Supervisor, Medical Management (RN or LVN)
Core
Provide oversight and support to Medical Management clinical staff, operations, and department adherence to protocol and procedures, regulatory compliance standards.
Role type
Supervisor, Medical Management (RN or LVN)
Builds
Quality nursing activities and staff functions in compliance with regulatory standards
Domain
Healthcare / Senior Care / Medicare Advantage
Required skills
Regulatory compliance, Clinical performance auditing, Staff coaching and education, Performance improvement planning, Policy and procedure management, Quality metrics alignment
Preferred skills
AI curiosity, Leadership development, Problem solving
Technologies
CMS, DMHC, DHCS, NCQA
Responsibilities
Ensure staff perform functions compliant with all regulatory requirements, clinical standards and internal policies; Provide oversight to the overall quality of nursing activities and staff functions; Ensure productivity and quality metrics are aligned with department goals; Conduct regular audits to ensure quality and compliance and monitoring outcomes of Interrater Reliability testing; Provide guidance and support to staff around complex clinical issues; Support the department needs around policy and procedures, desktop procedures, workflows and training materials.
Seniority
Mid-level, hands-on IC with basic leadership skills
