FreshRemote.Work

Clinical Supervisor

Remote

Hi, we're Oscar. We're hiring a Clinical Supervisor to join our Transitions of Care Team.

Oscar is the first health insurance company built around a full stack technology platform and a focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family.

About the role

The Clinical Supervisor leads a clinical team. You will be both clinical and leadership support for the team and will drive goals and metrics for the clinical team to meet our goals while providing coaching and leadership. You will guide process improvement and escalate trends or concerns to appropriate team members. Additionally, you will build relationships with external health systems and vendors.

You will report to the Clinical Manager of Clinical Care Navigation.

Work Location:

Oscar is a blended work culture where everyone, regardless of work type or location, feels connected to their teammates, our culture and our mission.

If you live within commutable distance to our New York City office (in Hudson Square), our Tempe office (off the 101 at University Dr), or our Los Angeles office (in Marina Del Rey), you will be expected to come into the office at least two days each week. Otherwise, this is a remote / work-from-home role.

You must reside in one of the following states: Alabama, Arizona, California, Colorado, Connecticut, Florida, Georgia, Illinois, Indiana, Iowa, Kansas, Kentucky, Maine, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, Ohio, Oregon, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Utah, Vermont, Virginia, Washington, or Washington, D.C. Note, this list of states is subject to change. #LI-Remote

Pay Transparency:

The base pay for this role is: $88,800 - $116,550 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program, and annual performance bonuses.

Responsibilities

  • Lead team and department meetings and participate in meetings with operations management and within the current department.
  • Be a clinical expert and resource for the team and other departments.
  • Promote team strategy to achieve department goals.
  • Provide detailed feedback to members of the team and company to produce positive results.
  • Lead continuous improvement activities that influence the improvement and development of a high performing team.
  • Manage team's outcomes, monitor dashboards, and track operational goals, conducting root-cause analysis and constructing action plans when issues arise.
  • Manage daily needs of the team, personnel issues, payroll and attendance. Monitoring and approving PTO and sick time.
  • Help interview, hiring, and training.
  • Provide coaching and support to the team to ensure development.
  • Monitor QI and provide individual QI feedback to the team in 1:1's.
  • Uphold and enforce Oscar policies that create accountability and agreement.
  • Compliance with all applicable laws and regulations
  • Other duties as assigned

Qualifications

  • 3+ years of experience in a healthcare setting as a nurse or social worker.
  • 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

  • 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
  • Proficiency navigating Excel, JIRA, and SQL

This is an authentic Oscar Health job opportunity. Learn more about how you can safeguard yourself from recruitment fraud here

At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives.

Pay Transparency:  Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements.

Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant’s disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team (accommodations@hioscar.com) to make the need for an accommodation known.

California Residents: For information about our collection, use, and disclosure of applicants’ personal information as well as applicants’ rights over their personal information, please see our Notice to Job Applicants.

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Job Profile

Restrictions

Arizona California Colorado Connecticut Florida Georgia Illinois In-office requirement for local residents Iowa Kentucky Maine Maryland Massachusetts Michigan Minnesota Missouri Must reside in one of the following states Must reside in specified states Nevada New Hampshire New Jersey New Mexico New York North Carolina Ohio Oregon Pennsylvania Rhode Island South Carolina Tennessee Texas Utah Vermont Virginia Washington

Benefits/Perks

11 paid holidays 401k plan participation Annual performance bonuses Dental Disability Insurance Employee benefits Life and Disability insurance Medical Medical, dental, and vision benefits Paid holidays Paid parental leave Paid sick time Paid wellness time Paid wellness time and reimbursements Performance bonuses Unlimited Vacation Unlimited vacation program Vision Vision Benefits

Tasks
  • Compliance
  • Compliance with all applicable laws and regulations
  • Conduct root cause analysis
  • Continuous Improvement
  • Drive goals and metrics
  • Lead clinical team
  • Lead team
  • Manage team outcomes
  • Other duties as assigned
  • Process Improvement
  • Provide coaching and support
  • Training
  • Uphold policies
Skills

Analysis Bilingual C Case Management Clinical Clinical Leadership Coaching Compliance Continuous Improvement Education Excel Healthcare Health Insurance Jira LCSW Leadership Managed Care Management Metrics Milliman care guidelines Monitoring Navigation Nursing Operations Operations Management Process Improvement Social Work Spanish SQL Strategy Team Management Technology Technology Platform Training UM guidelines

Experience

3 years

Education

BSN Certification Healthcare LCSW LMSW MSW RN Social Work Technology

Certifications

CCM Process improvement