RN Care Management Supervisor

PriMed Management Consulting Services, Inc.; Sacramento (CA); On-site; USD 106,000 - 135,000; Full time

Job summary

Hill Physicians Medical Group is seeking a skilled Clinical Care Management Supervisor in California to lead the care management team, provide clinical guidance, and ensure appropriate care with timely outcomes. The role emphasizes collaboration with physicians, staff, and health plans, while maintaining regulatory compliance.

The ideal candidate holds an active California RN or LVN license, with 3+ years nursing and 2+ years utilization management experience, plus proven supervisory abilities

Qualifications

• Active, unrestricted California RN license or LVN.
• Minimum three years clinical nursing experience.
• Minimum two years utilization management experience in managed care.
• Supervisory experience and/or leadership skills preferred.
• Strong leadership, organizational, and communication abilities.
• Proficient in MS Office applications; strong computer skills for EHR/benefits systems.

Responsibilities

• Provide clinical expertise and supervise the care management team; resolve clinical and benefit issues.
• Manage staff production to meet department goals and turnaround times.
• Prepare files and readiness for health plan audits.
• Assist in setting unit and department goals aligned with business objectives.
• Monitor productivity and ensure department targets are met.
• Support policy implementation and staff training.

Skills

Leadership

Staff supervision

Communication skills

Diverse stakeholder engagement

Mentoring staff

Education

Registered Nurse license (RN)

Licensed Vocational Nurse license (LVN)

Tools

Epic

Tapestry

MS Office

Job description

Hill Physicians Medical Group is seeking a skilled Clinical Care Management Supervisor in California to lead the care management team, provide clinical guidance, and ensure appropriate care with timely outcomes. The role emphasizes collaboration with physicians, staff, and health plans, while maintaining regulatory compliance.

The ideal candidate holds an active California RN or LVN license, with 3+ years nursing and 2+ years utilization management experience, plus proven supervisory abilities