[Hiring] Registered Nurse Utilization Management @Ascension

Role Description

Lead the charge in reviewing admissions and service requests to ensure every patient’s journey aligns with medical necessity and reimbursement standards.

• Act as a go-to consultant for our departmental teams, navigating the complexities of coding, documentation, and precertification to resolve claim denials and manage the appeals process seamlessly.
• Serve as a guardian of quality, overseeing and coordinating our adherence to federally mandated regulations and third-party payer rules.
• Step in to prepare statistical analyses and utilization reports that help shape our future strategies.

Qualifications

• Licensed Registered Nurse credentialed from the Kansas Board of Nursing required.
• Diploma from an accredited school/college of nursing OR required professional licensure at time of hire.
• Demonstrated experience in Utilization Management (UM) or Case Management (preferred).

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

Company Description

Ascension is a leading nonprofit Catholic health system with a culture and associate experience grounded in service, growth, care and connection. We empower our 97,000+ 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.