Registered Nurse Clinical Decision Support Team Lead

Shearwater Health; Nashville (TN); Remoto; USD 110.000 - 150.000; Tempo pieno

Vantaggi offerti da questo lavoro

Competitive compensation

Health insurance

401(k)

Paid vacation

Descrizione del lavoro

Shearwater Health Inc. is seeking an RN Clinical Decision Support Team Lead to supervise a regional payer utilization management program.

You will lead a mixed team of clinical and non-clinical staff, ensuring regulatory alignment and operational excellence across projects, reports, and client interactions. The role requires an active RN license, 4+ years in payer UM leadership, and the ability to travel ~10%.

Competenze

• Bachelor’s Degree in Nursing or healthcare field.
• Active RN license in any state.
• At least 4 years’ experience leading utilization management in payer environment.
• Experience delivering care management to Medicare and commercial populations.
• Strong organizational, planning, analytical, and communication skills.
• Proven ability to lead teams of clinicians and non‑clinicians.
• Ability to travel at least 10% as needed for meetings/events.
• Able to work from home in a distraction free private office space.

Mansioni

• Oversee, supervise and delegate work to a team of contributors including licensed staff and administrative support.
• Monitor and coach staff per accreditation and regulatory guidelines.
• Hire, onboard and train to support growth.
• Collaborate in a matrixed environment to support operational health.
• Prepare weekly, monthly, quarterly and yearly reports for stakeholders.
• Engage in client-facing meetings to report status and drive operational excellence.

Conoscenze

Leadership

Healthcare ops

Regulatory compliance

Communication

Analytical

Team leadership

Formazione

Bachelor’s Degree in Nursing

Strumenti

Microsoft Office

Descrizione del lavoro

Posting Details

• Posted on October 21, 2026

Locations

• Nashville, TN 37215, USA
• Remote
• US CPO Support
• Full-Time
• Requisition #: REGIS001033

Description

About Shearwater Health:

At Shearwater Health, we know that better patient outcomes are never achieved alone – especially when there aren’t enough hands to deliver care. That’s why we’ve built something different: a global team of clinicians helping solve one of healthcare’s most urgent challenges – the nursing shortage. By expanding the reach of care teams and reinforcing critical support systems, we bring clarity, compassion, and clinical expertise to the front lines of care.

As the founder of the nation’s first Clinical Process Outsourcing (CPO®) model and aGreat Place to Work®-certified company, we help the world’s top healthcare organizations work smarter – scaling their teams, strengthening care, and solving real problems every day. From clinical decision support to administrative tasks, our team of nearly6,000 clinicians and process experts work across borders and time zones to help our partners focus on what matters most: delivering exceptional patient care.

If you’re ready for your work to not just support care – but strengthen the system – join us. This is where clinicians become changemakers, and where nurses go further than they ever thought possible.

Position Overview

The RN Clinical Decision Support Team Lead is the first line supervisor and leader of a team of clinical and non‑clinician staff supporting a regional payer utilization management program, for the plan’s member cohort. This role requires exceptional executive presence, the ability to lead large teams through ambiguity while driving operational excellence. This key support function will have the opportunity to help shape the future of Shearwater’s Domestic solution offerings.

In the RN Clinical Decision Support Team Lead role, you will be responsible for:

• The oversight, supervision and delegation of work to a team of individual contributors which may include licensed clinical staff and unlicensed administrative support staff.
• Monitoring and coaching of staff according to accreditation and regulatory guidelines and requirements
• Hiring, onboarding, and training to support organizational growth
• Collaboration within a matrixed environment to support operational health.
• Preparation of weekly, monthly, quarterly and yearly reports for both internal and external stakeholders
• Client-facing activities, which include participation in regular meetings and touch points to report project status, evaluate opportunities, and drive excellence in overall operations.

Qualification Requirements:

• A Bachelor’s Degree, preferably in Nursing or other healthcare related field
• Current active, unrestricted RN license in any state with the ability to obtain the State of Michigan Nursing License (exclusions: Northern Mariana Island, Guam, Puerto Rico).
• At least 4 years’ experience leading utilization management programs for Medicare Advantage and Commercial business within a payer environment.
• Proven experience with delivering care management programs to the Medicare and commercial population.
• Strong organizational, planning, analytical, and communication skills.
• Proven ability to lead teams of clinicians and non‑clinicians.
• Excellent interpersonal skills.
• Working knowledge of PC applications including Microsoft Office Suite.
• Adaptability and resilience to navigate through change.
• CCM or other case management credentials highly desired.
• Ability to travel at least 10% as needed for client or corporate meetings/events.
• Able to work from home in a distraction free, private office space.

Employee Benefits:

• A competitive compensation structure
• Comprehensive health insurance
• 401(k)
• Paid vacation time
• The opportunity to build your career in a rewarding and unforgettable way

Equal Opportunity Employer

This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.