Healthcare Operations Supervisor

1 week ago


New York, New York, United States Metropolitan Jewish Health System Full time
Precertification Support Supervisor

At Metropolitan Jewish Health System, we are committed to providing high-quality healthcare services to our patients and members. As a Precertification Support Supervisor, you will play a critical role in ensuring that our services meet the highest standards of quality and compliance.

Key Responsibilities:
  • Oversee all aspects of Precertification Support services, including MAPD precertification requirements.
  • Ensure compliance with CMS regulations and departmental policies, including regulatory timeframes and communication.
  • Provide direction for complex cases and monitor pending cases.
  • Review and educate staff on criteria changes, including InterQual, Local Coverage Determinations (LCD), and National Coverage Determinations (NCD).
  • Act as a liaison with other departments and work closely with Supervisors of Case Management and Pre-Certification on all initiatives and unit functions.
Requirements:
  • Graduate of a health care associate degree program.
  • Bachelor's degree in business, human services, or a health-related field preferred.
  • Minimum 3 years of Managed care experience in the areas of utilization management and/or case management required.
  • Proficiency in Microsoft Word, Excel, and Windows operating systems.
  • Excellent customer service, oral communication, writing, and typing skills.
  • Working knowledge of utilization management processes and Federal and State regulations and managed care regulations and concepts.
What We Offer:

As a Precertification Support Supervisor at Metropolitan Jewish Health System, you will have the opportunity to work in a dynamic and supportive environment that values your skills and experience. We offer competitive compensation and benefits, as well as opportunities for professional growth and development.



  • New York, New York, United States Licking Memorial Health Systems Full time

    Job SummaryAs a key member of the Licking Memorial Health Systems team, the Supervisor will oversee the Patient Account Representatives, providing guidance and support to ensure timely processing of claims, re-billing, and write-offs.Key ResponsibilitiesSupervise and mentor Patient Account Representatives to ensure high-quality work and efficient processing...


  • New York, New York, United States Morrison Healthcare Full time

    CULINARY OPERATIONS SUPERVISORCompany Overview:Morrison Healthcare is a premier national provider of food and nutrition services, dedicated to serving a multitude of healthcare facilities. Our kitchens and dining establishments prioritize sustainable practices and exceptional guest experiences. Our commitment to wellness and sustainability is reflected in...

  • Healthcare Supervisor

    3 weeks ago


    New York, New York, United States VNS Health Full time

    Job SummaryWe are seeking a skilled Healthcare Supervisor to join our team at VNS Health. As a key member of our staff, you will be responsible for supervising Home Health Aides and coordinating administrative tasks to ensure high-quality service delivery.Key ResponsibilitiesAssign Home Health Aides to deliver services to patients and membersSupervise...

  • Healthcare Supervisor

    2 weeks ago


    New York, New York, United States VNS Health Full time

    Job SummaryAs a Home Health Aide Supervisor with VNS Health, you will play a vital role in ensuring the delivery of high-quality care to our patients in the comfort of their own homes. This is a supervisory position that requires strong leadership and organizational skills, as well as the ability to work effectively with a team to coordinate care and...


  • New York, New York, United States VNS Health Full time

    Job Title: Home Health Aide SupervisorAt VNS Health, we are seeking a skilled Home Health Aide Supervisor to join our team. As a key member of our care team, you will be responsible for supervising Home Health Aides and coordinating administrative responsibilities.Key Responsibilities:Assign Home Health Aides to deliver requested services to VNS Health...

  • Operations Supervisor

    2 weeks ago


    New York, New York, United States Urban Pathways, Inc. Full time

    Job Title: Operations SupervisorUrban Pathways, Inc. is seeking an experienced Operations Supervisor to oversee the day-to-day operations of our facility. The successful candidate will be responsible for ensuring the safety and well-being of our clients and staff, while also maintaining a high level of operational efficiency.Key Responsibilities:Supervise...

  • Operations Supervisor

    3 weeks ago


    New York, New York, United States Urban Pathways, Inc. Full time

    Job Title: Operations SupervisorUrban Pathways, Inc. is seeking an experienced Operations Supervisor to oversee the day-to-day operations of our facility. The successful candidate will be responsible for ensuring the safety and well-being of our clients and staff, while also maintaining a high level of operational efficiency.Key Responsibilities:Supervise...


  • New York, New York, United States NYC Health Hospitals Full time

    Job Title: Assistant Coordinating ManagerNYC Health + Hospitals/Community Care is seeking a highly skilled Assistant Coordinating Manager to join our team. As a key member of our operations team, you will play a critical role in ensuring the smooth delivery of healthcare services to our patients.Job Summary:The Assistant Coordinating Manager will assist in...

