Medical Services Supervisor (Remote) 2022- 1243
Company: Managed Care Advisors
Posted on: January 28, 2023
Lake Mary, Florida, United States
Are 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
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
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
Unrestricted State Registered Nursing License, Nursing diploma, BSN
At least 10 years experience as a nurse.
At least 3 years experience with Quality Management including
quality improvement, corrective action, auditing, and staff
At least 2 years of Supervisory experience.
Nationally recognized Quality-related professional certification
such as Certified Professional Healthcare Quality or Six Sigma
Experience with government regulations.
Demonstrated ability to work independently and along with
Attention to detail, timetables, and commitment to completing
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
Responsible for having reliable High-Speed Cable or Fiber Optic
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
Prior to hire and training must be able to pass a preliminary
credit and background check
In 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
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
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.
Keywords: Managed Care Advisors, Bethesda , Medical Services Supervisor (Remote) 2022- 1243, Healthcare , Bethesda, Maryland
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