Member Services Supervisor jobs in Santa Fe, NM
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)
Recently Added Member Services Supervisor jobs
Resident Services Supervisor
- Lifewell Senior Living
-
Santa Fe, NM
FULL_TIME
-
POSITION SUMMARY First and foremost, LifeWell exists to
1.
Enhance the lives of seniors by providing a CONNECTED, ACTIVE, PURPOSEFUL and SAFE (CAPS) life, regardless of age or physical limitations.
2.
Provide a culture of INNOVATION as we constantly pursue better methods of improving the lives of seniors.
3.
Encourage a lifestyle that focuses on six dimensions of wellness SOCIAL, NUTRITIONAL, INTELLECTUAL, PHYSICAL, EMOTIONAL, SPIRITUAL (SNIPES).
The person holding this position is delegated the responsibility for carrying out the assigned duties and responsibilities in accordance with current existing federal and state regulations and established company policies and procedures. The Supervisor must exhibit genuine interest in residents and show patience and understanding while working with residents, families and visitors. This position is responsible for supporting all facets of service to address resident care and service needs in the Assisted Living and Connections neighborhoods. The Supervisor assists the Resident Services Coordinator in hiring, training, scheduling and providing supervisory oversight for the neighborhoods. The Supervisor monitors resident care needs and alerts the Resident Services Coordinator and Health and Wellness Director when the resident has a change in condition and addresses resident and family concerns. The Supervisor assists in coordinating services with the all departments for the Assisted Living and Connections neighborhoods in conjunction with the Resident Services Coordinator.
QUALIFICATIONS
To perform this job successfully, an individual must be able to perform each essential duty according to LifeWell Standards. The requirements listed below are representative of the knowledge, skills and abilities required.
License/Certification Successful completion of State Approved Medication Administration training and a current first aid certificate as required
Education/Experience Prefer minimum of 2 years of healthrelated experience in longterm care or assisted living supervisory or management experience
Continuing Education As required by law, attend inservice educations within the community
Professional Memberships Recommended and encouraged Other Must have the ability to read and interpret documents such as safety rules, operating and maintenance instructions, procurement manuals, etc. Must have good communication skills and must be able to effectively communicate in English and understand and follow written and oral direction. Provide maximum residentcare services within limits defined by delegated tasks
JOB KNOWLEDGE
Knowledge of procedures and techniques involved in providing related residentcare service
Understanding of standard techniques used in providing personal services for residents and in caring for equipment and supplies
Good understanding of the basis of universal precautions to avoid infection of residents and self or contamination of equipment and supplies
Be aware of the assessment process and the development and execution of negotiated care plans.
DUTIES AND RESPONSIBILITIES
Under the supervision of the Resident Services Coordinator, the Supervisor (RSS)
Staffing and Scheduling Responsibilities
Embraces the CAPS philosophy and is a champion of culture.
Assists with the staffing needs of the Connections/Assisted Living neighborhoods including managing the schedule as needed, and directed by the RSC
Assists RSC with staffing & scheduling and works as a care associate or medication are associate as needed to avoid staffing shortages and to ensure care is provided and coverage of those positions in cases of emergency
Assist RSC in monitoring employee hours and staffing patterns to minimize overtime and assure the assisted living and Connections neighborhoods remains within the projected budget
Participates in the oncall rotation on a short term or emergent basis and at the discretion of the Executive Director
Works a schedule that meets the needs of the residents which may include all shifts, and weekend duty.
Assists the Business office manager in the completion of new hire paper work, tracking attendance logs, and any other administrative tasks as assigned by the RSC.
Help the RSC review daily time sheets to ensure team members are clocking in/out, clocking in the right department and the right position
Assists with departmental paperwork organizing, and filing as needed
Assists RSC in identifying staff educational needs including scheduling and coordinating new hire orientation training and coordinating all mandatory and required inservice meetings for all house staff
Operational Responsibilities
Completes operational audits as requested by the RSC
Monitors that gloves and incontinence supplies are available for staff use for resident care
Ensure all infection control guidelines are met and that staff have a continuous supply of gloves and other protective supplies
Assists in managing the Incontinence Program including ordering of supplies and distribution of them to residents
Care and Service Coordination
Completes operational audits as requested by the RSC
Monitors that gloves and incontinence supplies are available for staff use for resident care
Ensure all infection control guidelines are met and that staff have enough continuous supply of gloves and other protective supplies
Assists in managing the Incontinence Program including ordering of supplies and distribution of them to residents
Assists RSC and HWD in developing, maintaining, and updating resident’s care plan and helps by gathering input from the resident care associates prior to updating these
Checks the care plans regularly for updates and reports any discrepancies to the RSC
Participates in care plan meetings as requested by RSC
Promotes teamwork with all departments
Observes and reports symptoms and changes in condition of residents to the Health and Wellness Director and RSC
Assures that resident care associates report all changes in resident’s conditions to the HWD and RSC and document these changes
Participate in the delivery of care giving and coordination of resident health care needs and assure that resident care needs are addressed
Maintains ongoing communication with the resident, and resident’s family regarding the resident’s care needs and assist with counseling of residents and families at the direction of the RSC
Participate in activities as needed daily to ensure quality programming.
