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. Experienced in utilization review techniques and protocols. Requires a bachelor's degree. 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. Supervises a group of primarily para-professional level staffs. ...May also be a level above a supervisor within high volume administrative/ production environments. Typically requires 3-5 years experience in the related area as an individual contributor. Thorough knowledge of functional area and department processes.More Show Less
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