Managed Care Supervisor jobs in Tennessee

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 Specialist
  • Software Technology Inc
  • Nashville, TN FULL_TIME
  • Job Title: Managed Care Specialist

    Location: Nashville, TN/Hybrid - Candidate Must Be Local

    Duration: 6 months

    Work Type- Hybrid

    TennCare will recruit a new classification for MANAGED CARE PROGRAM MGR.

    This Contractor position is critical to accomplishing LTSS ID Services Team outcomes related to ensuring that the 1915(c) and Select Community programs are operating at maximum performance and ensuring that upcoming federal reporting and waiver renewal/amendment deadlines are met. The Contractor is needed to assist the ID Services Team in conducting continuous analysis and evaluation of frequent and recurring reports/deliverables/related contract amendments in efforts to enhance program improvement, complete 1915(c) post-payment Utilization Reviews, update/analyze/validate federally mandated 1915(c) quality data on a monthly basis, and perform careful review and contribution to the upcoming 2025 1915(c) waiver renewals.

    MINIMUM QUALIFICATIONS

    • Graduation from an accredited college or university with a bachelor's degree and experience equivalent to 3 years of professional level experience.
    • Excellent Excel skills and experience with all other Microsoft Office Programs.
    • Experience interpreting policy or procedural provisions for a TennCare, Medicaid, or other related health insurance organization is preferred.
    • Excellent written and oral communication skills
    DESIRABLE QUALIFICATIONS

    • Passion and commitment to supporting people with I/DD, person-centered practices, and integrated employment and community living
    • Experience with program management and/or grant management
    • Experience in contract management
    • Experience working in or with Medicaid or disability related programs
    • Strong work ethic and self-motived with ability to work well on a team
    • Organizational skills, including the ability to prioritize, multi-task and manage workload to meet specific timeframes and deadlines
    • Ability to adapt to changing priorities and deadlines
  • 5 Days Ago

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Managed Care Specialist
  • Amtex Systems Inc.
  • Nashville, TN FULL_TIME
  • Amtex Systems Inc is an information technology and talent solutions company offering talent and BI consulting to the companies in US for over 20 years.Our solutions are designed to fill resource gaps,...
  • 5 Days Ago

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Managed Care Program manager
  • Stellar Professionals
  • Nashville, TN CONTRACTOR
  • MANAGED CARE PROGRAM MGR.This Contractor position is critical to accomplishing LTSS ID Services Team outcomes related to ensuring that the 1915(c) and Select Community programs are operating at maximu...
  • 8 Days Ago

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Managed Care Specialist
  • Anveta, Inc
  • Nashville, TN CONTRACTOR
  • Hi Team,Candidate Must Be LocalManaged Care SpecialistLocation: Tennessee 37128--(Onsite)Duration: 6 MonthsResponsibilitiesJob Description Determine individual and family eligibility for our Client’s ...
  • 9 Days Ago

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Managed Care Specialist
  • MY3TECH INC
  • Nashville, TN CONTRACTOR
  • Job: Managed Care Specialist Job ID: 62808 Location : 310 Great Circle Rd. Nashville, Tennessee 37243-0000 Consultants pay rate: $21 /hr on W2 (All Inclusive) TennCare will recruit a new classificatio...
  • 11 Days Ago

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Managed Care Specialist
  • Intellibee Inc
  • Nashville, TN CONTRACTOR
  • DESIRABLE QUALIFICATIONS Passion and commitment to supporting people with I/DD, person-centered practices, and integrated employment and community living Experience with program management and/or gran...
  • 11 Days Ago

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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

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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

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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

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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...
  • 6/7/2024 12:00:00 AM

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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

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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

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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

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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

Tennessee borders eight other states: Kentucky and Virginia to the north; North Carolina to the east; Georgia, Alabama, and Mississippi on the south; Arkansas and Missouri on the Mississippi River to the west. Tennessee is tied with Missouri as the state bordering the most other states. The state is trisected by the Tennessee River. The highest point in the state is Clingmans Dome at 6,643 feet (2,025 m). Clingmans Dome, which lies on Tennessee's eastern border, is the highest point on the Appalachian Trail, and is the third highest peak in the United States east of the Mississippi River. The ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Supervisor jobs
$70,819 to $97,730

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