Member Services Supervisor jobs in Tennessee

Member Services Supervisor supervises a group of member services representatives that address health plan or HMO member inquiries, questions and concerns in all areas including enrollment, claims, benefit interpretation, and referrals/authorizations for medical care. Responsible for researching more complex questions, investigating the cause of the issue, and responding to members on escalated issues. Being a Member Services Supervisor assists with hiring, training, ongoing monitoring and QA, performance evaluations and any corrective actions of member services representatives. Requires a high school diploma or its equivalent. Additionally, Member Services Supervisor typically reports to a manager. The Member Services Supervisor supervises a small group of para-professional staff in an organization characterized by highly transactional or repetitive processes. Contributes to the development of processes and procedures. Thorough knowledge of functional area under supervision. To be a Member Services Supervisor typically requires 3 years experience in the related area as an individual contributor. (Copyright 2024 Salary.com)

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Social Services Supervisor
  • Diversicare Healthcare Services Inc.
  • Rocky, TN FULL_TIME
  • Overview

    Smile, You’ve Found Us!

    LCSW Preferred But Not Required.

    Are you passionate about caregiving? Would you like to work with the best team in the world? If so, Diversicare invites you to apply.

    We build on trust, respect, customer focus, compassion, diplomacy, appreciation and strong communication skills to shape the culture in our workplace. Diversicare team members play a critical role in fostering an environment of Service Excellence, which we extend to all those we are privileged to serve.

    If you wish to make a difference in the lives of our patients and residents, APPLY NOW!

    Full Time Benefits Include

    • Medical/Dental/Vision
    • Excellent 401k plan
    • Tuition Reimbursement
    • Vacation, Holiday, and Sick Time
    • Long and Short Term Disability
    • Employee Assistance Program
    • Life Insurance
    • Referral Bonuses
    • DiversICARE - employee hardship fund
    • Pay advancement program - OnShift Wallet

    Diversicare provides post-acute care services to patients and residents at 61 skilled nursing and long-term care centers in eight states, primarily in the Southeast, Midwest and Southwest United States. Together, with our team of dedicated healthcare professionals, we leverage our diverse strengths to provide each patient and resident with healthcare serves that best meet their needs.

    It is Diversicare’s Mission to “Improve every life we touch by providing exceptional healthcare and exceeding expectations.”

    We are guided to excellence by five Core Values: Integrity, Excellence, Compassion, Teamwork and Stewardship, as well as 12 Service Standards.

    We build on trust, respect, customer focus, compassion, diplomacy, appreciation and strong communication skills to shape the culture in our workplace. Diversicare team members play a critical role in fostering an environment of Service Excellence. Our Service Standards are in place to offer support. They lead us to what matters most to our company: creating a warm, caring, safe and professional environment for our customers and each other.

    Our culture of impassioned service delivery is the Diversicare Difference .

    Responsibilities

    • Assists in pre-admission and admission process with customers; aids clients in adjusting to nursing home placement.
    • Interviews residents and families to obtain relevant past and present adjustments, behavior and lifestyle.
    • Documents progress and updates plans of care at the interdisciplinary care conference.
    • Arranges transportation, makes appointments and acts as a liaison between all departments, residents’ families and outside agencies.
    • Assists in handling and accepting placement through one-on-one counseling and group work.
    • Ascertains potential and develops discharge plans when clients are admitted.
    • Arranges for post discharge services and follow-up care.
    • Assesses emotional, financial, spiritual, educational and social needs of residents; ensures those needs are Manager, Education & Training by the facility or through the use of outside agencies.
    • Acts as resident/family advocate and ensure the resident is knowledgeable in and exercises his/her rights.
    • Responsible for organizing and conduction of Family Counsel Meetings and maintaining minutes of the meeting.
    • Maintains effective communication with residents, families, healthcare professionals and facility staff.

    Qualifications

    • Bachelor’s or Master’s Degree in Social Work (preferred not required).
    • License with State (preferred not required).
    • One year of supervised social work experience in a health care setting, working directly with patients and families.
    • Experience in working in healthcare setting – preference in nursing home, hospice, home health, hospital.
    • Ability to work with a variety of people in situations varying from community and nursing home planning.
    • Able to make decisions concerning procedures based on evaluations and interpretations of case histories.

