Managed Care Supervisor jobs in Delaware

Managed Care Supervisor supervises and coordinates activities of personnel in the managed care operations department of a healthcare facility. Oversees staff that process referrals, authorizations, billing, utilization review, and capitation for hospital services. Being a Managed Care Supervisor experienced in utilization review techniques and protocols. Requires a bachelor's degree. Additionally, Managed Care Supervisor typically reports to a manager or head of a unit/department. May require Registered Nurse (RN). Makes day-to-day decisions within or for a group/small department. Has some authority for personnel actions. The Managed Care Supervisor supervises a group of primarily para-professional level staffs. May also be a level above a supervisor within high volume administrative/ production environments. To be a Managed Care Supervisor typically requires 3-5 years experience in the related area as an individual contributor. Thorough knowledge of functional area and department processes. (Copyright 2024 Salary.com)

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Managed Care Coordinator
  • Modern Maturity Center Inc
  • Dover, DE FULL_TIME
  •  

    Managed Care Coordinator (MCO) – FT

    Monday – Friday 8:00 am to 4:30 pm

    (Healthcare benefits package including paid vacation and sick time)

      

    SUMMARY  

    Organizes and enters data into computer to develop reports for Managed Care billing, tracks, records, and prepares data of delivered meals from all sites, coordinates paperwork among MANNA staff.

     

    ESSENTIAL DUTIES AND RESPONSIBILITIES

    • Maintains confidentiality of all personal / health related information observed
    • Receives authorizations and organizes, coordinates, keeps records of, and disseminates information to appropriate sources regarding service dates and terminations
    • Reviews authorizations for completeness and accuracy. Follows up as needed to obtain missing information.
    • Liaison with Case Managers and clients on this program. Answer questions, concerns, complaints. Refers issues to appropriate staff for resolution.
    • Prepares and sorts source documents, identifies, and interprets data to be entered
    • Enters alphabetic, numeric, or symbolic data from source documents into computer following format displayed on screen, and enters necessary codes
    • Makes necessary corrections to information entered
    • Compiles, sorts, and verifies accuracy of data to be entered
    • Keeps record of work completed
    • Files or routes source documents after entry
    • Responds to inquiries regarding entered data
    • Other duties maybe assigned\

    COMPETENCY

    • Maintains confidentiality
    • Collects and researches data
    • Contributes to building a positive team spirit
    • Presents numerical data effectively
    • Able to read and interpret written information
    • Shows respect and sensitivity for cultural differences
    • Upholds organizational values
    • Completes administrative tasks correctly and on time
    • Is consistently at work and on time
    • Treats others with respect and consideration regardless of their status or position
    • Demonstrates accuracy and thoroughness
    • Completes work in timely manner
    • Observes safety and security procedures                                     

    EDUCATION/EXPERIENCE

    • Must have high school diploma or general education degree (GED)
    • Degree in human services, business, or related field preferred, or combination of experience and degree.

    COMPUTER SKILLS 

    • Must have knowledge of Microsoft Word and Excel software 

    WORK ENVIRONMENT

    The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.  The noise level in the work environment is usually quiet and low key.

     

     

    Because of the high volume of applications, we receive, we are not able to give status updates, but if you are invited for an interview, you will be contacted directly by the Human Resources Department for this position.

     

    We provide equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability, genetics or any other protected class or characteristic. 

     

     

     

     

  • 2 Months Ago

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Registered Nurse, Home Health Per-Diem Summer Seasonal
  • Cape Regional Home Health Care Managed by BAYADA
  • Lewes, DE PER_DIEM
  • Summer is right around the corner; would you like to spend more time by the shore this summer? Cape Regional Home Health Care Managed by BAYADA is looking for compassionate and dedicated Per Diem Summ...
  • 14 Days Ago

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(RN) Registered Nurse Supervisor
  • Complete Care Management
  • Hockessin, DE FULL_TIME
  • (RN) Registered Nurse Weekend Supervisor- Part Time Day/Evening 8 or 16hr shifts Every Other Weekend $3,750 Sign On Bonus Daily Pay Option (RN) Registered Nurse Evenings Supervisor- Full Time $7,500 S...
  • 18 Days Ago

