Nurse Supervisor, Clinical Care Team Quality

Hi, we're Oscar. We're hiring a Quality Nurse Supervisor to join our Clinical 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

You will provide day-to-day oversight and management of the team. You will own the daily Nurse team operations, including queue and volume throughput and staffing, and also serve as the primary escalation point for your teams. You will support strategic and clinical initiatives as needed.

You will report to the Nikeya Lynch. This role is management level 4.

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, Arkansas, 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

• Own daily workforce management, including staffing and queue assignments, PTO/leave, and payroll/compensation.
• Manage queue on a daily basis, ensuring compliance with regulatory timelines, staff coverage, and coordination with internal teams for forecasting and timely handling of ad hoc escalations    
• Ensure team adheres to department policies and workflows and serve as continual champion of the Oscar mission.
• Drive and own the success of clinical auditing and performance through ongoing evaluations; effectively use Oscar tools to monitor and trend nurse productivity and auditing data for assessment and reporting.
• Support the onboarding and training of newly-hired clinicians and partner with the Clinical Quality & Training teams on the development and maintenance of clinical training and resource material.
• Partner with the Talent Acquisition team on clinical hiring initiatives.
• Collaborate with the Clinical Care Team (case management - both clinical and non clinical) on new programs and goals to become a SME on the program workflows and requirements and advise the Clinical Care Team of any quality implications. Adapt auditing practices to align with the evolving needs of the Clinical Care Team.
• Comply with department performance and quality metrics, and adhere to training and remediation requirements.
• Compliance with all applicable laws and regulations
• Other duties as assigned

Qualifications

• Active, unrestricted Registered Nurse (RN) licensure from the United States and in the state of hire, OR, active compact multistate unrestricted RN license as defined by the Nurse Licensure Compact (NLC)
• Associate Degree and/or Bachelors of Nursing from an accredited school of nursing
• 5+ years healthcare experience (including at least 2 years clinical practice in an acute care setting)
• 3+ years of clinical quality or case management experience at a managed care plan or provider organization 
• 1+ years of leadership/mentorship/peer coaching experience

Bonus Points

• Bachelors of Nursing (BSN) degree
• Masters of Science in Nursing (MSN) degree, or MBA/Healthcare administration degree
• Project management certification (e.g. Six Sigma, SCRUM, Agile) 
• Leadership/management experience
• Experience analyzing and interpreting performance and other forms of data
• Proficiency using Google Suite

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 tha