Clinical Supervisor - RN - Full-time - On-site (Topeka, KS)

Acentra Health, LLC

  • Topeka, KS
  • Permanent
  • Full-time
  • 2 months ago
Company Overview:Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact.Lead the Way is our rallying cry at Acentra Health. Think of it as an open invitation to embrace the mission of the company; to actively engage in problem-solving; and to take ownership of your work every day. Acentra Health offers you unparalleled opportunities. In fact, you have all you need to take charge of your career and accelerate better outcomes – making this a great time to join our team of passionate individuals dedicated to being a vital partner for health solutions in the public sector. Job Summary and Responsibilities:Acentra Health is looking for a Clinical Supervisor to join our growing team.Job Summary:
  • The Clinical Supervisor directs and oversees all clinical program activities, emphasizing the need for overall consistency, thoroughness, and accuracy. The primary purpose is to guide the program towards enhanced clinical efficiencies, ensuring that deliverables and assigned contract functions consistently meet the highest standards.
Responsibilities:
  • Assures accuracy and timeliness of all applicable review type cases within contract requirements.
  • Assesses, evaluates and addresses daily workload and queues.
  • Responsible for the quality monitoring activities including identifying areas of improvement and plan implementation of improvement areas including quarterly audits, QIP, database management.
  • Maintains current knowledge base related to review processes and clinical practices related to the review processes.
  • Functions as providers' liaison and contact/resource person for provider customer service issues and problem resolution.
  • Performs all applicable review types as workload indicates.
  • Read, understand, and adhere to all corporate policies including policies related to HIPAA and its Privacy and Security Rules.
This role is contingent upon being awarded a contract. Start dates and final offers are contingent upon the contract award and final contract start dates. Qualifications:Required Qualifications/Experience:
  • Active, unrestricted Licensed RN in the state of Kansas.
  • Extensive experience managing clinical care management, Utilization Management (UM) operations.
  • 1+ years of InterQual and/or Milliman (MCG) criteria experience.
  • 1+ years of Utilization Review (UR) OR Utilization Management (UM) OR Prior Authorization (PA) experience.
  • Experience using systems that support Utilization and Case Management processing.
  • 2+ years of clinical management experience.
  • Must reside in the State of Kansas, within 5 miles of Topeka, Kansas.
  • Must work on-site in Topeka, Kansas Monday through Friday 8:00 AM to 5:00 PM Central.
Preferred Qualifications/Experience:
  • Bachelor's Degree or equivalent directly applicable experience in nursing, healthcare administration, or related area.
  • Strong verbal and written communication skills are essential.
  • Current working knowledge of utilization management, and managed care.
  • Customer-focused, results-oriented, with the ability to build and maintain relationships with both internal and external customers.
  • Organizational skills and the ability to plan and prioritize multiple assignments are essential.
  • Proficient in examining and re-examining operations and procedures, formulating policy, and developing and implementing new strategies and procedures.
  • Familiarity with the U.S. healthcare industry.
  • Demonstrated expertise in managing diverse customer needs.
  • Ability to participate as a team member, fostering collaborative decision-making among leadership, committees, teams, or workgroups of diverse composition.
  • Proficiency in Microsoft Office applications and other essential software programs for job functions.
  • Ability to develop, plan, and implement short- and long-range goals.
  • Capability to provide technical guidance and leadership to the management team.
  • Advanced verbal and written communication skills, with the ability to work effectively with a wide range of constituencies in a diverse community.
#LI-SD1Why us?We are a team of experienced and caring leaders, clinicians, pioneering technologists, and industry professionals who come together to redefine expectations for the healthcare industry. State and federal healthcare agencies, providers, and employers turn to us as their vital partner to ensure better healthcare and improve health outcomes.We do this through our people.You will have meaningful work that genuinely improves people's lives across the country. We are a company that cares about our employees, and we give you the tools and encouragement you need to achieve the finest work of your career.BenefitsBenefits are a key component of your rewards package. Our benefits are designed to provide you with additional protection, security, and support for both your career and your life away from work. Our benefits include comprehensive health plans, paid time off, retirement savings, corporate wellness, educational assistance, corporate discounts, and more.CompensationThe pay range for this position is listed below.“Based on our compensation philosophy, an applicant’s position placement in the pay range will depend on various considerations, such as years of applicable experience and skill level.”Thank You!We know your time is valuable and we thank you for applying for this position. Due to the high volume of applicants, only those who are chosen to advance in our interview process will be contacted. We sincerely appreciate your interest in Acentra Health and invite you to apply to future openings that may be of interest. Best of luck in your search!~ The Acentra Health Talent Acquisition TeamVisit us atEEO AA M/F/Vet/DisabilityAcentra Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran or any other status protected by applicable Federal, State or Local law. Pay Range: USD $67,270.00 - USD $85,000.00 /Yr.

Acentra Health, LLC