Remote Case Management Supervisor (RN/ CCM) — Lead & Develop

Tristar Insurance; South Carolina; Hybrid; USD 110,000 - 118,000; Full time

Benefits offered by this job

Medical, Dental, Vision Insurance

Life and Disability Insurance

401(k) Plan

Paid Holidays and Paid Time Off

Referral bonus

Job summary

Tristar Insurance is seeking an experienced Supervisor to lead a clinical team in a remote setting. The role emphasizes staff coaching, performance management, and adherence to regulatory standards. A strong nursing background and CCM certification are preferred.

Responsibilities include directing operations, training staff, and ensuring quality outcomes while maintaining confidentiality and compliance with HIPAA. Travel may be required for meetings and oversight.

Qualifications

• RN with current unrestricted state licensure.
• Associate or bachelor’s degree in nursing and/or Master’s level or higher in Health, Psychology, or Social Services.
• Minimum 3 years of clinical practice experience.
• Certification as CCM (CRC, CDMS, or CRRN) or willingness to pursue.
• Workers’ Compensation case management and supervisor experience preferred.

Responsibilities

• Represent the company in a professional manner to internal and external customers and clients.
• Ensure team performance standards through ongoing training, coaching, quality assurance, and regular performance evaluations.
• Provide clinical, technical, and operational support and direction, including organization and department procedures.
• Monitor staff assignments and adjust based on staffing levels; provide coaching to improve staff productivity.
• Assist in training new staff and ongoing training to ensure staff competency.
• Review quality audits and promptly share audit results with associates, delivering education and training to improve performance.
• Collaborate with the Manager and TMC leadership to develop and implement performance measures; monitor associates on performance improvement plans.
• Complete annual reviews for direct reports with Manager input.
• Foster an environment that promotes teamwork, cooperation, respect, and diversity.
• Ensure staff compliance with Case Management laws and regulatory requirements; maintain alignment with TRISTAR’s policies.
• Maintain open communication among department staff and with management; participate in management, Quality Management Committee, client stewardship, and implementation meetings as necessary.
• Handle miscellaneous duties and special projects; stay current on workers’ compensation laws and rules to ensure proper recommendations; participate in ongoing continuing education as needed.

Skills

Leadership

Communication skills

Coaching

Team training

Education

RN licensure

Bachelor’s degree in nursing

Master’s degree in Health, Psychology, or Social Services

Tools

Microsoft Word

Microsoft Excel

PowerPoint

Job description

Tristar Insurance is seeking an experienced Supervisor to lead a clinical team in a remote setting. The role emphasizes staff coaching, performance management, and adherence to regulatory standards. A strong nursing background and CCM certification are preferred.

Responsibilities include directing operations, training staff, and ensuring quality outcomes while maintaining confidentiality and compliance with HIPAA. Travel may be required for meetings and oversight.