Medical Management - Supervisor Concurrent Review 145-4006

Communitycare; Tulsa (OK); On-site; USD 85,000 - 105,000; Full time

Job summary

Communitycare in Tulsa, OK is seeking a nurse leader to supervise daily workflow and staff, developing operating procedures and managing personnel and resources.

The role requires RN licensure in Oklahoma, acute care nursing experience, and the ability to lead, train, and evaluate staff while aligning with regulatory requirements. Strong communication, organizational, and Microsoft Office skills are essential.

Qualifications

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

Responsibilities

• Supervise daily workflow and staff leadership; coordinate activities.
• Provide technical direction and resolve workflow issues.
• Assess workload, assign personnel, and ensure regulatory timeframes.
• Interview, hire, train, and review eligibility personnel; handle discipline.
• Attend departmental and facility meetings; perform other duties as assigned.

Skills

Leadership

Staff development

Workflow planning

Problem solving

Communication

Time management

Quantitative analysis

Microsoft applications

Education

RN license (OK)

Nursing degree

Tools

Microsoft Office

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.

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.