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)
We are, and always will be, dedicated to improving the health of Native Hawaiians and all of the people of Hawai‘i.
The Queen’s Health System began with a single hospital in 1859 founded by Queen Emma and King Kamehameha IV to provide health care and healing. We now have four hospitals and more than 70 preventive, specialty health care locations and labs throughout the Pacific region.
Our caregiver team includes more than 8,000 employees and over 1,400 physicians networked throughout Hawai‘i and the Pacific Basin.
We’re collaborators who care. We listen to and learn from each other to ensure that our patients benefit and our communities blossom.
If this sounds like an ideal place for your career to grow, we hope you’ll join our ‘ohana!
I. JOB SUMMARY/RESPONSIBILITIES:
II. TYPICAL PHYSICAL DEMANDS:
III. TYPICAL WORKING CONDITIONS:
IV. MINIMUM QUALIFICATIONS:
A. EDUCATION/CERTIFICATION AND LICENSURE:
B. EXPERIENCE:
Equal Opportunity Employer / Disability / Vet
Job Type: Full-time
Pay: $61,649.00 - $75,520.00 per year
Benefits:
Schedule:
Ability to Relocate:
Work Location: In person