Utilization Review Supervisor RN

CorVel Career Site•Rancho Cucamonga, CA

1d•Remote

About The Position

The Utilization Review Supervisor RN is responsible for directing the operations of their designated department, which may include one or more of the following functions: human resources, customer service, and limited sales management. This is a remote position.

Requirements

Graduate of accredited school of nursing with a diploma/associate's degree (Bachelor of Science degree or Bachelor of Science in Nursing preferred)
Current RN licensure in state of operation
3 or more years of recent clinical experience, preferably in rehabilitation
National certification (CRC, CIRS, CCRN, CVE, CCM, etc.), CCM preferred
Demonstrated experience in management or supervision
Clear written and verbal communication skills with the ability to communicate complex ideas across multiple platforms
Ability to remain poised in stressful situations and communicate diplomatically
Ability to skillfully manage multiple, complex projects and competing priorities while working under pressure to meet deadlines and maintaining strong customer service orientation
Ability to work independently, while remaining available to others
Computer proficiency and technical aptitude with the ability to utilize Microsoft Office including Excel spreadsheets
Must have technical knowledge of applicable laws, policies, and procedures in defined territory
Strong interpersonal, time management and analytical skills
Great attention to detail and focus on results

Nice To Haves

Bachelor of Science degree or Bachelor of Science in Nursing preferred
CCM preferred

Responsibilities

Responsible for directing a designated group of employees in their day-to-day operations
Responsible for quality of service provided
Responsible for human resources matters directly related to department supervised
May be required to travel overnight and attend meetings
May perform daily, weekly, monthly reviews of various reports, invoices, logs and expenses
May be responsible for limited marketing and sales activities
May be required to oversee case management clinical activities (dependent on whether or not unit manager is an RN)
May perform case management responsibilities (dependent on whether or not unit manager is an RN for medical case management activities or qualified for vocational case management)
Additional duties as assigned