Supervisor, Care Coordination

🔥 18 hours ago

🐊 Florida – Remote

🐊 Florida – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 10%

What it means: the chance that no one is really hiring for this job.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.Why this score:

• Open for 1 day.
• Jobs at this company usually fill in 33 days.
• No salary listed.

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Integrated Home Care Services, Inc.

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 2015

🏥 Healthcare

⚕️ Healthcare Insurance

🤝 B2B

Healthcare • Healthcare Insurance • B2B

Integrated Home Care Services, Inc. is an integrated home care benefits manager that coordinates and manages value-based home health services, durable medical equipment, and home infusion for patients and members on behalf of health plans and providers. It provides network development and credentialing, utilization management, claims adjudication, analytics, and a technology-enabled platform for referrals, real-time documentation, and 24/7 access to services, aiming to reduce costs, improve outcomes, and streamline administration for payers, providers, and patients.

📋 Description

• Oversee daily operations of the utilization management team • Ensure compliance with regulatory standards, organizational policies, and industry best practices • Support staff development and monitor performance • Promote high-quality, cost-effective care coordination • Lead and support Referral Coordinators for various health plans • Ensure compliance with utilization management processes • Evaluate eligibility for benefit coverage • Collaborate with internal and external stakeholders to optimize patient care • Work with health plan case managers and claims payers to facilitate appropriate care coordination • Ensure accurate claims processing

🎯 Requirements

• Minimum of 3–5 years of experience in utilization management, case management, or a related healthcare setting • At least 2 years of leadership or supervisory experience in a healthcare environment • Strong understanding of utilization management, medical necessity criteria, and regulatory compliance (e.g., CMS, NCQA, URAC) • Required to uphold compliance principles as outlined in the Code of Conduct and related policies • Actively supports and participates in mandatory Corporate Compliance Program training initiatives annually or as required • Proficient in Microsoft products (Word, Excel, PowerPoint) • Excellent leadership, problem-solving, and decision-making abilities • Strong communication and interpersonal skills for cross-functional collaboration • Prior experience in a supervisory or leadership role within a healthcare setting • Strong leadership, team management, and coaching skills • In-depth knowledge of healthcare regulations and UM guidelines

🏖️ Benefits

• Medical, Vision, Dental, Short- and Long-term insurance • 6+ Days of Holidays Pay • 13 days of PTO • Employer paid life insurance • 401K with employer contribution • Wellness program with reward incentives • Employee recognition and reward programs • Comprehensive paid training program

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