Top 959 Rn Supervisor Jobs in Pennsylvania

RN Supervisor, Appeals, Managed Care, UM
Centene —Pennsylvania
- $75,300 - $135,400 a year
- Full-time
- Nursing
- RN License
- Mid-level
- Paid holidays
- Health insurance
6d
Supervisor, Clinical Triage (RN) Connect to Care - Access Center
St. Luke's University Health Network —Allentown, PA
- Full-time
- Remote
- Nursing
- RN License
- Research
- Work from home
3d
Supervisor, Clinical Triage (RN) - Access Center, Primary Care (PA & NJ Residents Only)
St. Luke's University Health Network —Allentown, PA
- Full-time
- Remote
- Nursing
- Primary Care
- Research
- Work from home
6d
Director of Medical Services
Water Street Mission —Lancaster, PA
- $65,000 - $83,750 a year
- Weekends as needed
- Nursing
- RN License
- Clinic
RN Registered Nurse Clinical Staff Leader - Operating Room
Penn State Health —Hershey, PA
- Full-time
- Background check
- Nursing
- Surgery
- Paid parental leave
- Health insurance
RN Supervisor-PRN $1,500 sign-on bonus!
The Village at Morrisons Cove —Martinsburg, PA
- Up to $40 an hour
- Part-time
- RN License
- Mid-level
- In-person
- Health insurance
- Dental insurance
Quick Apply
Nurse Manager - MICU 1
Penn State Health —Enola, PA
- Full-time
- Background check
- Nursing
- RN License
- Paid parental leave
- Health insurance
Nursing Supervisor (RN) / PRN Nights
Select Specialty Hospital - Erie —Erie, PA
- $48 an hour
- PRN
- Nursing
- RN License
- BLS Certification
- Health insurance
- Dental insurance
Quick Apply
RN Supervisor
Phoebe Ministries —Allentown, PA
- Part-time
- CPR Certification
- Nursing
- RN License
- Health insurance
- Dental insurance
Quick Apply
4d
Interim RN Unit Manager
LeaderStat —Lititz, PA
- Travel nursing
- Nursing
- Skilled nursing facility
- Current TB test
- Health insurance
- Dental insurance
Quick Apply
5d
RN Supervisor
New Eastwood Rehabilitation and Healthcare Center —Easton, PA
- $38 - $60 an hour
- Part-time
- CPR Certification
- Skilled nursing facility
- RN License
- Dental insurance
- Tuition reimbursement
Quick Apply
Nursing Supervisor RN
Lutheran SeniorLife —Zelienople, PA
- 12 hour shift
- Microsoft Word
- CPR Certification
- Nursing
- Mileage reimbursement
- Paid holidays
Registered Nurse (RN) Supervisor Needed for Daylight and Overnights!- $ 3,500 Sign On Bonus FOR OVERNIGHTS!
Transitions Healthcare Autumn Grove —Harrisville, PA
- Overnight shift
- CPR Certification
- RN License
- Mid-level
Quick Apply
6d
RN Registered Nurse Clinical Staff Leader - 3 Acute Care Medical Oncology
Penn State Health —Hershey, PA
- Full-time
- Acute care
- Background check
- Nursing
- Paid parental leave
- Health insurance
Nurse Manager - Cancer Institute Inpatient Unit
Penn State Health —Hershey, PA
- Full-time
- Background check
- Nursing
- RN License
- Paid parental leave
- Health insurance
RN Supervisor
Graduate Post Acute —Philadelphia, PA
- $38 - $60 an hour
- Full-time
- CPR Certification
- RN License
- BLS Certification
- Dental insurance
- Tuition reimbursement
Quick Apply
Assistant Nurse Manager, Cardiovascular Cath Unit, Temple University Hospital
Temple University Health System —Philadelphia, PA
- Full-time
- Nursing
- RN License
- Hospital
Director of Nursing (DON)
Confidential —Allentown, PA
- $125,000 - $145,000 a year
- Full-time
- Nursing
- Skilled nursing facility
- RN License
- Health insurance
- Dental insurance
Quick Apply
RN Registered Nurse Unit Manager
WeCare at Sycamore —Montoursville, PA
- Full-time
- Skilled nursing facility
- RN License
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
4d
Registered Nurse Supervisor, RN
Inners Creek Nursing & Rehab —Dallastown, PA
- $38 - $48 an hour
- Overtime
- Nursing
- RN License
- Mid-level
- Disability insurance
- Dental insurance

