Skills & Competencies for Managed Care Supervisor

Managed Care Supervisor job profile

JOB SUMMARY for Managed Care Supervisor

Supervises and coordinates activities of personnel in the managed care operations department of a healthcare facility.

JOB RESPONSIBILITIES for Managed Care Supervisor

Oversees staff that process referrals, authorizations, billing, utilization review, and capitation for hospital services. Experienced in utilization review techniques and protocols.

Managed Care Supervisor SALARY RANGE

BASE 50%
$84,118
TOTAL 50%
$84,118
Job Level
M01
Job Code
HC07000358
Education/Degree
Bachelor's Degree
Reports To
Manager or Head of a Unit/Department

Managed Care Supervisor Skills and Competencies List

Proficiency Levels and Behavioural Indicators
Salary.com identifies five increasing levels of proficiency for each skill/competency. Some jobs require only a relatively low level of proficiency in each skill/competency, while other jobs will require a more advanced level of proficiency in the same skill/competency. These levels rate the degree of proficiency (skill level, expertise) we expect the incumbent to perform in the given skill/competency for the given job. Note that we intentionally do not associate timeframes or years of experience in performing the skill/competency because that can be misleading. Proficiency levels identify what the incumbent knows and can do rather than how long they have been doing it. Also, note that the proficiency levels are cumulative, e.g., a level 4 proficiency implies the ability to perform all the behaviors at the lower levels.
Check each Managed Care Supervisor skill and competencie below to view definitions.

6 general skills or competencies (Job family competencies) for Managed Care Supervisor

1 Job Family Competencies – Healthcare Industry
Proficiency Level -2
Skill definition-Applying healthcare industry knowledge to manufacture drugs and equipment and offer clinical and other healthcare-related support services.
Level 1 Behaviors
(General Familiarity)
Names the healthcare industry sectors and defines the purpose and functions of each.
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Level 2 Behaviors
(Light Experience)
Uses and maintains electronic health records (EHRs) according to legal and industry standards.
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Level 3 Behaviors
(Moderate Experience)
Works with various industry professionals to formulate new treatment processes for patients.
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Level 4 Behaviors
(Extensive Experience)
Recommends innovations to minimize and control costs in providing quality care to clients.
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Level 5 Behaviors
(Mastery)
Stays abreast of the changes in industry laws to ensure our organization's adherence.
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2 Job Family Competencies – Healthcare Knowledge
Proficiency Level -2
Skill definition-Utilizing and sharing knowledge of healthcare practices, processes, systems, and procedures to provide high-quality services to patients.
Level 1 Behaviors
(General Familiarity)
Identifies different types of healthcare knowledge and describes the significance of each.
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Level 2 Behaviors
(Light Experience)
Supports healthcare audits to gather sources for the creation of knowledge management strategies.
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Level 3 Behaviors
(Moderate Experience)
Works with various medical professionals in processing healthcare data to meet patient needs.
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Level 4 Behaviors
(Extensive Experience)
Promotes the use of knowledge management systems to improve efficiencies across healthcare service operations.
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Level 5 Behaviors
(Mastery)
Leads the development of service quality improvement plans to maximize patient satisfaction and retention.
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3 Managed Care Supervisor - Skill and Competency
Proficiency Level - 3
4 Skill and Competency - Managed Care Supervisor
Proficiency Level - 4
5 Competency for - Managed Care Supervisor
Proficiency Level - 5

7 soft skills or competencies (core competencies) for Managed Care Supervisor

1 Core Competencies – Planning and Organizing
Proficiency Level -2
Skill definition-Managing and prioritizing resources and workloads by creating well-organized plans to attain organizational goals and objectives.
Level 1 Behaviors
(General Familiarity)
Compiles a list of all the traits of effective planning to help finish the assigned tasks.
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Level 2 Behaviors
(Light Experience)
Classifies assigned tasks based on the level of importance to ensure organized workload completion.
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Level 3 Behaviors
(Moderate Experience)
Defines and translates objectives into specific plans to ensure understanding of organizational goals.
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Level 4 Behaviors
(Extensive Experience)
Delivers training sessions to foster and maximize solid planning and organization capabilities.
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Level 5 Behaviors
(Mastery)
Champions the adoption of business intelligence systems to achieve planning and organization goals.
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2 Core Competencies – Coordination
Proficiency Level -2
Skill definition-Ability to plan, execute, and adjust job duties to achieve business goals.
Level 1 Behaviors
(General Familiarity)
Explains the importance of coordination in a large project.
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Level 2 Behaviors
(Light Experience)
Communicates with various parties to clarify project scope.
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Level 3 Behaviors
(Moderate Experience)
Breaks down business goals into an actionable plan.
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Level 4 Behaviors
(Extensive Experience)
Develops work plans for the team's objectives, responsibilities, accountabilities, timelines, and resources.
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Level 5 Behaviors
(Mastery)
Delivers training to others on resource coordination, including issue resolution.
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3 Managed Care Supervisor - Skill and Competency
Proficiency Level - 3
4 Skill and Competency - Managed Care Supervisor
Proficiency Level - 4
5 Competency for - Managed Care Supervisor
Proficiency Level - 5

Summary of Managed Care Supervisor skills and competencies

There are 0 hard skills for Managed Care Supervisor.
6 general skills for Managed Care Supervisor, Healthcare Industry, Healthcare Knowledge, Case Management, etc.
7 soft skills for Managed Care Supervisor, Planning and Organizing, Coordination, Judgment and Decision Making, etc.
While the list totals 13 distinct skills, it's important to note that not all are required to be mastered to the same degree. Some skills may only need a basic understanding, whereas others demand a higher level of expertise.
For instance, as a Managed Care Supervisor, he or she needs to be proficient in Planning and Organizing, be proficient in Coordination, and be proficient in Judgment and Decision Making.

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