UM Acute Inpatient Supervisor
About The Position
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 act on key UM and operational metrics (timeliness, denial/overturn rates, volumes, throughput), identifying trends and driving continuous improvement.
Requirements
- 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
Nice To Haves
- Certified in InterQual
Responsibilities
- Supervise the Acute UM Inpatient team, including hiring, scheduling, training, performance management, coaching, and corrective action.
- Monitor and act on key UM and operational metrics (timeliness, denial/overturn rates, volumes, throughput), identifying trends and driving continuous improvement.
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
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What This Job Offers
Job Type
Full-time
Career Level
Manager
Education Level
No Education Listed
