Registered Nurse (RN) Supervisor

Job Description
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 Reviewactivities as assigned.
• Support Care Navigationoperations as needed.
• Provide clinical guidance oncomplex 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 assessmentsand identify educational needs.
• Monitor employee performance andproductivity.
• Participate in evaluations,coaching, corrective action, attendance management, and employeerecognition.
• Recommend performance improvementand 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 andclinical issues.
• Responding to escalatedquestions.
• Coordinating communication.
• Representing the departmentprofessionally.

Administrative Responsibilities

• Monitor timekeeping, staffingschedules, productivity, KPIs, documentation audits, and departmentalreports.
• Assist with recruiting,interviewing, onboarding, policy development, and departmental projects.
• Keep the Director informed ofsignificant 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 RNlicense.
• BSN preferred; Associate Degreewith significant leadership experience considered.
• Five years of progressive nursingexperience.
• Two years of supervisory orleadership experience.
• Strong leadership, communication,organizational, and problem-solving skills.

Preferred:

• Experience in Utilization Review,Case Management, Managed Care, Population Health, or Health Planoperations.
• CCM, ACM, or UR certification.
• Experience with TPAs andself-funded health plans.
• Knowledge of PBMs, specialtymedications, 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)