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Supervisor, Clinical Review in Tampa, FL at KEPRO

Date Posted: 4/2/2018

Job Snapshot

  • Employee Type:
    Full-Time
  • Location:
    Tampa, FL
  • Job Type:
    Management
  • Experience:
    At least 3 year(s)
  • Date Posted:
    4/2/2018

Job Description

JOB TITLE:                 Supervisor, Clinical Review

Summary Description

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


Accountabilities

  • 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 nurse 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 nurse reviewers regarding all review process questions and/or concerns.



Qualifications

  • Education (general level if required) or specific
  • Active RN licensure required.
  • ASN or equivalent nursing education required.  BSN or related Bachelor’s degree preferred.

  • Skills, Knowledge Abilities (SKA)
  • Excellent verbal and written communication skills essential.
  • Excellent interpersonal skills required.
  • Organizational skills.

  • Experience (If needed, describe kind and amount)
  • 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.

  • 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.

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