Managed Care Supervisor jobs in Elk Grove, 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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MANAGED CARE SOCIAL WORKER
  • River City Medical Group
  • Sacramento, CA FULL_TIME
  • Job Summary:

    Under the direction of the VicePresident Program Development/Community Relations provide direct counseling to members about availability of entitlement and social service programs. Identify members with unmet social needs and complex medical conditions. Serve as a Company liaison to county and community-based programs. Assist members to apply for programs that remove barriers to access healthcare.

    Essential Job Functions:

    • Reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions of the position.
    • Screen patients in clinics, hospitals and telephonically to determine unmet needs and barriers to accessing healthcare
    • Research the availability of quality community services.
    • Assist in the development of memoranda of cooperation with Community Based Programs.
    • Assist members who fall into one or more high risk categories to access all relevant entitlement programs and benefits.
    • Serve as a Company liaison to external community-based programs.
    • Work collaboratively with all Company operations departments to integrate Managed Care Social Services processes and procedures.
    • Requires significant judgment independent, independent analysis, critical thinking and knowledge of managed care processes and procedures.
    • Complete training on departmental procedures, clinical guidelines and Medi-Cal Managed Care program requirements.
    • Monitor current community standards of care.
    • Assist members and families with personal and environmental obstacles which contribute to the exacerbation of healthcare conditions.
    • Assist Complex Case Managers healthcare navigators and hospital Social Worker’swith access to programs needed for successful Discharge Planning.
    • Work under the direction of clinic lead providers.
    • Performs related duties consistent with the scope and intent of the position.
    • Regular attendance
    • Travel as required.

    Other Functions: 

    • Enforces Company policies and safety procedures.
    • Regularly updates job knowledge by participating in educational opportunities, reading professional publications, maintaining professional networks, and participating in professional organizations

    Competencies

    • Minimum of one year experience in counseling or related human services field is required.
    • Knowledge of types of financial assistance available to Medi-Cal beneficiaries is required.
    • Experience in assessment case management for children, families and individuals with variety of social, psychological, physical and medical problems is preferred.
    • Reliable Transportation.
    • Excellent communication skills, including both oral and written.
    • Excellent active listening and critical thinking skills.
    • Ability to solve mid-level problems with minimal supervision.
    • Ability to demonstrate professionalism, confidence, and sincerity while quickly and positively engaging patients and providers.
    • Ability to multi-task, exercise excellent time management, and meet multiple deadlines.
    • Ability to provide and receive constructive job and/or industry related feedback.
    • Ability to maintain confidentiality and appropriately share information on a need-to-know basis.
    • Ability to consistently deliver excellent customer service.
    • Excellent attention to detail and ability to document information accurately.
    • Ability to effectively and positively work in a dynamic, fast-paced team environment and achieve objectives.
    • Demonstrate commitment to the organization’s mission.
    • Must have mid-level skills in Microsoft software (Word, Excel, Power Point).
    • Must have the ability to quickly learn and use new software tools.
    • Must have mid-level skills using e-mail applications.
    • Self-motivated with strong organizational, multi-tasking, planning, and follow up skills.
    • Ability to work independently as well as in a team environment.
    • Ability to present self in a professional manner and represent the Company image.

    Education and Licensure

    • MSW or LCSW is required.
    • Graduation from an accredited college or university with Bachelor’s degree in human services field such as social work, counseling, psychology is required.
    • Current active and unrestricted California Driver’s License and automobile insurance is required.

    Travel

    • The incumbent may travel up to 50% of the time in the greater Sacramento area.