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Weekend Nursing Supervisor
  • Complete Care at Brackenville
  • Hockessin, DE FULL_TIME
  • (RN) Registered Nurse Weekend Supervisor Full Time Or Part Time Day/Evening (7a-11p) 8 or 16hr shifts Every Weekend or Every Other Weekend Daily Pay Option Complete Care at Brackenville is a pillar in...
  • Just Posted

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Evening Clinical Supervisor
  • Complete Care at Brackenville
  • Hockessin, DE FULL_TIME
  • Evening Clinical Supervisor $8,000 Sign On Bonus (RN) Registered Nurse Full Time 3p-11p Shift Monday - Friday DailyPay Options Long Term Care Experience Required Complete Care at Brackenville is a pil...
  • Just Posted

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RN Evening Supervisor
  • Long Term Care Facility
  • Newark, DE FULL_TIME
  • Long Term Care Facility is looking for a full time and part RN -Registered Nurse Evening Supervisor to care for our Residents and facilitate their speedy recovery. The candidate will be part of the pr...
  • 9 Days Ago

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Care Supervisor
  • Help At Home
  • Natchez, MS
  • Help at Home is hiring a Care Supervisor! Offering weekly pay! Help at Home, LLC is the nations leading provider of high...
  • 4/26/2024 12:00:00 AM

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Care Supervisor
  • Help At Home
  • Starkville, MS
  • Help at Home is hiring a Care Supervisor! Now offering weekly pay! Help at Home, LLC is the nations leading provider of ...
  • 4/26/2024 12:00:00 AM

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Care Supervisor
  • Help At Home
  • Warren, PA
  • Help at Home is hiring a Care Supervisor (Customer Service Representative)! Help at Home is the nations leading provider...
  • 4/26/2024 12:00:00 AM

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Customer Care Supervisor
  • PLS Financial Services, Inc.
  • Oak Brook, IL
  • Overview: PLS: People. Location. Service PLSwhich stands for People Location - Serviceis a leading retail provider of al...
  • 4/26/2024 12:00:00 AM

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Animal Care Supervisor
  • Petco Animal Supplies, Inc.
  • Dayville, CT
  • Create a healthier, brighter future for pets, pet parents and people! If you want to make a real difference, create an e...
  • 4/26/2024 12:00:00 AM

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Care Supervisor
  • Help at Home
  • Natchez, MS
  • Help at Home is hiring a Care Supervisor! Offering weekly pay! Help at Home, LLC is the nation’s leading provider of hig...
  • 4/23/2024 12:00:00 AM

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Care Supervisor
  • Help at Home
  • Starkville, MS
  • Help at Home is hiring a Care Supervisor! Now offering weekly pay! Help at Home, LLC is the nation’s leading provider of...
  • 4/23/2024 12:00:00 AM

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Care Supervisor
  • Help at Home
  • Warren, PA
  • Help at Home is hiring a Care Supervisor (Customer Service Representative)! Help at Home is the nation’s leading provide...
  • 4/23/2024 12:00:00 AM

Delaware is 96 miles (154 km) long and ranges from 9 miles (14 km) to 35 miles (56 km) across, totaling 1,954 square miles (5,060 km2), making it the second-smallest state in the United States after Rhode Island. Delaware is bounded to the north by Pennsylvania; to the east by the Delaware River, Delaware Bay, New Jersey and the Atlantic Ocean; and to the west and south by Maryland. Small portions of Delaware are also situated on the eastern side of the Delaware River sharing land boundaries with New Jersey. The state of Delaware, together with the Eastern Shore counties of Maryland and two co...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Supervisor jobs
$77,289 to $106,667

Managed Care Supervisor in Columbia, SC
The Supervisor Business Services of Government Billing and Collections will be responsible for the overall AR management of all government inventory.
January 02, 2020
Managed Care Supervisor in Colorado Springs, CO
In Service to Our Community is achieved through streamlined, coordinated and comprehensive high-quality, compassionate care close to home.
February 15, 2020
Managed Care Supervisor in Portland, ME
·        Minimum one year resolving claims issues with Payer Relations representatives to handle managed care contract implications.
February 19, 2020