Remote UM Nurse Supervisor: Leadership & Compliance

Integra Partners; Michigan; Hybrid; USD 68,000 - 83,000; Full time

Benefits offered by this job

Competitive compensation

Annual bonus program

401(k) retirement with company match

Life insurance

Short term disability

Medical, Vision, Dental

PTO

Parental Leave

Sick Time

Holidays and floating holidays

Wellness programs

Career development

Job summary

Integra Partners in Michigan is seeking an UM Nurse Supervisor to lead the UM nursing team, balance hands-on operations with leadership duties, and ensure performance, accountability, and regulatory compliance.

You will conduct regular 1:1s, performance reviews, huddles, and coordinate with the UM Clinical Manager; oversee case assignments, authorizations, and audits, while maintaining timely workflows. Active RN/LVN/LPN license and 3+ years of nursing with 2+ years UM experience required.

Qualifications

• Active, unrestricted RN, LVN, or LPN license.

Responsibilities

• Provide day-to-day supervision of UM nurses, ensuring productivity, accuracy, and adherence to policies and processes.
• Conduct regular 1:1s, coaching sessions, and performance evaluations to support staff growth and accountability.
• Lead daily/weekly huddles, communicate priorities, and set expectations for performance and timeliness.
• Serve as first point of escalation for staff questions, operational challenges, or case-related concerns.
• Promote a culture of collaboration, accountability, and continuous improvement.
• Monitor team productivity, timeliness, and quality of work through reporting and audits.
• Take accountability for overall team performance, escalating issues as needed to the UM Clinical Manager.
• Ensure compliance with all regulatory, contractual, and accreditation standards (CMS, NCQA, state-specific requirements).
• Support audit preparation, quality initiatives, and corrective action plans as needed.
• Oversee case assignment, queue management, and authorization workflows to ensure timely completion.
• Perform authorization reviews as needed, utilizing federal/state mandates, plan benefit language, and medical necessity criteria (e.g., InterQual, CMS, health plan policies).
• Review and process clinical and administrative appeals; coordinate with Medical Director when required.
• Generate and review daily/weekly reporting on productivity and case timeliness.
• Manage team calendars, including PTO, planned outages, and rotation schedules.
• Participate in user acceptance testing (UAT), system/process improvements, and special projects.
• Act as liaison between UM staff and UM leadership to ensure clear communication of priorities, policies, and workflow changes.
• Collaborate with internal partners (e.g., Provider Relations, Quality) to resolve escalations and address utilization management issues.
• Represent UM nursing team in internal meetings and external stakeholder interactions as directed.

Skills

Nurse leadership

UM supervision

Performance management

Regulatory compliance

InterQual knowledge

Communication skills

Project coordination

Education

RN license

Job description

Integra Partners in Michigan is seeking an UM Nurse Supervisor to lead the UM nursing team, balance hands-on operations with leadership duties, and ensure performance, accountability, and regulatory compliance.

You will conduct regular 1:1s, performance reviews, huddles, and coordinate with the UM Clinical Manager; oversee case assignments, authorizations, and audits, while maintaining timely workflows. Active RN/LVN/LPN license and 3+ years of nursing with 2+ years UM experience required.