Supervisor, Concurrent Review RN

Supervisor of Concurrent Review RN responsible for overseeing staff coordinating member care, inpatient and discharge planning, and adherence to Medicare/Medicaid guidelines within managed care. Leads assessment of care appropriateness, ensures staffing and training, and enforces HR policies related to discipline, recruitment, and performance. Requires a Bachelor’s Degree in Nursing and 1–3 years of management experience; prior managed care experience in utilization or case management and knowledge of regulations and CQI methodologies are preferred. Proficient with Windows, Word, and Excel.