Job Description

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 will partner with medical leadership to implement education, workflow refinements, and policy updates aligned with InterQual, CMS guidelines, and internal clinical criteria.

The supervisor will also collaborate 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.

This is a fast-paced, high-change environment requiring strong operational leadership, adaptability, and the ability to manage multiple prior...