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Supervisor, Review Support in Tampa, FL at KEPRO

Date Posted: 10/30/2018

Job Snapshot

  • Employee Type:
    Full-Time
  • Location:
    Tampa, FL
  • Job Type:
  • Experience:
    Not Specified
  • Date Posted:
    10/30/2018

Job Description

•         Interviews and hires review staff. Conducts staff performance management sessions and other counseling sessions or corrective actions as needed.

•         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 review staff.

•         Identify staff orientation and continuous learning needs and in collaboration with the appropriate staff and resources, develops and implements plans to address those identified learning needs.

•         Responsible for the quality monitoring activities including monthly reviewer audits and IRR creation and analysis. Identifies areas of improvement and develops and implements plans for improvement.

•         Maintains current knowledge base related to review processes and clinical practices related to the review processes; functions as the initial resource to review staff 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.

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.

•         Knowledge of CQI tools preferred.

•         Organizational skills, ability to plan and prioritize multiple assignments essential.

•         Computer proficiency in Microsoft Office and other software programs operating in a Windows environment.

•         Experience (If needed, describe kind and amount)

•         5 years of UM/UR experience required.

•         2-3 years supervisory experience in a health-care field or directing/leading teams 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.

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