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.
Clinical Responsibilities
- 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.
Stakeholder Collaboration
Serve as a resource for members, providers, employer groups, brokers,
PBMs, stop-loss carriers, vendors, and internal departments by:
- 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.
Authority & Decision-Making
The
RN Supervisor has delegated authority by the Director to manage daily
department operations, assign work, coordinate staffing, monitor quality and
productivity, provide clinical guidance, coach staff, and resolve routine
operational issues. Final authority for hiring, termination, compensation,
formal disciplinary action, and significant financial or regulatory decisions
remains with the Director and executive leadership.
Requirements
Required:
- 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.
Preferred:
- 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
Medical insurance
Dental insurance
Vision insurance
Employer-paid life insurance
Employee Assistance Program (EAP)
401K with 7% employer contribution
Paid Time Off (PTO)
Paid holidays
Flexible Spending Account (FSA)