Post-Acute UM Supervisor

🕒 June 9

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Devoted Health

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2017

⚕️ Healthcare Insurance

🧘 Wellness

Healthcare Insurance • Wellness

Devoted Health is a healthcare company that offers Medicare Advantage plans designed to provide comprehensive health coverage with added benefits like dental, eyewear, gym memberships, and prescription drugs at competitive rates. The company emphasizes member support and service, ensuring that clients can easily navigate their benefits and access needed healthcare services. Devoted Health is committed to helping customers save money and enhance their health and wellness through a complete package of benefits and support.

📋 Description

• 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

🎯 Requirements

• 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.

🏖️ Benefits

• 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....