Managed Care Supervisor jobs in Bartlesville, OK

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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Pharmacy - Managed Care Clinical Pharmacist 146-2002
  • CommunityCare
  • Tulsa, OK FULL_TIME
  • JOB SUMMARY: The Managed Care Clinical Pharmacist will provide clinical pharmacy support to the CommunityCare Pharmacy Department including development of criteria for medications requiring a prior authorization, management of the drug utilization protocol, clinical support for the CMS Medication related STARs Measures, Medication Therapy Management (MTM) outreach, and other clinical duties as needed.  The ability to influence members and providers to act is important. This position will also work closely with the Patient’s at Risk Committee, reviewing data to identify and investigate possible medication related fraud, waste, and abuse.    KEY RESPONSIBILITIES: Medication CMS Stars Measures – Provide support to the pharmacy and quality department for medication related Stars Measures. Analyze data, identify areas of opportunity, contact members to identify barriers. Medication Therapy Management (MTM) – Support the Medication Therapy Management Program for qualifying members. Review MTM gaps and complete Comprehensive Medication Reviews with qualifying members to support the program. P&T Committee Clinical Support - Work with Director of Pharmacy on development of clinical presentations and drug utilization review programs. Provide clinical input to administrative staff in the preparation of Committee minutes. Clinical Liaison to PBM - Work with PBM as directed by the director of pharmacy to support clinical programs, identify areas to improve quality and reduce costs. Formulary Development – Work with the Director of Pharmacy on formulary development and maintenance with P&T Committee and PBM to assure accuracy of adjudication files, CMS files, print and web formulary files.  Prior-Authorization Reviews – Review medication requests that require a prior authorization and approve or deny based upon established criteria or clinical data provided. Internal/External Meetings - Provide clinical pharmacy input at various internal and external meetings, as necessary. Perform other duties as assigned.   QUALIFICATIONS: Demonstrated understanding and application of managed care concepts and terminology. Extensive experience in management of pharmacy clinical programs. Proficient in Microsoft applications. Successful completion of Health Care Sanctions background check. Excellent analytical, organizational, and decision making skills. Successful completion of Health Care Sanctions background check. (Is this the same as the line above?) Yes. I deleted the precious one.  Possess strong oral and written communication skills.   EDUCATION/EXPERIENCE: Graduation from an accredited School of Pharmacy. PharmD preferred. Current and active unrestricted license to practice pharmacy in the state of Oklahoma. Minimum of 3 years work experience in a managed health care environment specific to pharmacy management activities preferred. 5 years clinical pharmacy experience. Managed care and long-term care pharmacy experience preferred.
  • 1 Month Ago

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Family/Internal Medicine Physician | Flexible Employment Opportunity | Freedom from Managed Care System
  • Spectrum Healthcare Resources
  • Claremore, OK FULL_TIME
  • Join Spectrum Healthcare Resources, a trusted industry leader for over 35 years, and make a change in your career with the military medical system. Enjoy freedom from the traditional pressures of the ...
  • 8 Days Ago

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Clinical Supervisor
  • BrightStar Care of Tulsa
  • Tulsa, OK FULL_TIME
  • Are you looking for a home care job where you can make a difference in people’s lives? Do you want to work for a home care agency that genuinely cares about you? Work in a T.E.A.M. environment where T...
  • Just Posted

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Housekeeping Supervisor
  • Oklahoma Memory Care Institute
  • Tulsa, OK FULL_TIME
  • Come work for a company that cares and appreciates its staff and helps us strive to be the difference makers and a guiding light in our profession. We are searching for attentive, kindhearted health p...
  • 22 Days Ago

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Airport Rental Car Fleet Driver PM Shift
  • Managed Labor Solutions
  • Tulsa, OK FULL_TIME
  • Have a passion for driving late model cars? Need a flexible schedule? Managed Labor Solutions (MLS), a leading nationwide rental car outsourcing company, is looking to hire committed and efficient peo...
  • 1 Day Ago

