Registered Nurse Utilization Review

Your future role at a glance

Location

Remote

Facility

Ascension St Thomas

Department

Case Management

Schedule

Full-Time | Days

How you’ll make an impact in this role

• Reviews admissions and service requests within assigned unit for prospective, concurrent and retrospective medical necessity and/or compliance with reimbursement policy criteria. Provides case management and/or consultation for complex cases.
• Assists departmental staff with issues related to coding, medical records/documentation, precertification, reimbursement and claim denials/appeals.
• Assesses and coordinates discharge planning needs with healthcare team members.
• May prepare statistical analysis and utilization review reports as necessary.
• Oversees and coordinates compliance to federally mandated and third party payer utilization management rules and regulations.

What minimum requirements you’ll need

Licensure / Certification / Registration

• Required Credential(s):
• Licensed Compact State Registered Nurse credentialed from the Tennessee Board of Nursing obtained prior to hire date or job transfer date.

Education

• Diploma from an accredited school/college of nursing required. OR Required professional licensure at time of hire.

• Comprehensive health coverage:

medical, dental, vision, prescription coverage and HSA/FSA options

• Financial security & retirement:

employer-matched 403(b), planning and hardship resources, disability and life insurance

• Time to recharge:

pro-rated paid time off (PTO) and holidays

• Career growth:

Ascension-paid tuition (Vocare), reimbursement, ongoing professional development and online learning

• Emotional well-being:

Employee Assistance Program, counseling and peer support, spiritual care and stress management resources

• Family support:

parental leave, adoption assistance and family benefits

• Other benefits:

optional legal and pet insurance, transportation savings and more

Life at Ascension: Where purpose meets opportunity

Ascension is a leading nonprofit Catholic health system with a culture and associate experience grounded in service, growth, care and connection. We empower our 99,000+ associates to bring their skills and expertise every day to reimagining healthcare, together. Recognized as one of the Best 150+ Places to Work in Healthcare and a Military-Friendly Gold Employer, you'll find an inclusive and supportive environment where your contributions truly matter.

Ascension provides Equal Employment Opportunities (EEO) to all associates and applicants for employment without regard to race, color, religion, sex/gender, sexual orientation, gender identity or expression, pregnancy, childbirth, and related medical conditions, lactation, breastfeeding, national origin, citizenship, age, disability, genetic information, veteran status, marital status, all as defined by applicable law, and any other legally protected status or characteristic in accordance with applicable federal, state and local laws. For further information, view the EEO Know Your Rights (English) poster or EEO Know Your Rights (Spanish) poster.

Prospective applicants should be vigilant against fraudulent job offers and interview requests. Scammers may use sophisticated tactics to impersonate Ascension employees. To ensure your safety, please remember: Ascension will never ask for payment or to provide banking or financial information as part of the job application or hiring process, our legitimate email communications will always come from an @ascension.org email address; do not trust other domains, and an official offer will only be extended to candidates who have completed a job application through our authorized applicant tracking system.

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