Supervisor Intake Coordination - (Remote)

Supervisor Intake Coordination - (Remote)

02 Nov 2024
Hawaii, Hawaii, 96801 Hawaii USA

Supervisor Intake Coordination - (Remote)

Company :Highmark Inc.Job Description :JOB SUMMARYThis job supervises and coordinates the day to day activities of the UM Intake Coordination team. The incumbent selects, develops and continuously coaches staff to the highest levels of performance. Motivates and team builds through the creation of a work environment and conditions that contribute to highest levels of performance.ESSENTIAL RESPONSIBILITIES

Perform management responsibilities including, but limited to: involved in hiring and termination decisions, coaching and development, rewards and recognition, performance management and staff productivity.Plan, organize, staff, direct, and control the day to day operations of the department; develop and implement policies and programs as necessary; may have budgetary responsibility and authority.

Determine workflow for the day and assign work to the team.Monitor and manage daily inventories to ensure adequate staffing and resources are available to ensure performance guarantees and established goals are met and maintained. Monitor calls for quality assurance and compliance.

Research quality issues and responds to error assessments. Maintain department logs and documentation, analyze for trends in order to identify and initiate future pro-active measures. Produce and analyze reports through various systems and databases, focusing on productivity, quality and compliance.

Ensure compliance with all regulatory entities (i.e., DOH, CMS, NCQA, etc.) Create, implement, monitor and report on the policies and procedures to ensure all required business/compliance standards are met. Represent the department in compliance audits as it relates to the supervisor functions.

Act as subject matter expert for benefit plan and claims processing

Research and investigate any privacy or compliance concerns (CMS, HIPAA, internal policy, etc).Complete root cause analysis and address remediation process with impacted employees.

Participate in process improvement initiatives as appropriate, which may involve working across teams and with different levels of management.

Troubleshoot escalated cases, which may involve speaking with providers via phone.At times, build cases in Utilization Review system during high volume times.

Other duties as assigned or requested.

EDUCATIONRequired

High School Diploma/GED

Substitutions

None

Preferred

Bachelor's Degree

EXPERIENCE

5 - 7 years in Customer Service

1 - 3 years in a management role

Preferred

None

LICENSES AND CERTIFICATIONSRequired

None

Preferred

None

SKILLS

Oral & Written Communication Skills

Telephone Skills

Problem Solving & Decision Making

Compliance

Healthcare Industry

Mentoring

Language (Other than English):NoneTravel Requirement:0% - 25%PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONSPosition TypeOffice-basedTeaches / trains others regularlyOccasionallyTravel regularly from the office to various work sites or from site-to-siteRarelyWorks primarily out-of-the office selling products/services (sales employees)NeverPhysical work site requiredYesLifting: up to 10 poundsConstantlyLifting: 10 to 25 poundsOccasionallyLifting: 25 to 50 poundsRarelyDisclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.Compliance Requirement : This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy.Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.Pay Range Minimum:$50,200.00Pay Range Maximum:$90,300.00Base pay is determined by a variety of factors including a candidate’s qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets.Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability.EEO is The LawEqual Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity ( https://www.eeoc.gov/sites/default/files/migratedfiles/employers/posterscreenreaderoptimized.pdf )We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below.For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.orgCalifornia Consumer Privacy Act Employees, Contractors, and Applicants NoticeReq ID: J252799

Related jobs

  • You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.

  • Description of the Role: Always Best Care Senior Services - Oahu is seeking a Home Care Supervisor to join our team in Honolulu, Hawaii. As a Home Care Supervisor, you will play a vital role in the planning, coordination, leading, controlling, and evaluation of home care services. This position requires an energetic and experienced individual with a passion for caring for our elders.   Responsibilities: Coordinate and liaise with appropriate parent and affiliate departments and committees Develop policies and guidelines for and obtain input from service personnel Provide professional input to related administrative systems Conduct intake meetings and develop care plans with home care clients and family members Direct and supervise professional and paraprofessional personnel rendering client care services Perform marketing duties and foster public relations for the company Consult and plan with home care facilities regarding staffing needs Communicate the concept of quality client care to the general community Remain available during all hours that services are offered Conduct skilled nursing visits and assist patients during facility discharges as needed Interpret service needs to the Administrator and act as a client services\' administrative liaison Consult, plan, and work with Administrator in policy formulation and programmatic development and implementation, including assessing adequate and appropriate staffing Coordinate with Administrator planning activities to develop administrative policies and practices for the agency Consult with supervisors and staff, individually or in groups, regarding clients or special programs or service programs Evaluate the program, services, and field personnel Direct the implementation of service goals and objectives Develop standards that ensure safe and effective services to clients and families Recruit Nurse Aides from schools, expos, etc. Establish and maintain effective channels of communication Keep program personnel up to date with state-of-the-art clinical information and practices staff development including orientation, in-service education, and continuing education Oversee the implementation and evaluation of client care services, inclusive of regulatory licensure and certification criteria and accreditation standards NS physical therapists will perform physical therapy as-needed NS nurses will perform nursing services as-needed Other duties as indicated in the full job description   Requirements: Valid PT, RN, or LPN license Experience in home care or a related field Strong leadership and organizational skills Excellent communication and interpersonal abilities Familiarity with regulatory licensure and certification criteria Ability to work well under pressure and adapt to changing work environments   Benefits: Competitive annual salary of $75000 - $90000 Opportunity to make a difference in the lives of our elders Continuing education and professional development opportunities Supportive and collaborative work environment Health insurance and retirement benefits Paid time off and flexible working hours Opportunity for career growth and advancement   About the Company: Always Best Care Senior Services - Oahu is a non-medical Home Care and medical Home Health Agency serving kupuna across the island of Oahu. We are one of the fastest growing agencies across the country. Our mission is to provide exceptional care and support to seniors, enabling them to live independently in the comfort of their own homes. With a team of dedicated professionals, we are committed to delivering personalized and compassionate services to our clients and their families. Join us in making a difference in the lives of our elderly community.

  • Overview

  • Description

  • Our values start with our people, join a team that values you!

  • Allied Universal®, North America’s leading security and facility services company, provides rewarding careers that give you a sense of purpose. While working in a dynamic, diverse and inclusive workplace, you will be part of a team that fuels a culture that will reflect in our communities and customers we serve. We offer medical, dental and vision coverage, life insurance, retirement plan, employee assistance programs, company discounts, perks and more for most full-time positions!

  • Come join our amazing team and work remote!

Job Details

  • ID
    JC52813919
  • State
  • City
  • Full-time
  • Salary
    N/A
  • Hiring Company
    Highmark Health
  • Date
    2024-11-02
  • Deadline
    2024-12-31
  • Category

Jocancy Online Job Portal by jobSearchi.