Nurse Supervisor — ProMedix Health
PROMEDIX® HEALTH, Santa Ana, CA, United States
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
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
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
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.
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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
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
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
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.
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