RN Clinical Supervisor - IDR Case Leadership & Mentorship

ADP, Inc.; Jericho (NY); On-site; USD 92,000 - 100,000; Full time

Job summary

IPRO in Jericho, NY is seeking a Clinical Supervisor (RN) to manage the full spectrum of Federal IDR case determinations, including chart reviews, case summaries, and final determinations. You will oversee clinical reviewers, train staff, and ensure timely delivery and quality across cases.

The role requires RN licensure, a BSN or equivalent, and 1) two years of clinical setting experience and 2) one year in Independent Dispute Resolution.

Qualifications

• Knowledge and experience with electronic medical records.
• Ability to oversee, problem solve, and work collaboratively with peers, medical, analytical, and administrative support staff.
• Excellent written and verbal skills.
• Ability to work independently with little supervision.
• Ability and desire to be flexible, innovative, and creative.
• Ability to meet deadlines in a time sensitive environment.

Responsibilities

• Conduct reviews including chart screening, writing case summaries, determining documentation adequacy, researching insurer requirements, completing decision templates and preparing final determinations.
• Training and mentoring new RNs as the project expands.
• Responsible for the day-to-day management of the clinical reviewer’s teams assigned to them.
• Responsible for supervisory functions such as employee timelines, employee productivity and reporting measures, reviewing timesheets for final approval, approving time off requests, new employee checklist.
• Direct employees and subcontracted staff in meeting quality and on-time delivery requirements.
• Managing workflow and ensuring that employees understand their responsibilities and delegated tasks.
• Set performance goals and deadlines in alignment with the company vision and report variances to senior managers.
• Communicate directly with the customer to troubleshoot concerns, present case scenarios, and communicate new directives and solutions.

Skills

Electronic medical records

Oversight & problem solving

Written & verbal communication

Independence & self-management

Flexibility & creativity

Deadline-driven

Education

RN licensure

BSN or RN program graduate

Job description

IPRO in Jericho, NY is seeking a Clinical Supervisor (RN) to manage the full spectrum of Federal IDR case determinations, including chart reviews, case summaries, and final determinations. You will oversee clinical reviewers, train staff, and ensure timely delivery and quality across cases.

The role requires RN licensure, a BSN or equivalent, and 1) two years of clinical setting experience and 2) one year in Independent Dispute Resolution.