Collaborate with the product and services teams to execute our strategic plan for AwareUM.
Audit for product accuracy and effectiveness, communicating with product for change as identified
Assess effectiveness of AwareUM technology in creating efficient workflow for UM nurses
Deliver on go-forward product milestones balancing client requests with investment in new capabilities that deliver on the vision for the product
Collaborate with the UM growth team and support a smooth sales delivery process that results in achievement of targeted growth expectations
Collaborate with the CX team to create a seamless, integrated, and consistent user experience
Actively manage the client experience to deliver on implementation milestones, manage client support requests and expectations and monitor client successful use of the product

Bachelor of Science in Nursing (BSN) or equivalent (with RN licensure)
8+ years of clinical experience in acute care setting
2+ years of experience in utilization management
Knowledge and understanding of Utilization Management, Quality Management, Care Management, and/or Chronic Condition Management within hospital systems, post-acute providers, and/or payers.
Demonstrates an understanding of evolving reimbursement models, including commercial payers, Medicaid, and Medicare.
Demonstrates an understanding of CMS and payer regulations as it pertains to patient status and care management
Works effectively on a multidisciplinary team.
Demonstrates flexible, positive, clear interpersonal and communication skills with ability to facilitate the exchange of information with internal and external clients
Ability to work remotely, effectively, and efficiently
Proven history of collaborative, team-focused approach
Excellent oral and written communication skills
Ability to travel 20-50% of the time, to domestic locations for client or business meets.
Preferred Requirements:
Experience leading a Utilization Management team in an acute care setting
Active and current Utilization and/or Case Management Certification
2-3 years’ experience with MCG and/or InterQual products and services.
Experience in the software training and education for health-care related products preferred
Knowledge of core software applications including google, excel, power point

Competitive total rewards (base salary + bonus, if applicable)
Customizable benefits package (3 medical plans with Health Saving Account company match)
Generous paid time off for our non-exempt team members, starting with 3 weeks + 13 paid holidays, including 2 personal floating holidays.
Flexible time off for our exempt team members + 13 paid holidays
Paid parental leave (including maternity + paternity leave)
Education assistance opportunities and free LinkedIn Learning access
Free mental health and family planning programs, including adoption assistance and fertility support
401(K) program with company match
Pet insurance
Employee resource groups

Clinical Product Consultant – Utilization Management

Key skills