RN Supervisor

Skills

About the Role

You'll be responsible for coaching, mentoring, evaluating and developing the RN Reviewer team, using established operational tools to ensure all RN staff meet or exceed performance metrics and quality standards. You'll work closely with the leadership team and report to the Director/Manager of Clinical Operations, providing daily operational guidance to the RN Reviewers so they can meet or exceed their objectives. You'll plan daily operational activities, oversee the RN Reviewer team, and use your organizational and communication skills to inspire the team toward high performance. This role offers the opportunity to make a substantive mark on a growing organization with room for exponential growth.

Requirements

• Registered Nurse with an active and unencumbered license to practice
• 2-3 years of supervisory/management experience
• Knowledge of NCQA/CMS requirements
• Experience using MCG, CMS NCDs/LCDs, clinical criteria guidelines
• Prior Authorization or Utilization Management experience
• Excellent computer skills and familiarity with a Mac
• Experience supervising and training in a remote work environment
• The ability to work 10am-7pm or 11am-8pm EST

Responsibilities

• Oversee the RN Reviewer team including one RN Team Lead
• Establish a plan for the day and communicate it to all staff daily
• Manage the daily timeliness report and ensure all cases meet expected turnaround times
• Monitor nurse productivity reports daily and provide feedback to nurses, managing performance to ensure consistency
• Lead weekly team meetings
• Capture process efficiency ideas from the team and work with stakeholders to recommend and lead changes to improve nurse efficiency
• Meet individually with all direct reports on a bi-weekly cadence to develop work relationships and share performance feedback
• Track hourly nurse productivity with RN Reviewer Leads and keep the Director/Manager informed on productivity results
• Train and develop new RNs who join the team
• Oversee daily newsletter publication
• Help with other projects as needed

Benefits

• Fully remote opportunity with about 5% travel
• Medical, dental, vision, life, disability insurance
• Employee Assistance Program
• 401K retirement plan with company match
• Flexible spending and health savings account
• Up to 184 hours (23 days) of PTO per year plus company holidays
• Up to 14 weeks of paid parental leave
• Pet insurance