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Post Acute Reviews Jobs (NOW HIRING)

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Post Acute Hospitalist, Physician

Nevada, IA

$7.25 - $999.99/hr

Post-Acute Hospitalist, Physician When you join us, you'll become a part of a nationally recognized ... WhileHiredScore assists in reviewing applications, all final decisions are made byIntermountain ...

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How much do post acute reviews jobs pay per year?

As of Jul 23, 2026, the average yearly pay for post acute reviews in the United States is $59,622.00, according to ZipRecruiter salary data. Most workers in this role earn between $58,000.00 and $60,000.00 per year, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a Post Acute Review Nurse, and why are they important?

To thrive as a Post Acute Review Nurse, you need a current nursing license (typically RN), strong clinical assessment skills, and experience with post-acute care settings such as rehabilitation or long-term care. Familiarity with utilization review software, electronic health records (EHRs), and knowledge of CMS guidelines and insurance protocols is crucial. Excellent communication, critical thinking, and attention to detail help navigate complex cases and coordinate with providers and payers. These skills ensure accurate care determinations, regulatory compliance, and optimal patient outcomes within the post-acute continuum.

What are the main challenges faced by professionals in Post Acute Reviews, and how can new hires prepare for them?

Professionals in Post Acute Reviews often encounter challenges such as managing high case volumes, staying up-to-date with regulatory requirements, and effectively communicating with interdisciplinary teams. New hires can prepare by developing strong organizational skills, becoming familiar with relevant healthcare guidelines, and building collaborative relationships with providers and case managers. Adapting quickly to changing policies and maintaining attention to detail are also crucial for success in this role.

What is the difference between Post Acute Reviews vs Skilled Nursing Reviews?

AspectPost Acute ReviewsSkilled Nursing Reviews
CredentialsTypically require clinical licenses (e.g., RN, LPN)Require similar clinical licenses (RN, LPN)
Work EnvironmentPost-acute care facilities, home health, rehab centersSkilled nursing facilities, rehab centers
Employer & Industry UsageHealthcare providers, insurance companies, rehab agenciesSkilled nursing facilities, healthcare providers
Common Search & ComparisonOften compared due to overlapping responsibilities in patient reviewsRelated but more focused on nursing facility assessments

Post Acute Reviews and Skilled Nursing Reviews share similar credentials and work environments, often overlapping in healthcare settings. However, Post Acute Reviews typically encompass a broader range of post-acute care assessments, including home health and rehab, while Skilled Nursing Reviews focus specifically on nursing facility evaluations. Understanding these differences helps healthcare professionals and employers select the right role for their needs.

What are Post Acute Reviews?

Post Acute Reviews are evaluations conducted after a patient leaves an acute care setting, such as a hospital, to determine the appropriateness and quality of ongoing care in settings like rehabilitation centers, skilled nursing facilities, or home health care. These reviews help ensure that patients receive the right level of care and that their recovery is progressing as expected. They also assess the necessity and effectiveness of continued services, help manage healthcare costs, and support compliance with insurance or regulatory requirements. Professionals performing Post Acute Reviews often collaborate with healthcare providers, insurance companies, and patients to coordinate care plans.
More about Post Acute Reviews jobs
What cities are hiring for Post Acute Reviews jobs? Cities with the most Post Acute Reviews job openings:
What states have the most Post Acute Reviews jobs? States with the most job openings for Post Acute Reviews jobs include:
What job categories do people searching Post Acute Reviews jobs look for? The top searched job categories for Post Acute Reviews jobs are:
Post Acute Reviews jobs near you
Infographic showing various Post Acute Reviews job openings in the United States as of July 2026, with employment types broken down into 4% As Needed, 64% Full Time, 15% Part Time, and 17% Contract. Highlights an 98% Physical, 1% Hybrid, and 1% Remote job distribution, with an average salary of $59,622 per year, or $28.7 per hour.
Manager, Inpatient and Post Acute Services

