Job Summary
A company is looking for a Clinical Review Supervisor to lead a team of clinical professionals in delivering high-quality utilization management services.
Key Responsibilities
- Oversee recruitment, onboarding, training, and performance evaluations of clinical staff
- Coordinate team workflow to ensure timely and accurate deliverables while supporting utilization management activities
- Lead policy development to ensure compliance with legal and accreditation requirements
Required Qualifications
- Active, unrestricted RN license is required
- Case Management Certification (CCM) is required if performing case management duties, or must be obtained within two years of hire
- Minimum of 3 years' experience in medical management or a related field
- At least 1 year of supervisory or team lead experience preferred
- 5 years of direct patient care experience is desirable
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