Raising the bar for care. Lowering risk for clients.
Utilization Review Supervisor RN
Location
United States
Posted
2 days ago
Salary
$78.0K - $120.4K / year
Seniority
Mid Level
No structured requirement data.
Job Description
Utilization Review Supervisor RN
CorVel Corporation
Role Description The Utilization Review Supervisor RN is responsible for directing the operations of their designated department, which may include one or more of the following functions: human resources, customer service, and limited sales management. This is a remote position. Essential Functions & Responsibilities: - Responsible for directing a designated group of employees in their day-to-day operations - Responsible for quality of service provided - Responsible for human resources matters directly related to department supervised - May be required to travel overnight and attend meetings - May perform daily, weekly, monthly reviews of various reports, invoices, logs and expenses - May be responsible for limited marketing and sales activities - May be required to oversee case management clinical activities (dependent on whether or not unit manager is an RN) - For Supervisors who are not RN’s, the clinical oversight and direction will be performed by a designated RN with a nationally recognized certification - May perform case management responsibilities (dependent on whether or not unit manager is an RN for medical case management activities or qualified for vocational case management) - Additional duties as assigned Qualifications - Clear written and verbal communication skills with the ability to communicate complex ideas across multiple platforms - Ability to remain poised in stressful situations and communicate diplomatically - Ability to skillfully manage multiple, complex projects and competing priorities while working under pressure to meet deadlines and maintaining strong customer service orientation - Ability to work independently, while remaining available to others - Computer proficiency and technical aptitude with the ability to utilize Microsoft Office including Excel spreadsheets - Must have technical knowledge of applicable laws, policies, and procedures in defined territory - Strong interpersonal, time management and analytical skills - Great attention to detail and focus on results Requirements - Graduate of accredited school of nursing with a diploma/associate's degree (Bachelor of Science degree or Bachelor of Science in Nursing preferred) - Current RN licensure in state of operation - 3 or more years of recent clinical experience, preferably in rehabilitation - National certification (CRC, CIRS, CCRN, CVE, CCM, etc.), CCM preferred - Demonstrated experience in management or supervision Pay Range CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time. For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process. Pay Range: $77,960 – $120,368 Benefits A list of our benefit offerings can be found on our CorVel website: - Medical (HDHP) w/Pharmacy - Dental - Vision - Long Term Disability - Health Savings Account - Flexible Spending Account Options - Life Insurance - Accident Insurance - Critical Illness Insurance - Pre-paid Legal Insurance - Parking and Transit FSA accounts - 401K - ROTH 401K - Paid time off
Related Guides
Related Categories
Related Job Pages
More General Jobs
Part-Time PMHNP -Autonomous Practice
Backpack HealthcareBreaking barriers and healing young minds with inclusive, accessible, and comprehensive mental healthcare.
Role Description We're looking for a part-time PMHNP in Virginia who can practice autonomously and wants to do it within a team that actually collaborates. You'll carry a part-time caseload providing comprehensive psychiatric care to children, teens, and young adults via telehealth. Afternoon, evening, and weekend availability is required — that's when families can actually show up. Day-to-day you'll: - Conduct comprehensive psychiatric evaluations and formulate evidence-based diagnoses - Develop individualized treatment plans in partnership with patients and their families - Prescribe and manage psychotropic medications, monitor effectiveness, and adjust as needed - Provide brief supportive interventions and psychoeducation alongside medication management - Collaborate with therapists, psychiatrists, and care coordinators in regular case reviews - Maintain accurate, timely documentation in our EHR - Educate families about diagnoses, treatment options, and what to expect Qualifications - Active, unrestricted Virginia PMHNP license (multi-state or compact preferred) - Ability to practice independently without an MD collaboration agreement — required - PMHNP-BC board certification - Active DEA license - Master's or doctoral degree from an accredited PMHNP program - Experience with or strong interest in working with youth and families - Comfortable working independently in a telehealth environment - Strong clinical judgment, clear communication, and genuine empathy Benefits - Competitive fee-for-service per-session pay - 401(k) with company match - Medical, dental, and vision (for eligible team members) - PTO based on employment status - CEU reimbursement - Clinical mentorship and case consultation — new graduates are welcome - A collaborative team that treats integrated care as the standard, not the exception Company Description We've served 12,000+ kids and families since 2020. 78% of families report their child is doing better after three months. We built Backpack because the old model wasn't working — for kids or for the clinicians trying to help them. When clinicians thrive, kids thrive. That's not a tagline. It's how we build. Backpack Healthcare is an Equal Opportunity Employer. We celebrate diversity in age, background, identity, and experience — and we mean it.
Psychiatric Mental Health Nurse Practitioner
Backpack HealthcareBreaking barriers and healing young minds with inclusive, accessible, and comprehensive mental healthcare.
