Utilization Review Supervisor RN

About the role

The Utilization Review Supervisor RN 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.

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
• 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)
• 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

Requirements

• 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
• Skillful management of 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
• 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

Qualifications

• Graduate of accredited school of nursing with a diploma/associate's degree (Bachelor of Science degree or Bachelor of Science in Nursing preferred)
• Current RN licensure in state of operation
• 3 or more years of recent clinical experience, preferably in rehabilitation
• National certification (CRC, CIRS, CCRN, CVE, CCM, etc.), CCM preferred
• Demonstrated experience in management or supervision

Skills

• Clear written and verbal communication skills
• Ability to remain poised in stressful situations and communicate diplomatically
• Management of multiple, complex projects and competing priorities
• Independent work and availability to others
• Computer proficiency and technical aptitude
• Technical knowledge of applicable laws, policies, and procedures
• Interpersonal, time management and analytical skills
• Attention to detail and focus on results

Benefits

A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off. CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.