Managed Care Supervisor jobs in Delaware

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)

C
CLINICAL SUPERVISOR
  • Conexio Care
  • Claymont, DE FULL_TIME
  • Clinical Supervisor-ACT

    Conexio Care—Clinical Supervisor

    Sign on bonus for all Full time positions

    Today, Conexio Care serves as one of Delaware's largest nonprofits, collaborating with government, community, corporate, and other philanthropic partners to maximize services for our state's most vulnerable The Program Ambassador is a member of the clinical team who assists clients and guests in gaining access to safe, timely, and quality services.

    DEPARTMENT: ACT/ACT

    BROAD FUNCTION:

    The ACT/ACT Clinical Supervisor is a clinician with a good command of the treatment, support and rehabilitation needs of adults with severe and persistent mental illness, including those who have co-occurring substance use disorders. S/he has experience delivering community-based treatment, support and rehabilitation services and supervising other direct service staff. The Clinical Supervisor is responsible for providing side-by-side field supervision to team members and for providing documented, routine reviews of clinical records for content and timeliness and clinical appropriateness.

    PRINCIPAL DUTIES AND RESPONSIBILITIES:

    Provides clinical supervision and direction to an assigned group of professional and paraprofessional staff.

    With the Team Leaders and Program Director, monitors and ensures program compliance with Medicaid and other applicable accreditation and licensure standards.

    Completes the intake packet for all new consumer admissions which includes but is not limited to: face sheet, initial recovery plan, crisis plan, consents and biopsychosocial assessment. Refers consumer to the Team Leader for case management assignment.

    Schedules and attends all recovery plan meetings, providing on-the-spot direction and clinical supervision to staff.

    Attends consumer care meetings to ensure that consumers have maximum input into their treatment plans and that any grievances are addressed.

    Assists the Team Leaders in managing the implementation of assessments and treatment plans in accordance with the internal policies and procedures, including the provision of documented side-by-side field supervision for each team member at least once per quarter.

    Ensures that program staff has completed all documentation required in the clinical records by completing a review of each enrolled participant's clinical record every 60 days on a form approved for that purpose.

    With the Team Leaders and Program Director, assures that all program staff is aware of policy memo guidelines issued by the Department of Health and Social Services, including those related to patient abuse and HIV transmission.

    Assures that the Team Leaders, Masters Level Clinicians, Program Director and the ACT/ACT Prescribers are kept up to date about all relevant staff and consumer issues.

    Attends all treatment team and daily meetings, providing on-the-spot direction and clinical supervision to staff.

    In the absence of the Team Leader(s), assumes that leadership role.

    Rotates on call responsibilities as assigned and responds to crisis and other calls in accordance with program directives.

    Trains new staff in the writing of clinical documentation including approving documentation for first three month of new staff's tenure.

    Performs group, individual and family interventions as assigned.

    Performs other duties as requested or assigned, verbally or in writing.

    SCOPE, PURPOSE AND FREQUENCY OF CONTACTS:

    Daily contact with consumers.

    Frequent contact with consumers' families.

    Frequent contact with agency staff in all departments.

    Regular contact with outside agencies (such as DSAMH, Promise, Delaware Psychiatric Center, Social Security Administration, medical doctors).

    Occasional contact with criminal justice system employees.

    Regular representation in Clinical Care meetings.

    DIRECTION/SUPERVISION OF OTHERS:

    Supervision of staff obtaining licensure and interns in clinical internship, as assigned

    DIRECTION/SUPERVISION RECEIVED:

    Program Director

    EDUCATION AND EXPERIENCE REQUIREMENTS:

    Doctoral or Master's Degree in psychology, mental health counseling, clinical social work, or rehabilitation, or from an accredited college or university.

    Three years' experience providing treatment and rehabilitation services to adults with severe and persistent mental illness including those with co-occurring substance use disorders and/or physical disabilities.

    Supervisory training/experience a plus.

    clinical licensure (LPCMH or LCSW) in the state of DE

    KNOWLEDGE, SKILL AND ABILITY REQUIREMENTS:

    Demonstrated ability to provide clinical supervision.

    Ability to conduct psychoeducational therapy.

    Ability to conduct behavior therapy.

    Ability to conduct symptom education and education for self-management.

    Ability to conduct addictions treatment.

    Ability to conduct vocational assessment and therapy.

    Ability to conduct social skills training.

    Ability to conduct daily living skills training.

    Ability to provide supportive counseling and case management.

    Ability to provide and direct services that are relevant and competent in relation to the age, gender, race and ethnicity of the persons served.

    Knowledge of structured interviewing for completing rating scales, diagnostic interviews, mental status examinations, Social Security disability reports, etc.

    SPECIAL REQUIREMENTS:

    CPR and first aid certification

    MANDT training

    Clinical Supervision training

    LLAM training

    Valid driver's license.

    PHYSICAL DEMANDS:

    Intermittent sitting, standing, walking, and driving.

    Apis Services, Inc. (a wholly owned subsidiary of Inperium, Inc.) provides a progressive platform for delivering Shared Services to Inperium and its Constellation of affiliate companies.

    Apis Services provides equal employment opportunities for all employees and applicants for employment in compliance with all federal and all applicable state and local laws and regulations, including nondiscrimination in hiring and employment.

