Supervisor, Medical Management-RN

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

About This Role:

The Supervisor of Medical Management-RN provides oversight and support to clinical staff, ensuring adherence to protocols, regulatory compliance, and quality standards. This role is ideal for experienced nurses looking to lead and improve care for older adults.

Highlights:

• Pay: $92,400 - $133,671/year
• Location: Long Beach, CA
• Schedule: Full-time, Mostly Remote

What You’ll Do:

• 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.

Requirements:

Education:

• Associate's Degree in Nursing required, Bachelor's Degree preferred.

Experience:

• 2-3 years of related experience required.
• 1+ years of leadership experience preferred.
• Experience with inpatient Utilization Management required.
• Knowledge of Medicare Advantage required.

Licenses & Certifications:

• Current RN License required.

Benefits:

• Annual employee bonus program
• Robust Wellness Program
• Generous paid-time-off (PTO)
• 11 paid holidays per year, 1 floating holiday, birthday off, and 2 volunteer days
• Excellent 401(k) Retirement Saving Plan with employer match
• Tuition reimbursement

About SCAN Health Plan:

SCAN Health Plan is a nonprofit health organization dedicated to improving care for older adults. Founded in 1977, they serve over 500,000 people across multiple states, focusing on delivering exceptional patient care through innovative and compassionate services.