Clinical Supervisor Case Management

Responsibilities: - Lead team and department meetings, and participate in meetings with operations management and within the current department. - Be the clinical expert and resource for the team and other departments. - Promote team and vision and strategy to achieve department goals. - Provide consistent feedback to members of the team and company to produce positive results. - Lead and participate in continuous improvement activities that inspire or influence the improvement and development of a team. - Manage team's outcomes, monitor dashboards, and track operational KPIs, conducting root-cause analysis and constructing action plans when issues arise. - Manage daily needs of the team, personnel issues, payroll and attendance. - Monitor and approve PTO and sick time. - Assist with interviewing, hiring, and training as needed. - Provide coaching and support to the team to ensure growth and development. - Monitor QI and provide individual QI feedback to the team in 1:1's. - Uphold and enforce Oscar policies that drive accountability and alignment. - Compliance with all applicable laws and regulations. - Other duties as assigned. Requirements: - 3+ years of experience in a healthcare setting as a nurse or social worker. - Complex Case Management. - 1+ years of case management experience at a managed care plan or provider organization. - Active, unrestricted Nursing license (RN) in your state of hire and ability to obtain additional licensure as needed OR Masters in Social Work. Bonus points: - NCQA knowledge. - 1+ year of previous leadership experience in a health care environment. - Working knowledge of Milliman Care Guidelines or familiarity with UM guidelines. - CCM certification. - BSN or LMSW/LCSW. - Bilingual in Spanish. - Strong proficiency navigating Excel, JIRA, and SQL.