RN Utilization Review Case Management Supervisor

The Case Management Supervisor 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. ESSENTIAL FUNCTIONS & 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) For Supervisors who are not RN’s, the clinical oversight and direction will be performed by a designated RN with a nationally recognized certification. This could be a case management supervisor, another manager or local executive 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 KNOWLEDGE & SKILLS: 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 EDUCATION & EXPERIENCE: Graduate of accredited school of nursing with a diploma/associate's degree (Bachelor of Science degree or Bachelor of Science in Nursing preferred) Current California RN license Utilization Review and Workers Compensation Nurse Case Management experience National certification (CRC, CIRS, CCRN, CVE, CCM, etc.), CCM preferred Demonstrated experience in management or supervision Pay: Up to $120,000.00 per year Benefits: 401(k) 401(k) matching Dental insurance Employee assistance program Employee discount Flexible schedule Flexible spending account Health insurance Health savings account Life insurance Paid time off Parental leave Professional development assistance Referral program Retirement plan Tuition reimbursement Vision insurance Experience: Utilization Review : 1 year (Required) Workers Compensation Nurse Case Management : 1 year (Preferred) License/Certification: California RN License (Required) Work Location: Remote