Supervisor jobs in Lawrence, MA

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)

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Central Triage Overnight Supervisor, Emergency Services
  • Beth Israel Lahey Health Behavioral Services
  • Lawrence, MA FULL_TIME
  • When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives.

    Job Type:

    Regular

    Scheduled Hours:

    40

    Work Shift:

    Night (United States of America)

    Job Description:

    Sign on bonus up to $3000 (pro-rated for part time)
     

    The BILH BS Central Triage Overnight Supervisor is responsible for coordinating operational activities and optimal functioning of the Emergency Services (ES) Division Central Triage including oversight and monitoring of the program’s protocols and procedures. Supervises Central Triage staff that telephonically respond to patients, families, providers, and stakeholders who are requesting access to services or information. Provides supervision, training, guidance, and oversight of assigned staff. Provides patient case consultation with ES clinicians providing behavioral health crisis consultation at BILH hospitals served.

    RESPONSIBILITIES:

    1. Under the supervision of the Central Triage Senior Director, the Central Triage Overnight Supervisor monitors call center program guidelines and policies with the purpose of ensuring compliance with all regulations, as well as maintaining alignment with the organization's mission.

    2. Works with the Central Triage Senior Director to evaluate program outcomes and to ensure culturally appropriate continuum of services for clients.

    3. Monitors the effectiveness of the Central Triage, making adjustments as needed. Monitors quality initiatives (Response Time, ED Diversion), including staff recruiting and training, monitoring/reporting of significant clinical events.

    4. As a credentialed member of the medical staff at BILH hospitals served, provides case consultation to ES clinicians during assigned shift.

    5. Collaborates regularly and provides timely and efficient communication with Call Center Senior Director and Emergency Services Division team leadership on call center issues, challenges, and needs with the goal of supporting effective triaging of services and optimal flow of information.

    6. Oversees program staff regularly on shift. Provides necessary ongoing training and technical support to ensure work is completed safely, professionally and productively.

    7. Assists in supervising and reviewing the performance management of assigned staff and the overall functioning of the Central Triage.

    8. Conforms to organizational standards of performance and conduct, including those pertaining to patient rights, to ensure that exceptional customer service and patient care may be provided.

    9. Utilizes organization’s behavioral health standards as the basis for decision making and to support the organization’s mission and goals.

    10. Provide oversight and supervision during scheduled hours for central triage team staff in managing referrals/case assignments. Support central triage team in key decision-making situations for optimal service delivery, model best practice, and positive impact on triage workflow for ES Division teams.

    11. Ensure availability outside of schedule for supervisory sessions and ES department meetings and promptly respond to clinical emergencies. Provide information and be conduit for ES Division management team in matters/situations related to evening/night service hours.

    12. Responsible for monitoring and ensuring that supervisees and other identified staff’s time management and workflow requirements are completed as directed (including documentation, communication, bed searches and insurance certifications). Ensures quality of documentation of central triage staff.

    13. Sets example for staff by consistently presenting self in a professional manner.

    14. Build and maintain effective working relationships with internal, external providers, stakeholders, and other regulatory bodies.

    15. In collaboration with the Central Triage Director, conduct ongoing review of the clinical program design, suggest and if applicable implement recommendations for improvement.

    16. Performs system-wide Administrator-On-Call (AOC) function as scheduled.

    QUALIFICATIONS & EDUCATION:

    • Master’s degree in human services field.

    • Two years of Emergency Services, triage, or call center experience required.

    • Licensed at the Independent level required, LICSW, LMHC, LMFT, or Licensed Psychologist in the Commonwealth of MA.

    • Knowledge of commercial behavioral healthcare practices, evidenced based treatments, managed care principles, provider development and quality improvement concepts is essential.

    • Familiarity with state and local agencies serving the community helpful.

    • Ability to exercise good judgment clinically, legally and ethically and to consult with supervisor as needed.

    • Computer literate in standard desktop applications such as Windows, Word, Excel, and demonstrating ability to learn organization's EHR.

    Schedule: full time, 40 hours. Nights

    FLSA Status:

    Exempt

    As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) and COVID-19 as a condition of employment. Learn more about this requirement.

    More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger.

