Job Summary
A company is looking for a Clinical Supervisor - RN - Full-time (Remote U.S.).
Key Responsibilities
- Lead and oversee all Utilization Management (UM) activities, ensuring accuracy and timely completion
- Monitor daily work queues and adjust staffing schedules according to departmental demands
- Evaluate productivity and performance metrics of nurse reviewers to maintain high standards of efficiency and quality
Required Qualifications
- Active, unrestricted Registered Nurse (RN) license in the state of Indiana or a valid compact state license
- Associate degree or equivalent experience directly applicable to clinical practice
- 5+ years of experience as a practicing RN
- 5+ years of supervisory experience in a healthcare setting, with a minimum of 2+ years in Utilization Management
- 2+ years of experience applying InterQual and/or MCG clinical criteria in utilization review processes
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