Medical Services Supervisor (Remote) 2022- 1243

Company: Managed Care Advisors
Location: Bethesda
Posted on: January 25, 2023

Job Description:

Lake Mary, Florida, United States Medical Services Full TimeAre you interested in empowering and sustaining healthy, positive, and measurable differences in the health of individuals while leading a team? Does the thought of leading and motivating a team of exceptionally talented case managers inspire you? Do you thrive in shaping and organizing teams to provide high-quality care that affects individual lives? We believe it takes teamwork and organization to provide medical and care expertise to help those with chronic acute conditions to live their best life, teamwork led by a highly skilled home-based Medical Services Supervisor. Your broad responsibilities will include overseeing a service delivery team while providing medical services oversight of intake and processing of World Trade Center Health Program evaluations and certification processes. Ideal candidates will possess both a nursing leadership background that enables them to supervise, coach, and easily interact with care coordination certifiers, as well as a professional background that enables them to easily interact and establish deep professional relationships with team members and program medical directors. As a Medical Services Supervisor, you will collaborate with the Chief Medical Officer to ensure consistent delivery of services.Medical Services Supervisor Responsibilities:

• Work independently in your home office setting.
• Provide direct supervision to care coordination certifiers in the application of corporate policies and procedures, protocols, timesheet, PTO, and expense review and approval.
• Manage workflow for health evaluation and certification processes.
• Review medical and administrative documentation for accuracy and, if needed seek additional documentation prior to forwarding reports to the Medical Directors.
• Supports the Quality Management team with the identification of department goals based on corporate goals.
• Work with internal partners to bring creative solutions to meet corporate goals, and achieve client requirements.
• Provides input to Program Medical Directors and teams regarding analysis, updates, and recommendations for modifications for procedures and processes to continually improve operations and protocols.
• Understands each contract's clinical quality assurance requirements and monitors compliance, in collaboration with the MCA analytics and management teams.
• Provides feedback and coordination of improvement of quality tools, such as audit checklists and instructions.
• Effectively counsel and coach employees on performance and behavioral improvements. Understand and appropriately apply employee disciplinary procedures.Medical Services Supervisor Qualifications
  • Bachelor's or Master's Degree preferred in Healthcare, Nursing, Health Administration, or related field.
  • Unrestricted State Registered Nursing License, Nursing diploma, BSN preferred
  • At least 10 years experience as a nurse.
  • At least 3 years experience with Quality Management including quality improvement, corrective action, auditing, and staff education.
  • At least 2 years of Supervisory experience.
  • Nationally recognized Quality-related professional certification such as Certified Professional Healthcare Quality or Six Sigma (preferred).
  • Experience with government regulations.
  • Demonstrated ability to work independently and along with others
  • Attention to detail, timetables, and commitment to completing tasks
  • Experience with Microsoft Windows and computer savvy
  • Must be well organized, efficient, and able to prioritize competing priorities and make sound judgments
  • Ability to define, resolve problems and challenges in a workplace setting
  • Responsible for having reliable High-Speed Cable or Fiber Optic Internet service
  • Must have Excellent People Skills, and Communication Skills via Phone, E-Mail, Text, Written, and Verbal formats, and provide 24-hour follow-up to all communication
  • U.S. Citizenship
  • Prior to hire and training must be able to pass a preliminary credit and background checkIn addition to a competitive salary, comprehensive health and welfare benefits, and incentive compensation, MCA offers participation and vesting in a 401(k) plan with a company match. You will also be eligible for participation in our tuition reimbursement program and many other benefits. If you would like to contribute to our important mission and work collegially in a professional organization that values intelligence, integrity, and initiative, consider a career with MCA.Managed Care Advisors, Inc. (MCA) , a fully owned subsidiary of Sedgwick , is a Bethesda, Maryland-based government contracting firm and leading provider of workers' compensation and specialty health plan products and services to the U.S. federal government and private industry customers nationwide and across all US Territories. We are looking for a Full-Time Case Manager Supervisor with a desire to make a difference!No phone calls, please!The information provided above has been designed to indicate the general nature and level of work of the position. It is not a comprehensive inventory of all duties, responsibilities, and qualifications required. Important Information Successful candidates will be required to undergo a credit and criminal background check, drug screen, and obtain and maintain confidential-level security clearance upon hire. We participate in the United States Federal Government E-Verify program to confirm the employment authorization of employees upon hire. MCA strives to make our career site accessible to all users. If you need a disability-related accommodation for completing the application process, please contact MCA regarding accommodations. MCA is an Equal Opportunity and Affirmative Action Employer All qualified applicants will receive consideration for employment without regard to age, citizenship status, color, disability, marital status, national origin, race, religion, sex, sexual orientation, gender identity, veteran status, or any other classification protected by federal state or local laws as appropriate, or upon the protected status of the person's relatives, friends or associates.MCA abides by the requirements of 41 CFR 60-741.5(a) . This regulation prohibits discrimination against qualified individuals on the basis of disability and requires affirmative action by covered prime contractors and subcontractors to employ and advance in employment qualified individuals with disabilities.MCA abides by the requirements of 41 CFR 60-300.5(a) . This regulation prohibits discrimination against qualified protected veterans and requires affirmative action by covered prime contractors and subcontractors to employ and advance in employment qualified protected veterans. PI202025678

Keywords: Managed Care Advisors, Bethesda , Medical Services Supervisor (Remote) 2022- 1243, Healthcare , Bethesda, Maryland