Remote RN Supervisor: Clinical Operations Lead

Cohere Health; United States; Remote; USD 85,000 - 95,000; Full time

Benefits offered by this job

Health insurance

401K retirement plan with companymatch

Paid parental leave (up to 14 weeks)

Job summary

Cohere Health’s RN Supervisor, Clinical Operations leads the RN Reviewer team and partners with leadership to meet performance metrics and quality standards. You will coach, mentor and develop staff, ensuring daily operations align with organizational goals.

In this fully remote role with about 5% travel, you will drive productivity, oversee communications such as the daily plan and newsletter, and train new RNs while collaborating with the leadership team to sustain growth and operational

Qualifications

• 2-3 years of supervisory/management experience.
• Knowledge of NCQA/CMS requirements.
• Experience with MCG, CMS NCDs/LCDs, clinical criteria guidelines.

Responsibilities

• Oversee the RN Reviewer team including one RN Team Lead.
• Establish a plan for the day and communicate to all staff daily.
• Manage the daily timeliness report and ensure all cases meet turnaround times.
• Monitor nurse productivity and provide feedback to maintain consistency.
• Lead weekly team meetings.
• Capture process efficiency ideas and lead changes to improve nurse efficiency.
• Meet bi-weekly with direct reports to develop relationships and provide feedback.
• Track hourly nurse productivity with RN Reviewer Leads and report to Director/Manager.
• Train and develop new RNs joining the team.
• Oversee daily newsletter publication.
• May assist with other projects as needed.

Skills

Supervisory experience

CMS/NCQA knowledge

Prior Authorization/Utilization Mgmt

Mac computer skills

Remote supervision experience

Job description

Cohere Health’s RN Supervisor, Clinical Operations leads the RN Reviewer team and partners with leadership to meet performance metrics and quality standards. You will coach, mentor and develop staff, ensuring daily operations align with organizational goals.

In this fully remote role with about 5% travel, you will drive productivity, oversee communications such as the daily plan and newsletter, and train new RNs while collaborating with the leadership team to sustain growth and operational