Nurse Supervisor, Clinical Care Team Quality

Summary

Join Oscar's Clinical Care team as a Quality Nurse Supervisor! You will oversee and manage the daily operations of the nursing team, including staffing, queue management, and regulatory compliance. This role involves strategic initiative support, serving as the primary escalation point for your teams, and driving clinical auditing and performance. You will also support new clinician onboarding and training, collaborate with other teams on new programs, and ensure compliance with all applicable laws and regulations. The position offers a blended work culture with remote options and a competitive salary and benefits package. This management-level role requires a strong clinical background and leadership experience. The position is open to candidates residing in several states.

Requirements

• Active, unrestricted Registered Nurse (RN) licensure from the United States and in the state of hire, OR, active compact multistate unrestricted RN license as defined by the Nurse Licensure Compact (NLC)
• Associate Degree and/or Bachelors of Nursing from an accredited school of nursing
• 5+ years healthcare experience (including at least 2 years clinical practice in an acute care setting)
• 3+ years of clinical quality or case management experience at a managed care plan or provider organization
• 1+ years of leadership/mentorship/peer coaching experience

Responsibilities

• Own daily workforce management, including staffing and queue assignments, PTO/leave, and payroll/compensation
• Manage queue on a daily basis, ensuring compliance with regulatory timelines, staff coverage, and coordination with internal teams for forecasting and timely handling of ad hoc escalations
• Ensure team adheres to department policies and workflows and serve as continual champion of the Oscar mission
• Drive and own the success of clinical auditing and performance through ongoing evaluations; effectively use Oscar tools to monitor and trend nurse productivity and auditing data for assessment and reporting
• Support the onboarding and training of newly-hired clinicians and partner with the Clinical Quality & Training teams on the development and maintenance of clinical training and resource material
• Partner with the Talent Acquisition team on clinical hiring initiatives
• Collaborate with the Clinical Care Team (case management - both clinical and non clinical) on new programs and goals to become a SME on the program workflows and requirements and advise the Clinical Care Team of any quality implications. Adapt auditing practices to align with the evolving needs of the Clinical Care Team
• Comply with department performance and quality metrics, and adhere to training and remediation requirements
• Compliance with all applicable laws and regulations
• Other duties as assigned

Preferred Qualifications

• Bachelors of Nursing (BSN) degree
• Masters of Science in Nursing (MSN) degree, or MBA/Healthcare administration degree
• Project management certification (e.g. Six Sigma, SCRUM, Agile)
• Leadership/management experience
• Experience analyzing and interpreting performance and other forms of data
• Proficiency using Google Suite

Benefits

• Medical, dental, and vision benefits
• 11 paid holidays
• Paid sick time
• Paid parental leave
• 401(k) plan participation
• Life and disability insurance
• Paid wellness time and reimbursements