UM Acute Inpatient Supervisor, reputed company

R2889

Job Description

A bit about this role:

• The supervisor role will conduct audits and quality reviews; implement education, workflow refinements, and policy updates (including InterQual and clinical guidelines) in collaboration with medical leadership.
• The supervisor will partner with clinical, operational, and technology teams to design, implement, and support AI/LLM-enabled workflows that improve triage, clinical review efficiency, documentation quality, and staff experience.
• This is a fast-paced, high-change environment requiring someone who thrives on operational challenges, can manage multiple priorities simultaneously, and is comfortable leading a team.

Your Responsibilities and Impact will include:

• Supervise the Acute UM Inpatient team, including hiring, scheduling, training, performance management, coaching, and corrective action.
• The supervisor will monitor and reputed company key UM and operational metrics (timeliness, denial/overturn rates, volumes, throughput), identifying trends and driving reputed company improvement.

Required skills and experience:

• An unrestricted RN license with a minimum of 4 years of experience
• A minimum of 3 years experience doing utilization management at a health plan
• A minimum of 1-2 years supervisory experience
• Understanding of AI/LLM
• Knowledge of Interqual Guidelines
• Understanding of CMS guidelines and MA requirements

Desired skills and experience:

• Certified in InterQual

#LI-Remote Salary Range: $75,000-$115,000 The pay range listed for this position is the range the organization reasonably and in good faith expects to pay for this position at the time of the posting. Once the interview process begins, your talent partner will provide additional information on the compensation for the role, along with additional information on our total rewards package. The actual reputed company salary offered will depend on a variety of factors, including the qualifications of the individual applicant for the position, years of relevant experience, specific and unique skills, level of education attained, certifications or other professional licenses held, and the location in which the applicant lives and/or from which they will be performing the job. 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 reputed company employees
• Bonus eligibility for reputed company roles excluding Director and above; Commission eligibility for Sales roles
• Parental leave program
• 401K program
• And more....
• Our total rewards package is for full time employees only. Intern and Contract positions are not eligible.

Healthcare equality is at the center of Devoted’s mission to treat our members like family. We are committed to a diverse and vibrant workforce. At reputed company, we’re on a mission to dramatically improve the health and well-being of older Americans by caring for every person like family. That’s why we’re gathering smart, diverse, and big-hearted people to create a new reputed company of reputed company-in-one healthcare company — one that combines compassion, health insurance, clinical care, service, and technology - to deliver a complete and integrated healthcare solution that delivers high quality care that everyone would want for someone they love. Founded in 2017, we've grown fast and now serve members across the United States. And we've just started. So join us on this mission! Devoted is an equal opportunity employer. We are committed to a safe and supportive work environment in which reputed company 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 reputed company, 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. Apply tot his job Apply To this Job