Managed Care Supervisor jobs in Modesto, 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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Resident Care Director
  • Valley Spring Memory Care
  • Los Banos, CA FULL_TIME
  • VALLEY SPRING MEMORY CARE

    Resident Care Director

    GENERAL STATEMENT OF POSITION:

    Under limited supervision, is responsible for all aspects of resident care including initial and ongoing assessment; hiring, training, supervising, managing and coordinating resident care including initial and ongoing assessments; hiring, training, supervising, managing and coordinating resident Care Assistants. Reports to the Executive Director.

    Supervisory Responsibility:

    Supervise the resident care team of the community that includes, but is not limited to, Medication Technicians and Caregivers.

    Budget Responsibility:

    Responsible for meeting budget goals, expenses and established care thresholds for the resident.

    Essential Functions:

    The following duties are normal for this position. These are not exclusive or all-inclusive. Other duties may be required and assigned: Hires and provides orientation for new Medication Technicians and Caregivers, ensuring that staffing levels are maintained; evaluates medication orders and translates them for Medication Technicians and residents as needed; supervises and evaluates Medication Technicians and Caregivers on all shifts, providing counseling and written disciplinary and/or corrective action when needed; provides in-service training for Caregivers on a routine basis and one-to-one training as needed; assesses potential residents for appropriateness prior to move-in and provides on-going written assessments of all residents; develops and maintains Care/Service Plans for each resident, updating as diagnosis/condition changes; creates and maintains resident care communication system to ensure quality care on each shift; manages electronic reporting system, occurrence and situational reporting and Medication Administration Records; monitors centrally stored medication system; manages employee uniform program; develops resident care policies and protocols as needed; communicates with physicians and families on resident’s change of condition or incident; provides first aid to residents when needed; accepts physician orders or order changes for medication or treatment, calls orders to pharmacy; assesses residents for needed medical intervention and arranges medical visits to doctor’s offices or emergency room; maintains current resident emergency records with up-to-date information; monitors the emergency call system and ensures staff responds appropriately; supervises resident meals and monitors for appropriate diets; assists with emergencies and with safety instructions for residents such as fire drills, etc.; maintains current knowledge of state and local regulations ensuring community compliance; answers telephones, assists visitors and gives tours to prospective residents; performs duties as manager on duty on a rotating basis; conducts work tasks safely and in compliance with the community safety program; provides effective and courteous service to all residents, guests and co-workers; performs other related essential duties as required; attend in-service training and workshops and meetings as required; promote and protect the rights of each resident

    Supervision/Leadership

    Provide high performance leadership and management of team to support the achievement of community and corporate performance goals. Observe and effectively manage the culture of the team Create an environment for team members that honors, respects and values individual opinions and suggestions; demonstrate fair treatment and ethical business practices; support development and reward achievement. Communicate performance standards to team; observe, measure and evaluate performance to ensure standards are achieved; conduct regular performance observation, assessment and discussion with team members. Communicate information that supports team and company performance and communicate reasons for decision. Ensure quality recruiting, hiring, development and retention practices that support company procedures and standards. Perform various related essential duties as required by the Executive Director. Participate in team activities and meetings. Actively build productive relationships with others. Conduct regular meetings with team members, colleagues and customers that address actions, concerns, possibilities and planning. Display ability and willingness to contribute to team by communicating effectively and consistently; follows team suggestions to maximize team performance. Engage in conversation to understand the conditions of satisfaction of job duties.

    General and Organizational Requirements:

    Consistently perform position responsibilities in a professional and ethical manner. Build knowledge and remain current on information, results and/or news related to the’ business that may impact revenue generation, quality of care or the business and professional relationships. Pursue job-related professional development. Monitor own work performance and adjust; seek help as needed to fulfill job duties. Understand and follow company and department policies and procedures. Understand and adhere to all laws governing team member and resident rights. Protect confidential information of team members, residents and vendors. Conduct work tasks safely and according to the community safety program. Show eagerness and flexibility completing other duties as assigned.

    MINIMUM TRAINING AND EXPERIENCE:

    A minimum of three years of experience in a senior living community; a minimum of three years of experience in a management/supervisory position; a bachelor’s degree in nursing or a related field may be substituted for three of the years of experience; or any equivalent combination of training and experience which provides the required skills, knowledge and abilities.

    CERTIFICATION AND CLEARANCE REQUIREMENTS:

    Current and valid California Nursing License (Licensed Vocational Nurse - LVN). First Aid and CPR certification.

    Criminal record clearance or criminal record exemption, as required by law

    Health evaluation to ensure ability to perform duties of the position and the absence of any communicable disease, including tuberculosis and CXR clearance.

    Proof of COVID-19 vaccinations and boosters.

