RN-Utilization Review Job at Ascension, Austin, TX

czNsYzZ5cG5DVHhUSzRMZHJMZzU5RiszaXc9PQ==
  • Ascension
  • Austin, TX

Job Description

Details
  • Department:  Utilization Review
  • Schedule: M-F 8-hour shift
  • Location:  Remote

Benefits

Paid time off (PTO)
Various health insurance options & wellness plans
Retirement benefits including employer match plans
Long-term & short-term disability
Employee assistance programs (EAP)
Parental leave & adoption assistance
Tuition reimbursement
Ways to give back to your community

 

*Please note, benefits and benefits eligibility can vary by position, exclusions may apply for some roles (for example: Travel, PRN, Short-Term Option, etc.). Actual compensation offer will vary based upon role, education, experience, location, and qualifications. Connect with your Talent Advisor for additional specifics.

Responsibilities

Provide health care services regarding admissions, case management, discharge planning and utilization review.

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

Requirements

Licensure / Certification / Registration:

  • Licensed Registered Nurse credentialed from the Texas Board of Nursing or current home state license for multi-state license recognition "Compact State" obtained prior to hire date or job transfer date required.

Education:

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

Additional Preferences

  • Pediatric (i.e. PICU, Peds acute) experience preferred.
  • Prior Utilization Review experience in the acute hospital setting/ IQ/MCG screening criteria experience preferred.
  • Minimum 3 years experience required.

Why Join Our Team

Ascension Seton, based in Austin, Texas, has provided thousands of associates and caregivers a rewarding career in healthcare since 1902. Ascension Seton operates more than 100 clinical locations in Central Texas and four teaching hospitals, including Dell Seton Medical Center at The University of Texas and Dell Children's Medical Center. Join us and create a career path you will love.

 

Ascension is a leading non-profit, faith-based national health system made up of over 134,000 associates and 2,600 sites of care, including more than 140 hospitals and 40 senior living communities in 19 states.

 

Our Mission, Vision and Values encompass everything we do at Ascension. Every associate is empowered to give back, volunteer and make a positive impact in their community. Ascension careers are more than jobs; they are opportunities to enhance your life and the lives of the people around you.

Equal Employment Opportunity Employer

Ascension will provide equal employment opportunities (EEO) to all associates and applicants for employment regardless of race, color, religion, national origin, citizenship, gender, sexual orientation, gender identification or expression, age, disability, marital status, amnesty, genetic information, carrier status or any other legally protected status or status as a covered veteran in accordance with applicable federal, state and local laws.

 

For further information, view the poster or poster.

 

As a military friendly organization, Ascension promotes career flexibility and offers many benefits to help support the well-being of our military families, spouses, veterans and reservists. Our associates are empowered to apply their military experience and unique perspective to their civilian career with Ascension.

 

 

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.

 

This Ministry does not participate in E-Verify and therefore cannot employ STEM OPT candidates.

Job Tags

Temporary work, Relief, Local area, Shift work,

Similar Jobs

Michigan State University

Health Care Assistant | Michigan State University Job at Michigan State University

 ...Care spans46 adult and pediatric specialties committed to high-quality patient care and is the academic medical center of Michigan State University! MSU Health Care provides exemplary care in our communities to support the research and academic missions of MSU Health... 

TIG Risk Services

Private Investigator in the Knoxville, TN Area Job at TIG Risk Services

We are seeking a Private Investigator in the Knoxville area who is licensed in Tennessee to perform surveillance work on worker's compensation, auto liability, general liability, and long and short-term disability claims. Pay starts at $40+/hr. Job Description TIG... 

MAT Holdings, Inc

Warehouse Dot Com EPJ Pickers 1st Shift Job at MAT Holdings, Inc

 ...We are currently hiring a Warehouse EPJ operator for the first Shift at our Romeoville, IL, distribution center. The pay rate is $2...  ...assigned Qualifications Efficient at Operating an EPJ Picker Recent experience in order-picking Working knowledge of... 

Sagemont Preparatory School

Upper School Math Teacher Job at Sagemont Preparatory School

 ...a solid academic foundation that students need for future success. Classes are led by dedicated, caring teachers who value open communication with parents. We provide a challenging and robust curriculum, innovative instruction, and a vibrant school community. Our students... 

Baxter

Intern, Global Regulatory Affairs Job at Baxter

 ...lives- where your purpose accelerates our mission.Your Role at BaxterTHIS IS WHERE you build trust to achieve resultsThe Regulatory Affairs Intern is an 8-week, hourly non-exempt position that will gain valuable experience in Baxter's Regulatory Affairs department by...