Top 440 Rn Supervisor Jobs in Wisconsin

RN Supervisor, Appeals, Managed Care, UM
Centene —Wisconsin
- $75,300 - $135,400 a year
- Full-time
- Nursing
- RN License
- Mid-level
- Paid holidays
- Health insurance
6d
Trauma Program Nurse Manager (RN)
HSHS St. Vincent Hospital —Green Bay, WI
- $50.54 - $75.81 an hour
- Full-time
- Nursing
- RN License
- BLS Certification
- Wellness program
- Disability insurance
5d
Care Team Leader - Access Center
UW Health —Madison, WI
- $43.52 - $65.28 an hour
- 12 hour shift
- Nursing
- RN License
- Hospital
- Paid parental leave
- Relocation assistance
Primary Care Assistant Nurse Manager (Janesville/Freeport)
US Veterans Health Administration —Janesville, WI
- $102,125 - $153,467 a year
- Online Application
- Background check
- Nursing
- Doctoral degree
3d
Registered Nurse (RN) - Supervisor - Emergency Department
Advocate Aurora Health —Milwaukee, WI
- $44.15 - $66.25 an hour
- Weekends as needed
- Nursing
- RN License
- BLS Certification
House Supervisor (RN)
HSHS St. Mary's Hospital Medical Center —Green Bay, WI
- $41.58 - $62.37 an hour
- Part-time
- Nursing
- RN License
- PALS Certification
- Wellness program
- Disability insurance
14d
Supervisor, Day Surgery
Children's Wisconsin —Milwaukee, WI
- Full-time
- Nursing
- Surgery
- RN License
Manager Patient Care WI
Advocate Aurora Health —Mount Pleasant, WI
- $51.05 - $76.60 an hour
- Full-time
- Nursing
- RN License
- Ability to lift 50 pounds
RN | Clinic Team Leader II - Urgent Care Marinette
Bellin Health —Marinette, WI
- Full-time
- RN License
- Urgent Care
- Mid-level
- Health insurance
- Tuition reimbursement
Registered Nurse - Administrative Supervisor
SSM Health —Waupun, WI
- Part-time
- Nursing
- RN License
- Hospital
- Paid parental leave
- Parental leave
3d
RN Patient Care Manager - Hospice
Allay Hospice —Milwaukee, WI
- Full-time
- Nursing
- RN License
- Mid-level
- Disability insurance
- Health insurance
Registered Nurse Supervisor
Pine Crest Health and Memory Care —Merrill, WI
- From $44 an hour
- Full-time
- RN License
- Mid-level
- LPN
- Health savings account
- Health insurance
Quick Apply
Registered Nurse (Part Time) Flexible Hours - Home Healthcare
Midwest Labor and Staffing LLC —Madison, WI
- $35 - $45 an hour
- Part-time
- Background check
- Nursing
- Management
- Flexible schedule
Quick Apply
3d
Lead Charge Nurse (RN) Nights- Abdominal Transplant- Sign-on Bonus Eligible
Advocate Aurora Health —Milwaukee, WI
- $41.10 - $61.65 an hour
- Full-time
- Nursing
- Surgery
- RN License
- Paid parental leave
- Disability insurance
Quick Apply
11d
Unit Manager (RN) - Full-Time Exempt
Sheboygan Health Services —Sheboygan, WI
- Up to $52 an hour
- Full-time
- CPR Certification
- Nursing
- RN License
- Paid holidays
- Disability insurance
Quick Apply
6d
Director of Wellness - RN/LPN Clinical Leader
Eden Senior Care —Waukesha, WI
- $85,000 - $105,000 a year
- Full-time
- CPR Certification
- Nursing
- RN License
Quick Apply
Nurse Supervisor
LindenGrove Communities LLC —Menomonee Falls, WI
- $88,000 - $110,000 a year
- Full-time
- Nursing
- Skilled nursing facility
- RN License
- Health savings account
- Disability insurance
Quick Apply
RN Manager Inpatient Operating Room
UW Health —Madison, WI
- $114,100 - $171,000 a year
- Weekends as needed
- Nursing
- Surgery
- RN License
- Paid parental leave
- Health insurance
Capuchin Province Community Nurse
Capuchin Province of St. Joseph —Mount Calvary, WI
- $39.42 - $42.31 an hour
- Part-time
- Background check
- Nursing
- RN License
- Mileage reimbursement
- Paid holidays
Quick Apply
2d
RN Manager, Rehab & Surgical Services
ThedaCare —Appleton, WI
- Full-time
- Nursing
- Surgery
- RN License

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Rn Supervisor jobs near Wisconsin

RN Supervisor, Appeals, Managed Care, UM

Centene -
Wisconsin

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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 Wisconsin

RN Supervisor, Appeals, Managed Care, UM

Trauma Program Nurse Manager (RN)

Care Team Leader - Access Center

Primary Care Assistant Nurse Manager (Janesville/Freeport)

Registered Nurse (RN) - Supervisor - Emergency Department

House Supervisor (RN)

Supervisor, Day Surgery

Manager Patient Care WI

RN | Clinic Team Leader II - Urgent Care Marinette

Registered Nurse - Administrative Supervisor

RN Patient Care Manager - Hospice

Registered Nurse Supervisor

Registered Nurse (Part Time) Flexible Hours - Home Healthcare

Lead Charge Nurse (RN) Nights- Abdominal Transplant- Sign-on Bonus Eligible

Unit Manager (RN) - Full-Time Exempt

Director of Wellness - RN/LPN Clinical Leader

Nurse Supervisor

RN Manager Inpatient Operating Room

Capuchin Province Community Nurse

RN Manager, Rehab & Surgical Services

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