Current jobs related to Supervisor, Care Review and Coordination - Bowling Green, Kentucky - Molina Healthcare
-
Registered Nurse Supervisor
2 weeks ago
Bowling Green, Kentucky, United States Centurion Managed Care Full timeJob SummaryCenturion Managed Care is seeking a Registered Nurse Supervisor to join our team at Hardee Correctional Institution in Bowling Green, Florida. As a key member of our healthcare team, you will be responsible for providing leadership and supervision to our nursing staff, ensuring the delivery of high-quality patient care.ResponsibilitiesSupervise...
-
RN Care Coordinator
5 days ago
Bowling Green, Kentucky, United States ProMedica Health System Full timeJob SummaryThe RN Care Coordinator is a vital member of our team at ProMedica Health System, responsible for ensuring the seamless transition of patient care from hospital discharge to follow-up appointments.As a RN Care Coordinator, you will work closely with hospital staff and other healthcare professionals to coordinate patient care, including testing and...
-
Clinical Utilization Review Nurse
3 weeks ago
Bowling Green, Kentucky, United States Med Center Health Full timeJob SummaryWe are seeking a skilled Clinical Utilization Review Nurse to join our team at Med Center Health. As a key member of our healthcare team, you will play a critical role in ensuring the quality and appropriateness of patient care.Key ResponsibilitiesConduct thorough reviews of patient medical data to assess medical necessity and appropriateness of...
-
Clinical Utilization Review Nurse
2 weeks ago
Bowling Green, Kentucky, United States Med Center Health Full timeJob SummaryWe are seeking a skilled Clinical Utilization Review Nurse to join our team at Med Center Health. As a key member of our healthcare team, you will play a critical role in ensuring the quality and appropriateness of patient care.Key ResponsibilitiesConduct thorough reviews of patient medical data to assess medical necessity and appropriateness of...
-
Production Supervisor
2 weeks ago
Bowling Green, Kentucky, United States Kobe Aluminum Automotive Products Full timeJob OverviewAs a Production Supervisor at Kobe Aluminum Automotive Products, you will play a critical role in overseeing the activities of the EP department. Your primary responsibility will be to coordinate the setup and operation of EP machines in the production of aluminum forging components.Key ResponsibilitiesSupervise and coordinate the activities of...
-
Production Supervisor
2 weeks ago
Bowling Green, Kentucky, United States The Bartech Group Inc Full timeBartech Staffing is a leading engineering, technical and professional staffing firm, and our clients include some of the nation's biggest companies. We are powered by Impellam Group, a connected group providing global workforce and specialist recruitment solutions. Our client has engaged us to assist them in hiring a contract Production Supervisor. If you...
-
Healthcare Supervisor
4 weeks ago
Bowling Green, Kentucky, United States Centurion Managed Care Full timeJob DetailsDescriptionCenturion Managed Care is seeking a Registered Nurse Supervisor to join our team at Hardee Correctional Institution in Bowling Green, Florida.ResponsibilitiesSupervise a team of registered nurses and provide guidance on patient careDevelop and implement healthcare policies and proceduresCollaborate with healthcare providers to ensure...
-
Care Coordinator
2 weeks ago
Bowling Green, Kentucky, United States LifeSkills Full timeJob SummaryLifelong care and support for individuals and families in crisis is the cornerstone of our mission at LifeSkills. As a Care Coordinator, you will play a vital role in ensuring seamless transitions and access to necessary care and resources for our clients.Key ResponsibilitiesDevelop and implement comprehensive care plans tailored to individual...
-
Clinical Nurse Supervisor
2 months ago
Bowling Green, Kentucky, United States Centurion Managed Care Full timeJob Overview Position Summary Centurion Managed Care is a leading provider of integrated healthcare services, dedicated to delivering quality care in correctional settings. We are currently in search of a full-time Registered Nurse Supervisor to oversee nursing operations at a correctional facility in Florida. Work Schedule - Monday to Friday;...
-
Clinical Supervisor
3 weeks ago
Bowling Green, Kentucky, United States Administrative Full timeJob Title: Clinical SupervisorNecco is seeking a highly skilled Clinical Supervisor to join our team. As a key member of our administrative staff, you will play a critical role in ensuring the success of our treatment program.Key Responsibilities:Provide clinical supervision to therapists and mental health case managersReview and approve documentation and...
-
Institutional Recreation Program Supervisor
4 weeks ago
Bowling Green, Kentucky, United States Commonwealth of Kentucky Full timeJob Title: Institutional Recreation Program SupervisorWe are seeking a highly motivated and experienced Institutional Recreation Program Supervisor to join our team at the Bowling Green Veterans Center. As a key member of our staff, you will be responsible for planning, directing, and coordinating therapeutic recreational programs for our...
-
Foster Care Case Manager
5 days ago
Bowling Green, Kentucky, United States Bellewood and Brooklawn Full timeFoster Care Case Manager Job DescriptionBellewood and Brooklawn is seeking a highly skilled Foster Care Case Manager to join our team. As a Foster Care Case Manager, you will provide a range of services to foster care youth and their families, including case management, counseling, and advocacy.Key Responsibilities:Provide in-home and out-of-home case...