Manager, Inpatient and Post Acute Services

PacificSource

Boise, ID • On-site

Full-time

Medical

Posted 21 days ago

PacificSource rating

6.3

Company rating: 6.3 out of 10

Based on 12 frontline employees who took The Breakroom Quiz

255th of 281 rated insurance

Job description

Looking for a way to make an impact and help people?
Join PacificSource and help our members access quality, affordable care!
PacificSource is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or other protected status, such as race, religion, color, sex, sexual orientation, gender identity, national origin, genetic information or age. PacificSource values the diversity of our community, including those we hire and serve. We are committed to creating and fostering a work environment in which individual differences and diversity are appreciated, respected and responded to in ways that fully develop and utilize each person's talents and strengths.
The Manager of Utilization Management (UM) for Inpatient, Post-Acute and Dual Eligible Special Needs (DSN oversees and directs the utilization management process for inpatient admissions, post-acute care services, and DSNP members). This role ensures compliance with regulatory requirements, optimizes quality and cost-effectiveness, and facilitates coordinated care across the care continuum. The Manager works closely with interdisciplinary teams to achieve organizational goals and high standards of member-centric care and is integrally involved in the Health Services (HS) program development, implementation, and strategic planning.
Essential Responsibilities:
  • Oversee daily UM operations for inpatient services including clinical review, authorization, and concurrent review processes to ensure efficient and effective utilization management.
  • Ensure timely level of care determinations alignment with clinical guidelines and regulatory requirements to ensure patients receive the right care at the right time.
  • Collaborate with hospital case managers, providers, and interdisciplinary teams to facilitate safe and cost-effective discharge plans for patients.
  • Monitor and track and analyze inpatient length of stay metrics, readmissions, key performance indicators (KPIs), and turnaround times to identify areas for improvement.
  • Oversee utilization review for skilled nursing facilities, home health, long-term acute care, and other post-acute settings to ensure appropriate care.
  • Establish effective transitions of care with post-acute providers to reduce preventable readmissions and promote optimal member outcomes.
  • Use evidence-based protocols to ensure medical necessity for continued stays and manage cost-effectiveness in the post-acute phase.
  • Provide leadership and direction for Dual-Eligible Special Needs Plan (DSNP) utilization management, ensuring integration of Medicare and Medicaid requirements.
  • Work closely with care coordination teams to address the unique needs of DSNP enrollees, including social determinants of health.
  • Ensure compliance with state and federal regulations and DSNP contractual obligations, including timely authorization and appeals processes.
  • Develop, implement, and regularly update policies and procedures to ensure compliance and best practices in utilization management.
  • Prepare for and manage internal and external audits pertaining to UM and DSNP activities to ensure compliance and readiness.
  • Work closely with the UM Director to facilitate the development and implementation of new programs and support ongoing success of department goals and initiatives.
  • Directly supervise the UM inpatient team, along with staff focused on post-acute and DSNP reviews, ensuring effective team performance.
  • Recruit, train, and mentor clinical reviewers, nurses, coordinators, and other UM personnel to build a skilled and knowledgeable team.
  • Conduct performance evaluations, set goals, and foster professional development to maintain a high-performing team.
  • Attend continuing education events: Attend continuing education events to ensure that PacificSource UM programs maintain current industry best practices.
  • Develop and monitor the annual department budget: Develop the annual department budget, monitor spending versus the approved budget throughout the year, and take corrective action where needed.
  • Responsible for process improvement and collaboration with other departments to improve interdepartmental processes using Lean methodologies, visual boards, and daily huddles to monitor KPIs and identify improvement opportunities.
  • Actively participate as a key team member in Manager/Supervisor meetings to discuss and address departmental and organizational issues.
  • Actively participate in various strategic internal and external committees to disseminate information and represent company philosophy.
  • Develop and track metrics to evaluate utilization trends, authorization outcomes, readmission rates, and other key performance indicators, presenting monthly/quarterly dashboards and reports to senior leadership with actionable insights for continuous improvement.

Supporting Responsibilities:
  • Serve as back up to the Director of Utilization Management, as needed
  • Meet department and company performance and attendance expectations.
  • Follow the PacificSource privacy policy and HIPAA laws and regulations concerning confidentiality and security of protected health information.
  • Perform other duties as assigned.

SUCCESS PROFILE
Work Experience: Minimum of seven (7) years of clinical experience required and a minimum of 3 years direct health plan experience in case management, utilization management, or disease management. Prior supervisory or management experience required.
Education, Certificates, Licenses: Registered Nurse or Licensed Clinical Social Worker with current appropriate state licenses. Certified Case Manager Certification as accredited by CCMC preferred.
Knowledge: Thorough knowledge and understanding of medical procedures, diagnoses, care modalities, procedure codes, including ICD-9 & 10, CPT codes, health insurance and State of Oregon mandated benefits. Knowledge of managed care products and third-party liability (TPL) is required. Ability to develop, review and evaluate utilization and case management reports. Knowledge of health insurance and State mandated benefits experience in adult education preferred.
Competencies
Building Trust
Building a Successful Team
Aligning Performance for Success
Building Partnerships
Customer Focus
Continuous Improvement
Decision Making
Facilitating Change
Leveraging Diversity
Driving for Results
Environment: Work inside in a general office setting with ergonomically configured equipment. Travel is required approximately 10% of the time.
Skills:
Accountable leadership, Collaboration, Data-driven & Analytical, Delegation, Effective communication, Listening (active), Situational Leadership, Strategic Thinking
Compensation Disclaimer
The wage range provided reflects the full range for this position. The maximum amount listed represents the highest possible salary for the role and should not be interpreted as a typical starting wage. Actual compensation will be determined based on factors such as qualifications, experience, education, and internal equity. Please note that the stated range is for informational purposes only and does not constitute a guarantee of any specific salary within that range.
Base Range:
$91,587.15 - $160,277.52
Our Values
We live and breathe our values. In fact, our culture is driven by these seven core values which guide us in how we do business:
  • We are committed to doing the right thing.
  • We are one team working toward a common goal.
  • We are each responsible for customer service.
  • We practice open communication at all levels of the company to foster individual, team and company growth.
  • We actively participate in efforts to improve our many communities-internally and externally.
  • We actively work to advance social justice, equity, diversity and inclusion in our workplace, the healthcare system and community.
  • We encourage creativity, innovation, and the pursuit of excellence.

Physical Requirements: Stoop and bend. Sit and/or stand for extended periods of time while performing core job functions. Repetitive motions to include typing, sorting and filing. Light lifting and carrying of files and business materials. Ability to read and comprehend both written and spoken English. Communicate clearly and effectively.
Disclaimer: This job description indicates the general nature and level of work performed by employees within this position and is subject to change. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications required of employees assigned to this position. Employment remains AT-WILL at all times.

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