Member Services Supervisor jobs in Twin Falls, ID

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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Behavioral Health Support Services Supervisor
  • Family Health Services Corporation
  • Twin Falls, ID FULL_TIME
  • Description

         

    SUMMARY:

    The Support Services Supervisor is responsible for the provision and coordination of Targeted Care Coordination and Case Management services to clients. This position supervises a team of   professionals and support staff. The Targeted Care Coordination & BH Case Management department will assist clients in making choices for the full and appropriate   use of available services through the use of consultation, service linkage, advocacy, and information about community, county, and state resources. This role will also monitor adherence to regulations and the accurate and prompt completion of all reporting, billing, and other required paperwork.

    Support Services Supervisor is a full time position with a dual supervisory and clinical role. Some of their work hours will be blocked for supervisory activities and the rest of the time will be providing direct clinical services to child and adult patients. Starting annual salary of $57,000 DOE

     

    MINIMUM   QUALIFICATIONS:

    Master's degree in Professional Counseling, Social Work, or an equivalent field. Current State of Idaho Clinical Social Worker/Professional Counselor license in good standing required or license eligible. Knowledge of care coordination and case management preferred. 

     

    KNOWLEDGE,   SKILLS, AND ABILITIES REQUIRED:

    • Knowledge and understanding of evidence based masters level mental health counseling principles, methods, procedures, and standards for adults. 
    • Knowledge and understanding of patient support services and processes as it relates to care coordination and case management.
    • Interviewing and psychological/developmental evaluation skills. 
    • Skill in preparing and maintaining patient records. 
    • Knowledge of community mental health and behavioral health resources. 
    • Knowledge of clinical operations and procedures for age groups being treated at our clinics. 
    • Ability to create, compose, and edit written materials. 
    • Ability to make clinical and procedural decisions and judgments. 
    • Ability to maintain emotional stability to cope with human suffering, emergencies, and other stresses.        
    • Strong interpersonal and communication skills and the ability to work effectively with a wide range of constituencies in a diverse community. 
    • Ability to evaluate the progress of support service programs and to make individual modifications. 
    • Knowledge of crisis intervention techniques. 
    • Ability to observe, assess, and record symptoms, reactions, and progress. 
    • Knowledge of legal and ethical issues related to patients' rights. 
    • Knowledge of community support services and funding agencies. 
    • Knowledge of community health care and vocational services. 
    • Ability to problem solve effectively with multidisciplinary team.

     

    DESCRIPTION OF DUTIES:

    Position requires a) provision of intensive, integrated professional mental health services and treatment planning in a clinical and/or outpatient environment;   b) provision of professional leadership in the determination of appropriate therapeutic approaches and methods; c) planning and implementing   outreach/education programs, workshops, and activities; d) supervising   clinical activities of therapists, for identified program; and e) establishment and maintenance of case files, supervision files, and related documents for clinical and legal purposes.

    1. Collaborates with the BH Director and therapist(s) to determine continuum of care for program participants.
    2. Directs BH Care Coordinators in the day-to-day provision of family-focused, trauma-informed support services.
    3. Collaborates with BH Director to complete annual employee reviews for BH Care Coordinators.
    4. Oversees Peer Review process for BH Care Coordinators, reporting summary and concerns to the BH Director.
    5. Reviews and signs TCC & case management documentation as required by Medicaid protocols.
    6. Plans and facilitates community outreach and education activities, as appropriate to the position. May serve as a liaison and        representative to community organizations and schools. 
    7. As appropriate to the position, performs various administrative functions such as identifying program barriers and problem solving with staff and BH Director to find resolutions. May propose changes to program policies and procedures to BH Director. 
    8. May provide formal teaching, consultation, and in-service training to relevant professionals. In addition, helps with the immediate and proper handling of referrals of a variety of matters.
    9. Provides counseling, therapy, and/or psychotherapy to patients and families as appropriate to the position. Prepares treatment plans, discharge plans, and follow-up care programs. Provides therapeutic crisis intervention and emergency services as required. 
    10. Collects data about patients through interview, case history, screenings, and/or observational techniques. Evaluates data to identify causes of problems and to determine proper level of care or referral to other specialists. 
    11. Consults with other therapists and related professional and paraprofessional staff, as appropriate, in the performance of therapeutic and/or casework. Refers clients to appropriate service agencies as required. 
    12. Provides and/or arranges for BH interventions as appropriate for patients in a crisis condition and for those with serious disturbance problems. 
    13. Refers clients to appropriate social service agencies for financial assistance and other required services. 
    14. Follows up to determine reliability of treatment used, and changes method and degree of therapy when indicated. 
    15. Establishes and maintains case files, referrals, and other related documents for the treatment of clients; prepares related documentation for civil commitment hearings or other legal proceedings. Keeps abreast of patient data to ensure appropriate treatment and care are delivered. 
    16. Consults with other legal and treatment agencies and individuals in relation to patient/client records, rights, and responsibilities. 
    17. Performs miscellaneous job-related duties as assigned. 

        

    OTHER RESPONSIBILITIES:

    SAFETY:

    Family Health Services enforces a safety culture whereby all employees have the responsibility for continuously developing and     maintaining a safe working environment. Each employee is responsible for completing all training requirements, participating in emergency response tasks as requested, and serving on safety committees and teams as requested. In addition, employees must accept the responsibility for maintaining the safety of themselves and others by adhering to all written and verbal instructions, promptly reporting and/or correcting all hazards or unsafe conditions, and providing feedback to supervisors and management on all safety issues.

    COMPLIANCE (MEDICARE):

    Family Health Services is committed to the very highest standards of ethics and integrity. It is our policy to properly determine the accuracy of reporting and billing our services in accordance with the rules, laws and regulations of FHS, the state government, and the federal government. FHS employees will do their part to ensure accurate documenting and billing practices, participate in     compliance trainings and will identify and report any concerns or activities that may violate these standards.

    Each employee will be trained on the FHS Medicare Compliance Plan and the Standards of Conduct and asked to sign a Conflict of Interest Statement at hire and annually thereafter. A copy of the Medicare Compliance Plan and the FHS Standards of     Conduct are available on the FHS home page under the Compliance tab. 

    PATIENT CENTERED MEDICAL HOME (PCMH):

    Family Health Services is committed to providing our patients with the highest standards of care by becoming recognized as patient centered medical home. FHS staff is expected to participate in this process by being an active and willing PCMH team member. Specific duties and expectations may vary and will be identified by position and site.

    PROCEDURE COMPLIANCE:

    Employee must read and understand the general and specific operational, safety, and environmental requirements of all plans,     procedures, and policies pertaining to this job. 

     

    WORKING CONDITIONS:

    Work is normally performed in a typical interior/office work environment. No or very limited physical effort required. No or very limited exposure to physical risk.

    Requirements

      

    MINIMUM QUALIFICATIONS:

    Master's degree in Professional Counseling, Social Work, or an equivalent field. Current State of Idaho Clinical Social Worker/Professional Counselor license in good standing required or license eligible. Knowledge of care coordination and case management preferred.  

  • 20 Days Ago

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Supervisor-Environmental/Laundry Services
  • St. Luke's Health System
  • Ketchum, ID FULL_TIME
  • Overview St. Luke’s Health System in Wood River is seeking a Supervisor for our Environmental Services team. Unit/Position SummaryThe Supervisor Environmental/Laundry Services assists in managing the ...
  • 1 Month Ago

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Security Supervisor
  • Securitas Security Services
  • Twin Falls, ID FULL_TIME
  • Security Supervisor - Hiring Immediately! Location: Twin Falls, ID Pay: $17.75/hour Security Supervisor Responsibilities: Trains Security Officers and other company personnel; reviews post orders and ...
  • 5 Days Ago

