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Supervisor, Clinical Review in Scarborough, ME at KEPRO

Date Posted: 2/28/2018

Job Snapshot

Job Description



JOB TITLE:            Supervisor, Clinical Review

REPORTS TO:      Director, Clinical

FLSA STATUS:     Exempt

Summary Description

Supervises Review Operations day-to-day activities of the reviewers in the assigned areas to successfully meet contract deliverables.  Assists in meeting contract deliverables related to the Review Department within budgetary parameters.



  • Assures accuracy and timeliness of all applicable review type cases within contract requirements. 
  • Assesses, evaluates and addresses daily work load and queues; adjusts work schedules daily to meet the workload demands of the department.
  • Analyzes productivity of reviewers.
  • Identify Clinical Reviewers’ orientation and continuous learning needs and in collaboration with the Manager, Operations, develops and implements plans to address those identified learning needs.
  • Responsible for the quality monitoring activities including identifying areas of improvement and plan implementation of improvement areas.
  • Maintains current knowledge base related to review processes and clinical practices related to the review processes; functions as the initial resource to reviewers regarding all review process questions and/or concerns.
  • Functions as providers’ liaison and contact/resource person for provider customer service issues and problem resolution.
  • Performs all applicable review types as workload indicates.

The list of accountabilities is not intended to be all-inclusive and may be expanded to include other duties that management may deem necessary from time to time.



  • LCSW or LCPC
  • Excellent verbal and written communication skills essential.
  • Excellent interpersonal skills required.
  • Organizational skills, ability to plan and prioritize multiple assignments essential.
  • Computer proficiency in Microsoft Office and other software programs operating in a Windows environment.


  • Minimum of three (3) years supervisory experience in a health-care field with a minimum of 1-3 years review experience required.
  • Two years recent clinical experience.
  • Previous workload management experience strongly preferred.

Mental and Physical Requirements

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.  Reasonable accommodations will be made as required by law in an attempt to enable an individual with a disability to perform the essential functions of this job.  While performing the duties of this job, the employee must have the ability to read and interpret data and complex information and function in a team environment.  In addition, the employee is required to sit for extended periods of time; key and/or control objects; occasionally lift and/or move objects weighing up to 10 pounds; use a personal computer; safely operate an automobile, travel throughout the state, and communicate effectively with internal and external customers.

Equal Opportunity Employer


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