Onsite Clinical Quality Review Supervisor

Medica Health Management LLC; Omaha (NE); On-site; USD 78,700 - 118,020; Full time

Benefits offered by this job

Competitive medical, dental, vision benefits

Generous PTO and Holidays

401K contributions

Job summary

A healthcare non-profit organization is seeking a Supervisor, Quality Reviewers to oversee clinical review operations in Omaha, NE. This role involves leading regulatory audits, coaching clinical quality review RNs, and ensuring documentation standards are met. Candidates should have a Nursing degree and at least 5 years of relevant healthcare experience, along with leadership skills. The position requires onsite work for an average of 3 days per week, with a competitive compensation package including benefits.

Qualifications

• Bachelor's degree or equivalent experience in a related field (Nursing preferred).
• 5 years of relevant clinical healthcare experience beyond degree, including broad-based clinical practice or equivalent clinical review experience.
• Active Registered Nurse (RN) License preferred.

Responsibilities

• Lead day-to-day clinical review and medical record operations.
• Assist Manager with supporting an efficient department operation and workflow.
• Conduct 1:1 meetings with direct reports, providing timely feedback, coaching, and training.
• Participate in key work projects to design and support quality initiatives.

Skills

Clinical Experience

Leadership & Professional Experience

Regulatory, Audit, and Clinical Review Expertise

Operational Leadership & Decision-Making

Communication, Team Leadership & Core Competencies

Education

Bachelor's degree or equivalent experience in a related field (Nursing preferred)

Tools

Microsoft 365 applications

Adobe Acrobat

Job description

A healthcare non-profit organization is seeking a Supervisor, Quality Reviewers to oversee clinical review operations in Omaha, NE. This role involves leading regulatory audits, coaching clinical quality review RNs, and ensuring documentation standards are met. Candidates should have a Nursing degree and at least 5 years of relevant healthcare experience, along with leadership skills. The position requires onsite work for an average of 3 days per week, with a competitive compensation package including benefits.