    (EOE)
  • 10 Days Ago

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Supervisor
  • Weiser Security Services
  • Knoxville, TN FULL_TIME,PART_TIME
  • This position is under the direct supervision of the Account Manager or Branch Manager and is responsible for protection, safeguarding, and security of assets, personnel, customers and visitors to ass...
  • 2 Months Ago

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Security Supervisor - KSON Security Services
  • KSON SECURITY SERVICES LLC
  • Nashville, TN PART_TIME
  • POSITION SUMMARY: A Security Supervisor will assist all managers in overseeing and leading all Security Hosts. They are responsible for ensuring safety of all guests, team members, and company assets ...
  • 18 Days Ago

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Member Services
  • YMCA of East Tennessee
  • Knoxville, TN FULL_TIME
  • ApplyDescriptionSHIFTS: All Shifts (M-F)Hours: 5:30a.m-9p.m. M-Sa.) 12p.m.-5p.m. (Sun.)Position SummaryDelivers excellent service to all members, guests, and program participants. Responds to member a...
  • 4 Days Ago

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Member Services
  • YOUNG MENS CHRISTIAN ASSOCIATION OF EAST TENNESSE
  • Knoxville, TN FULL_TIME
  • DescriptionSHIFTS AVAILABILITY: M-F, Saturday and SundayPOSITION SUMMARY:Delivers excellent service to all members, guests, and program participants. Responds to member and guest needs, promotes membe...
  • 21 Days Ago

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Member Services
  • YOUNG MENS CHRISTIAN ASSOCIATION OF EAST TENNESSE
  • Powell, TN FULL_TIME
  • DescriptionPOSITION SUMMARY:Delivers excellent service to all members, guests, and program participants. Responds to member and guest needs, promotes memberships and programs, and maintains cleanlines...
  • 2 Months Ago

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Member Service Coordinator (Assistant Manager) - Peoria Service Center. Aurora, CO
  • Ent Credit Union
  • Aurora, CO
  • ** Member Service Coordinator (Assistant Manager) - Peoria Service Center. Aurora, CO** **Job Category****:** Service Ce...
  • 6/12/2024 12:00:00 AM

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Supervisor - Member Services Supervisor
  • Community Health Group
  • Chula Vista, CA
  • Job Description Job Description POSITION SUMMARY Supervises the daily activities of Member Services Specialists (MSS) an...
  • 6/11/2024 12:00:00 AM

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Bilingual Member Services Coordinator
  • TEKsystems
  • Fort Lauderdale, FL
  • *Description:* Responsible for communicating with physicians and patients regarding plan benefits and eligibility. This ...
  • 6/10/2024 12:00:00 AM

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Idaho Member Services Coordinator
  • Northwest Youth Corps
  • Boise, ID
  • Northwest Youth Corps Member Services Coordinator LOCATION: Northwest Youth Corps Boise, Idaho Office. Will require 20% ...
  • 6/10/2024 12:00:00 AM

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Member Service Representative
  • Ymcade
  • Wilmington, NC
  • ** Member Service Representative** **Job Category****:** MEMBER SERVICES **Supervisor****:** Malinda Leonard **Requisiti...
  • 6/10/2024 12:00:00 AM

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Health & Welfare Member Services Supervisor
  • UFCW EMPLOYERS BENEFITS PLANS OF NORTHERN CA
  • Concord, CA
  • Job Description Job Description OVERVIEW: Established in 1957, UFCW and Employers Trust, LLC, also known as the Trust Fu...
  • 6/9/2024 12:00:00 AM

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Member Service Supervisor
  • LHH
  • Concord, CA
  • Member Services Supervisor LHH Recruitment Solutions is currently seeking a Member Service Supervisor in Concord, CA. Th...
  • 6/8/2024 12:00:00 AM

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Customer Services Rep 1, ANTHEM
  • Regal Medical Group, Inc.
  • Northridge, CA
  • Job Description Position Summary: We are looking for Customer Service, Member Services Coordinator to join our Member Se...
  • 6/8/2024 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 Member Services Supervisor jobs
$56,846 to $71,342