  • Operations Supervisor

    2 weeks ago


    New York, New York, United States Sollis Health Full time

    Job Title: Operations SupervisorAs a key member of the Sollis Health team, the Operations Supervisor will play a vital role in ensuring the smooth day-to-day operations of our concierge emergency centers. This individual will be responsible for overseeing the performance of clinic staff, including Front Desk Coordinators, Radiology Techs, Lab Specialists,...


  • New York, New York, United States Specialty Professional Services Full time

    Supervisor Opportunity in New York, NYWe are seeking a skilled Supervisor to join our team at Specialty Professional Services in New York, NY. This is a 5x8 Days shift position with a competitive pay rate and comprehensive benefits package.Requirements:Current RN LicenseCurrent BLS and/or ACLS and/or Specialty Certifications2 current clinical referencesAs a...


  • New York, New York, United States Polaris Healthcare Full time

    Job SummaryPolaris Healthcare is seeking a highly skilled Medication Room Supervisor to join our team. As a Medication Room Supervisor, you will play a critical role in ensuring the safe and effective administration of medications to our residents.Key ResponsibilitiesCoordinate the service plans to meet the health needs of the residents and promote...


  • New York, New York, United States NYC Health + HospitalsCorrectional Health Services Full time

    Job Summary:The Tour Coordinator plays a vital role in the oversight and management of Central Operations and clinics within the Correctional Health Services department. This position requires strong written and verbal communication skills, advanced Microsoft Office Suite proficiency, and the ability to adapt to new situations and work under pressure.Key...


  • New York, New York, United States CHG Healthcare Full time

    Position Overview: We are seeking a dedicated Clinical Supervisor to oversee the daily operations of our clinic in New York City. This role offers a unique opportunity to experience the vibrant culture and lifestyle of one of the world's most iconic cities.Key Responsibilities:Provide leadership and direction for the clinic's clinical operations.Ensure...


  • New York, New York, United States Withum Full time

    Healthcare Audit Supervisor at WithumWithum is a forward-thinking advisory and accounting firm dedicated to empowering clients in a rapidly evolving business landscape. We are seeking a skilled professional to become part of our Healthcare Services Group, which specializes in providing expert advisory, audit, and tax solutions to healthcare entities. As the...

  • Operations Supervisor

    2 weeks ago


    New York, New York, United States Northwell Health Full time

    Job SummaryWe are seeking a highly skilled and experienced Operations Supervisor to join our team at Northwell Health. The successful candidate will be responsible for supervising and coordinating staff, as well as daily operations of practice(s) for a Department/Division or Service Line.Key ResponsibilitiesSupervise and motivate team members to achieve...


  • New York, New York, United States NYC Health + HospitalsCorrectional Health Services Full time

    Job Description:We are seeking a highly organized and detail-oriented Tour Coordinator to join our team at NYC Health + Hospitals/Correctional Health Services. As a Tour Coordinator, you will work under the general supervision of the Tour Supervisor to assist in the oversight and management of Central Operations and clinics.Key Responsibilities:Assist in...


  • New York, New York, United States Publicis Groupe Full time

    Job Title: Operations SupervisorAt Publicis Groupe, we're seeking an experienced Operations Supervisor to join our team. As a key member of our operations team, you will be responsible for managing large clients, overseeing project timelines and deliverables, and providing strategic insights on staffing and financials.Key Responsibilities:Manage client...


  • New York, New York, United States New Century Home Care LLC Full time

    Job Title: Field Operations SupervisorWe are seeking a highly skilled and experienced Field Operations Supervisor to join our team at New Century Home Care LLC. As a Field Operations Supervisor, you will be responsible for overseeing the implementation of care and treatment plans, therapeutic activities for individuals as directed by licensed...

  • Operations Supervisor

    2 weeks ago


    New York, New York, United States Northwell Health Full time

    Job SummaryWe are seeking a highly skilled and experienced Operations Supervisor to join our team at Northwell Health. The successful candidate will be responsible for supervising and coordinating staff, as well as daily operations of practice(s) for a Department/Division or Service Line.Key ResponsibilitiesStaff Supervision: Promote Operations department...


  • New York, New York, United States Recruitics JB Full time

    Job SummaryVNS Health is seeking a skilled Registered Nurse to fill the role of Field Supervisor. As a key member of our team, you will be responsible for overseeing the day-to-day operations of our clinical and non-clinical staff, ensuring efficient and timely delivery of services to our clients.Key ResponsibilitiesSupervise and coordinate the activities of...