RN Supervisor

Cohere Health

1d • $85,000 - $95,000 • Remote

About The Position

The RN Supervisor, Clinical Operations position is a crucial role in Cohere’s Service Operations team, responsible for ensuring healthcare partners are supported throughout their lifecycle of using the platform. This role focuses on coaching, mentoring, evaluating, and developing the RN Reviewer team, utilizing established operational tools to ensure staff meet or exceed performance metrics and quality standards. The RN Supervisor will provide daily operational guidance to RN Reviewers to meet or exceed operational objectives and metrics, leveraging creative and communication skills to foster a high-performing clinical team. The position requires strong organizational skills for planning daily operational activities and overseeing the RN Reviewer team, inspiring the team to meet or exceed performance standards through professionalism and communication. This role offers significant opportunities for growth and the ability to make a substantial impact within a growing organization.

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.
• The ability to work 10am-7pm or 11am-8pm EST

Responsibilities

• Oversee the 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

• Medical, dental, vision, life, disability insurance, and Employee Assistance Program
• 401K retirement plan with company match
• flexible spending and health savings account
• Up to 184 hours (23 days) of PTO per year
• company holidays
• Up to 14 weeks of paid parental leave
• Pet insurance

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed