Outpatient Care Supervisor oversees the daily activities and staff of an outpatient medical or specialty services facility or clinic. Coordinates clerical and administrative process and workflows needed to deliver care and services to patients. Being an Outpatient Care Supervisor may include customer service, scheduling, clinical coordination, third-party and records management. May require a bachelor's degree. Additionally, Outpatient Care Supervisor typically reports to a manager. The Outpatient Care 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. To be an Outpatient Care Supervisor typically requires 3 years experience in the related area as an individual contributor. Thorough knowledge of functional area under supervision. (Copyright 2024 Salary.com)
Provide supervisory oversight during the daily operations of the outpatient review process. Supervise and train assigned team members. Provide leadership, support, resources, and direction to staff. Assist in determining appropriateness, quality, and medical necessity of requested service.
Education and Experience
RN with 3-5 years’ experience to include staff supervision; one (1) year
managed care (case management) experience; or equivalent combination of education and experience. General knowledge of managed care with emphasis in case management preferred.
Special Skills,
Licenses and
Certifications
Current California RN license. RN Supervisor will be supervising both RN and LVN staff. Strong knowledge of nursing requirements in a clinical setting. Knowledge of utilization management programs as related to use of pre-set criteria and protocols. Familiarity with business practices and protocols with ability to access data and information using automated systems. Ability to work within an interdisciplinary structure and function independently in a fast-paced environment while managing multiple priorities and meeting deadlines. Strong organizational skills required. Effective telephone and computer data entry skills required. Valid California driver’s license and proof of current automobile insurance compliant with PHC policy are required to operate a vehicle and travel for company business.
Performance
Based
Competencies
Excellent written and verbal communication skills with ability to read and interpret benefit contract specifications. Ability to understand and follow established criteria and protocols used in managed care functions. Ability to formulate ideas and solutions into appropriate questions and assess/interpret the verbal responses. Ability to apply judgment to complex medical situations and make quick decisions. Ability to communicate effectively with coworkers, members, their families, physicians, and health care providers.
Work Environment
And Physical
Demands
Daily use of telephone and computer for most of the day. Cubicle work station. Ability to use a computer keyboard. Must be able to lift, move, or carry objects of varying size, weighing up to 10 lbs.
All HealthPlan employees are expected to:
$ 120,686.00 - $ 156,735.06
The job duties, elements, responsibilities, skills, functions, experience, educational
factors and the requirements and conditions listed in this job description are representative only and not exhaustive of the tasks that an employee may be required to perform. The employer reserves the right to revise this job description at any time and to require employees to perform other
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0 Outpatient Care Supervisor jobs found in Vallejo, CA area