Weekend RN Supervisor

Summary

Join Cohere Health's growing team as an RN Supervisor, Clinical Operations! This crucial role involves coaching, mentoring, and evaluating a team of RN Reviewers, ensuring they meet performance metrics and quality standards. You will provide daily operational guidance, leverage your communication skills to foster a high-performing team, and plan daily activities. Close collaboration with leadership is key, and this position offers substantial growth opportunities within a supportive and inclusive environment. The role requires a Registered Nurse license, supervisory experience, and knowledge of healthcare regulations. A competitive salary and benefits package are included.

Requirements

• Registered Nurse with an active and unencumbered license to practice
• 2-3 years of supervisory/management experience
• Knowledge of NCQA/CMS requirements
• Experience using MCG, CMS NCDs/LCDs, clinical criteria guidelines
• Prior Authorization or Utilization Management experience
• Excellent computer skills and familiarity with a Mac
• Experience supervising and training in a remote work environment

Responsibilities

• Oversee the weekend RN Reviewer team including one RN Team Lead
• Establish a plan for the day and communicate to all staff daily
• Manage the daily timeliness report and ensure all cases meet expected turnaround times
• Monitor the nurse productivity reports daily and provide feedback to the nurses, managing performance to ensure consistency
• Lead weekly team meetings
• Capture process efficiency ideas from the team and work with the appropriate stakeholders to recommend and lead changes needed to improve nurse efficiency
• Meet individually with all direct reports on bi-weekly cadence to develop solid work relationships with each team member and to share any performance feedback, positive and constructive
• Working with the RN Reviewer Leads, track hourly nurse productivity, keeping the Director/Manager informed on productivity results as needed
• Train and Develop new RNs who join the team
• Oversee daily newsletter publication
• May be asked to help with other projects as needed

Benefits

• Health insurance
• 401k
• Bonus