Managed Care Supervisor jobs in the United States

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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Supervisor-Managed Care Contracts
  • Parker Jewish Institute for Health Care and...
  • Queens, NY FULL_TIME
  • Supervisor, Managed Care Contracts/Insurance Cases

    Full Time

    The Parker Jewish Institute for Health Care and Rehabilitation is seeking a Supervisor to oversee the management and implementation of our Managed Care contracts with health insurance plans.

    Reporting to the Director of Finance, this role will be responsible for overall management of Managed Care Contracts with Health Insurance Plans and oversee corporate insurance related functions.


    Key Responsibilities

    • Liaise with ONYX Consulting in obtaining new contracts, re-credentialing and updating rates and terms for existing contracts for Parker SNF, CHHA and Hospice as well as Queens-Long Island Renal Institute and NYC Metro (Parker at Your Door)
    • Notify appropriate departments/staff of current in-network insurances for admission and specific terms for knowledge and compliance.
    • Oversee Parker insurance related functions for both acquiring/maintain insurance coverage with broker and liaise with carriers and defense attorneys for active cases.


    About Parker

    The Parker Jewish Institute for Health Care and Rehabilitation, conveniently located on the Queens-Nassau County border in New Hyde Park, New York, is a non-profit health care facility that offers inpatient programs such as sub-acute/short term rehabilitation, long-term care and nursing home care, as well as community health services encompassing certified home health care and a comprehensive community hospice program that serves terminally ill patients in their own homes or in nursing facilities, including Parker's nursing home.

    Quality care means hiring quality people, and Parker Jewish Institute for Health Care and Rehabilitation has a longstanding reputation for excellence and innovation in resident and patient care.

    Why Work at Parker

    • Friendly, collaborative team environment and exciting career growth opportunities providing an opportunity to learn, grow and have an impact on the overall results
    • Excellent training and clinical education
    • Accessible via public transportation
    • Free parking on site for all staff
    • On-site cafeteria offering breakfast and lunch
    • Full Benefits for Full Time and Part Time staff include Health Insurance, 401k, Vacation, Holiday and Sick Time


    Position Qualifications

    • College degree in Business or a related field
    • Three to five years of healthcare administration/business office and/or insurance business office experience. Paralegal and/or contract management experience a plus.
    • Familiarity with government regulations for managed care plans
    • Excellent critical thinking, problem-solving and analytical skills
    • Excellent oral and written communication skills
    • Fully vaccinated against COVID-19
  • 6 Days Ago

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Supervisor-Managed Care Contracts
  • Parker Jewish Institute for Health Care and Rehabilitation
  • Queens, NY FULL_TIME
  • Supervisor, Managed Care Contracts/Insurance Cases Full Time The Parker Jewish Institute for Health Care and Rehabilitation is seeking a Supervisor to oversee the management and implementation of our ...
  • 15 Days Ago

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Managed Care Specialist
  • Managed Staffing, Inc.
  • Nashville, TN CONTRACTOR
  • DescriptionOur Client is looking to hire a Managed Care Specialist for an onsite role in their downtown Nashville, TN location.Our Client provides their workforce with a hybrid work environment. Most ...
  • 29 Days Ago

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Managed care
  • University Medical Center of El Paso
  • El Paso, TX FULL_TIME
  • Job Summary : The Director of Managed Care provides strategic and operation expertise in negotiating managed care contracts. Models and analyzes managed care contracts for potential opportunities and ...
  • 17 Days Ago

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Managed Care Contracts Coordinator
  • Fresenius Medical Care
  • Franklin, TN FULL_TIME
  • PURPOSE AND SCOPE: Responsible for successful implementation, coordination, and administration of contracting and pricing procedures. This includes contract terms and conditions, products and prices f...
  • 5 Days Ago

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Managed Care Coordinator
  • LIBERTY HEALTH CARE CENTER
  • Youngstown, OH FULL_TIME
  • Liberty Health Care Center is accepting applications for a Full time Managed Care Coordinator to work with our team of dedicated health care professionals! Hours: 10am - 6:30 pm with some weekend avai...
  • 13 Days Ago

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staff - Supervisor Registered Nurse (RN) - PACU - Post Anesthesia Care - $40-60 per hour
  • Inova Health System
  • Annandale, VA
  • Inova Health System is seeking a Registered Nurse (RN) PACU - Post Anesthesia Care Supervisor for a nursing job in Annan...
  • 12/8/2024 12:00:00 AM

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Intensive Care Supervisor
  • UMFS
  • Alexandria, VA
  • Job Description Job Description Who we are: UMFS is a nonprofit organization that provides a comprehensive array of prog...
  • 12/8/2024 12:00:00 AM

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staff - Supervisor Registered Nurse (RN) - PACU - Post Anesthesia Care - $40-60 per hour
  • Inova Health System
  • Dunn Loring, VA
  • Inova Health System is seeking a Registered Nurse (RN) PACU - Post Anesthesia Care Supervisor for a nursing job in Dunn ...
  • 12/7/2024 12:00:00 AM

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staff - Supervisor Registered Nurse (RN) - PACU - Post Anesthesia Care - $40-60 per hour
  • Inova Health System
  • Falls Church, VA
  • Inova Health System is seeking a Registered Nurse (RN) PACU - Post Anesthesia Care Supervisor for a nursing job in Falls...
  • 12/7/2024 12:00:00 AM

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staff - Supervisor Registered Nurse (RN) - PACU - Post Anesthesia Care - $40-60 per hour
  • Inova Health System
  • Arlington, VA
  • Inova Health System is seeking a Registered Nurse (RN) PACU - Post Anesthesia Care Supervisor for a nursing job in Arlin...
  • 12/7/2024 12:00:00 AM

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LPN School 1.1
  • Amergis
  • Ashburn, VA
  • LPN 1:1 for high school student The 1:1 School LPN/LVN identifies and treats healthdisorders among students in the schoo...
  • 12/6/2024 12:00:00 AM

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MANAGER TRAINEE
  • AutoZone, Inc.
  • Ashburn, VA
  • The Manager in Training (MIT) position is expected to be a short-term transitional role that provides both work assignme...
  • 12/4/2024 12:00:00 AM

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Deputy Director, Engagement
  • Public Company Accounting Oversight Board
  • Ashburn, VA
  • Join us and make a difference in global investor protection. Who We Are The Public Company Accounting Oversight Board (P...
  • 12/4/2024 12:00:00 AM

Income Estimation for Managed Care Supervisor jobs
$77,446 to $106,879