The Clinical Supervisor is responsible for day-to-day operations of UM and Care Coordination activities of the PAC clinical department. Focuses on policy and strategy implementation for short-term results (1 year or less). Works collaboratively with the Hospital Case Management, eviCore leadership, Care Coordinators and Operations team acting as a liaison to ensure process compliance with case handling, appropriate discharge planning, and/or case management from the acute care setting and post-acute setting where applicable. Provides primary input to hiring, firing, promotion, performance and rewards decisions for direct reports.
Current unrestricted Registered Nurse licensure without restrictions in NY State.
Minimum 5 years clinical experience with at least 3 years managed care experience
3-4 years of experience in utilization management required with history of strong performance
Home health, SNF, and/or rehab experience desired
Medicare/Medicaid managed care programs preferred
Position is located in New York City.
Position will be full-time during core business hours plus rotational on call as needed
Ability to sit at a desk 50% of the time and utilize the computer, telephone, and other office equipment, throughout the entire work day; walking and standing
Dependable and reliable work schedule is essential
Demonstrate in-depth knowledge and understanding of business unit(s) and the organization
Time-management: Ability to effectively manages ones time and resources to ensure that work is completed efficiently
Communication: Ability to provide clear verbal and written information via in-person, email, and phone to customers, co-workers, and leadership
Critical-Thinking/Decision-making: Ability to choose a course of action or developing appropriate solutions by identifying and understanding issues, problems, and opportunities
Autonomy: Ability to work independently with little to no supervision
Proficient in computer literacy skills with ability to use and troubleshoot Microsoft Word, Excel, Outlook, and PowerPoint required
Experience using videoconferencing systems such as WebEx
Demonstrates knowledge and understanding of cultural competency and complies with privacy policies and practices
Proactively communicates regarding existing or potential issues and solicits support to help bring issue to resolution.
Ability to provide direct coaching, feedback and mentoring in a positive and constructive manner
Associated topics: asn, cardiothoracic, care unit, ccu, domiciliary, intensive care unit, nurse, psychiatric, registed, surgical
• Post ID: 143470097 newyork