Acentra Health
Clinical, Supervisor - RN - Full-time (Remote U.S.)
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Job Description
- Req#: 4726
Employer Industry: Healthcare Services
Why consider this job opportunity:
- Salary up to $88,271.00 per year
- Opportunity for career advancement and growth within the organization
- Work remotely anywhere within the continental U.S.
- Comprehensive health plans, paid time off, retirement savings, and corporate wellness programs
- Supportive and collaborative work environment focused on improving health outcomes
- Chance to make a positive impact on client satisfaction and care management practices
What to Expect (Job Responsibilities):
- Lead and oversee all Utilization Management (UM) activities, ensuring accuracy and timely completion
- Conduct utilization reviews to support workload demands and program requirements
- Monitor daily work queues and adjust staffing schedules to meet departmental demands
- Evaluate productivity and performance metrics of nurse reviewers to maintain high standards
- Serve as a liaison to customers and providers, ensuring timely resolution of issues and promoting service excellence
What is 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
How to Stand Out (Preferred Qualifications):
- Bachelor's degree preferred
- Strong verbal and written communication skills
- Excellent organizational and time management skills
- Proven ability to work both independently and collaboratively within a team environment
- Proficiency in Microsoft Office Suite and other relevant software applications
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