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)
Overview
Dignity Health’s Pacific Central Coast Health Centers (PHC) is a non-profit Community clinic organization comprised of more than 40 health centers located primarily from Ventura to Templeton, spanning the coast. Our experienced physicians and advanced practice providers offer a wide range of primary and specialty care services. PHC is a part of Dignity Health Central Coast’s award-winning network of outstanding hospitals, imaging centers, laboratories, and post-acute services.
Responsibilities
Position Summary:
Provides tactical leadership in order to maximize the effectiveness of all service delivery systems and financial performance, engages staff and cultivates a clinic culture that prioritizes humankindness and patient-centric care. Coordinates the day-to-day operational aspects of the clinic. Works closely with staff and providers to ensure that all fiduciary and clinic goals are met.
Principal Duties and Accountabilities:
Qualifications
Education and Experience:
Special Skills:
Job Type: Full-time
Pay: $27.77 - $40.27 per hour
Benefits:
Schedule:
Work Location: In person
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0 Managed Care Supervisor jobs found in Santa Maria, CA area