Clinical Operations Manager - Registered Nurse (RN) (Remote U.S.) - United States - Remote

CNSI and Kepro are now Acentra Health! Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact.

Lead the Way is our rallying cry at Acentra Health. Think of it as an open invitation to embrace the company’s mission, actively engage in problem-solving, and take ownership of your work daily. Acentra Health offers you unparalleled opportunities. In fact, you have all you need to take charge of your career and accelerate better outcomes – making this a great time to join our team of passionate individuals dedicated to being a vital partner for health solutions in the public sector.

Acentra seeks a Clinical Operations Manager – Registered Nurse (RN) (Remote U.S.) to join our growing team.

Job Summary:

The Clinical Operations Manager - Registered Nurse (RN) is responsible for:

• Providing firsthand operational expertise and leadership to the company’s utilization management Indiana contract.
• Acting as a strategic partner to the Program Director in the innovation, design, and implementation of new strategies to continue to improve operations and clinical services.
• Collaboratively enhancing utilization management capabilities and execution through the development of strong management relationships with other areas within and outside the organization.
• Providing day-to-day oversight of the Clinical Review team.

** This is a full-time, remote-based, direct-hire opportunity with Benefits. **

Job Responsibilities:

• Provide day-to-day oversight of Supervisors of UM activities to ensure utilization review activities are conducted timely meeting IAC and URAC regulatory standards.
• Build a high-functioning team that meets all operating goals, including quality, efficacy, and cost of health care, administrative expense, customer service, performance improvement, regulatory requirement satisfaction, and staff engagement.
• Direct …