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Supervisor Registered Nurse Preservice Review Compact License

3 months ago

Austin, United States UnitedHealth Group Full time

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.

The Clinical Coverage Review Clinical Supervisor is responsible for leading and overseeing the day to day management of the clinical staff within a Clinical Coverage Review team. Responsibilities include management of the inventory, individual staff production, process improvement, service delivery, and quality management.

If you are located in Compact State, you will have the flexibility to work remotely* as you take on some tough challenges.

Primary Responsibilities:

  • Manages the execution of all operational activity for assigned staff
  • Responsible for measurement of team performance against business unit goals, and achievement of targeted metrics
  • Demonstrates and teaches critical thinking skills
  • Identifies opportunities to evaluate work and coaches/mentors staff accordingly
  • Working collaboratively with Medical Directors to facilitate Medical Director and staff interaction and problem solving
  • Implement procedures, goals and objectives within the department
  • Provide feedback for opportunities to improve operational systems, processes and policies in support of organizational mission and values -- specifically, support better management reporting, information flow and management, and business process
  • Works collaboratively as a team member to ensure company mission and values are incorporated into team culture.
  • Ensures licensure maintenance per Board of Nursing requirements as well as consistent application of review criteria through annual testing requirements
  • Ensure consistent service levels are maintained through managing staffing levels monitoring metrics, process improvement, and human resource management
  • Participate in quality improvement initiatives focusing on client satisfaction
  • Participate in the local auditing process
  • Responsible for consistent application of standard policy procedure and regulatory accreditation requirements
  • Ability to work and manage in a virtual team environment
  • Serves as the point person in escalated matters
  • Communicates and collaborates with other members of the care management organization to improve health care quality and efficiency, develop best practices, and identify provider and network issues
  • Other Duties as assigned


You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

  • Current unrestricted RN license in a Compact State
  • 2+ years of relevant work experience

Preferred Qualifications:

  • Undergraduate degree
  • Excellent communication and people skills


*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.