Other duties as assigned or requested
PHYSICAL DEMANDS
The physical demands described here are representative of those that must be met by an team member to successfully perform the essential functions of this job.
While performing the duties of this job, the team member is frequently required to stand, walk, use hands and fingers, and reach with hands and arms. The team member is occasionally required to sit and bend, kneel and squat. The team member must regularly lift and or move up to 10 pounds, and frequently lift or move up to 25 pounds, and occasionally lift or move up to 50 pounds. Specific vision abilities are required by this job including close vision, depth perception, and ability to adjust focus. - 4 Days Ago
Clinical Supervisor
- New Mexico Treatment Services
-
Santa Fe, NM
FULL_TIME
- Clinical Supervisor Job Summary: Oversees the day-to-day clinical operations of the assigned clinic(s). Works in a collaborative effort with multidisciplinary treatment team consisting of Medical Dire...
- 5 Days Ago
MEMBER SERVICES OFFICER
- SANDIA AREA FEDERAL CREDIT UNION
-
Santa Fe, NM
OTHER
- Job Details Job Location: Santa Fe Branch - Santa Fe, NM Position Type: Full Time Education Level: High School Degree or Equivalent Salary Range: Undisclosed Job Shift: Day Job Category: Sales Descrip...
- 18 Days Ago
Guest Services Member
- Modern Elder Academy
-
Lamy, NM
FULL_TIME
- Job Description Job Description JOB TITLE : Guest Services DEPARTMENT : Hospitality REPORTS TO : Front Office Manager LOCATION : Onsite (Santa Fe and Galisteo Basin, New Mexico) COMPANY OVERVIEW : MEA...
- 2 Months Ago
Care coordination supervisor
- Magellan Health Services
-
Santa Fe, NM
FULL_TIME
- Provides leadership and subject matter expertise in care coordination, clinical program concepts, methods, and activities for unlicensed teams. Builds successful relationships with behavioral health p...
- Just Posted
Food Service Supervisor
- Trinity Services Group Inc.
-
Santa Fe, NM
FULL_TIME
- Wage Rate$19.00/hour OverviewAre you looking for a career with premium benefits and the potential for growth? At Trinity Services Group, we have created something special, a better place to work and g...
- 2 Months Ago
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0 Member Services Supervisor jobs found in Santa Fe, NM area
Front Desk Supervisor/Customer Service - Hilton
- Hilton
-
Santa Fe, NM
- Hilton is seeking a Front Desk Supervisor! A Front Desk Supervisor will be responsible for the following: Oversees front...
- 5/4/2024 12:00:00 AM
Call Center Representative
- State Employees Credit Union
-
Santa Fe, NM
- POSITION TITLE: Call Center Representative REPORTS TO: Call Center Supervisor SUPERVISES: N/A JOB STATUS: Non-Exempt JOB...
- 5/4/2024 12:00:00 AM
Scheduling CSR - Radiology
- Presbyterian Healthcare Services
-
Espanola, NM
- Type of Opportunity: Part Time FTE: .75 Exempt: No Work Schedule: Days We're all about well-being, starting with yours. ...
- 5/4/2024 12:00:00 AM
Team Member
- Tractor Supply Company
-
Santa Fe, NM
- Overall Job Summary This position is responsible for interacting with customers and team members, supporting selling ini...
- 5/4/2024 12:00:00 AM
Human Resources Generalist
- Santa Fe Recovery Center, Inc.
-
Santa Fe, NM
- Job Type Full-time Description Santa Fe Recovery Center is a leading provider of substance use disorder and mental healt...
- 5/4/2024 12:00:00 AM
Human Resources Coordinator
- Ojo Spa Resorts
-
Santa Fe, NM
- Job Type Full-time Description Ojo Spa Resorts seeks a Human Resources Coordinator to join the HR Department at Ojo Sant...
- 5/4/2024 12:00:00 AM
Front Desk Agent
- MCR Hotels
-
Santa Fe, NM
- TheFront Desk Agent at the Hampton Inn by Hilton Santa Fe South is responsible for providing overall positive guest expe...
- 5/4/2024 12:00:00 AM
Front Desk Agent
- MCR Hotels
-
Santa Fe, NM
- Front Desk Agent Hampton Inn Santa Fe South, 3430 Cerrillos Rd, Santa Fe, New Mexico, United States of America Req #6351...
- 5/4/2024 12:00:00 AM
About Santa Fe, New Mexico
Santa Fe (/ˌsæntəˈfeɪ/ or /ˈsæntəˌfeɪ/; Tewa: Oghá P'o'oge, Navajo: Yootó) is the capital of the U.S. state of New Mexico. It is the fourth-largest city in the state and the seat of Santa Fe County.
This area was occupied for at least several thousand years by indigenous peoples who built villages several hundred years ago, on the current site of the city. It was known by the Tewa inhabitants as Ogha Po'oge ("White Shell Water Place"). The city of Santa Fe, founded by Spanish colonists in 1610, is the oldest state capital in the United States. Santa Fe (meaning "holy faith" in Spanish) had a p...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Member Services Supervisor jobs
$57,884 to $72,641
Santa Fe, New Mexico area prices
were up 2.5% from a year ago
were up 2.5% from a year ago