Job Summary
A healthcare platform service company has an open position for a Remote Service Operations Clinical Supervisor.
Core Responsibilities of this position include:
- Overseeing the RN Reviewer team including one RN Team Lead
- Establishing a plan for the day and communicate to all staff daily
- Leading daily team meetings
Skills and Requirements Include:
- Registered Nurse with an active and unencumbered license to practice
- 2-3 years of supervisory/management experience
- Knowledge of NCQA/CMS requirements
- Experience using Milliman Care Guidelines
- Prior authorization or Utilization Management experience