Managed Care Supervisor jobs in Louisiana

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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Managed Care Associate / Baton Rouge
  • Ascent Health, Inc.
  • Baton Rouge, LA FULL_TIME
  • Ascent Health, Inc.
    Location: Baton Rouge, LA

    Managed Care Associate

    The Managed Care Associate plays a vital role in tracking daily clinical operations within our organization. This position involves working closely with supervisors, facilitators, and leadership at Ascent to ensure efficient coordination and tracking of all clinical submissions to Magellan, our Managed Care Organization (MCO). The Director of Managed Care supervises this position.

    Tracking Responsibilities
    • Maintain ongoing tracking of families referred to Wraparound.
    • Update the company census daily, including Magellan submissions, new referrals, assessments, and discharges.
    • Maintain electronic records of all submissions to Magellan, such as plans of care, discharges, new referrals, and assessments.
    • Handle FTP (File Transfer Protocol) drops of non-Medicaid paperwork to Magellan.
    • Manage initial document submissions to FTP for Magellan.
    • Keep track of due dates and short authorizations, communicating deadlines to staff on a weekly basis.
    • Complete and submit all discharge paperwork to Magellan.
    Other Responsibilities
    • Assign new referrals received from Magellan.
    • Enter new referrals into the Electronic Health Records (EHR) system.
    • Make initial contact with new referrals within 48 hours and update EHR.
    • Assign transfer cases within the company and in EHR.
    • Coordinate with Wraparound Supervisors.
    Required
    • Bachelor's degree in a human service-related field preferred.
    • Minimum of two years of relevant experience.
    • Proficiency in data entry using computers and computer systems. Experience working with an EHRs preferred.
    • Strong proficiency in MS Word, Excel, and Outlook.
    Key Competencies
    • Ability to maintain confidentiality in all aspects of client (i.e., HIPPA, FERPA, PL 46:56) staff and agency information.
    • Exceptional organizational and detail-oriented skills with the ability to meet deadlines.
    • Excellent interpersonal, verbal, and written communication skills.
    • Highly dependable and willing to work within a team.
    • Ability to communicate positively and professionally in a diverse and active environment.
    Benefits

    At Ascent, we are not only passionate about elevating the lives of the youth and families we serve but also the lives of our employees. Ascent offers a full range of benefits to regular, full-time employees. These benefits include:
    • Company insurance coverage that includes medical, dental, vision, and more, including a $6,000.00 employer contribution towards medical, dental, and vision premiums.
    • Paid holidays and paid time off.
    • Cell phone allowance and mileage reimbursement.
    • $500.00 loyalty increase each year of employment.
    About Ascent

    Ascent Baton Rouge offers Wraparound Services to the following Parishes: W. Feliciana, E. Feliciana, Pointe Coupee, E. Baton Rouge, W. Baton Rouge, Iberville, and Ascension. The wraparound process is an intensive, individualized care management process for youths with serious or complex needs. Research shows that the wraparound process does more for children than basic child welfare services alone. According to numerous independent studies, most youths in welfare programs that interacted with Ascent move on to less restrictive environments and are significantly less likely to engage in illegal or delinquent behavior. We believe everyone has been empowered with unique gifts and responsibilities and strive to elevate people from where they are today to where they can be tomorrow.

    We hope you will consider joining us in our mission to serve communities and inspire change!
  • 20 Days Ago

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Care supervisor
  • Catholic Charities Archdiocese of New Orleans
  • Orleans, LA FULL_TIME
  • Job Summary : Under the direct supervision of the Center Manager, serves as Home Care Team Leader responsible for the implementation of home care services for program participants, including completin...
  • 11 Days Ago

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Care supervisor
  • Extended Family Incorporated
  • Breaux Bridge, LA FULL_TIME
  • Extended Family Incorporated - DSW SUPERVISOR JOB DESCRIPTION EXTENDED FAMILY, INC. Do you enjoy making a significant difference in the lives of DSW’S & clients? We are seeking a dedicated DSW Supervi...
  • 23 Days Ago

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Cloud + Procurement Operations Associate
  • Managed Solution
  • Alexandria, LA FULL_TIME
  • DescriptionWhy clients love us:We are laser focused on delivering quality and excellence to our clients for their technology modernization needs, business and technology strategy, and cloud transforma...
  • 7 Days Ago

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Shift Supervisor
  • Louisiana Community Care
  • Ball, LA FULL_TIME
  • Compensation $9 to $11 HourlyBenefits Offered MedicalEmployment Type Full-Time We are seeking Shift Supervisors to become a part of our team! You will perform routine administrative and clinical assig...
  • 7 Days Ago

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CNA Supervisor
  • Calcasieu Community Care Center
  • Charles, LA FULL_TIME
  • CNA Supervisor/Household Coordinator Are you ready to join an organization that has a reputation for outstanding leadership, innovation, and industry expertise. Our employees use their creativity and ...
  • 9 Days Ago

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Care Supervisor
  • ComForCare
  • Lansdale, PA
  • Benefits: Bonus based on performance Competitive salary Flexible schedule Paid time off Wellness resources Full job desc...
  • 6/2/2024 12:00:00 AM

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Animal Care Supervisor
  • Petco Animal Supplies, Inc.
  • Crystal Lake, IL
  • Create a healthier, brighter future for pets, pet parents and people! If you want to make a real difference, create an e...
  • 6/2/2024 12:00:00 AM

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Animal Care Supervisor
  • Petco Animal Supplies, Inc.
  • Santa Clarita, CA
  • Create a healthier, brighter future for pets, pet parents and people! If you want to make a real difference, create an e...
  • 6/2/2024 12:00:00 AM

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Residential Care Supervisor
  • THE CENTERS FOR HABILITATION
  • Mesa, AZ
  • Job Description Job Description Direct Care Supervisor II (Tempe) 3197 WHO WE ARE: TCH has been serving the needs of ind...
  • 6/1/2024 12:00:00 AM

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Animal Care Supervisor
  • Petco Animal Supplies Inc
  • Saugus, MA
  • Create a healthier, brighter future for pets, pet parents and people! If you want to make a real difference, create an e...
  • 5/31/2024 12:00:00 AM

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Child Care Supervisor
  • Stratton Mountain
  • Rutland, VT
  • Please note, this position is located at Stratton Mountain Resort inStratton Mountain, VT Year Round At Stratton, we are...
  • 5/31/2024 12:00:00 AM

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Child Care Supervisor
  • Hiring Now!
  • Lebanon, NH
  • Please note, this position is located at Stratton Mountain Resort inStratton Mountain, VT Year Round At Stratton, we are...
  • 5/31/2024 12:00:00 AM

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Child Care Supervisor
  • Hiring Now!
  • Bennington, VT
  • Please note, this position is located at Stratton Mountain Resort inStratton Mountain, VT Year Round At Stratton, we are...
  • 5/31/2024 12:00:00 AM

Louisiana is bordered to the west by Texas; to the north by Arkansas; to the east by Mississippi; and to the south by the Gulf of Mexico. The state may properly be divided into two parts, the uplands of the north, and the alluvial along the coast. The alluvial region includes low swamp lands, coastal marshlands and beaches, and barrier islands that cover about 20,000 square miles (52,000 km2). This area lies principally along the Gulf of Mexico and the Mississippi River, which traverses the state from north to south for a distance of about 600 mi (970 km)) and empties into the Gulf of Mexico; ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Supervisor jobs
$72,573 to $100,155

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