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 Director's designee when needed.

The RN Supervisor also participates in Utilization Review activities
(approximately 3–4 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.

Requirements

• 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.

Benefits