-
Stroke Program Coordinator
1 month ago
Bowling Green, Kentucky, United States Med Center Health Full timeJob SummaryWe are seeking a highly skilled Stroke Coordinator to join our team at Med Center Health. The successful candidate will be responsible for implementing, coordinating, and assisting in developing services and activities related to the Stroke Program.Key ResponsibilitiesCoordinate multidisciplinary care for stroke patients in collaboration with...
-
Hospital Coding Supervisor
2 weeks ago
Bowling Green, Kentucky, United States Med Center Health Full timeJob SummaryWe are seeking a highly skilled and experienced Coding Supervisor to join our team at Med Center Health. The successful candidate will be responsible for overseeing and providing direction to staff members related to completion of work, work schedules, and work assignments within established policies and procedures of Med Center Health.Key...
-
CST Coordinator
1 week ago
Bowling Green, Kentucky, United States LifeSkills Full timeJob Summary:The CST Coordinator will be responsible for managing the front desk and billing responsibilities for the CST team. This includes negotiating between the needs of both billing and front desk CST's, acting as the immediate contact for information exchange, and working collaboratively with supervisors to brainstorm solutions and implement changes....
-
Quality Assurance Supervisor
1 week ago
Bowling Green, Kentucky, United States Fruehauf Inc. Full timeJob SummaryThe Quality Assurance Supervisor is responsible for directing and supervising activities for the Quality Department to ensure consistent quality standards are met in production processes and final products.Key ResponsibilitiesEnsure proper record keeping, including FHWA forms, application/release times, quality status of trailers, and other...
-
Safety Supervisor
2 weeks ago
Bowling Green, Kentucky, United States MSCCN Full timeSafety Supervisor Job DescriptionWe are seeking a highly skilled Safety Supervisor to join our team at Performance Foodservice in Bowling Green, Kentucky. As a key member of our operations team, you will be responsible for ensuring the health and safety of our drivers and associates while maintaining compliance with all relevant regulations.Key...
-
Care Coordinator
2 weeks ago
Bowling Green, Kentucky, United States LifeSkills Full timeCare Coordinator Job DescriptionLifeskills is a nonprofit corporation dedicated to providing quality care and improving the lives of families in crisis. We are seeking a Care Coordinator to join our team.Job Summary:The Care Coordinator will advocate for and assist clients experiencing severe mental illness, severe emotional disturbance, or chronic substance...
-
RN Weekend Supervisor
2 weeks ago
Bowling Green, Kentucky, United States Healthcare Nursing Center Full timeJob Title: RN Weekend SupervisorHealthcare Nursing Center is seeking a dedicated and experienced RN Weekend Supervisor to join our team.Job Summary:The RN Weekend Supervisor will be responsible for supervising a team of dedicated RNs, LPNs, and CNAs, providing them with the support they need to deliver total nursing care to residents. This role will involve...
-
Patient Services Coordinator LPN
2 weeks ago
Bowling Green, Kentucky, United States CenterWell Home Health Full timeTransform Patient Care with CenterWell Home HealthThe Patient Services Coordinator LPN plays a vital role in ensuring seamless care coordination and continuity for our patients. As a key member of our team, you will be responsible for scheduling visits, communicating with field staff, patients, and physicians to maintain proper care coordination and...
Supervisor, Care Review and Coordination
2 months ago
Molina Healthcare Services (HCS) collaborates with members, providers, and multidisciplinary teams to assess, facilitate, plan, and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential.
HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of illness and the site of service.
Key Responsibilities- Oversees an integrated Care Access and Monitoring team responsible for prior authorizations, inpatient/outpatient medical necessity/utilization review, and/or other utilization management activities aimed at providing Molina Healthcare members with the right care at the right place at the right time.
- Functions as a hands-on supervisor, coordinating and monitoring clinical and non-clinical team activities to facilitate integrated, proactive utilization management, ensuring compliance with regulatory and accrediting standards.
- Manages and evaluates team members in the performance of various utilization management activities; provides coaching, counseling, employee development, and recognition; and assists with selection, orientation, and mentoring of new staff.
- Ensures adequate staffing and service levels and maintains customer satisfaction by implementing and monitoring staff productivity and other performance indicators.
- Collates and reports on Care Access and Monitoring statistics, including plan utilization, staff productivity, cost-effective utilization of services, management of targeted member population, and triage activities.
- Completes staff quality audit reviews. Evaluates services provided and outcomes achieved and recommends enhancements/improvements for programs and staff development to ensure consistent cost effectiveness and compliance with all state and federal regulations and guidelines.
- Maintains professional relationships with provider community and internal and external customers while identifying opportunities for improvement.
- Graduate from an Accredited School of Nursing. Bachelor's Degree in Nursing preferred.
- 3 years clinical nursing experience.
- 2 years utilization management experience.
- Experience demonstrating leadership skills.
- Active, unrestricted State Registered Nursing (RN) in good standing.
- Valid driver's license with good driving record and ability to drive within applicable state or locality with reliable transportation.
- Bachelor's or Master's Degree in Nursing, Health Care Administration, Public Health, or related field.
- 5 years clinical practice with managed care, hospital nursing, or utilization management experience.
- 3 years supervisory experience in a managed healthcare environment.
- Active, unrestricted Utilization Management Certification (CPHM), Certified Professional in Health Care Quality (CPHQ), or other healthcare or management certification.
