Supervisor, Clinical Intake

About the role

The Supervisor, Clinical Intake is responsible for leading a team by providing oversight and guidance on Medical Management non-clinical tasks, processes, and operations. The position is 100% remote.

Responsibilities

• Supervisory Responsibilities: Medical Intake Specialists
• Works with employees to problem solve and make operational processes most efficient.
• Responsible for the call queue and appropriate staffing to maintain abandonment rate.
• Responsible for the performance management and corrective action process for all team members in partnership with the Senior Manager.
• Monthly 1:1 coaching with each MIS staff for quality improvement and metrics.
• Monthly call and chart audit for the MIS staff and reports to UM Manager/Senior Manager.
• Review QA results to develop educational opportunities for the MIS staff and completes performance improvement plans for scores
• Manage or delegate daily medical intake tasks and calls.
• Create and assign program-specific tasks following approved criteria for task assignments.
• Accurately identify and provide HIPAA compliant information to callers regarding medical services requiring notification per Medical Management Notification Policy and Procedures.
• Contact provider/facility to confirm the date of service, as indicated per Medical Management Notification Policy & Procedure, with appropriate documentation in case tracking software in compliance with Medical Management Policies and Procedures.
• Complete data entry of notification and obtain clinical information and/or results of diagnostic testing as indicated per the Medical Management Notification Policy and Procedure in times of high case/call volume.
• Participate in Medical Management quality programs, as well as provide support and project coordination for Medical Management quality initiatives as needed.
• Lead bi-monthly meetings for MIS team, will participate in department wide meetings and trainings or other job specific events as required by teleconference or onsite.
• Work collaboratively and cross functionally across the Medical Management department.
• Submit IT tickets on system issues as needed for the team.
• Communicate proactively and effectively with internal or external peers and leadership.
• Support other tasks and projects as needed across the department, on time and accurately.

Requirements

• Required Education: High school degree or equivalent experience.
• Prior experience leading a team and managing direct reports.
• Success at leading process improvement initiatives.
• Administrative and operational experience within the healthcare industry preferred.

Qualifications

• 3 years' experience in an administrative or operational role.
• Proven success in managing tasks accurately and on time.
• Experience maintaining a high level of accuracy and attention to detail to perform each essential duty satisfactorily.
• Advance knowledge and skills using Microsoft Office including Word, Excel, and PowerPoint software; Internet software; Database software.

Skills and Abilities

• Ability to read and interpret documents such as HIPAA compliance, safety rules, operating and maintenance instructions, and policy and procedure manuals.
• Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form.
• Ability to resolve problems independently and demonstrate ability to multi-task.
• Strong verbal and written communication skills.
• Strong presentation skills.
• Ability to demonstrate a commitment to building new skills and fostering a positive work environment within a team setting.

Benefits

• Multiple Health plan options
• Company paid employee premiums for disability and life insurance
• Parental Leave Policy
• 20 days PTO to start / 10 Paid Holidays
• Tuition reimbursement
• 401k Company contribution
• Company paid Short & Long term Disability plus Life Insurance
• Professional development initiatives / continuous learning opportunities
• Opportunities to participate in and support the company's diversity and inclusion initiatives

Pay

Competitive salary based on experience and qualifications.

Schedule

100% remote

What can Imagine360 offer you?

Multiple Health plan options
Company paid employee premiums for disability and life insurance
Parental Leave Policy
20 days PTO to start / 10 Paid Holidays
Tuition reimbursement
401k Company contribution
Company paid Short & Long term Disability plus Life Insurance
Professional development initiatives / continuous learning opportunities
Opportunities to participate in and support the company's diversity and inclusion initiatives

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Equal Opportunity Employer

Imagine360 is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status.