Managed Care Supervisor jobs in Riverside, 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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Supervisor, Enhanced Care Management - Managed Care Clinical Operations
  • Rady Children's Hospital-San Diego
  • Murrieta, CA FULL_TIME
  • This is a casual, grant funded position with an end date of 06/30/26

    JOB SUMMARY:

    The Enhanced Care Management (ECM) Supervisor manages the daily operations of the satellite ECM Program which includes but is not limited to patient access to ECM services, case identification

    and prioritization, patient triage, case assignments to staff, managing referrals, monitoring staff productivity and caseload, identifying community resources, conducting staff performance

    evaluations, recruiting and hiring of staff, managing performance and implementing disciplinary action. Provides leadership to the satellite ECM and provides support and consultation to the main

    ECM Program staff. Participates in interdisciplinary case conferencing care planning. Facilitates and ensures that all ECM members receive all ECM core service components. Collaborates with the

    ECM RN Manager and ECM Director on ECM operations, quality initiatives, and program development. Attends meetings at RCHSD and the community as assigned. Ensures compliance with all health plan deliverables and contractual obligations as well as regulatory agency requirements.

     

    MINIMUM QUALIFICATIONS:

    Master's Degree

    3 Years of Experience

    Medical Social Worker, Licensed Social Worker or Marriage and Family Therapist

     

    The expected hiring range for this position is $41.49 to $57.05

    Rady Children’s Hospital is committed to compensation that is externally competitive and internally equitable. We demonstrate this commitment by conducting regular market reviews to remain competitive with organizations of similar size in the nonprofit, healthcare sector. The range listed above does not represent the full salary range for the position but is the expected hiring range for qualified candidates. Compensation decisions consider a variety of factors including experience, education, licensure, unique skillsets, organizational need, and internal equity. This posting will remain open from the “date posted” until the hiring manager has determined there is a sufficient applicant pool or until the position is filled.

  • 6 Days Ago

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Managed Care Counsel
  • Robert Half
  • Rancho Cucamonga, CA PER_DIEM
  • In House Counsel Opportunity for Large Healthcare Organization!You will be joining a large legal team and a Managed Care expert (Medical, Medicaid, Covered CA). You will manage outside counsel for dis...
  • Just Posted

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RN Supervisor
  • Devonshire Care Center
  • Hemet, CA FULL_TIME
  • Are you looking for your new career? Devonshire Care Center is now hiring a Registered Nurse Supervisor to be the newest member of our awesome team! Now Hiring for: PM RN 7am-7pm Salary Range: $46-53 ...
  • 25 Days Ago

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RN Supervisor - AM Shift
  • Devonshire Care Center
  • Hemet, CA FULL_TIME
  • Are you looking for your new career? Devonshire Care Center is now hiring a Registered Nurse Supervisor to be the newest member of our awesome team! Now Hiring for: PM RN 7am-7pm Salary Range: $46-53 ...
  • Just Posted

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Animal Care Supervisor
  • Petco
  • Montclair, CA 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...
  • 16 Days Ago

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Tree Care Supervisor
  • Bemus Landscape Incorporated
  • Riverside, CA FULL_TIME
  • Our Tree Care Supervisors are responsible for managing all aspects of their tree care jobs. Top priorities are ensuring the safety of crew members, ensuring the industry's best job quality, achieving ...
  • 19 Days Ago

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0 Managed Care Supervisor jobs found in Riverside, CA area

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Occupational Therapist
  • Eteam
  • Riverside, CA
  • Position: Occupational Therapist Location: Riverside, CA Shift: Days 5x8-Hour (08:00AM - 04:30PM) Duration: 3+ Months St...
  • 4/22/2024 12:00:00 AM

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RN Supervisor II (On Call) - Behavioral Health 614
  • Telecare Corp.
  • Riverside, CA
  • Telecare's mission is to deliver excellent and effective behavioral health services that engage individuals in recoverin...
  • 4/22/2024 12:00:00 AM

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Entry Level Medical Assistant- Current Students/New Graduates
  • Dr. Attar MD Inc
  • Riverside, CA
  • Job Description Job Description Medical Assistant Salary From $15.50 Job Type Part-time Qualifications Bilingual- Spanis...
  • 4/21/2024 12:00:00 AM

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Hospice Social Worker MSW
  • Echo Hospice of Orange County
  • Riverside, CA
  • Job Description Job Description JOB DESCRIPTION SUMMARY The social worker contracted or employed through the organizatio...
  • 4/21/2024 12:00:00 AM

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Early Childhood Educator
  • Riverside Personnel Services, Inc.
  • Riverside, CA
  • Job Description Job Description Lead Teacher, #38717 Position Type: Part-Time or Full-time, Direct-Hire Description: Thi...
  • 4/20/2024 12:00:00 AM

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Occupational Therapist
  • eTeam
  • Riverside, CA
  • Position: Occupational Therapist Location: Riverside, CA Shift: Days 5x8-Hour (08:00AM - 04:30PM) Duration: 3+ Months St...
  • 4/19/2024 12:00:00 AM

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Physician
  • Akeso Occupational Health
  • Riverside, CA
  • Job Description Job Description Description: About Us Our physicians offer a full scope of occupational medicine service...
  • 4/19/2024 12:00:00 AM

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Customer Care Supervisor
  • Marque Urgent Care
  • Irvine, CA
  • Job Description Job Description The Customer Care Center (CCC) at Marque Urgent Care provides consistent, friendly, and ...
  • 4/18/2024 12:00:00 AM

Riverside is a city in Riverside County, California, United States, located in the Inland Empire metropolitan area. Riverside is the county seat of the eponymous county and named for its location beside the Santa Ana River. It is the most populous city in the Inland Empire and in Riverside County, and is located about 55 miles (89 km) east of downtown Los Angeles. It is also part of the Greater Los Angeles area. Riverside is the 59th most populous city in the United States and 12th most populous city in California. As of the 2010 Census, Riverside had a population of 303,871. Riverside was fou...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Supervisor jobs
$80,944 to $111,712
Riverside, 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