Weekend RN Supervisor, Clinical Operations - Remote

Overview

The RN Supervisor, Clinical Operations position is a crucial role in our organization, responsible for coaching, mentoring, evaluating, and developing the RN Reviewer team while ensuring performance metrics and quality standards are met.

In Short

• Oversee the weekend RN Reviewer team
• Manage daily timeliness reports and ensure expected turnaround times
• Monitor nurse productivity and provide feedback
• Lead weekly team meetings
• Capture process efficiency ideas from the team
• Meet bi-weekly with direct reports for performance feedback
• Track hourly nurse productivity
• Train and develop new RNs
• Oversee daily newsletter publication
• Weekly schedule includes Saturday and Sunday

Requirements

• Registered Nurse with an active license
• 2-3 years of supervisory/management experience
• Knowledge of NCQA/CMS requirements
• Experience with MCG and clinical criteria guidelines
• Prior Authorization or Utilization Management experience
• Excellent computer skills and familiarity with a Mac
• Experience supervising in a remote work environment

Benefits

• Fully remote opportunity with about 10% travel
• Medical, dental, vision, life, disability insurance
• 401K retirement plan with company match
• Up to 184 hours of PTO per year
• Up to 14 weeks of paid parental leave
• Pet insurance