Role Description We're looking for a part-time PMHNP who wants real clinical collaboration and a schedule that actually fits their life. You'll carry a part-time caseload providing comprehensive psychiatric care to children, teens, and young adults via telehealth. Afternoon, evening, and weekend availability is required — that's when families can actually show up. Day-to-day you'll: - Conduct comprehensive psychiatric evaluations and formulate evidence-based diagnoses - Develop individualized treatment plans in partnership with patients and their families - Prescribe and manage psychotropic medications, monitor effectiveness, and adjust as needed - Provide brief supportive interventions and psychoeducation alongside medication management - Collaborate with therapists, psychiatrists, and care coordinators in regular case reviews - Maintain accurate, timely documentation in our EHR - Educate families about diagnoses, treatment options, and what to expect Qualifications - Active, unrestricted Maryland PMHNP license (multi-state or compact preferred) - PMHNP-BC board certification - Active DEA license - Master's or doctoral degree from an accredited PMHNP program - Experience with or strong interest in working with youth and families - Comfortable working independently in a telehealth environment - Strong clinical judgment, clear communication, and genuine empathy Benefits - Competitive fee-for-service per-session pay - 401(k) with company match - Medical, dental, and vision (for eligible team members) - PTO based on employment status - CEU reimbursement - Clinical mentorship and case consultation — new graduates are welcome - A collaborative team that treats integrated care as the standard, not the exception Company Description We've served 12,000+ kids and families since 2020. 78% of families report their child is doing better after three months. We built Backpack because the old model wasn't working — for kids or for the clinicians trying to help them. When clinicians thrive, kids thrive. That's not a tagline. It's how we build. Backpack Healthcare is an Equal Opportunity Employer. We celebrate diversity in age, background, identity, and experience — and we mean it.
New Patient Liaison
Shady Grove FertilityOver 100,000 babies born | Over 50 locations nationwide | #MiraclesMadeHere
• Respond to inbound calls and digital inquiries from prospective patients seeking fertility services in a timely, professional, and compassionate manner • Provide clear, accurate information regarding fertility services, scheduling processes, and next steps, while addressing patient questions with empathy and sensitivity • Schedule new patient consultations accurately based on provider availability, patient needs, and established protocols • Serve as a trusted guide for patients during their initial interaction, recognizing that many callers may be experiencing emotional stress or uncertainty • Coordinate with clinical teams, practice staff, and leadership to ensure a smooth transition from initial contact to scheduled care, particularly when special circumstances or complex needs arise • Accurately document all patient interactions, relevant details, and scheduling outcomes in designated systems to ensure continuity of care and data integrity • Prepare reports and manage workflows for specialized patient populations, including oncology patients and partner-program participants with enhanced benefits • Maintain compliance with HIPAA, patient privacy standards, and all organizational policies and procedures • Participate in quality assurance activities, training, and coaching to continuously improve patient experience, communication skills, and operational accuracy • Conduct timely and appropriate follow-up with patients as needed to support access to care and completion of scheduling
Daytime Neonatal ICU/Perinatal Nurse
Pomelo CarePomelo Care is a healthcare organization that exists to help families have healthy babies. Specifically, the company provides 24/7 pregnancy and newborn care by text, phone, and vi
Role Description Provide and facilitate amazing patient-centered clinical care to our NICU patients and their families. For families navigating the complexities of a NICU stay and the critical transition home, you are their expert clinical guide and reassuring presence. As a NICU/Perinatal Nurse at Pomelo, you will leverage your deep clinical expertise to provide a layer of virtual support to supplement the in-person care of both the birthing parent and their NICU baby. You will do more than just answer questions; you will actively teach, assess, triage, and intervene to build parent confidence and prevent complications. This role is a unique opportunity to use your NICU nursing skills in a flexible, impactful way, helping to ensure the safest possible transition from hospital to home for our most vulnerable patients. We are currently hiring for the following FT Daytime hours: M-F 9am-6pm EST with a rotating weekend requirement. Please note that holiday coverage is also expected on a rotating basis. Reporting to the Nurse Lead, and working closely with the Pomelo NICU Support Team, your key responsibilities will include: - Coordinating holistic family support by seamlessly connecting parents to our dedicated specialists, resource partners, and pediatric providers to ensure they are fully supported throughout the NICU journey and prepared for a safe discharge. - Ongoing clinical and psychosocial assessment of new patients, providing reassurance and building rapport. - Establishing individualized care plans to meet specific health needs based on evidence-based standards. - Developing wellness goals by determining motivating factors and leveraging them for best possible health outcomes. - Identifying and addressing barriers to care that have been identified by patients and/or the care team. - Reducing care gaps (missed appointments, medication management, etc.) by frequent engagements with patients. - Assessing the need for and educating patients on the equipment they will use to monitor their health remotely. - Ongoing surveillance and timely response to abnormal diagnostic results (labs, radiology, etc.). - Assessment of urgent concerns and proactively triaging patients to support appropriate utilization of emergency services. - Timely documentation of all care/interactions and escalating to appropriate multidisciplinary teams, as needed. - Supporting the development of programs and product by providing user feedback. Qualifications - Registered Nurse, BSN prepared, current unrestricted multi-state (compact) license. - 4+ years RECENT experience in a hospital and/or healthcare practice, serving maternal-child health populations (minimum 1 year in NICU and 1 year in labor and delivery/postpartum or Antepartum). - A growth mindset with the ability to approach process change and ambiguous situations with enthusiasm, creativity, and accountability. - Eager to thrive in a fast-paced, metric-driven environment. - Internet-connected, able to work remotely via video, phone, and text. - Willing to travel occasionally (infrequent). - Willing to work weekends and holidays. - Understand the prevalence and role that birth inequity and structural racism plays in maternal morbidity and mortality. - Professionally engaged. Requirements - Bonus points if you have any of the following: - Experience working with perinatal patients who have had pregnancy-related diseases such as diabetes, hypertension, perinatal loss, etc. - Experience providing virtual care. - Spanish Fluency (without the use of an interpreter). Benefits - Competitive healthcare benefits. - Generous equity compensation. - Generous vacation policy.



