Post-Acute UM Supervisor

A bit about this role

The Post-Acute UM Supervisor will oversee utilization management activities across post-acute settings (SNF, ARU, LTACH), including audits, quality reviews, and clinical oversight. This role partners with medical leadership to implement education, workflow refinements, and policy updates aligned with InterQual, CMS guidelines, and internal clinical criteria. The supervisor collaborates closely with clinical, operational, and technology teams to design, implement, and optimize AI/LLM-enabled workflows that support prior authorization review, concurrent review, documentation quality, and care transition efficiency. This includes identifying opportunities to reduce administrative burden while improving consistency, accuracy, and turnaround time. The position is in a fast‑paced, high‑change environment requiring strong operational leadership and the ability to manage multiple priorities while guiding a team through ongoing transformation.

Your Responsibilities and Impact will include

• 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
• Support consistent application of InterQual criteria and CMS/Medicare Advantage guidelines across post‑acute review decisions
• Lead quality audits and ensure documentation integrity and compliance with regulatory and health plan standards
• Partner with clinical leadership and IT/analytics teams to implement and enhance AI/LLM‑supported workflows (e.g., clinical summarization, decision support, documentation assistance, and queue prioritization)
• Drive workflow standardization and identify automation opportunities to improve efficiency and staff experience
• Support education and onboarding for new and existing staff on post‑acute UM processes and tools

Required skills and experience

• 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
• At least 1–2 years of supervisory or team‑lead experience
• 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

Desired skills and experience

• 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

Salary Range

$95,000–$120,000

Our Total Rewards package includes

• 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
• 401k program
• And more

Devoted is an equal‑opportunity employer. We are committed to a safe and supportive work environment in which all employees have the opportunity to participate and contribute to the success of the business. We value diversity and collaboration. Individuals are respected for their skills, experience, and unique perspectives. This commitment is embodied in Devoted’s Code of Conduct, our company values and the way we do business.

As an Equal Opportunity Employer, the Company does not discriminate on the basis of race, color, religion, sex, pregnancy status, marital status, national origin, disability, age, sexual orientation, veteran status, genetic information, gender identity, gender expression, or any other factor prohibited by law. Our management team is dedicated to this policy with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, employee activities and general treatment during employment.