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Airport Rental Car Cleaner PM Shift
  • Managed Labor Solutions
  • Tulsa, OK FULL_TIME
  • Do you enjoy late model cars and have a good attention to detail? Need a flexible schedule plus access to DailyPay? Managed Labor Solutions (MLS), a leading nationwide rental car outsourcing company, ...
  • 1 Day Ago

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0 Managed Care Supervisor jobs found in Bartlesville, OK area

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Patient Care Technician
  • Fresenius Medical Care
  • Bartlesville, OK
  • About this role: As a Patient Care Technician (PCT) at Fresenius Medical Care, you play a vital part in supporting peopl...
  • 5/18/2024 12:00:00 AM

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Certified Nursing Assistant (CNA) - 7 am - 3 pm
  • North County Assisted Living
  • Collinsville, OK
  • Breaking news, no covid vaccine or masks are required to work in our facility! BRAND NEW PAY SCALE! $1500 Sign On Bonus ...
  • 5/18/2024 12:00:00 AM

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School Based Therapist
  • CREOKS Health Services
  • Skiatook, OK
  • Job Description Job Description 2000 sign on bonus (1000 after 6 and 12 months) LCSW/LPC/LMFT or under Supervision job P...
  • 5/17/2024 12:00:00 AM

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Clinical Laboratory Team Leader
  • Labcorp
  • Bartlesville, OK
  • Are you an experienced clinical laboratory professional looking for leadership opportunity? Are you detail oriented, pro...
  • 5/17/2024 12:00:00 AM

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Patient Access Representative
  • Cherokee Nation
  • Nowata, OK
  • Job Summary: The Patient Access Representative is responsible for collecting patient information, obtaining current insu...
  • 5/17/2024 12:00:00 AM

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Part Time Store Supervisor | BRAS N THINGS | Casuarina
  • Hanes Australasia Limited
  • Coffeyville, KS
  • **Part Time Store Supervisor | BRAS N THINGS | Casuarina** **Darwin** * Become a Fitting Expert with our structured bra-...
  • 5/17/2024 12:00:00 AM

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Seasonal Cashier
  • Michaels Stores
  • Bartlesville, OK
  • Seasonal Cashier page is loaded **Seasonal Cashier** **Seasonal Cashier** locationsAvon-10352 E US Hwy 36 time typePart ...
  • 5/16/2024 12:00:00 AM

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Charge Nurse (LPN / RN) 7am - 7pm
  • North County Nursing & Rehabilitation
  • Collinsville, OK
  • Breaking news, no covid vaccine or masks are required to work in our facility! BRAND NEW PAY SCALE! Come work for a comp...
  • 5/16/2024 12:00:00 AM

Bartlesville is a city mostly in Washington County in the U.S. state of Oklahoma. The population was 35,750 at the 2010 census, with a 2015 estimate of 36,595 according to the U.S. Census Bureau. Bartlesville is 47 miles (76 km) north of Tulsa and 18 miles (29 km) south of the Kansas border. It is the county seat of Washington County. The Caney River runs through Bartlesville. Bartlesville is the primary city of the Bartlesville Micropolitan area, which consists of Washington County and had a population of 52,021 in 2015. A small portion of the city is in Osage County. The city is also part o...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Supervisor jobs
$71,505 to $98,681
Bartlesville, Oklahoma area prices
were up 1.2% from a year ago

Managed Care Supervisor in Austin, TX
The F/MCC Supervisor will ensure adequate team staffing, team training, participates in staff hiring and performance reviews.
December 07, 2019
Managed Care Supervisor in Lowell, MA
The individual will have a focus on assessing, interpreting, and analyzing the impact of utilization of services within the Winchester PHO to maximize performance in the managed care contracts that support the BILH Network.
February 18, 2020
Managed Care Supervisor in Montgomery, AL
The hospital offers a full range of medical services including maternity care and a Level IIB Special Care Nursery.
January 15, 2020