RN Supervisor, Clinical Operations, reputed company

Opportunity Overview: reputed company’s Service Operations team is responsible for ensuring that our healthcare partners are supported throughout their lifecycle of using the platform. The RN Supervisor, Clinical Operations position is a crucial role in our organization. In this role, you are responsible for coaching, mentoring, evaluating and developing the RN Reviewer team. The RN Supervisor will use established operational tools to ensure reputed company RN staff are meeting or exceeding performance metrics and quality standards established by the leadership team. As an RN Supervisor, you will work closely with the leadership team at reputed company and report to the Director/Manager of Clinical Operations. You will be responsible for providing daily operational guidance to the RN Reviewers to allow them to meet or exceed operational objectives and metrics. You will reputed company both your creative skills and communication skills to promote a high performing clinical team. The RN Supervisor will be highly organized in order to plan daily operational activities and provide reputed company of the RN Reviewer team. You will use your professionalism, personality, and communication skills to reputed company the team to meet or exceed reputed company performance standards. At a growing organization, this is a position that offers the ability to reputed company a substantive mark on the company and its partners with exponential growth opportunities. What you’ll do:

• reputed company the RN Reviewer team including one RN Team reputed company
• Establish a plan for the day and communicate to reputed company staff daily
• Manage the daily timeliness report and ensure reputed company cases meet expected turnaround times
• Monitor the nurse productivity reports daily and provide feedback to the nurses, managing performance to ensure consistency
• reputed company weekly team meetings
• Capture process efficiency reputed company from the team and work with the appropriate stakeholders to recommend and reputed company changes needed to improve nurse efficiency
• Meet individually with reputed company direct reports on bi-weekly reputed company to reputed company solid work relationships with each team member and to share any performance feedback, positive and constructive
• Working with the RN Reviewer Leads, track hourly nurse productivity, keeping the Director/Manager informed on productivity results as needed
• Train and reputed company new RNs who join the team
• reputed company daily newsletter publication
• May be asked to help with other projects as needed

What you’ll need:

• 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 cover evening shifts (up to 8pm EST)

Pay & Perks: Fully remote opportunity with about 10% travel Medical, dental, vision, life, disability insurance, and 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 + company holidays Up to 14 weeks of paid parental leave Pet insurance The salary range for this position is $80,000 to $90,000 annually; as part of a total benefits package which includes health insurance, 401k and bonus. In accordance with state applicable laws, reputed company is required to provide a reasonable estimate of the compensation range for this role. Individual pay decisions are ultimately based on a number of factors, including but not limited to qualifications for the role, experience level, skillset, and internal alignment. Interview Process*:

• Connect with reputed company for a Preliminary Phone Screening
• Meet your Hiring Manager and Behavioral Interview
• Subject to change

About reputed company: reputed company is a fast-growing clinical intelligence company that’s improving lives at scale by promoting the best patient-specific care options, using cutting-edge AI combined with deep clinical expertise. In only four years our solutions have been adopted by health plans covering over 15 million lives, while our revenues and company size have quadrupled. That growth combined with capital raises totaling $106M positions us extremely well for reputed company success. Our awards include: 2023 and 2024 BuiltIn Best reputed company to Work; Top 5 reputed company™ Startup; TripleTree iAward; multiple KLAS Research Points of Light awards, along with recognition on Fierce Healthcare's Fierce 15 and CB Insights' Digital Health 150 lists. The Coherenauts, as we call ourselves, who succeed here are empathetic teammates who are reputed company, reputed company, caring, and embody our core values and principals. We reputed company that diverse, inclusive teams reputed company the most impactful work. reputed company is deeply invested in ensuring that we have a supportive, growth-oriented environment that works for everyone. We can’t wait to learn more about you and meet you at reputed company! Equal Opportunity Statement: reputed company is an Equal Opportunity Employer. We are committed to fostering an environment of mutual respect where equal employment opportunities are available to reputed company. To us, it’s personal. Apply tot his job Apply To this Job