RN Supervisor: Medical Management & Quality Oversight

SCAN Health Plan; Long Beach (CA); Hybrid; USD 92,000 - 134,000; Full time

Benefits offered by this job

Annual bonus program

Wellness program

Generous PTO and holidays

401(k) with employer match

Tuition reimbursement

Job summary

SCAN Health Plan is seeking a Supervisor of Medical Management-RN to provide oversight to Medical Management staff in Long Beach. This role focuses on quality care, regulatory compliance, and guiding clinical decision-making.

The ideal candidate has 2–3 years of nursing experience with leadership, inpatient utilization management, and Medicare Advantage knowledge. You will coach staff, conduct audits, and help develop policies and training materials.

Qualifications

• Active RN license required.
• Associate's degree in nursing required; bachelor’s degree preferred.
• 2–3 years of nursing experience.
• 1+ year leadership experience preferred.
• Experience with inpatient utilization management required.
• Knowledge of Medicare Advantage required.

Responsibilities

• Provide oversight and support to Medical Management clinical staff.
• Ensure compliance with regulatory and quality standards.
• Manage a partial caseload to support staff as needed.
• Conduct regular audits to ensure quality and compliance.
• Implement corrective action measures as necessary.
• Provide guidance on complex clinical issues and escalation needs.
• Support department needs around policies, procedures, and training materials.
• Communicate job expectations and appraise job results.
• Actively support the achievement of SCAN’s Vision and Goals.
• Perform other duties as assigned.

Skills

Leadership

Regulatory compliance

Clinical oversight

Education

Associate's Degree in Nursing

Bachelor's degree preferred

Job description

SCAN Health Plan is seeking a Supervisor of Medical Management-RN to provide oversight to Medical Management staff in Long Beach. This role focuses on quality care, regulatory compliance, and guiding clinical decision-making.

The ideal candidate has 2–3 years of nursing experience with leadership, inpatient utilization management, and Medicare Advantage knowledge. You will coach staff, conduct audits, and help develop policies and training materials.