RN Clinical Supervisor – Utilization Management Lead

Acentra Health, LLC; United States; On-site; USD 84,000 - 92,000; Full time

Benefits offered by this job

Health plans

Paid time off

Retirement savings

Educational assistance

Corporate discounts

Job summary

Acentra Health is seeking a Clinical Supervisor (RN) to lead Utilization Management activities and maintain high clinical standards. The role focuses on improving contract compliance, program effectiveness, and customer relations across health programs.

The supervisor will oversee daily utilization reviews, provide SME guidance, and collaborate with leadership teams to achieve quality outcomes. Indiana RN licensure and prior UM leadership experience are essential.

Qualifications

• Active, unrestricted Licensed RN in Indiana or compact license.
• Associate degree or equivalent directly applicable experience in nursing, healthcare administration or related area.
• 2+ years of health care management experience
• 5+ years of experience in a lead position in a quality and utilization management program.

Responsibilities

• Manage and oversee Utilization Management activities.
• Ensure overall consistency, thoroughness, and accuracy of clinical programs.
• Oversee program to ensure clinical efficiencies, deliverables, and contract functions meet high standards.
• Strengthen relationships with customers and meet contract requirements.
• Provide day-to-day oversight to manage the utilization review program.
• Read, understand, and adhere to all corporate policies including HIPAA and its Privacy and Security Rules.

Skills

Verbal and written communication

Leadership

Utilization management knowledge

Customer relationship skills

HIPAA rules knowledge

Technical guidance

Education

Associate degree

Bachelor's degree preferred

Tools

Systems for Utilization Review processing

Job description

Acentra Health is seeking a Clinical Supervisor (RN) to lead Utilization Management activities and maintain high clinical standards. The role focuses on improving contract compliance, program effectiveness, and customer relations across health programs.

The supervisor will oversee daily utilization reviews, provide SME guidance, and collaborate with leadership teams to achieve quality outcomes. Indiana RN licensure and prior UM leadership experience are essential.