Nurse Supervisor

Promedix Health

Nurse Supervisor

Newport Beach, CA
Full Time
Paid
  • Responsibilities

    Benefits:

    401(k)

    Health insurance

    Paid time off

    About ProMedix Health

    ProMedix Health is a Medicare-focused Chronic Care Management and Remote Patient Monitoring company delivering services to patients of contracted physician practices and a regional hospital system’s patient panel. We are building our clinical team and looking for an experienced RN supervisor who can lead day-to-day clinical operations, keep our programs compliant, and serve as the connective tissue between our nursing staff, our Medical Director, our accounts, and their patients.

    Role Summary

    The Nurse Supervisor owns the day-to-day clinical performance of ProMedix’s CCM and RPM programs. This is a hands-on supervisory role — you will manage and develop the care coordination team, carry an active patient panel, enforce compliance, oversee care plan quality, and serve as the primary clinical point of contact for contracted practices, PCPs, and our clinical staff. You report directly to the VP of Operations and the CEO.

    This role requires someone who knows how to run a compliant Medicare program, lead nurses, understand CPT billing codes for CCM/RPM reimbursement, and interface credibly with physicians and accounts — without owning technology buildouts or HR infrastructure.

    Key Responsibilities

    Clinical Team Supervision

    Supervise care coordinators and CCM/RPM nurses day-to-day — assign caseloads, monitor activity, provide clinical guidance, and address performance gaps

    Onboard, orient, and train new clinical staff on ProMedix workflows, protocols, compliance standards, and the ProMedix Virtual Care Portal

    Serve as the escalation point for complex or high-acuity patient situations; provide operational oversight of ProMedix Direct NPs

    CCM/RPM Compliance & Billable Time Management

    Possess and apply deep knowledge of CMS compliance rules for RPM and CCM — time thresholds, device reading requirements, patient contact cadence, and monthly billing cycle integrity

    Ensure all billable encounters are clinically necessary, accurately documented, and audit-ready at all times

    Monitor care coordinator productivity against defined KPIs: visits PPPM, time-to-bill, care plan completion, and escalation turnaround

    Review and approve care plans for accuracy, completeness, and clinical appropriateness before submission

    Documentation & Escalation Oversight

    Review all clinical documentation in the ProMedix portal for quality, consistency, and compliance traceability; enforce real-time documentation standards with no external spreadsheets

    Identify and correct documentation gaps that could create audit exposure or billing failure

    Manage DNC escalations, patient complaint resolution, and outreach compliance; enforce escalation protocols for each practice and affiliated provider

    Ensure RPM biometric, trend, and symptom alerts are reviewed and resolved within defined SLA timeframes

    Account & Physician Relations

    Serve as the primary clinical point of contact for contracted practice accounts and PCPs — communicating escalations, care summaries, month-end reporting, and program updates

    Build and maintain working relationships with practice staff, account contacts, and billing staff

    Maintain direct communication with contracted practice billing managers; monitor claim submittals, denials, and receipts to ensure accurate and timely submissions

    Direct Patient Care

    Carry an active patient panel as directed, delivering CCM and RPM services directly in addition to supervising the team

    What We’re Looking For

    Required

    Active California RN license in good standing

    Minimum 3 years of clinical nursing experience with at least 1 year in a supervisory, charge, or lead capacity

    Direct experience in CCM, RPM, transitional care, or a Medicare chronic disease management program

    Working knowledge of CMS compliance requirements for CCM and RPM — time thresholds, documentation standards, and medical necessity

    Familiarity with CPT billing codes for CCM and RPM encounters and reimbursement submissions

    Understanding of credentialing requirements and Medicare program participation standards

    Comfortable operating autonomously in a telephonic and remote patient care environment with new technology platforms

    Strong communication skills with patients, nurses, physicians, and practice staff

    Preferred

    Experience managing clinical staff performance against measurable KPIs

    Familiarity with care plan development across Medicare and geriatric populations

    Experience in Epic, Elation, or similar EHR platforms

    Experience across multiple contracted accounts or practice settings simultaneously

    Public Health Nurse certification or community/population health background

    Compensation

    Competitive and commensurate with experience. Full-time. 100% on-site — not hybrid. Benefits include medical, dental, vision, and 401(k) with employer match per company plan.