Clinical Supervisor (Remote - Must Reside in the State of Maine)

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 mission of the company; to actively engage in problem-solving; and to take ownership of your work every day. 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 Health is looking for a Clinical Supervisor to join our growing team.

Job Summary

Acentra Health is seeking a dynamic and mission-driven Clinical Supervisor to join our growing team and play a critical leadership role supporting high-impact clinical review operations. In this position, you will provide day-to-day oversight and guidance to nurse reviewers, ensuring prior authorization and clinical review activities are completed efficiently, accurately, and in alignment with contract requirements.

The Clinical Supervisor partners closely with operational and clinical leadership to drive performance, maintain quality standards, and support successful delivery of program objectives within established budgetary parameters.This role offers the opportunity to lead impactful work that directly supports patient outcomes while contributing to a collaborative, mission-driven healthcare organization.

Job Responsibilities:

• Ensure the accuracy, quality, and timely completion of all clinical review case types in accordance with contractual requirements and established service-level expectations.

• Monitor and manage daily workload volumes and review queues; proactively adjust staffing assignments and schedules to meet operational demands and maintain productivity targets.

• Analyze reviewer productivity, performance trends, and workflow efficiency to support continuous improvement and operational excellence.

• Identify onboarding, training, and ongoing development needs; partner with Operations leadership to design and implement targeted learning and development plans.

• Lead quality monitoring initiatives, including quarterly audits, Quality Improvement Plans (QIPs), inter-rater reliability (IRR) activities, and database oversight to drive process enhancements and compliance.

• Maintain current knowledge of clinical review processes, regulatory requirements, and best practices; serve as a primary resource for nurse reviewers regarding workflow guidance, clinical questions, and escalation support.

• Act as a key liaison for provider relations, addressing customer service concerns, resolving issues professionally, and fostering strong external partnerships.

• Support operational needs by performing clinical reviews as required to maintain workflow continuity and meet program deliverables

• Read, understand, and adhere to all corporate policies including policies related to HIPAA and its Privacy and Security Rules.

• Must hold an active, unrestricted Licensed Clinical Social Worker (LCSW) or Licensed Clinical Professional Counselor, (LCPC ) license in the State of Maine.

• Minimum of 1 or 2 years of supervisory experience required, along with at least 2 + years of utilization review, prior authorization, or clinical review experience.
• Minimum of 2 + years of experience in medical record documentation, chart auditing, and supervising clinical business operations.
• Demonstrated experience managing workloads, prioritizing assignments, and supporting operational efficiency within a fast-paced clinical review environment.
• Proven ability to mentor and develop teams, drive performance results, conduct performance evaluations, and participating in the interview and hiring process.

• Excellent written and verbal communication skills, with the ability to effectively collaborate with providers, peers, and cross funtional stakeholders.
• Strong interpersonal and relationship-building skills with a collaborative leadership approach.
• Highly organized with the ability to manage multiple priorities, meet deadlines, and adapt to changing business needs.
• Proficiency in Microsoft Office Suite (Word, Excel, Outlook, and Teams) required, along with experience working with healthcare systems and software applications in a Windows-based environment.

Why us

We are a team of experienced and caring leaders, clinicians, pioneering technologists, and industry professionals who come together to redefine expectations for the healthcare industry. State and federal healthcare agencies, providers, and employers turn to us as their vital partner to ensure better healthcare and improve health outcomes.

We do this through our people

You will have meaningful work that genuinely improves people's lives nationwide. Our company cares about our employees, giving you the tools and encouragement, you need to achieve the finest work of your career.

We know your time is valuable and we thank you for applying for this position. Due to the high volume of applicants, only those who are chosen to advance in our interview process will be contacted. We sincerely appreciate your interest in Acentra Health and invite you to apply to future openings that may be of interest. Best of luck in your search!

EOE AA M/F/Vet/Disability

Acentra Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran or any other status protected by applicable Federal, State or Local law.

Benefits

Benefits are a key component of your rewards package. Our benefits are designed to provide you with additional protection, security, and support for both your career and your life away from work. Our benefits include comprehensive health plans, paid time off, retirement savings, corporate wellness, educational assistance, corporate discounts, and more.

Compensation

The compensation for this role is $85,088.00 - $95,000.00 annual base salary

Based on our compensation program, an applicant's position placement in the pay range will depend on various considerations, such as years of applicable experience and skill level.

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