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)
Education:
Degree from an accredited school of nursing,
Licenses/Certification:
Required Licenses Alabama, United States Registered Nurse Alabama Registered Nursing (RN) License required.
BLS / CPR, PALS and ACLS certification required.
BLS/CPR is required within 30 days of hire date. ACLS and PALS must be obtained within ninety (90) days of employment if not currently certified.
Experience:
Two years of nursing experience in a hospital setting highly preferred.
1 to 2 years supervisory/leadership experience highly preferred.