RN Nurse Supervisor (Virtual) - Prior Authorizations - 40 Hours Weekly - Day Shift - HAP Health[...]

Henry Ford Health System; Troy (MI); Remote; USD 75,000 - 95,000; Full time

Job summary

A regional healthcare provider is seeking an RN Registered Nurse Supervisor for their Prior Authorization Team. This remote role involves supervising workflow, enhancing processes, and training staff. The ideal candidate requires a Nursing Diploma, Michigan licensure, and at least two years of nursing experience. Strong communication and supervisory skills are essential. The schedule is Monday through Friday with day shifts.

Benefits

Full Time Benefit Eligible

Qualifications

• Minimum of two years of professional Medical/Surgical nursing experience required.
• Managed Care experience required.
• Registered Nurse - Michigan licensure required.

Responsibilities

• Supervise the workflow and throughput of Utilization Management.
• Develop staff through competencies, education, and training.
• Provide timely response to customer and staff needs.

Skills

Supervisory skills

Coordination

Medical necessity evaluation

Training and development

Effective communication

Education

Nursing Diploma or Equivalent

Bachelor's Degree in health care or related field

Job description

RN REGISTERED NURSE SUPERVISOR (VIRTUAL) - PRIOR AUTHORIZATIONS - 40 HOURS - DAY SHIFT

Full Time Benefit Eligible

Schedule: Monday through Friday, 8:00AM to 4:30PM, Remote

GENERAL SUMMARY:

Unit Description:

Health Alliance Plan (HAP) is looking to grow our Prior Authorization Team! We are a team of Registered Nurses (5 and counting), and Administrative Professionals (3) that review medical necessity and medical criteria for all prior authorizations within our system in partnership with our Medical Director.

• To supervise the workflow and throughput of Utilization Management by evaluating and improving processes using innovative methods.
• Develop staff through competencies, education and training.
• Coordinate multiple activities and requests.
• Provide timely response to customers, staff and management needs.
• Interact effectively with staff and establish priorities.

This posting represents the major duties, responsibilities, and authorities of this job, and is not intended to be a complete list of all tasks and duties. It should be understood, therefore, that employees may be asked to perform job-related duties beyond those explicitly described above.

EDUCATION AND EXPERIENCE:

• Nursing Diploma or Equivalent required
• Bachelor's Degree in health care or related field preferred.
• Minimum of two (2) years of professional Medical/Surgical nursing experience required.
• Managed Care experience required.
• Experience in managing resources required.
• Trainer/preceptor experience required.
• Registered Nurse- Michigan licensure required.

Additional Information

• Organization: HAP (Health Alliance Plan)


• Department: Prior Authorizations


• Henry Ford Health Location: HAP (Health Alliance Plan)


• Shift: Day Job


• Union Code: Not Applicable