Managed Care Supervisor jobs in Coachella, CA

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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Tech Referral - Managed Care
  • Desert Valley Medical Group
  • Victorville, CA FULL_TIME
  • Overview

    Join an award-winning team of dedicated professionals committed to our core values of quality, compassion and community! Desert Valley Medical Group is affiliated with Desert Valley Hospital, one of the nation’s “100 Top Hospitals” and “A” rated for patient safety. We offer incredible opportunities to expand your horizons and be part of a community dedicated to making a difference.

     

    We are an Equal Opportunity Employer and do not discriminate against applicants due to veteran status, disability, race, gender, gender identity, sexual orientation, or other protected characteristics.  If you need special accommodation for the application process, please contact Human Resources.  Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf

    Responsibilities

    Responsible for processing assigned outside provider referrals as well as obtain authorizations for testing in house.  Assures timely submissions of authorizations to patients and providers.  Maintaining quality care and cost containment per health plan and DVMG.  Interacts with all members of the hospital staff, medical staff, patient’s family/significant other and community agencies in providing comprehensive care.

    Qualifications

    EDUCATION, EXPERIENCE, TRAINING

     

    1.            High School graduate or GED

    2.            Managed care experience and possess knowledge of health plan requirements

    3.            Basic knowledge of Microsoft Word, Excel and Access

     

     

     

    Desert Valley Medical Group offers competitive compensation and a comprehensive benefits package that provides employees the flexibility to tailor benefits according to their individual needs. Our Total Rewards package includes, but is not limited to, paid time off, a 401K retirement plan, medical, dental, and vision coverage, tuition reimbursement, and many more voluntary benefit options. A reasonable compensation estimate for this role, which includes estimated wages, benefits, and other forms of compensation, is $17.15 to $22.98. The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire, in which a wide range of factors will be considered, including but not limited to, skillset, years of applicable experience, education, credentials and licensure.

  • 15 Days Ago

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PATIENT CARE SUPERVISOR - LVN
  • HERITAGE HEALTH CARE INC
  • Loma Linda, CA FULL_TIME
  • Description: PRINCIPAL RESPONSIBILITIES: A. CLINICAL: Performs patient assessments by developing, implementing, and evaluating Patient Care Plans.Performs treatments, administers medications, and/or i...
  • 3 Days Ago

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Opal Program Supervisor | Memory Care
  • Leisure Care LLC
  • Palm Desert, CA FULL_TIME
  • Bella VillaggioIf you're looking for a job that goes beyond the basics to deliver purpose and joy, you'll find it here! Welcome to Leisure Care, where employees are here to inspire today's older adult...
  • 3 Days Ago

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Supervisor-Patient Care
  • Loma Linda
  • Loma Linda, CA FULL_TIME
  • Operating Room (Full-time, Night Shift) - Our mission is to continue the teaching and healing ministry of Jesus Christ. Our core values are compassion, integrity, excellence, teamwork, wholeness, humi...
  • 6 Days Ago

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Opal Program Supervisor | Memory Care
  • Bella Villaggio
  • Palm Desert, CA FULL_TIME
  • If you’re looking for a job that goes beyond the basics to deliver purpose and joy, you’ll find it here! Welcome to Leisure Care, where employees are here to inspire today’s older adults to embrace jo...
  • 1 Day Ago

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ASSISTANT CLINICAL SUPERVISOR- INLAND EMPIRE AREA
  • SpringHealth Behavioral Health and Integrated Care
  • SAN BERNARDINO, CA FULL_TIME
  • Our Company SpringHealth Behavioral Health and Integrated Care Overview WE WANT YOU ON OUR TEAM! Apply today if you are passionate about assisting people reach their highest level of independence! Our...
  • 23 Days Ago

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0 Managed Care Supervisor jobs found in Coachella, CA area

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Clinical Coordinator Rapid Response Team RN Nights
  • Tenet Healthcare Corporation
  • Indio, CA
  • The COORDINATOR, REAPID RESPONSE TEAM (RRT) RN functions to respond to the urgent needs with patients and families throu...
  • 3/29/2024 12:00:00 AM

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Transportation Supervisor
  • Welbe Health
  • La Quinta, CA
  • At WelbeHealth, the transportation we provide our participants plays a critical role in their wellbeing. By getting our ...
  • 3/29/2024 12:00:00 AM

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Shift Supervisor Trainee
  • CVS Health
  • Hemet, CA
  • Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to ever...
  • 3/29/2024 12:00:00 AM

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Maintenance Electrician
  • Armtec Defense Technologies
  • Coachella, CA
  • Maintenance Electrician, Armtec Defense Technologies Armtec Defense Technologies (Armtec) is an operating unit of the Tr...
  • 3/28/2024 12:00:00 AM

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Facility Security Officer
  • Armtec Defense Technologies
  • Coachella, CA
  • Facility Security Officer, Armtec Defense Technologies Armtec Defense Technologies (Armtec) is an operating unit of the ...
  • 3/28/2024 12:00:00 AM

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connectRN - CNA (Certified Nursing Assistant) - $25-40/Hour - Indio, CA
  • connectRN Inc
  • Indio, CA
  • connectRN is an app created by a nurse, with nurses and aides' needs in mind. Every day, connectRN helps thousands of nu...
  • 3/27/2024 12:00:00 AM

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Environmental Health and Safety Manager
  • Armtec Defense Products Co.
  • Coachella, CA
  • Environmental Health and Safety Manager, Armtec Defense Technologies Armtec Defense Technologies (Armtec) is an operatin...
  • 3/25/2024 12:00:00 AM

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Healthcare Center Director
  • Welbe Health
  • La Quinta, CA
  • At WelbeHealth, we unlock the full potential of seniors by providing the support and resources they need to be happy, he...
  • 3/25/2024 12:00:00 AM

Coachella (/koʊˈtʃɛlə/, /koʊ.əˈtʃɛlə/) is a city in Riverside County, California; it is the easternmost city in the region collectively known as the Coachella Valley (or the Palm Springs area). It is located 28 miles (45 km) east of Palm Springs, 80 miles (130 km) east of Riverside, and 130 miles (210 km) east of Los Angeles. Known as the "City of Eternal Sunshine", Coachella is largely a rural and agricultural community in the desert and one of the state's fastest growing cities in the late 20th century. When it first incorporated back in 1946, it had 1,000 residents, but the population was 4...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Supervisor jobs
$81,225 to $112,103
Coachella, California area prices
were up 3.0% 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