Clinical, Supervisor

Acentra Health, LLC•UNAVAILABLE, UNAVAILABLE

2d•Onsite

About The Position

Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact. Lead the Way is our rallying cry at Acentra Health. Think of it as an open invitation to embrace the mission of the company; to actively engage in problem-solving; and to take ownership of your work every day. Acentra Health offers you unparalleled opportunities. In fact, you have all you need to take charge of your career and accelerate better outcomes – making this a great time to join our team of passionate individuals dedicated to being a vital partner for health solutions in the public sector. Acentra Health is looking for a Clinical, Supervisor to join our growing team. Job Summary: 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.

Requirements

Active MN 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.

Nice To Haves

Previous workload management experience strongly preferred.
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.

Responsibilities

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.
Identify 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.