Managed Care Supervisor jobs in Ohio
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)
Recently Added Managed Care Supervisor jobs
Operations Supervisor
- Managed Staffing, Inc.
-
Columbus, OH
FULL_TIME
-
Here is the job details for your review;
- Job Title : "Operations Supervisor (Columbus) "
- Duration : Full time
- Location : Columbus OH 43204
- Shift : Tues- Frid 8:00 am to 5:00 pm (Available for late hours and weekends as needed)
Main activities:
Supervise the activities of departmental personnel to ensure operations are in accordance with Standard Operating Procedures and assigned tasks.
Communicate any emerging client requirements to laboratory personnel as needed.
Communicate procedural and operational difficulties and delays to client service personnel or the client as required.
Read, calculate and record analysis data to produce a report for the client. Correct any discrepancies that occur.
Administer corporate human resource programs relating to employee recruitment and retention, compensation, training and development, equal employment
opportunity, performance appraisal, and employment record documentation.
Educate and train departmental personnel on correct procedures and new analysis methods. Evaluate current methods and recommend modifications as new
procedures become available.
Arrange and document work schedules for departmental personnel so that analysis is accurately completed to maintain effective and efficient operations.
Assist departmental personnel with analysis tasks as needed to ensure timely results.
Maintain supplies and instrumentation for operating departments.
Responsibility and authority, in conjunction with the Operations Manager or Lab Director, to cease specific analyses under their responsibility when evidence from the
quality system indicated the process is not in control and the quality of the results is compromised as a result of the non-conformances.
Maintain knowledge of Laboratory Information Management System (LIMS) that is required to complete job responsibilities.
Ensure that employees obtain knowledge of LIMS sufficient to perform job responsibilities. Institute and maintain systems to monitor and verify related LIMS training.
Maintain expertise in the field of food science by attending relevant seminars and using available reading material.
Support corporate quality and continuous improvement process.
This position has the responsibility and authority to initiate action to prevent or minimize departures from the quality system or test procedures. This authority
includes addressing resource needs to properly address issues such as client turn-around time requirements, overtime limits, employee turnover, work stoppage and
assure the appropriate type and amount of materials are ready and available for use.
Perform other related tasks as needed
Communication : The main contacts with whom the position holder is repeatedly in contact with
Internal Interlocutors : The incumbent has frequent contact with client service personnel and laboratory management to solve difficulties and provide status reports.
External Interlocutors : Some communication with clients.
Knowledge: The incumbent must have a basic knowledge of microbiology to accurately perform testing procedures
and obtain accurate results.
Profile (required education/qualifications and professional background): Bachelors degree and 2-5 years of relevant work experience or Masters degree. This position requires a broad
knowledge of microbiology or chemistry, obtained from a degree in microbiology, chemistry, or related job experience, to analyze and interpret data accurately. A general knowledge of food
science is necessary to supervise the analysis of the sample.
Required skills: A broad knowledge of laboratory safety procedures and policies is necessary to ensure a safe working environment. A general knowledge of the Laboratory Information
Management System is required to process client data and calculate and record analysis results.
Management (Size and characteristics of the team(s)): .
Work Environment : The incumbent works in a laboratory setting with proper lighting and temperature control. Occasional exposure to laboratory fumes, chemicals, and materials will occur
when in the laboratory. Safety equipment of gloves, laboratory coat and eyeglasses may need to be worn depending on the testing process. The incumbent may use the autoclave daily to
complete the analysis process. Continuous lifting of analysis materials weighing up to 50 pounds are necessary to transport media materials. The incumbent can expect extended time spent
in a standing position. The incumbent should be able to detect slight variation in shades of colors. - 4 Days Ago
Managed Care Chief of Staff
- Medical Mutual
-
Brooklyn, OH
FULL_TIME
- Founded in 1934, Medical Mutual is the oldest and one of the largest health insurance companies based in Ohio. We provide peace of mind to more than 1.2 million members through our high-quality health...
- 5 Days Ago
Managed Care Biller
- CommuniCare Health Services
-
Blue, OH
FULL_TIME
- Due to Company growth, CommuniCare Health Services is currently recruiting a Managed Care Biller for our Corporate Managed Care Billing Department.PURPOSE/BELIEF STATEMENTThe position of Managed Care ...
- Just Posted
Contracting Manager - Managed Care
- Summa Health
-
Akron, OH
FULL_TIME
- SummaCare is a Summa Health entity that offers health insurance in northern Ohio. As a regional, provider-owned health plan, SummaCare is based in Akron, Ohio, and provides Medicare Advantage, individ...
- 1 Month Ago
Managed Care Biller
- Atrium Living Centers
-
Columbus, OH
FULL_TIME
- Atrium Centers…Be a light…to all residents, their families and team members “Our mission is to serve as a bright light in the lives of our residents and families by delivering compassionate, quality c...
- 21 Days Ago
PBM / Managed Care Pharmacist
- Pharmacy Careers
-
Columbus, OH
FULL_TIME
- We are currently seeking a skilled and motivated Pharmacist with expertise in Pharmacy Benefit Management (PBM) and Managed Care. In this pivotal role, you will be responsible for overseeing medicatio...
- 23 Days Ago
Managed Care Supervisor jobs at Popular Companies
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
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
Floor Care Supervisor
- Threes Co Carpet & Uphostery I
-
Pikesville, MD
- Job Description Job Description Starting salary 21.77 per hour Part time position averaging 30 hours per week Some night...
- 6/11/2024 12:00:00 AM
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
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
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
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
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
About Ohio
Ohio /oʊˈhaɪoʊ/ (listen) is a Midwestern state in the Great Lakes region of the United States. Of the fifty states, it is the 34th largest by area, the seventh most populous, and the tenth most densely populated. The state's capital and largest city is Columbus.
The state takes its name from the Ohio River, whose name in turn originated from the Seneca word ohiːyo', meaning "good river", "great river" or "large creek". Partitioned from the Northwest Territory, Ohio was the 17th state admitted to the Union on March 1, 1803, and the first under the Northwest Ordinance. Ohio is historically know...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Supervisor jobs
$74,796 to $103,219
Most Popular Cities in Ohio for Managed Care Supervisor Jobs
What does a Managed Care Supervisor do?
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