Clinical Supervisor - RN On-site; Topeka, KS

Company Overview

Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact.

Lead the Way is our rallying cry at Acentra Health. Think of it as an open invitation to embrace the mission of the company; to actively engage in problem‑solving; and to take ownership of your work every day. Acentra Health offers you unparalleled opportunities. You have all you need to take charge of your career and accelerate better outcomes – making this a great time to join our team of passionate individuals dedicated to being a vital partner for health solutions in the public sector.

Acentra Health is looking for a Clinical Supervisor to join our growing team.

Job Summary:

• The Clinical Supervisor directs and oversees all clinical program activities, emphasizing the need for overall consistency, thoroughness, and accuracy. The primary purpose is to guide the program toward enhanced clinical efficiencies, ensuring that deliverables and assigned contract functions consistently meet the highest standards.

• Assures accuracy and timeliness of all applicable review type cases within contract requirements.
• Assesses, evaluates and addresses daily workload and queues.
• Responsible for quality monitoring activities, including identifying areas of improvement and implementing improvement plans such as quarterly audits, QIP, and database management.
• Maintains current knowledge base related to review processes and clinical practices.
• Functions as providers’ liaison and contact/resource person for provider customer service issues and problem resolution.
• Performs all applicable review types as the workload indicates.
• Reads, understands, and adheres to all corporate policies including those related to HIPAA and its Privacy and Security Rules.

This role is contingent upon being awarded a contract. Start dates and final offers are contingent upon the contract award and final contract start dates.

• Active, unrestricted Licensed RN in the state of Kansas.
• Extensive experience managing clinical care management, Utilization Management (UM) operations.
• 1+ years of Inter Qual and/or Milliman (MCG) criteria experience.
• 1+ years of Utilization Review (UR) OR Utilization Management (UM) OR Prior Authorization (PA) experience.
• Experience using systems that support Utilization and Case Management processing.
• 2+ years of clinical management experience.
• Must reside in the State of Kansas, within 5 miles of Topeka, Kansas.
• Must work on‑site in Topeka, Kansas Monday through Friday 8:00 AM to 5:00 PM Central.

• Bachelor’s Degree or equivalent experience in nursing, healthcare administration, or a related area.
• Strong verbal and written communication skills.
• Current working knowledge of utilization management and managed care.
• Customer‑focused, results‑oriented, with the ability to build and maintain relationships with both internal and external customers.
• Organizational skills and the ability to plan and prioritize multiple assignments.
• Proficient in examining and re‑examining operations and procedures, formulating policy, and developing and implementing new strategies and procedures.
• Familiarity with the U.S. healthcare industry.
• Demonstrated expertise in managing diverse customer needs.
• Ability to participate as a team member and foster collaborative decision‑making among leadership, committees, teams, or work groups of diverse composition.
• Proficiency in Microsoft Office applications and other essential software programs for job functions.
• Ability to develop, plan, and implement short‑ and long‑range goals.
• Capability to provide technical guidance and leadership to the management team.
• Advanced verbal and written communication skills, with the ability to work effectively with a wide range of constituencies in a diverse community.

#LI‑SD1

We are a team of experienced and caring leaders, clinicians, pioneering technologists, and industry professionals who come together to redefine expectations for the healthcare…