Ascension is hiring

RN - Utilization Review (Remote Opportunity!) job at Ascension

Apply now



We Are Hiring:

Working for Ascension is more than just a job. It’s a career where your talent and passion for delivering quality healthcare can make a difference for residents, team members, and the community.

What You Will Do:

Ascension is currently seeking a Registered Nurse for our Utilization Review team! Some of your responsibilities include:

  • Providing health care services regarding admissions, case management, discharge planning and utilization review.
  • Reviewing admissions and service requests within assigned unit for prospective, concurrent and retrospective medical necessity and/or compliance with reimbursement policy criteria.
  • Providing case management and/or consultation for complex cases.
  • Assisting departmental staff with issues related to coding, medical records/documentation, precertification, reimbursement and claim denials/appeals.
  • Assessing and coordinating discharge planning needs with healthcare team members.
  • May prepare statistical analysis and utilization review reports as necessary.
  • Overseeing and coordinating compliance to federally mandated and third party payer utilization management rules and regulations.
What You Will Need:

Licensure / Certification / Registration:

  • Registered Nurse obtained prior to hire date or job transfer date required. Licensure required relevant to state in which work is performed.

Education:

  • Diploma from an accredited school/college of nursing required.
Additional Preferences:
  • Health plan or inpatient utilization experience preferred
  • InterQual or MCG experience preferred
  • Minimum of 3 years nursing experience preferred
  • Nursing Licensure Compact (NLC) strongly preferred
Why Join Our Team:

When you join Ascension, you join a team of over 150,000 individuals across the country committed to a Mission of serving others and providing compassionate, personalized care to all. Our inclusive culture, continuing education programs, career coaches and benefit offerings are just a few of the resources and tools that team members can use to create a rewarding career path. In fact, Ascension spent nearly $46 million in tuition assistance alone to support associate growth and development. If you are looking for a career where you can grow and make a difference in your community, we invite you to join our team today.

Equal Employment Opportunity Employer:

Ascension is an equal opportunity employer (EEO) and affords equal opportunity to all associates and applicants without regard to race, color, religion, national origin, citizenship, gender identity, sexual orientation, age, physical or mental disability, veteran status, genetic data, or other legally protected status.

For further information regarding your EEO rights, click on the following link to the “EEO is the Law” poster:

http://www.dol.gov/ofccp/regs/compliance/posters/pdf/eeopost.pdf

EEO is the Law Poster Supplement


Please note that Ascension will make an offer of employment only to individuals who have applied for a position using our official application. Be on alert for possible fraudulent offers of employment. Ascension will not solicit money or banking information from applicants.

E-Verify Statement:

This employer participates in the Electronic Employment Verification Program. Please click the E-Verify link below for more information.

E-Verify


Job country: United States

City: St. Louis

Category: Nursing

Location: US-MO-St. Louis

Job posted 2022-01-04