Remote RN Utilization Review Case Management Supervisor – California

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