Registered Nurse (RN) Supervisor

ProviDRs Care•Wichita, KS

4d•Onsite

About The Position

The RN Supervisor provides operational and clinical leadership for the Integrated Health Management Department by supervising Utilization Review, Case Management, and Care Navigation staff. This position oversees daily operations, supports staff development, ensures regulatory compliance, monitors departmental performance, and serves as the Director's designee when needed. The RN Supervisor also participates in Utilization Review activities (approximately 3–4 hours daily, based on operational needs) and assists with Care Navigation functions as necessary while serving as a clinical resource for staff, providers, employer groups, brokers, PBMs, stop-loss carriers, and executive leadership.

Requirements

Current unrestricted Kansas RN license.
Five years of progressive nursing experience.
Two years of supervisory or leadership experience.
Strong leadership, communication, organizational, and problem-solving skills.
Strict confidentiality and sound professional judgment is required at all times.

Nice To Haves

BSN preferred; Associate Degree with significant leadership experience considered.
Experience in Utilization Review, Case Management, Managed Care, Population Health, or Health Plan operations.
CCM, ACM, or UR certification.
Experience with TPAs and self-funded health plans.
Knowledge of PBMs, specialty medications, stop-loss, and NCQA/URAC or state UR standards.

Responsibilities

Perform Utilization Review activities as assigned.
Support Care Navigation operations as needed.
Provide clinical guidance on complex UR, Case Management, and Care Navigation cases.
Review documentation for quality, completeness, and regulatory compliance.
Ensure compliance with organizational policies, accreditation standards, and evidence-based guidelines.
Train and onboard new employees.
Complete competency assessments and identify educational needs.
Monitor employee performance and productivity.
Participate in evaluations, coaching, corrective action, attendance management, and employee recognition.
Recommend performance improvement and disciplinary actions to the Director.
Serve as a resource for members, providers, employer groups, brokers, PBMs, stop-loss carriers, vendors, and internal departments by resolving operational and clinical issues, responding to escalated questions, coordinating communication, and representing the department professionally.
Monitor timekeeping, staffing schedules, productivity, KPIs, documentation audits, and departmental reports.
Assist with recruiting, interviewing, onboarding, policy development, and departmental projects.
Keep the Director informed of significant clinical, operational, personnel, or regulatory concerns.
Manage daily department operations, assign work, coordinate staffing, monitor quality and productivity, provide clinical guidance, coach staff, and resolve routine operational issues.