Clinical Supervisor

• Supervise a remote team of RNs in Prior Authorization or Benefit Review
• Oversee referral management, authorization requirements, reinsurance reporting, and inpatient review processes
• Assist with policy and procedure creation and lead implementation of program changes
• Monitor staff competency and production levels
• Perform RN staff duties during coverage needs or work reassignment
• Identify process improvement opportunities and evaluate approved program changes
• Monitor OHP, DMAP, and Medicare rules and communicate changes to stakeholders
• Attend state and other utilization and review meetings and report to the Manager and department
• Ensure service requests and authorizations comply with OHP, Medicare, and coverage determinations
• Develop unit and training materials
• Complete utilization and review reports
• Orient and train new employees and provide ongoing staff training
• Recommend and implement technology improvements; maintain knowledge of QNXT and SharePoint
• Draft technology assessments for Medical Director review
• Act as a resource for department staff and Medical Directors
• Support financial-impact initiatives and collaborate across CareOregon departments
• Identify cases requiring Chief Medical Officer review
• Assign reinsurance reviews based on high-dollar case identification
• Supervise, coach, evaluate, and develop employees
• Plan and monitor staffing, schedules, goals, performance, and corrective action in collaboration with Human Resources

RN Clinical Benefit Management Supervisor

• Oversee day-to-day laboratory operations to ensure timely, accurate, and efficient test results
• Coordinate staffing, scheduling, and workload distribution
• Maintain operational readiness across sites, including equipment, supplies, and workflow optimization
• Troubleshoot technical, operational, and service issues as an on-site resource
• Ensure compliance with CLIA, CAP, TJC, OSHA, and other applicable standards
• Monitor quality indicators, turnaround times, proficiency testing, and error trends; implement corrective actions
• Maintain policies, procedures, and quality documentation
• Lead or support inspections, audits, and readiness activities
• Supervise laboratory staff, including hiring, onboarding, coaching, and performance management
• Conduct competency assessments, annual evaluations, and ongoing skills validation
• Perform testing as needed and maintain competency across assigned disciplines
• Provide technical consultation to staff, providers, and customers
• Evaluate and validate new instruments, methodologies, and test implementations
• Ensure maintenance, calibration, and performance verification of laboratory equipment
• Assist with budgeting, expense monitoring, cost-containment initiatives, capital planning, supply chain management, and utilization review
• Lead and support process improvement initiatives using Lean, Six Sigma, or similar methodologies
• Analyze workflows and data to drive operational enhancements and patient outcomes
• Support system-wide standardization and best practice adoption across sites
• Promote customer service and collaborate with nursing, medical staff, and other departments
• Serve as a liaison between laboratory staff and leadership
• Provide and maintain a safe environment for caregivers, patients, and guests
• May perform additional duties of similar complexity as required or assigned

Clinical Supervisor jobs in Oregon

RN Clinical Benefit Management Supervisor

Clinical Laboratory Supervisor