Managed Care Supervisor jobs in North Dakota

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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Advanced Practice Supervisor
  • Medallus Medical Urgent Care
  • Fargo, ND FULL_TIME
  • Essential Duties and Responsibilities: Include but are not limited to the following:

    · Collect medical, social, family and past medical history on each patient. This includes:

    o chief complaint, review of system with current complaints, active medications and allergies

    · Perform and document a comprehensive physical exam

    · Order and evaluate diagnostic tests such as x-ray, electrocardiogram and laboratory tests.

    · Prescribe and direct procedures such as oral medications, injections, wound care, fractures, laceration repairs, labs, splinting and casting and specialized testing

    · Develop and implement a plan of care with progress notation for each patient

    · Assist in continuity of care for returning patients.

    · Educate and counsel patients on their condition, plan of care and prescribed therapeutic regimen

    · Increase patient satisfaction by interacting with patients in a fast, friendly and compassionate manner

    · Have basic skills and knowledge of electronic medical records and able to use a computer adequately to document patient care

    · Must be able to perform and complete duties which may include lifting Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions

    · Lead and support the flow of patients in a timely manner

    · Direct, educate and instruct support staff in the care of patients

    -Supervise and audit charts of other providers

    -Complete Advanced Provider Schedules

    -Supervise shift and ensure coverage

    -Ensure best practice guidelines, mission and values are being executed appropriately

    -Attend meetings as required

    · Maintain an effective, congenial work atmosphere while directing care of patients in the clinic

    · Follow direction of the administrative team utilizing protocols and practice guidelines that have been and will be established

    Qualifications: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required.

    Education: All providers must meet one of the following:

    A. Medical Doctor or Doctor of Osteopathy

    B. Nurse Practitioner with a Master’s Degree (NP) or Doctorate in Nursing (DNP) or Physician Assistant (PA/PA-C) with a Master’s degree in Physician Assistant Studies (MPAS), Health Sciences (MHS) or Medical Science (MMSc). Those who have been working in the medical field prior to these requirements will be grand-fathered in.

    Certificates and Licenses:

    A. All Providers must be board certified in their selected field and maintain board certification during their employment.

    B. All Providers must be current in both Basic Life Support (BCLS) and Advanced Life Support (ALS). Providers must maintain both BCLS and ACLS during their employment.

    C. All Providers must have current non-restricted state licenses to practice in their field.

    D. All Providers must maintain a current DEA License, malpractice coverage and eligible for insurance credentialing.

    Language Ability: Ability to read, analyze and interpret common scientific and technical journals. Ability to respond to common inquiries or complaints from patients, regulatory agencies, or members of the business community.

    Math Ability: Ability to work with mathematical concepts such as fractions, percentages, ratios, and proportions.

    Reasoning Ability: Ability to define problems, collect data, establish facts, and draw valid conclusions. Ability to interpret an extensive variety of technical instructions and deal with several abstract and concrete variables.

    Physical Demands: The physical demands described here are representative of those that must be met by an associate to successfully perform the essential functions of this job.

    The associate must occasionally lift and/or move up to 50 pounds. While performing the duties of this job, the provider is regularly required to use hands to finger, handle, or feel; reach with hands and arms and talk or hear. The provider is frequently required to sit, stand and walk.

    Work Environment: The work environment characteristics described here are representative of those an associate encounters while performing the essential functions of this job.

    · The noise level in the work environment is usually quiet.

    · Access to the public is unrestricted.

    · Associate might be at risk from unhappy or angry patients because of wait time or payment collection.

    · Associate is frequently required to use personal protective equipment to prevent exposure to hazard.

    Job Type: Full-time

    Pay: $60.00 - $65.00 per hour

    Expected hours: 30 – 40 per week

    Benefits:

    • 401(k)
    • Dental insurance
    • Health insurance
    • Paid time off
    • Vision insurance

    Medical specialties:

    • Primary Care
    • Urgent Care

    Standard shift:

    • Day shift

    Supplemental pay types:

    • Overtime pay

    Weekly schedule:

    • Rotating weekends

    Work setting:

    • Acute care
    • Clinic
    • In-person

    Experience:

    • Nursing: 1 year (Preferred)

    License/Certification:

    • Certified Nurse Practitioner or Physician Assistant (Required)

    Ability to Relocate:

    • Fargo, ND 58104: Relocate before starting work (Required)

    Work Location: In person

  • 8 Days Ago

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Managed Network Technician
  • Apogee
  • Grand Forks, ND FULL_TIME
  • We’re Apogee. Nice to meet you. At our core, we’re a student services organization that happens to focus on IT. We touch the lives of binge-watching, music-loving, game-playing, finals-taking, seminar...
  • 24 Days Ago

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Attorney Document Review
  • Integreon Managed Solutions
  • Fargo, ND FULL_TIME
  • Job Title – Attorney Location: Fargo, North Dakota Reporting Manager: Director – Managed Document Review Role Summary: The Attorney accomplishes a high-level review of documents in aid of discovery or...
  • 1 Day Ago

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Managed Services Consultant, CCaaS Focus
  • Sprinklr Germany GMBH
  • Munich, ND OTHER
  • Sprinklr is a leading enterprise software company for all customer-facing functions. With advanced AI, Sprinklr's unified customer experience management (Unified-CXM) platform helps companies deliver ...
  • 1 Day Ago

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Networking Managed Services Engineer (L1)
  • NTT Germany AG & Co. KG
  • Munich, ND FULL_TIME
  • Want to be a part of our team? The Networking Managed Services Engineer (L1) is responsible for providing a managed service to clients to ensure that their IT infrastructure and systems remain operati...
  • 3 Days Ago

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Registered Nurse - Ambulatory Care Supervisor - Walk-In Care Services
  • Essentia Health
  • Fargo, ND FULL_TIME
  • Job Description:Provides oversight of the daily operations of the assigned department including staffing and developing/implementing workflows and processes as well as provides input to the leader reg...
  • 30 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

North Dakota is a Midwestern state of the United States. It borders Canada and lies at the center of the North American continent. The geographic center of North America is near the town of Rugby. Bismarck is the capital of North Dakota, and Fargo is the largest city. Soil is North Dakota's most precious resource. It is the base of the state's great agricultural wealth. But North Dakota also has enormous mineral resources. These mineral resources include billions of tons of lignite coal. In addition, North Dakota has large oil reserves. Petroleum was discovered in the state in 1951 and quickly...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Supervisor jobs
$75,550 to $104,263

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