Clinical Review Supervisor (Remote - RN)

Company: Kepro
Location: Harrisburg
Posted on: May 15, 2022

Job Description:

Description

Clinical Review Supervisor (RN) - Fully Remote

• Are you an experienced Clinical Review Supervisor looking for a new challenge?
• Do you value care management and quality improvement?
• Are you motivated, energetic, and excited to become part of the Kepro team?
  If so, you might be our next new team member!
  
  Who We Need
  
  The Clinical Review Supervisor supervises review operations day-to-day activities of the nurse reviewers in the assigned areas to successfully meet contract deliverables. Assists in meeting contract deliverables related to the Review Department within budgetary parameters.
  
  Why us?
  
  Kepro is a rapidly growing national quality improvement and care management organization. We work to ensure that over 20 million people receive the right care, at the right time, in the right setting.
  
  People Focused. Mission Driven.
  
  Shape the future of healthcare with us. We are mission driven to improve lives through healthcare quality and clinical expertise.
  
  We do this through our people.
  
  At Kepro, you can do meaningful work that makes a real difference for the lives of individuals across the country. We are an organization that cares deeply about our employees and we provide the training and support to do the best work of your career.
  
  Benefits are a key component of your rewards package at Kepro. These benefits are designed to provide you and your family additional protection, security, and support for both your career and your life away from work. They are comprehensive and fit a variety of needs and situations. Our benefits include comprehensive health plans, paid time off, retirement savings, corporate wellness, educational assistance, corporate discounts and more.
  
  What You'll Do
  
  • Assures accuracy and timeliness of all applicable review type cases within contract requirements.
  • Assesses, evaluates and addresses daily work load and queues; adjusts work schedules daily to meet the workload demands of the department.
  • Analyzes productivity of nurse reviewers.
  • Identify Clinical Reviewers' orientation and continuous learning needs and in collaboration with the Manager, Operations, develops and implements plans to address those identified learning needs.
  • Responsible for the quality monitoring activities including identifying areas of improvement and plan implementation of improvement areas.
  • Maintains current knowledge base related to review processes and clinical practices related to the review processes; functions as the initial resource to nurse reviewers regarding all review process questions and/or concerns.
  • Functions as providers' liaison and contact/resource person for provider customer service issues and problem resolution.
  • Performs all applicable review types as workload indicates.
    The list of accountabilities is not intended to be all-inclusive and may be expanded to include other duties that management may deem necessary from time to time.
    
    What You'll Need
    
    Required Qualifications
    
    • Active RN licensure required.
    • ASN or equivalent nursing education required. BSN or related Bachelor's degree preferred.
      Knowledge, Skills, Abilities
      
      • Excellent verbal and written communication skills essential.
      • Excellent interpersonal skills required.
      • Organizational skills, ability to plan and prioritize multiple assignments essential.
      • Computer proficiency in Microsoft Office and other software programs operating in a Windows environment.
        Experience
        
        • Minimum of three (3) years supervisory experience in a health-care field with a minimum of 1-3 years review experience required.
        • Two years recent clinical experience.
        • Previous workload management experience strongly preferred.
          Thank You!
          
          We know your time is valuable and we thank you in advance for applying for this position. Due to the high volume of applicants we receive, only those who are chosen to advance in our interview process will be contacted. We sincerely appreciate your interest in Kepro and invite you to apply to future openings that may be of interest. Best of luck in your search!
          
          - The Kepro Talent Acquisition Team
          
          Mental And Physical Requirements
          
          The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations will be made as required by law in an attempt to enable an individual with a disability to perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to sit for prolonged periods of time; key and/or control objects; interact extensively with internal and external customers; occasionally lift and/or move objects weighing up to 10 pounds; and occasionally travel within the state.
          
          EOE AA M/F/Vet/Disability
          
          Kepro 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, or status as a protected veteran.

Keywords: Kepro, Harrisburg , Clinical Review Supervisor (Remote - RN), Healthcare , Harrisburg, Pennsylvania