RN Clinical Supervisor – IDR Case Management Lead

IPRO; Jericho (NY); Hybrid; USD 92,000 - 100,000; Full time

Job summary

IPRO in Jericho, NY seeks a Clinical Supervisor (RN) to oversee the full spectrum of Federal IDR case determinations, including clinical reviews and physician level assignments. The role manages case staging between external experts, guides appeals, and directs a team of clinical reviewers to ensure timely, accurate final determinations.

The ideal candidate is a licensed RN with a BSN or approved program, 2 years clinical experience, and 1 year in IDR.

Qualifications

• RN license required.
• BSN or approved RN training program.
• Minimum 2 years clinical experience.
• Minimum 1 year in Independent Dispute Resolution.
• Strong communication and organizational skills.
• Ability to lead and train teams.

Responsibilities

• Conduct clinical reviews and chart screening.
• Determine physician level assignment and case staging.
• Oversee appeal processes within strict deadlines.
• Direct clinical reviewers and monitor quality.
• Train and mentor new RNs.
• Manage timesheets, productivity, and attendance.
• Set performance goals and report variances.
• Communicate with customers to resolve issues.

Skills

EMR systems

Team supervision

Communication skills

Independent work

Deadline-driven

Education

RN license

BSN or approved RN program

Tools

EMR software

Job description

IPRO in Jericho, NY seeks a Clinical Supervisor (RN) to oversee the full spectrum of Federal IDR case determinations, including clinical reviews and physician level assignments. The role manages case staging between external experts, guides appeals, and directs a team of clinical reviewers to ensure timely, accurate final determinations.

The ideal candidate is a licensed RN with a BSN or approved program, 2 years clinical experience, and 1 year in IDR.