[Hiring] Clinical Supervisor @Acentra Health, LLC

Role Description

Acentra Health is looking for a Clinical Supervisor to join our growing team.

Supervises Review Operations day-to-day activities of the nurse reviewers or prior authorization requests in the assigned areas to successfully meet contract deliverables. Assists in meeting contract deliverables related to the Review Department within budgetary parameters.

• Assures accuracy and timeliness of all applicable review type cases within contract requirements.
• Assesses, evaluates and addresses daily workload and queues; adjusts work schedules daily to meet the workload demands of the department.
• Analyzes productivity of nurse reviewers.
• Identifies Clinical Reviewers' orientation and continuous learning needs and in collaboration with the Manager, Operations, develops and implements plans to address those identified learning needs.
• Responsible for the quality monitoring activities including identifying areas of improvement and plan implementation of improvement areas including quarterly audits, QIP, database management, and assisting with IRR.
• Maintains current knowledge base related to review processes and clinical practices related to the review processes; functions as the initial resource to nurse reviewers regarding all review process questions and/or concerns.
• Functions as providers' liaison and contact/resource person for provider customer service issues and problem resolution.
• Performs all applicable review types as workload indicates.
• Read, understand, and adhere to all corporate policies including policies related to HIPAA and its Privacy and Security Rules.

Qualifications

• Active RN licensure required.
• ASN or equivalent nursing education required; BSN or related Bachelor's degree preferred.
• Minimum of three (3) years supervisory experience in a healthcare field with a minimum of 1-3 years' review experience required.
• Two years' recent clinical experience.
• Previous workload management experience strongly preferred.

Requirements

• Excellent verbal and written communication skills essential.
• Excellent interpersonal skills required.
• Organizational skills, ability to plan and prioritize multiple assignments essential.
• Computer proficiency in Microsoft Office and other software programs operating in a Windows environment.

Benefits

• Comprehensive health plans.
• Paid time off.
• Retirement savings.
• Corporate wellness.
• Educational assistance.
• Corporate discounts.
• And more.

Compensation

The pay range for this position is listed below.

“Based on our compensation philosophy, an applicant’s position placement in the pay range will depend on various considerations, such as years of applicable experience and skill level.”

Thank You!

We know your time is valuable and we thank you for applying for this position. Due to the high volume of applicants, only those who are chosen to advance in our interview process will be contacted. We sincerely appreciate your interest in Acentra Health and invite you to apply to future openings that may be of interest. Best of luck in your search!

~ The Acentra Health Talent Acquisition Team

Visit us at https://careers.acentra.com/jobs

EEO AA M/F/Vet/Disability

Acentra Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, national origin, disability, status as a protected veteran or any other status protected by applicable Federal, State or Local law.

Pay Range: USD $83,520.00 - USD $84,088.00 /Yr.