RN Supervisor - Medical Management & Concurrent Review

CommunityCare HMO Inc.; Tulsa (OK); On-site; USD 85,000 - 110,000; Full time

Job summary

CommunityCare HMO Inc. is seeking a Nursing Supervisor to oversee daily workflow and staff leadership in an acute care setting. You will develop operating procedures and manage personnel and resources to ensure efficient operations.

The role requires RN licensure in Oklahoma, a BSN preferred, and at least three years of clinical nursing experience with two years of management experience preferred. Equal opportunity employer and commitment to compliance are stated.

Qualifications

• Ability to plan, organize, schedule, and effect procedural changes.
• Ability to effectively lead, direct and supervise others.
• Ability to reason logically and to use good judgment when interpreting materials or situations.
• Ability to work quickly and accurately with quantitative information.
• Ability to organize time effectively and set priorities.
• Strong written and oral communication skills.
• Proficient in Microsoft applications.
• Knowledge of managed care and benefit plans.

Responsibilities

• Supervise and coordinate daily workflow and leadership of staff.
• Develop operating procedures and manage personnel and resources.
• Serve as a resource to the department staff by providing technical direction and resolving workflow problems.
• Assess workload and staffing patterns; select, assign, evaluate personnel; take caseload to assist staffing needs; ensure authorization timeframes and regulatory requirements are met.
• Interview, hire, train, and review eligibility personnel; analyze current policies; develop SOPs and workflows.
• Attend departmental, interdepartmental, and facility meetings as needed.
• Perform other duties as assigned.

Skills

Team leadership

Workflow management

Strategic planning

Communication skills

Quantitative analysis

Time management

Microsoft Office

Managed care knowledge

Education

Registered Nurse (RN) license

BSN preferred

Job description

CommunityCare HMO Inc. is seeking a Nursing Supervisor to oversee daily workflow and staff leadership in an acute care setting. You will develop operating procedures and manage personnel and resources to ensure efficient operations.

The role requires RN licensure in Oklahoma, a BSN preferred, and at least three years of clinical nursing experience with two years of management experience preferred. Equal opportunity employer and commitment to compliance are stated.