Top 130 Unit supervisor (rn) Jobs in Ohio

RN Supervisor, Appeals, Managed Care, UM
Centene —Ohio
- $75,300 - $135,400 a year
- Full-time
- Nursing
- RN License
- Mid-level
- Paid holidays
- Health insurance
12d
Nurse Supervisor
Genesis HealthCare System —Ohio
- Part-time
- CPR Certification
- Nursing
- RN License
Registered Nurse (RN) Supervisor
Solero Behavioral Transitions - Columbus —Pickerington, OH
- Full-time
- Nursing
- Addiction Medicine
- RN License
- Paid holidays
- Disability insurance
Quick Apply
Respiratory Program Supervisor (RN)
University Manor Health Care Center —Cleveland, OH
- From $45 an hour
- Temporary
- Nursing
- Skilled nursing facility
- RN License
- Flexible schedule
Quick Apply
4d
Registered Nurse -Clinical Services Supervisor
Creative Foundations —Delaware, OH
- Full-time
- Hybrid work
- Nursing
- OSHA
- RN License
Quick Apply
RN Nursing Supervisor Nights
Chardon Healthcare Center —Chardon, OH
- Full-time
- Nursing
- RN License
- Mid-level
- Disability insurance
- Health insurance
Quick Apply
RN Supervisor
Aventura at Oakwood Village —Springfield, OH
- Full-time
- CPR Certification
- Skilled nursing facility
- RN License
- Health insurance
- Dental insurance
Quick Apply
RN Supervisor
Crandall Medical Center —Sebring, OH
- $34 - $39 an hour
- 12 hour shift
- Nursing
- Skilled nursing facility
- Medication administration
- 403(b) matching
- Disability insurance
Quick Apply
Weekend Nurse Supervisor RN
Majestic Care of Whitehall —Whitehall, OH
- Full-time
- CPR Certification
- Nursing
- RN License
- Paid holidays
- Life insurance
Quick Apply
9d
RN Weekend Supervisor
Good Shepherd Health & Rehabilitation Center —Ashland, OH
- $38 - $45 an hour
- Full-time
- Skilled nursing facility
- RN License
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
12d
Registered Nurse (RN) Supervisor Nights
Ohio Valley Manor Care Community —Ripley, OH
- $34.00 - $38.25 an hour
- Full-time
- Nursing
- Medication administration
- RN License
- Loan repayment program
- Health insurance
Quick Apply
Registered Nurse Supervisor (RN) - Days
Ohio Valley Manor Care Community —Ripley, OH
- $34.00 - $38.25 an hour
- Full-time
- Nursing
- Medication administration
- RN License
- Loan repayment program
- Health insurance
Quick Apply
RN Supervisor
Laurel Lake —Hudson, OH
- $32.06 - $51.30 an hour
- Part-time
- CPR Certification
- Nursing
- RN License
- Free parking
- Wellness program
Quick Apply
RN Supervisor
Homestead II —Painesville, OH
- Full-time
- CPR Certification
- Nursing
- Skilled nursing facility
- Health savings account
- Health insurance
Quick Apply
Registered Nurse - House Supervisor
Summa Rehab Hospital of Ohio —Akron, OH
- Full-time
- CPR Certification
- Nursing
- RN License
- Wellness program
- Continuing education credits
Quick Apply
RN Clinical Supervisor- Home Health
LeaderStat —Columbus, OH
- Weekends as needed
- Nursing
- Clean driving record
- RN License
Quick Apply
4d
RN Nursing Supervisor, Nights
Falling Water Healthcare Center —Strongsville, OH
- 12 hour shift
- Nursing
- Skilled nursing facility
- RN License
- Health insurance
- Dental insurance
Quick Apply
RN Nursing Supervisor
Chardon Healthcare Center —Chardon, OH
- Full-time
- Nursing
- RN License
- Nursing home
- Disability insurance
- Health insurance
Quick Apply
RN Nursing Supervisor, Nights, No Weekends
Crestwood Care Center —Shelby, OH
- Full-time
- Nursing
- RN License
- Mid-level
- Disability insurance
- Health insurance
Quick Apply
RN Clinical Supervisor - Home Health
Maxim Healthcare —Columbus, OH
- $75,000 a year
- Full-time
- Management
- RN License
- Customer service
- Profit sharing
- Mileage reimbursement
Quick Apply
2d

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unit supervisor (rn) jobs near ohio

RN Supervisor, Appeals, Managed Care, UM

Centene -
Ohio

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Job Details

Full-time
$75,300 - $135,400 a year
12 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

unit supervisor (rn) jobs in ohio

RN Supervisor, Appeals, Managed Care, UM

Nurse Supervisor

Registered Nurse (RN) Supervisor

Respiratory Program Supervisor (RN)

Registered Nurse -Clinical Services Supervisor

RN Nursing Supervisor Nights

RN Supervisor

RN Supervisor

Weekend Nurse Supervisor RN

RN Weekend Supervisor

Registered Nurse (RN) Supervisor Nights

Registered Nurse Supervisor (RN) - Days

RN Supervisor

RN Supervisor

Registered Nurse - House Supervisor

RN Clinical Supervisor- Home Health

RN Nursing Supervisor, Nights

RN Nursing Supervisor

RN Nursing Supervisor, Nights, No Weekends

RN Clinical Supervisor - Home Health

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