RN Supervisor Pre-Access
RN Supervisor Pre-Access
Employer Active
Job Alert
You will be updated with latest job alerts via email
Share
Job Alert
You will be updated with latest job alerts via email
Job Description
Why work for Nebraska Methodist Health System
At Nebraska Methodist Health System we focus on providing exceptional care to the communities we serve and people we employ. We call it The Meaning of Care a culture that has and will continue to set us apart. Its helping families grow by making each delivery special conveying a difficult diagnosis with a compassionate touch going above and beyond for a patients needs or giving a high five when a patient beats a disease or conquers a personal health challenge. We offer competitive pay excellent benefits and a great work environment where all employees are valued! Most importantly our employees are part of a team that makes a real difference in the communities we live and work in.
Job Summary:
Location: Methodist Corporate OfficeAddress: 825 S 169th St. - Omaha NE
Work Schedule: Mon - Fri 8:00am to 4:30pm
Responsible for overseeing the day-to-day operations of multiple Pre-Access teams with a specific focus on clinical oversight prior authorizations and denial prevention. This position ensures high-quality performance provides leadership to licensed nursing/clinical staff and Pre-Access Advocates and collaborates with leadership to drive long-term planning and growth of pre-access services. This role combines clinical expertise with operational leadership to support effective and compliant revenue cycle functions.
Responsibilities:
Essential Job Functions
Supervise daily operations of assigned Pre-Access teams ensuring compliance with protocols and payer requirements.
Oversee and perform prior authorizations for scheduled and same-day procedures.
Monitor team performance conduct quality audits and communicate trends and areas for improvement.
Serve as the clinical resource for Pre-Access staff offering guidance and support related to medical necessity documentation and payer criteria.
Allocate resources and manage staffing to meet departmental productivity and quality benchmarks.
Collaborate with providers coding and clinic staff to reduce denials and improve pre-authorization efficiency.
Triage system issues and escalate to appropriate departments when necessary.
Support hiring onboarding training and performance evaluations in partnership with leadership.
Maintain and update payer reference materials and communicate changes effectively to staff.
Serve as a liaison between staff providers and leadership to ensure effective communication and coordination.
Address customer service concerns and assist in resolving complex authorization or clinical issues.
Schedule:
Mon - Fri 8:00am to 4:30pm
Job Description:
Job Requirements
Education
Graduate of an accredited nursing program required.
Bachelor of Nursing (BSN) preferred.
Experience
Minimum 3-5 years in a clinical billing or pre-authorization environment required.
Extensive knowledge of payer guidelines and pre-authorization tools required.
Previous supervisory or team leadership experience preferred.
License/Certifications
Current Registered Nurse (RN) license required.
Skills/Knowledge/Abilities
Strong understanding of medical terminology documentation treatment guidelines and reimbursement criteria.
Ability to lead coach and develop staff in a fast-paced environment.
Excellent verbal and written communication skills.
Strong organizational and problem-solving abilities.
Proficient in Microsoft Office (Word Excel Outlook).
Capable of managing multiple priorities under tight deadlines.
Physical Requirements
Weight Demands
Light Work - Exerting up to 20 pounds of force.
Physical Activity
Not necessary for the position (0%):
Climbing
Crawling
Kneeling
Occasionally Performed (1%-33%):
Balancing
Crouching
Distinguish colors
Lifting
Speaking/talking
Standing
Stooping/bending
Twisting
Walking
Frequently Performed (34%-66%):
Grasping
Keyboarding/typing
Pulling/Pushing
Reaching
Repetitive Motions
Sitting
Constantly Performed (67%-100%):
Hearing
Seeing/Visual
Job Hazards
Not Related:
Chemical agents (Toxic Corrosive Flammable Latex)
Biological agents (primary air born and blood born viruses) (Jobs with Patient contact) (BBF)
Physical hazards (noise temperature lighting wet floors outdoors sharps) (more than ordinary office environment)
Equipment/Machinery/Tools
Explosives (pressurized gas)
Electrical Shock/Static
Radiation Alpha Beta and Gamma (particles such as X-ray Cat Scan Gamma Knife etc.)
Radiation Non-Ionizing (Ultraviolet visible light infrared and microwaves that causes injuries to tissue or thermal or photochemical means)
Mechanical moving parts/vibrations
About Methodist:
Nebraska Methodist Health System is made up of four hospitals in Nebraska and southwest Iowa more than 30 clinic locations a nursing and allied health college and a medical supply distributorship and central laundry facility. From the day Methodist Hospital was chartered in 1891 service to our communities has been a top priority. Financial assistance health education outreach to our diverse communities and populations and other community benefit activities have always been central to our mission.
Nebraska Methodist Health System is an Affirmative Action/Equal Opportunity Employer and does not discriminate on the basis of race color religion sex age national origin disability veteran status sexual orientation gender identity or any other classification protected by Federal state or local law.
Required Experience:
Manager
Employment Type
Full-Time