    All employment decisions are made without regard to race, color, religion, gender, national origin, ancestry, age, sexual orientation, gender identity and expression, disability, genetic information, marital status, pregnancy/childbirth, veteran status or any other basis protected by law. This policy of non-discrimination and equal employment opportunities extends to every phase and aspect of hiring and employment.

  • 24 Days Ago

C
Home Care Supervisor - Registered Nurse - Full-Time
  • Care Advantage, Inc.
  • Castle, DE FULL_TIME
  • Silver Lining Home Healthcare, a Care Advantage, Inc company voted a TOP WORKPLACE 3 years in a row is seeking a dynamic Home Care Supervisor/RN for our Personal Care Team. Are you an experienced nurs...
  • 6 Days Ago

C
Home Care Supervisor - Registered Nurse - Full-Time
  • Care Advantage Inc. Corporate
  • Wilmington, DE FULL_TIME
  • Silver Lining Home Healthcare, a Care Advantage, Inc company voted a TOP WORKPLACE 3 years in a row is seeking a dynamic Home Care Supervisor/RN for our Personal Care Team. Are you an experienced nurs...
  • 8 Days Ago

C
Home Care Supervisor - Registered Nurse - Full-Time
  • Care Advantage Inc. Corporate
  • Castle, DE FULL_TIME
  • Silver Lining Home Healthcare, a Care Advantage, Inc company voted a TOP WORKPLACE 3 years in a row is seeking a dynamic Home Care Supervisor/RN for our Personal Care Team. Are you an experienced nurs...
  • 8 Days Ago

C
HIMS Supervisor
  • Christiana Care Health Services, Inc.
  • Wilmington, DE FULL_TIME
  • Job Details Do you want to work at one of the Top 100 Hospitals in the nation? We are guided by our values of Love and Excellence and are passionate about delivering health, not just health care. Come...
  • 5 Days Ago

L
RN Evening Supervisor
  • Long Term Care Facility
  • Newark, DE FULL_TIME
  • Long Term Care Facility is looking for a full time and part RN -Registered Nurse Evening Supervisor to care for our Residents and facilitate their speedy recovery. The candidate will be part of the pr...
  • 1 Day Ago

S
Child Care Supervisor
  • Stratton Mountain
  • Stratton Mountain, VT
  • Please note, this position is located at Stratton Mountain Resort in Stratton Mountain, VT Year Round At Stratton, we ar...
  • 6/11/2024 12:00:00 AM

P
Animal Care Supervisor
  • Petco Health and Wellness Company, Inc.
  • Miami, FL
  • The Operations Leader Animal Care promotes and ensures the efficient and effective operations of the Companion Animal De...
  • 6/11/2024 12:00:00 AM

T
Residential Care Supervisor
  • THE CENTERS FOR HABILITATION
  • Gilbert, AZ
  • Job Description Job Description Direct Care Supervisor II (Tempe) 3196 WHO WE ARE: TCH has been serving the needs of ind...
  • 6/11/2024 12:00:00 AM

C
Care Supervisor
  • ComForCare
  • Lansdale, PA
  • Benefits: Bonus based on performance Competitive salary Flexible schedule Paid time off Wellness resources Full job desc...
  • 6/7/2024 12:00:00 AM

P
Animal Care Supervisor
  • Petco
  • Rochester, MN
  • Create a healthier, brighter future for pets, pet parents and people! If you want to make a real difference, create an e...
  • 6/6/2024 12:00:00 AM

M
Direct Care Supervisor
  • Mosaic
  • Axtell, NE
  • If making a positive impact in the lives of others is a constant on your to-do list — you’ll LOVE working with a team th...
  • 6/6/2024 12:00:00 AM

M
Direct Care Supervisor
  • Mosaic
  • Kearney, NE
  • If making a positive impact in the lives of others is a constant on your to-do list — you’ll LOVE working with a team th...
  • 6/6/2024 12:00:00 AM

P
Animal Care Supervisor
  • Petco
  • Wausau, WI
  • Create a healthier, brighter future for pets, pet parents and people! If you want to make a real difference, create an e...
  • 6/3/2024 12:00:00 AM

Delaware is 96 miles (154 km) long and ranges from 9 miles (14 km) to 35 miles (56 km) across, totaling 1,954 square miles (5,060 km2), making it the second-smallest state in the United States after Rhode Island. Delaware is bounded to the north by Pennsylvania; to the east by the Delaware River, Delaware Bay, New Jersey and the Atlantic Ocean; and to the west and south by Maryland. Small portions of Delaware are also situated on the eastern side of the Delaware River sharing land boundaries with New Jersey. The state of Delaware, together with the Eastern Shore counties of Maryland and two co...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Supervisor jobs
$77,626 to $107,124

Managed Care Supervisor in Columbia, SC
The Supervisor Business Services of Government Billing and Collections will be responsible for the overall AR management of all government inventory.
January 02, 2020
Managed Care Supervisor in Colorado Springs, CO
In Service to Our Community is achieved through streamlined, coordinated and comprehensive high-quality, compassionate care close to home.
February 15, 2020
Managed Care Supervisor in Portland, ME
·        Minimum one year resolving claims issues with Payer Relations representatives to handle managed care contract implications.
February 19, 2020