Remote Prior Authorization Rn Jobs in Dallas, TX

US Heart and Vascular (USHV) is seeking a full-time Remote Clinical Operations Nurse Supervisor – Value Based Care to support daily clinical operations.

No Weekends - No Holidays.  Monday thru Friday 8-5

Position Summary:

 This role serves as a frontline clinical leader, providing direct supervision, coaching, and operational support to nursing and clinical staff delivering care management, triage, remote monitoring, and peri-procedural support for complex cardiology patients .The Nurse Supervisor partners closely with the Clinical Operations Nurse Manager to ensure standardized workflows, high-quality patient care, staff performance, and achievement of population health and value-based care outcomes.

Under the direction of the Clinical Operations Nurse Manager, the Nurse Supervisor will be responsible for the following:

Clinical Operations & Patient Care

• Provide day-to-day clinical supervision for nursing and clinical staff supporting the Call center
• Ensure consistent execution of clinical workflows for:
  • Care management
  • Remote patient monitoring (RPM)
  • Triage and escalation
  • Transitional Care Management
• Monitor patient panels to ensure timely outreach, documentation, escalation, and follow-up.
• Support adherence to clinical protocols, care pathways, and out-of-range monitoring standards.
• Assist with provider communication, including Telephone Encounters (TEs) and escalations as indicated.

Staff Supervision & Support

• Serve as a clinical resource and mentor for RNs, MAs, and support staff.
• Conduct real-time coaching, skills reinforcement, and issue resolution.
• Assist with onboarding, training, and competency validation for new clinical staff.
• Monitor staffing coverage, workflows, and daily productivity; escalate concerns to Nurse Manager as needed.
• Support performance improvement initiatives and corrective action when indicated.

Quality, Compliance & Safety

• Ensure compliance with clinical policies requirements.
• Support audit readiness through accurate documentation and workflow adherence.
• Identify workflow gaps or quality risks and proactively escalate to leadership.
• Reinforce patient safety standards and best practices across care settings.

Operational Support & Reporting

• Assist with tracking and reporting operational metrics (e.g., RPM enrollment, outreach completion, care management activity)
• Ensure staff documentation is complete, timely, and aligned with program requirements.
• Partner with leadership on process improvements to enhance efficiency and patient outcomes.
• Assist with Timecard approval and Paid time off requests.

Requirements:

• Strong clinical judgment and ability to lead frontline nursing teams.
• Excellent communication and organizational skills.
• Ability to work independently while escalating appropriately.
• Proven ability to coach, mentor, and support clinical staff.
• Experience in care management, chronic disease management, triage, or ambulatory care
• Proficiency in EHR systems and Microsoft Office (Word, Excel, Outlook)
• Active Multistate Registered Nurse (RN) license.
• Current BLS for Healthcare Providers certification.
• Knowledge of federal, state, and local laws, statutes, regulations, codes, and standards related to the area of responsibility.
• Knowledge of the principles, concepts, and theories relevant to the assigned functional area.
• Skill in completing assignments accurately and with attention to detail.
• Ability to communicate clearly and concisely both orally and in writing in English, to various audiences.
• Ability to manage time, organize work, set priorities, meet deadlines, and follow up on work assignments with minimal supervision.
• Ability to work independently, and as a team, to complete daily activities according to the work schedule.
• Working knowledge of Office 365 programs such as Excel, Outlook, Word, PowerPoint, etc.

Preferred Qualifications:

• Bachelor’s degree in nursing or related healthcare field.
• 2+ years of experience in a supervisory or lead RN role.
• Experience in cardiology, population health, or value-based care programs.
• Experience supporting remote or virtual care teams.

About Dallas/Fort Worth, TX:

Dallas/Fort Worth, known as the Metroplex, offers a vibrant urban life and peaceful suburban living, making it an enticing place to reside. Spanning across ten major cities and thirteen counties, it stands as the largest metroplex in the south. With its extensive range of recreational parks, renowned dining scene, five professional sports teams to root for, and two bustling airports facilitating over 2,000 daily flights, Dallas/Fort Worth provides residents with a multitude of reasons to consider it an excellent place to call home.