Clinical Review Nurse Supervisor - Remote

Overview

The Clinical Review Nurse Supervisor is responsible for supervising a team of clinical staff, ensuring quality service delivery and compliance with healthcare regulations and standards.

In Short

• Supervises clinical staff with varying licenses.
• Conducts performance appraisals and manages disciplinary actions.
• Tracks performance metrics and provides coaching.
• Facilitates team meetings and training sessions.
• Ensures compliance with service level agreements.
• Addresses escalated client service issues.
• Implements a rewards system to motivate staff.
• Adheres to HIPAA and regulatory standards.
• Collaborates with HR and compliance departments.
• Maintains knowledge of benefit management programs.

Requirements

• Active RN or LVN/LPN license required.
• Minimum 3 years’ experience in managed care.
• 2 years of supervisory experience preferred.
• Excellent interpersonal and communication skills.
• Proficient in leadership and facilitation.
• Ability to work in a fast-paced environment.
• Strong organizational skills.
• Experience in team interactions and improvement methods.
• Knowledge of Microsoft Office suite.

Benefits

• Medical, dental, and vision insurance.
• Paid time off (PTO) and holidays.
• 401(k) with company match.
• Life and AD&D Insurance.
• Employee Assistance Program.