Medical Management - Supervisor Concurrent Review 145-4006

CommunityCare HMO Inc.; Tulsa (OK); On-site; USD 85,000 - 110,000; Full time

Job summary

CommunityCare HMO Inc. is seeking a Nursing Supervisor to oversee daily workflow and staff leadership in an acute care setting. You will develop operating procedures and manage personnel and resources to ensure efficient operations.

The role requires RN licensure in Oklahoma, a BSN preferred, and at least three years of clinical nursing experience with two years of management experience preferred. Equal opportunity employer and commitment to compliance are stated.

Qualifications

• Ability to plan, organize, schedule, and effect procedural changes.
• Ability to effectively lead, direct and supervise others.
• Ability to reason logically and to use good judgment when interpreting materials or situations.
• Ability to work quickly and accurately with quantitative information.
• Ability to organize time effectively and set priorities.
• Strong written and oral communication skills.
• Proficient in Microsoft applications.
• Knowledge of managed care and benefit plans.

Responsibilities

• Supervise and coordinate daily workflow and leadership of staff.
• Develop operating procedures and manage personnel and resources.
• Serve as a resource to the department staff by providing technical direction and resolving workflow problems.
• Assess workload and staffing patterns; select, assign, evaluate personnel; take caseload to assist staffing needs; ensure authorization timeframes and regulatory requirements are met.
• Interview, hire, train, and review eligibility personnel; analyze current policies; develop SOPs and workflows.
• Attend departmental, interdepartmental, and facility meetings as needed.
• Perform other duties as assigned.

Skills

Team leadership

Workflow management

Strategic planning

Communication skills

Quantitative analysis

Time management

Microsoft Office

Managed care knowledge

Education

Registered Nurse (RN) license

BSN preferred

Job description

Job Summary

Responsible for supervising and coordinating daily workflow and leadership of staff. Activities include developing operating procedures and managing personnel and resources.

Job Summary

Responsible for supervising and coordinating daily workflow and leadership of staff. Activities include developing operating procedures and managing personnel and resources.

Key Responsibilities

• Serves as a resource to the department staff by providing technical direction and resolving workflow problems or improvement opportunities within the department.
• Assesses individual workload and staffing patterns. Selects, assigns, and evaluates personnel, and recommends or initiates associated personnel actions. Takes caseload as needed to assist with staffing needs. Ensure authorization timeframes and regulatory requirements are met.
• Interviews, hires, trains, and reviews all eligibility personnel in addition to problem-solving and disciplinary actions. Participates in analysis of current policies and procedures and in the development of new or updated standard operating procedures and workflows.
• Attends departmental, interdepartmental, and facility meetings as needed.
• Performs other duties as assigned.

Qualifications

• Ability to plan, organize, schedule, and effect procedural changes.
• Ability to effectively lead, direct and supervise others.
• Ability to reason logically and to use good judgment when interpreting materials or situations.
• Ability to work quickly and accurately with quantitative information.
• Ability to organize time effectively and set priorities.
• Possess strong written and oral communication skills.
• Proficient in Microsoft applications.
• Knowledge of managed care and benefit plans.

Education/Experience

• Graduate from accredited School of Nursing.
• Current, active, unrestricted license to practice as Registered nurse (RN) in the State of Oklahoma.
• At least three years of clinical nursing experience in an acute care setting.
• 2 years of management experience preferred.

CommunityCare is an equal opportunity at will employer and does not discriminate against any employee or applicant for employment because of age, race, religion, color, disability, sex, sexual orientation or national origin