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Cortez - UG Drilling Services Supervisor
  • Barrick Gold Corporation / Nevada Gold Mines Jobs and
  • Elko, NV FULL_TIME
  • Position Description: Nevada Gold Mines is looking for a Drilling Supervisor to join the UG Cortez MRM team located in Elko, NV. The successful candidate will partner with Drilling Services and Geolog...
  • 7 Days Ago

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Team Supervisor - Twin Falls
  • RISE Services, Inc.
  • Twin Falls, ID TEMPORARY,FULL_TIME
  • THE COMPANY Since 1987, RISE has provided practical, professional, and personal growth opportunities for children, adults, and their families. With our innovative approach, we are dedicated to transfo...
  • 1 Month Ago

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Security Site Supervisor
  • Securitas Security Services
  • Twin Falls, ID FULL_TIME
  • Security Site Supervisor - Hiring Immediately! We offer a full benefits package, PTO, weekly pay and more! Location: Twin Falls, ID Starting Pay: $17.75/hour We are seeking full time employees to join...
  • 1 Month Ago

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0 Member Services Supervisor jobs found in Twin Falls, ID area

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Assistant Moving Center Supervisor
  • UHaul
  • Twin Falls, ID
  • Full description Are you a people person who loves to help others? Then consider becoming U-Haul's newest Assistant Gene...
  • 4/24/2024 12:00:00 AM

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Picker / Packer
  • Walmart
  • Twin Falls, ID
  • **Job Title: Picker/Packer** **Job Summary:** As a Picker/Packer at Walmart, you will play a critical role in the fulfil...
  • 4/24/2024 12:00:00 AM

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Production Manager
  • Talent Equity Group
  • Twin Falls, ID
  • We are seeking a Production Manager for a rapidly growing meal service provider in Twin Falls, Idaho! This opportunity w...
  • 4/23/2024 12:00:00 AM

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Travel Nurse RN - Med Surg - $1,777 per week
  • Hiring Now!
  • Twin Falls, ID
  • Fusion Medical Staffing-Nursing is seeking a travel nurse RN Med Surg for a travel nursing job in Twin Falls, Idaho. Job...
  • 4/23/2024 12:00:00 AM

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Sanitation Worker/General Labor
  • Lamb Weston Holdings Inc
  • Twin Falls, ID
  • Title: Sanitation Worker/General Labor Location: Twin Falls, ID About Lamb Weston We love making fries almost as much as...
  • 4/22/2024 12:00:00 AM

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Licensed Real Estate Listing Agent
  • J. Kent Erickson Real Estate
  • Kimberly, ID
  • Job Description A Licensed Real Estate Listing Agents not only lists and manages housing sales, they also network and co...
  • 4/22/2024 12:00:00 AM

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Seed Production Planning Manager
  • Trinidad Benham
  • Twin Falls, ID
  • Seed Production Planning Manager Application Deadline: 8 April 2025 Department: Treasure Valley Seed Employment Type: Fu...
  • 4/21/2024 12:00:00 AM

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Speech Therapist
  • Idaho Home Health & Hospice
  • Twin Falls, ID
  • We are hiring for an Speech Therapist. At Idaho Home Health -Twin Falls we embrace a culture of caring, belonging, and t...
  • 2/14/2024 12:00:00 AM

Twin Falls is located at 42°34'N 114°28'W (42.561,-114.464). According to the United States Census Bureau, the city has a total area of 18.16 square miles (47.03 km2), of which, 18.10 square miles (46.88 km2) is land and 0.06 square miles (0.16 km2) is water. The Snake River Canyon forms the city's northern limits, separating it from Jerome County. There are three waterfalls in the immediate area. Shoshone Falls is located approximately 5 miles (8.0 kilometres) east of Twin Falls city. Pillar Falls is located approximately 1 1⁄2 mi (2 1⁄2 km) upstream from the Perrine Bridge while Twin Falls, ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Member Services Supervisor jobs
$53,958 to $67,716
Twin Falls, Idaho area prices
were up 2.5% from a year ago