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Rn Supervisor jobs near Pennsylvania

RN Supervisor, Appeals, Managed Care, UM

Centene -
Pennsylvania

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Job Details

Full-time
$75,300 - $135,400 a year
6 days ago

Benefits

Paid holidays
Health insurance
401(k)
Tuition reimbursement
Paid time off

Qualifications

Nursing
RN License
Nursing

Full Job Description

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.

NOTE: REMOTE RN candidates may reside in any state but a current and active RN license from the state of California is strongly preferred

Position Purpose: Supervises Prior Authorization, Concurrent Review, and/or Retrospective Review Clinical Review team to ensure appropriate care to members. Supervises day-to-day activities of utilization management team.

Monitors and tracks UM resources to ensure adherence to performance, compliance, quality, and efficiency standards
Collaborates with utilization management team to resolve complex care member issues
Maintains knowledge of regulations, accreditation standards, and industry best practices related to utilization management
Works with utilization management team and senior management to identify opportunities for process and quality improvements within utilization management
Educates and provides resources for utilization management team on key initiatives and to facilitate on-going communication between utilization management team, members, and providers
Monitors prior authorization, concurrent review, and/or retrospective clinical review nurses and ensures compliance with applicable guidelines, policies, and procedures
Works with the senior management to develop and implement UM policies, procedures, and guidelines that ensure appropriate and effective utilization of healthcare services
Evaluates utilization management team performance and provides feedback regarding performance, goals, and career milestones
Provides coaching and guidance to utilization management team to ensure adherence to quality and performance standards
Assists with onboarding, hiring, and training utilization management team members
Leads and champions change within scope of responsibility
Performs other duties as assigned
Complies with all policies and standards

Education/Experience:

Requires Graduate of an Accredited School Nursing or Bachelor's degree and 4+ years of related experience.
Strong knowledge of appeals and utilization management principles preferred.

Preferred Experience:

3 - 5 years of direct work experience and knowledge of the appeals process and utilization management principles in managed care/MCO environments is preferred.

License/Certification:

RN - Registered Nurse - State Licensure and/or Compact State Licensure required
For Health Net Federal Services: Must have current and active licensure or certification that permits independent assessment required
For Health Net Federal Services (Medical Management): Certified Managed Care Nurse (CMCN) within 1-1/2 Yrs required
For Health Net Federal Services: US citizenship and current National Agency Check government security clearance required

NOTE: REMOTE RN candidates may reside in any state but a current and active RN license from the state of California is strongly preferred

Pay Range: $75,300.00 - $135,400.00 per year

Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

Apply Now

Refine Your Search

Rn Supervisor jobs in Pennsylvania

RN Supervisor, Appeals, Managed Care, UM

Supervisor, Clinical Triage (RN) Connect to Care - Access Center

Supervisor, Clinical Triage (RN) - Access Center, Primary Care (PA & NJ Residents Only)

Director of Medical Services

RN Registered Nurse Clinical Staff Leader - Operating Room

RN Supervisor-PRN $1,500 sign-on bonus!

Nurse Manager - MICU 1

Nursing Supervisor (RN) / PRN Nights

RN Supervisor

Interim RN Unit Manager

RN Supervisor

Nursing Supervisor RN

Registered Nurse (RN) Supervisor Needed for Daylight and Overnights!- $ 3,500 Sign On Bonus FOR OVERNIGHTS!

RN Registered Nurse Clinical Staff Leader - 3 Acute Care Medical Oncology

Nurse Manager - Cancer Institute Inpatient Unit

RN Supervisor

Assistant Nurse Manager, Cardiovascular Cath Unit, Temple University Hospital

Director of Nursing (DON)

RN Registered Nurse Unit Manager

Registered Nurse Supervisor, RN

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