Devoted Studios
Post-Acute UM Supervisor
Remote USA · Director · Internship
Sponsorship not specified$95k-$120kDetected 31 days ago
LLMsPerformance ManagementPatient CareLeadershipMentoringAdaptability
About the role
- Supervise the Post-Acute UM team, including hiring, scheduling, training, performance management, coaching, and corrective action
- Monitor and act on key UM and operational metrics (timeliness, approval/denial trends, readmissions, length of stay, throughput), identifying patterns and driving performance improvement
Responsibilities
- Support consistent application of InterQual criteria and CMS/Medicare Advantage guidelines across post-acute review decisions
- Partner with clinical leadership and IT/analytics teams to implement and enhance AI/LLM-supported workflows (e.g., clinical summarization, decision support, documentation assistance, an d queue prioritization)
- Drive workflow standardization and identify automation opportunities to improve efficiency and staff experience
Skills
- Active unrestricted RN license with a minimum of 4 years of clinical experience
- At least 3 years of utilization management experience within a health plan or managed care setting
- Working understanding of AI/LLM tools and their application in clinical or UM workflows
- Knowledge of InterQual criteria and/or other evidence-based medical necessity guidelines
- Understanding of CMS regulations and Medicare Advantage requirements
- Certification or formal training in InterQual
- Experience working in post-acute care utilization management (SNF, ARU, LTACH)
- Experience participating in or leading AI/automation or digital transformation initiatives within UM or care management environments
Compensation
- Salary Ragne: $95,000-$120,000
Benefits
- Lead quality audits and ensure documentation integrity and compliance with regulatory and health plan standards
- Employer sponsored health, dental and vision plan with low or no premium
- Generous paid time off
- $100 monthly mobile or internet stipend
- Stock options for all employees
- Bonus eligibility for all roles excluding Director and above; Commission eligibility for Sales roles
- Parental leave program
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This listing is sourced directly from Devoted Studios's careers page and normalized into a canonical job model.