RN Supervisor

The role

You will coach, mentor, evaluate, and develop the RN Reviewer team. You will use operational tools to ensure staff meet performance metrics and quality standards.

What you will do

• Oversee the RN Reviewer team including one RN Team Lead
• Establish a plan for the day and communicate to all staff daily
• Manage the daily timeliness report and ensure all cases meet expected turnaround times
• Monitor the nurse productivity reports daily and provide feedback to the nurses
• Lead weekly team meetings
• Capture process efficiency ideas and recommend changes to improve nurse efficiency
• Meet individually with all direct reports on bi-weekly cadence
• Track hourly nurse productivity with RN Reviewer Leads
• Train and develop new RNs who join the team
• Oversee daily newsletter publication

Required qualifications

• 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

Benefits

• Medical, dental, vision, life, disability, insurance, and Employee Assistance Program
• 401K retirement plan with company match
• Flexible spending and health savings account
• Flex Time Off
• Company holidays
• Up to 14 weeks of paid parental leave
• Pet insurance

Before you apply

• Connect with Talent Acquisition for a Preliminary Phone Screening
• Meet your Hiring Manager and Behavioral Interview

About the company

Cohere Health’s clinical intelligence platform delivers AI-powered solutions that streamline access to quality care. The company works with over 660,000 providers and handles over 12 million prior authorization requests annually.