    Job Type: Full-time

    Pay: From $30.00 per hour

    Expected hours: 40 – 60 per week

    Healthcare setting:

    • Assisted living facility

    Schedule:

    • 4 hour shift
    • 8 hour shift
    • Day shift
    • Evening shift
    • Holidays
    • Night shift
    • On call
    • Overnight shift
    • Weekends as needed

    Ability to Relocate:

    • Los Banos, CA 93635: Relocate before starting work (Required)

    Work Location: In person

  • Just Posted

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LVN/LPN/RN Wellness Director for Memory Care Community
  • Valley Spring Memory Care
  • Los Banos, CA PART_TIME,FULL_TIME
  • VALLEY SPRING MEMORY CARE Resident Care Director GENERAL STATEMENT OF POSITION: Under limited supervision, is responsible for all aspects of resident care including initial and ongoing assessment; hir...
  • Just Posted

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Home Care Aide NEEDED For Elderly Veteran In Los Banos, CA
  • Care Planning Institute, Inc
  • Los Banos, CA PART_TIME
  • We are a home care aide servcies agency that has been in business since 2007 and help elderly people stay safe and well in their homes. We provide home care services in 15 states. We also offer same d...
  • 29 Days Ago

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Home Care Aide NEEDED For Elderly Veteran In Turlock, CA
  • Care Planning Institute, Inc
  • Turlock, CA PART_TIME
  • We are a home care aide servcies agency that has been in business since 2007 and help elderly people stay safe and well in their homes. We provide home care services in 15 states. We also offer same d...
  • 30 Days Ago

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PCA Personal Care Assistant/ Caregiver - Modesto CA
  • Always Best Care Senior Services
  • Modesto, CA PART_TIME,FULL_TIME
  • PLEASE APPLY TODAY, WE ARE HIRING! Modesto Residents: We need caregivers like you to assist seniors in all areas!! Looking for reliable, compassionate, and caring professionals to join our company. At...
  • 1 Month Ago

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Physician Assistant / Nurse Practitioner - California Gold Country Urgent Care!
  • Smith & Associates Health Care Placements
  • Sonora, CA FULL_TIME
  • California Gold Country Urgent Care! 0110201679 Physician Assistant / Nurse Practitioner / Sonora, CA 95370 - We are looking for a Physician Assistant or Nurse Practitioner with 2 or more years of exp...
  • 17 Days Ago

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0 Managed Care Supervisor jobs found in Modesto, CA area

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Receptionist - Behavioral Health 135
  • Telecare Corp.
  • Modesto, CA
  • Telecare's mission is to deliver excellent and effective behavioral health services that engage individuals in recoverin...
  • 4/24/2024 12:00:00 AM

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Clinical Research Coordinator I - Obstetrics & Gynecology - Accortt Lab (Full-Time)
  • Cedars-sinai
  • Modesto, CA
  • Job Description Come join our team! The Clinical Research Coordinator I works independently providing study coordination...
  • 4/24/2024 12:00:00 AM

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Fuel Compliance Officer - 12 Month Roster
  • Department Of The Treasury
  • Modesto, CA
  • DutiesWHAT IS THE SMALL BUSINESS SELF EMPLOYEDDIVISION DIVISION?A description of the business units can be found at: htt...
  • 4/23/2024 12:00:00 AM

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Lead Human Resources Specialist (Team Leader) - Temporary Not to Exceed 1 year, MBE, MBP
  • Department Of The Treasury
  • Modesto, CA
  • DutiesWHAT IS THE CRIMINAL INVESTIGATIONDIVISION?A description of the business units can be found at: https://www.jobs.i...
  • 4/22/2024 12:00:00 AM

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RN Shift Manager Psych Inpatient Full Time Days
  • Doctors Medical Center of Modesto
  • Modesto, CA
  • Up to $20,000 Sign-on Bonus! Doctors Medical Center Modesto is a full-service, comprehensive health care facility, dedic...
  • 4/22/2024 12:00:00 AM

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Clinical Laboratory Scientist - Microbiology
  • LabMinds Staffing & Recruiting, LLC
  • Modesto, CA
  • Job Description Reporting to the Laboratory Director and Technical Supervisors, the Clinical Laboratory Scientist is res...
  • 4/22/2024 12:00:00 AM

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Therapy Team Leader
  • Encompass Health
  • Modesto, CA
  • CA Occupational Therapist license is required. This is for an OT Team Leader $124,000-$140,000/annually The Therapy Team...
  • 4/20/2024 12:00:00 AM

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Dialysis Program Manager California
  • Encompass Health
  • Modesto, CA
  • Salary Range : $105K - 135K/annually The Dialysis Program Manager is independently responsible for directing, organizing...
  • 4/20/2024 12:00:00 AM

Modesto /məˈdɛstoʊ/ (Spanish for "modest"), officially the City of Modesto, is the county seat and largest city of Stanislaus County, California, United States. With a population of approximately 201,165 at the 2010 census, it is the 18th largest city in the state of California and forms part of the Modesto–Merced combined statistical area. The Modesto Census County Division, which includes the cities of Ceres and Riverbank, had a population of 312,842 as of 2010[update]. Modesto is located in the Central Valley, 90 miles (140 km) north of Fresno, 40 miles (64 km) north of Merced, California, ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Supervisor jobs
$81,020 to $111,817
Modesto, California area prices
were up 2.5% from a year ago

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