Manager, Registered Nurse – Utilization Review

🔥 16 hours ago

🇺🇸 United States – Remote

💵 $89.9k - $162.1k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

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Ascension

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

⚕️ Healthcare Insurance

🤝 Non-profit

Healthcare • Healthcare Insurance • Non-profit

Ascension is a faith-based healthcare organization dedicated to transformation through innovation across the continuum of care. As one of the leading non-profit and Catholic health systems in the U. S. , Ascension is committed to delivering compassionate, personalized care to all, particularly focusing on those living in poverty and the most vulnerable populations. Operating over 2,600 sites of care, including 151 hospitals, Ascension offers a variety of services, including physician practice management and clinical care management, while emphasizing a mission of community benefit.

📋 Description

• Lead daily department operations and budgeting to ensure a high-performing team and a sustainable, well-resourced work environment • Hire, mentor, and evaluate staff members to build a highly skilled workforce dedicated to continuous professional development • Design and implement quality review programs with key performance metrics to guarantee exceptional utilization review standards • Partner with medical and executive leadership to place patients in the most appropriate care settings while meeting all financial and regulatory standards • Serve as the primary clinical expert for staff on review criteria and appeals to ensure accurate documentation and smooth patient transitions

🎯 Requirements

• Registered Nurse credentialed from the Indiana Board of Nursing obtained prior to hire date or job transfer date • Required professional licensure/certification • 3 years of experience • 1 year of cumulative leadership experience • Active Indiana or compact RN License • Minimum of 2 years of leadership experience in Utilization Review or Case Management required • Utilization Review or Case Management experience required • ACMA or CCM certification preferred • Bachelors in Nursing preferred

🏖️ Benefits

• Comprehensive health coverage: medical, dental, vision, prescription coverage and HSA/FSA options • Employer-matched 403(b) • Planning and hardship resources • Disability and life insurance • Pro-rated paid time off (PTO) and holidays • Ascension-paid tuition (Vocare) • Reimbursement • Ongoing professional development and online learning • Employee Assistance Program • Counseling and peer support • Spiritual care and stress management resources • Parental leave • Adoption assistance and family benefits • Optional legal and pet insurance • Transportation savings

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