    Equal Opportunity Employer/Veterans/Disabled

  • 1 Month Ago

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Member Services Representative
  • Planet Fitness - The Core Group
  • Methuen, MA FULL_TIME
  • Job Summary The Member Services Representative will be responsible for creating a positive member experience by providing a superior level of customer service to Planet Fitness members, prospective me...
  • 15 Days Ago

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Member Services Representative
  • Planet Fitness - The Core Group
  • Salem, NH FULL_TIME
  • Job SummaryThe Member Services Representative will be responsible for creating a positive member experience by providing a superior level of customer service to Planet Fitness members, prospective mem...
  • 16 Days Ago

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Member Services Representative
  • Planet Fitness - The Core Group
  • Haverhill, MA PART_TIME
  • Job Summary The Member Services Representative will be responsible for creating a positive member experience by providing a superior level of customer service to Planet Fitness members, prospective me...
  • 16 Days Ago

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Member Services Representative
  • Planet Fitness - The Core Group
  • Newburyport, MA PART_TIME
  • Job SummaryThe Member Services Representative will be responsible for creating a positive member experience by providing a superior level of customer service to Planet Fitness members, prospective mem...
  • 16 Days Ago

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Crew Member - Shift Supervisor
  • Mastoran Corp - LBK, LLC
  • Danvers, MA FULL_TIME
  • Daily Pay/Direct Deposit/Pay Card Options, Competitive Wages, Flexible Work Schedules, Benefits, No Experience Necessary, Opportunities for AdvancementAre you looking for work that can accommodate ear...
  • 7 Days Ago

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0 Member Services Supervisor jobs found in Lawrence, MA area

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Front Desk Supervisor/Customer Service - Hilton
  • Hilton
  • Lowell, MA
  • Hilton is seeking a Front Desk Supervisor! A Front Desk Supervisor will be responsible for the following: Oversees front...
  • 5/10/2024 12:00:00 AM

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Member Services Coordinator
  • InnerCity Weightlifting
  • Cambridge, MA
  • InnerCity Weightlifting's (ICW) mission is to reduce gun violence by amplifying the voice and agency of people who have ...
  • 5/10/2024 12:00:00 AM

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Patient Care Coordinator - Department 401
  • Bridgewell
  • Lowell, MA
  • Bridgewell strengthens communities by providing an unmatched range of social and human services that empower people with...
  • 5/10/2024 12:00:00 AM

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Patient Access Representative II
  • Hiring Now!
  • Reading, MA
  • Location: CHA Assembly Square Care Center Work Days: Varied Hours Category: Medical Assistant Department: Union Square F...
  • 5/9/2024 12:00:00 AM

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Geriatric Support Services Coordinator
  • AgeSpan
  • Lawrence, MA
  • AgeSpan Formerly Elder Services of the Merrimack Valley/North Shore About Us: Since 1974 our agency has strived towards ...
  • 5/8/2024 12:00:00 AM

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Patient Access Coordinator
  • IASIS Healthcare
  • Methuen, MA
  • Patient Access CoordinatorClick Here to Apply OnlineJob DescriptionLocation: Holy Family HospitalPosted Date: 11/14/2023...
  • 5/8/2024 12:00:00 AM

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Patient Access Coordinator, FT Monday-Friday
  • IASIS Healthcare
  • Haverhill, MA
  • Patient Access Coordinator, FT Monday-FridayClick Here to Apply OnlineJob DescriptionLocation: Holy Family HospitalPoste...
  • 5/8/2024 12:00:00 AM

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Patient Access Representative
  • LOWELL COMMUNITY HEALTH CTR.
  • Lowell, MA
  • Description Job Title: Patient Access Representative Department: Call Center Location: Must Reside in MA Lowell Communit...
  • 5/6/2024 12:00:00 AM

According to the United States Census Bureau, the city has a total area of 7.4 square miles (19 km2), of which 7.0 square miles (18 km2) is land and 0.4 square miles (1.0 km2) (6.07%) is water. Lawrence is on both sides of the Merrimack River, approximately 26 miles (42 km) upstream from the Atlantic Ocean. On the north side of the river, it is surrounded by Methuen. On the south side of the river, the town is bordered by North Andover to the east, and Andover to the south and southwest. Lawrence is approximately 30 miles (48 km) north-northwest of Boston and 27 miles (43 km) southeast of Manc...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Member Services Supervisor jobs
$65,418 to $82,096
Lawrence, Massachusetts area prices
were up 1.6% from a year ago