Oscar Health seeks a Nurse Supervisor for Utilization Review to guide clinical decision-making in our virtual-first healthcare platform. Oversee a team of UR nurses conducting daily medical necessity reviews for inpatient and outpatient services. Analyze claims data using InterQual criteria to approve or deny authorizations swiftly. Mentor staff on regulatory compliance with CMS and NCQA standards. Spearhead quarterly audits to optimize approval turnaround times by 20%. Hold active RN license and BSN minimum. Bring 5+ years in utilization management, including 2 years supervising teams. Proficiency in EHR systems like Epic and Milliman Care Guidelines essential. URAC certification preferred. Excel in data analytics and clinical judgment.