Managed Care Supervisor jobs in South Carolina

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 2020

Senior Business Analyst
  • Net2Source Inc.
  • Liberty, SC
  • Completes project responsibilities as directed by Sr. Projects Manager, including design ... supervisor Performs other duties as directed. Competencies Experience documenting business ...
  • 16 hours ago

Appeals Team Lead
  • Amerihealth
  • Charleston, SC
  • We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy ... Reporting to the Appeals Supervisor, the Team Lead primary responsibility is supporting the appeals ...
  • yesterday

Registered Nurse RN
  • Wellpath
  • Columbia, SC
  • As a charge nurse, the RN is responsible for managing all assigned personnel, supplies and ... Works directly with the nursing supervisor to coordinate all patient care activities for the unit
  • 2 days ago

Registered Nurse - Behavioral Health Clinical Care Reviewer (LCSW)
  • Total Medical Staffing
  • North Charleston, SC
  • Under the direction of the Supervisor, the Clinical Care Reviewer (CCR) is responsible for ... The CCR will apply medical health benefit policy and medical management guidelines to authorize ...
  • 3 days ago

RN Director of Home Care
  • LeaderStat
  • Orangeburg, SC
  • This RN will assume Supervisory responsibility for the overall direction and operational ... management of a home care or allied health organization. - Master's degree in Nursing preferred ...
  • 3 days ago

Licensed Practical Nurse (LPN) - New Ellenton, SC
  • Professional Case Management
  • New Ellenton, SC
  • Minimum of one (1) year experience in an acute care setting or equivalent experience * CPR ... Recognize and report changes in client condition to the case manager and physician as directed in a ...
  • 3 days ago

Dialysis Registered Nurse RN- Floater
  • U.S. Renal Care
  • Easley, SC
  • ... supervising Patient Care Technicians. Acute programs may report directly to an Administrator or the first line of regional operational management which may be an Area Director, Regional Director, or ...
  • 4 days ago

Landscape Nursery Assistant Grower / Production Assistant Manager
  • Brownswood Nursery
  • Johns Island, SC
  • RESPONSIBILITIES Responsible for all nursery growing activities related to the supervising and ... It is 42 years old and filled with talented team members who truly care about people and love ...
  • 6 days ago

South Carolina (/ˌkærəˈlaɪnə/ (listen)) is a state in the Southeastern United States and the easternmost of the Deep South. It is bordered to the north by North Carolina, to the southeast by the Atlantic Ocean, and to the southwest by Georgia across the Savannah River. South Carolina became the eighth state to ratify the U.S. Constitution on May 23, 1788. South Carolina became the first state to vote in favor of secession from the Union on December 20, 1860. After the American Civil War, it was readmitted into the United States on June 25, 1868. South Carolina is the 40th most extensive and 23...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Supervisor jobs
$64,506 to $89,023

Managed Care Supervisor in Jamaica Plain, MA
Develops and implements health center billing, collection, and insurance verification procedures in concert with BWH and Partners overall policies.
January 21, 2020
Handles financial matters at the health center including making bank deposits, overseeing cash collection, depositing checks in various accounts, and overseeing credit card payment process.
December 30, 2019
Works with the Practice Coordinator to manage scheduling and coverage for Financial Counselors and Practice Assistants.
October 30, 2019