Managed Care Supervisor jobs in Kenosha, WI

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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RN Care Manager
  • Managed Health Services Wisconsin
  • Racine, WI FULL_TIME
  • You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. * We are currently offering a $5,000 sign-on bonus for this position * ** This hybrid remote role requires less than 50% travel in Milwaukee / Appleton area and candidates will have the flexibility to work remotely from their home the remaining time ** Position Purpose: Perform care management duties to assess, plan and coordinate all aspects of medical and supporting services across the continuum of care for select members to promote quality, cost effective care. • Assess the member's current health status, resource utilization, past and present treatment plan and services, prognosis, short and long term goals, treatment and provider options • Utilize assessment skills and discretionary judgment to develop plan of care based upon assessment with specific objectives, goals and interventions designed to meet member's needs and promote desired outcomes • Coordinate services between Primary Care Physician (PCP), specialists, medical providers, and non-medical staff as necessary to meet the complete medical socio economic needs of clients • Provide patient and provider education • Facilitate member access to community based services • Monitor referrals made to community based organizations, medical care and other services to support the members’ overall care management plan • Actively participate in integrated team care management rounds • Identify related risk management quality concerns and report these scenarios to the appropriate resources. • Case load will reflect heavier weighting of complex cases than Care Manager I, commensurate with experience • Enter and maintain assessments, authorizations, and pertinent clinical information into various medical management systems • Direct care to participating network providers • Perform duties independently, demonstrating advanced understanding of complex care management principles. • Participate in case management committees and work on special projects related to case management as needed Education/Experience: Graduate from an Accredited School of Nursing. Bachelor’s degree in Nursing preferred. 2 years of clinical nursing experience in a clinical, acute care, or community setting and 1 years of case management experience in a managed care setting. Knowledge of utilization management principles and healthcare managed care. Experience with medical decision support tools (i.e. Interqual, NCCN) and government sponsored managed care programs.Licenses/Certifications: Current state’s RN license and a valid driver's license Pay Range: $66,100.00 - $118,900.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law. Total compensation may also include additional forms of incentives. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

    About the Company:
    Managed Health Services Wisconsin



  • 1 Month Ago

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Care Manager II (RN) - Now Hiring
  • Managed Health Services WI
  • Kansasville, WI FULL_TIME
  • You could be the one who changes everything for our 26 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offeri...
  • 11 Days Ago

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Nurse Supervisor RN
  • Quality Care LTC
  • Pleasant Prairie, WI FULL_TIME
  • Waters Edge Health and Rehab has an exciting opportunity for a driven leader to join our growing team as a Nurse Supervisor RN in Kenosha, WI. This position will work alongside a phenomenal Director o...
  • 15 Days Ago

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Animal Care Supervisor
  • Petco
  • Crystal, IL FULL_TIME
  • Create a healthier, brighter future for pets, pet parents and people! If you want to make a real difference, create an exciting career path, feel welcome to be your whole self and nurture your wellbei...
  • 25 Days Ago

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Resident Care Supervisor
  • State of Wisconsin
  • Union Grove, WI FULL_TIME
  • Introduction The Department of Health Services (DHS), Southern Wisconsin Center (SWC) is recruiting for a Resident Care Supervisor. Work hours are: First Shift – 6:45 AM – 3:15 PM, Second Shift - 2:45...
  • 3 Days Ago

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Resident Care Supervisor
  • Wisconsin Department of Health Services
  • Union Grove, WI FULL_TIME
  • Introduction The Department of Health Services (DHS), Southern Wisconsin Center (SWC) is recruiting for a Resident Care Supervisor. Work hours are: First Shift – 6:45 AM – 3:15 PM, Second Shift - 2:45...
  • 3 Days Ago

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0 Managed Care Supervisor jobs found in Kenosha, WI area

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early morning Stock
  • Michaels Stores, Inc.
  • Store - KENOSHA, WI Deliver friendly customer service, help customers shop our store, and find what they're looking for....
  • 4/29/2024 12:00:00 AM

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Clinic LPN Float
  • Froedtert South
  • Kenosha, WI
  • Under the direction of the clinic supervisor, theClinic LPNis responsible for the receiving of patients, preparing the p...
  • 4/28/2024 12:00:00 AM

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Memory Care Unit Manager RN 10KBonus
  • Waters Edge Health And Rehabilitation Center
  • Kenosha, WI
  • $10,000 Sign-On Bonus!!!Waters Edge Health and Rehab has an exciting opportunity for a driven leader to join our growing...
  • 4/28/2024 12:00:00 AM

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Dialysis Staff Home Therapy Registered Nurse - RN
  • Fresenius Medical Care
  • Kenosha, WI
  • POSITION FEATURES:Must have 12+ months RN experienceTraining in Dialysis Provided!Position is will cover Kenosha and Bur...
  • 4/28/2024 12:00:00 AM

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Shift Supervisor Trainee
  • CVS Health
  • Kenosha, WI
  • Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to ever...
  • 4/28/2024 12:00:00 AM

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Animal Care Supervisor
  • Petco Health and Wellness Company, Inc.
  • Crystal Lake, IL
  • Create a healthier, brighter future for pets, pet parents and people! If you want to make a real difference, create an e...
  • 4/27/2024 12:00:00 AM

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Animal Care Supervisor
  • Petco Animal Supplies, Inc.
  • Crystal Lake, IL
  • Create a healthier, brighter future for pets, pet parents and people! If you want to make a real difference, create an e...
  • 4/27/2024 12:00:00 AM

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Clinic LPN Float
  • Froedtert South
  • Kenosha, WI
  • Under the direction of the clinic supervisor, the Clinic LPN is responsible for the receiving of patients, preparing the...
  • 4/27/2024 12:00:00 AM

Kenosha /kɛˈnoʊˌʃɑː/ is a city in and the county seat of Kenosha County, Wisconsin, United States. Kenosha is on the southwestern shore of Lake Michigan. With an estimated population of 99,889 as of July 1, 2013, it is the fourth-largest city in Wisconsin and the fourth-largest city on Lake Michigan. The city is part of the United States Census Bureau's Chicago Combined Statistical Area (CSA). Kenosha is in southeastern Wisconsin at 42°34′56″N 87°50′44″W / 42.58222°N 87.84556°W / 42.58222; -87.84556 (42.582220, -87.845624). It is bordered by Lake Michigan to the east, the Town of Somers to ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Supervisor jobs
$74,167 to $102,359
Kenosha, Wisconsin area prices
were up 1.8% 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