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)
Are you ready to join an organization that has a reputation for outstanding leadership, innovation, and industry expertise. Our employees use their creativity and talent to invent new solutions, meet demands, and offer the most effective services available in our industry.
Greenbriar Community Care Center is seeking a RN Supervisor!
2 Shifts Available
We invite you to become a part of an innovative team and one of the fastest-growing Retirement Living, Home Health and Hospice Companies that spans across Louisiana and Mississippi with over 2,000 healthcare professionals!
Commcare Corporation’ s mission is to be an innovative leader in the development and delivery of quality health care services, and to be committed to a learning environment that attracts and develops dedicated care givers.
Essential Responsibilities
Demonstrates leadership and has the ability to organize, plan and supervise the Nursing Department in coordination with other resident services.
Demonstrates the ability to adhere to departmental budget.
Maintains effective interpersonal relationships.
Implement changes as determined by the Nursing of Director.
Must demonstrate ability to follow policies, procedures, practices, and direction without the direct supervision of the Director of Nursing.
Must demonstrate ability to evaluate the geriatric resident's needs and implement systems.
Qualifications
Current Louisiana Registered Nurse (RN) license.
Demonstrated leadership skills.
Ability to work weekends.
Current/active CPR certification preferred.
Long-term care experience preferred.
Other Qualifications
Has not been excluded from participating in Medicare and Medicaid programs.
Maintains eligibility to participate in Medicare and Medicaid programs throughout employment.
Participate in pre-employment and annual Tuberculosis screening.
We are committed to giving our employees only the very best, providing not only competitive salaries and wages, but a comprehensive benefits package.
“All offers of employment are subject to the completion of a satisfactory background check and reference check and eligibility for the participation in Medicare and Medicaid programs.”
CommCare Corporation is an Equal Opportunity-Affirmative Action Employer
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Job Types: Full-time, Permanent
Pay: From $35.00 per hour
Benefits:
Medical specialties:
Physical setting:
License/Certification:
Ability to Relocate:
Work Location: In person
0 Managed Care Supervisor jobs found in Akers, LA area