  • 17 Days Ago

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Director, Managed Care
  • Adventist Health
  • Roseville, CA FULL_TIME
  • Adventist Health is ranked #10 in Becker's list of the largest nonprofit hospital systems in the U.S. We are the largest company headquartered and sixth largest employer in Roseville, California. Our ...
  • 1 Month Ago

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Clinical Practice Manager, Managed Care Kaiser - Wrap
  • Stanford Sierra Youth & Families
  • Sacramento, CA FULL_TIME
  • *$3,000 Hiring Bonus * QUALIFICATIONS Education & Experience Master's Degree in a related field LCSW/ASW, LMFT/AMFT required, current registration with Board of Behavioral Sciences Minimum 2 years’ ex...
  • 15 Days Ago

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Apprentice Diesel Technician
  • Managed Mobile
  • Sacramento, CA FULL_TIME
  • Managed Mobile, Inc. is the market leader for commercial fleet maintenance in California, Nevada and Texas. We have an excellent entry level opportunity for new Technicians looking for a career pathwa...
  • 1 Day Ago

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Apprentice Diesel Technician
  • Managed Mobile
  • Sacramento, CA FULL_TIME
  • Managed Mobile, Inc. is the market leader for commercial fleet maintenance in California and Nevada. We have an excellent entry level opportunity for new Technicians looking for a career pathway to be...
  • 8 Days Ago

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Mobile Diesel Technician - Advanced
  • Managed Mobile
  • Sacramento, CA FULL_TIME
  • Managed Mobile is looking for an advanced level Journeyman Technician with a wide breadth of experience who can diagnose and repair medium/heavy duty trucks. The selected candidate will work independe...
  • 8 Days Ago

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0 Managed Care Supervisor jobs found in Elk Grove, CA area

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Home Care Supervisor
  • Noor Home Healthcare Service Corp DBA NoorCare
  • Sacramento, CA
  • Job Description Job Description Home Care Service Supervisor We are looking for an Administrative Support Coordinator to...
  • 3/28/2024 12:00:00 AM

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NEW Black Bear Diner- Server
  • Elite Devco, LLC
  • Elk Grove, CA
  • Description Specific Duties and Responsibilities Welcome and greet guests. Make all our guests feel comfortable and let ...
  • 3/28/2024 12:00:00 AM

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Phlebotomist
  • CSL Behring LTD
  • Citrus Heights, CA
  • Job Description Summary Responsible for the efficient and effective collection of plasma from donors by performing venip...
  • 3/28/2024 12:00:00 AM

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Supervising Registered Nurse *Revised
  • Sacramento County
  • Sacramento, CA
  • Supervising Registered Nurse *Revised Print (https://www.governmentjobs.com/careers/sacramento/jobs/newprint/4255792) Ap...
  • 3/28/2024 12:00:00 AM

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Behavior Technician
  • Kyo Care
  • Sacramento, CA
  • Nice to meet you! We're Kyo. Kyo is a leading provider of Applied Behavior Analysis (ABA), an evidence-based therapy for...
  • 3/28/2024 12:00:00 AM

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Outreach Specialist
  • Insight Housing
  • Sacramento, CA
  • Description Compensation is $26/hour Program OverviewA Pathway to Housing for Homeless Veterans - join a team that assis...
  • 3/28/2024 12:00:00 AM

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Housekeeper
  • WelbeHealth
  • Stockton, CA
  • **Housekeeper** at WelbeHealth Stockton, CA At WelbeHealth, we make the impossible, possible for underserved seniors. We...
  • 3/27/2024 12:00:00 AM

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Home Care Assistant
  • WelbeHealth
  • Stockton, CA
  • **Home Care Assistant** at WelbeHealth Stockton, CA At WelbeHealth, we make the impossible, possible for underserved sen...
  • 3/25/2024 12:00:00 AM

Elk Grove is a city in Sacramento County, California, located just south of the state capital of Sacramento. It is part of the Sacramento–Arden-Arcade–Roseville Metropolitan Statistical Area. As of 2018, the population of the city was estimated at 173,702. The second-largest city in Sacramento County, Elk Grove was the fastest growing city in the U.S. between July 1, 2004, and July 1, 2005. The City of Elk Grove incorporated on July 1, 2000. It is a general law city with a council/manager form of government. One of Elk Grove's most significant aspects is the Elk Grove Unified School District, ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Supervisor jobs
$82,734 to $114,186
Elk Grove, California area prices
were up 2.5% 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