Registered Nurse (RN) Supervisor

Registered Nurse (RN) Supervisor Integrated Health Management

Department: Integrated Health Management (IHM)
Reports To: Director of Integrated Health Management
FLSA Status: Exempt (Salary)
Supervises: Utilization Review RNs RN Case Managers Medical Assistant Care Navigators

This position is located in Wichita KS. Applicant must be able to work on-site.

Position Summary

The RN Supervisor provides operational and clinical leadership for the Integrated Health Management Department by supervising Utilization Review Case Management and Care Navigation staff. This position oversees daily operations supports staff development ensures regulatory compliance monitors departmental performance and serves as the Directors designee when needed.

The RN Supervisor also participates in Utilization Review activities (approximately 34 hours daily based on operational needs) and assists with Care Navigation functions as necessary while serving as a clinical resource for staff providers employer groups brokers PBMs stop-loss carriers and executive leadership.

• Perform Utilization Review activities as assigned.
  
• Support Care Navigation operations as needed.
  
• Provide clinical guidance on complex UR Case Management and Care Navigation cases.
  
• Review documentation for quality completeness and regulatory compliance.
  
• Ensure compliance with organizational policies accreditation standards and evidence-based guidelines.
  

Performance & Staff Development

• Train and onboard new employees.
  
• Complete competency assessments and identify educational needs.
  
• Monitor employee performance and productivity.
  
• Participate in evaluations coaching corrective action attendance management and employee recognition.
  
• Recommend performance improvement and disciplinary actions to the Director.
  

• Resolving operational and clinical issues.
  
• Responding to escalated questions.
  
• Coordinating communication.
  
• Representing the department professionally.
  

Administrative Responsibilities

• Monitor timekeeping staffing schedules productivity KPIs documentation audits and departmental reports.
  
• Assist with recruiting interviewing onboarding policy development and departmental projects.
  
• Keep the Director informed of significant clinical operational personnel or regulatory concerns.
  

After-Hours Expectations

Because this is an exempt leadership position occasional evenings weekends telephone calls and emergency response may be required to meet operational needs.

• Current unrestricted Kansas RN license.
  
• BSN preferred; Associate Degree with significant leadership experience considered.
  
• Five years of progressive nursing experience.
  
• Two years of supervisory or leadership experience.
  
• Strong leadership communication organizational and problem-solving skills.
  

• Experience in Utilization Review Case Management Managed Care Population Health or Health Plan operations.
  
• CCM ACM or UR certification.
  
• Experience with TPAs and self-funded health plans.
  
• Knowledge of PBMs specialty medications stop-loss and NCQA/URAC or state UR standards.
  

Core Competencies

• Leadership
  
• Clinical judgment
  
• Regulatory compliance
  
• Operational excellence
  
• Communication
  
• Accountability
  
• Collaboration
  
• Adaptability
  
• Strategic thinking
  
• Continuous improvement
  
• Member-centered service
  

Confidentiality

This position routinely handles confidential employee information protected health information (PHI) employer information payroll performance management and organizational business matters. Strict confidentiality and sound professional judgment is required at all times.