RN-Utilization Review
2 weeks ago
Details * Department: Case Management * Schedule: PRN - Days * Location: Austin, TX - Remote after training 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 * At least 4 years of nursing experience as an RN required. * Experience with bedside nursing and/or bedside case management in the acute hospital setting within the last 5 years (adult acute experience preferred). * Minimum 35 wpm typing skills and able to troubleshoot basic tech outages with a computer set up preferred. 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 EEO Know Your Rights (English) poster or EEO Know Your Rights (Spanish) 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. Pay Non-Discrimination Notice 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.
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Utility Coordinator
6 days ago
Austin, United States CareerBuilder Full timeLJA is offering a Utility Coordinator position that will allow you to develop a strong career foundation, expand your base skills into a larger repertoire of technical tools across multiple disciplines and be assigned project roles that best fit your interests, drive, and skill. The structure of our organization is designed to maximize your development...
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Sr. Utility Coordinator
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Austin, United States CareerBuilder Full timeTRANSPORTATION SENIOR UTILITY COORDINATOR WHY BUILD YOUR CAREER HERE? LJA is offering a Senior Utility Coordinator position that will allow you to develop a strong career foundation, expand your base skills into a larger repertoire of technical tools across multiple disciplines and be assigned project roles that best fit your interests, drive, and skill. The...
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RN Director Utilization Management ACM
3 days ago
Austin, United States Ascension Full timeDetails Department: Case Management Schedule: Full Time Day ShiftHospital: Network ServicesLocation: Seton Administrative OfficesBenefits Paid time off (PTO) Please double check you have the right level of experience and qualifications by reading the full overview of this opportunity below.Various health insurance options & wellness plans Retirement...
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RN Director Utilization Management ACM
1 week ago
Austin, United States Ascension Full timeDetails Department: Case Management Schedule: Full Time Day ShiftHospital: Network ServicesLocation: Seton Administrative OfficesBenefits 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...
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RN Director Utilization Management ACM
2 weeks ago
Austin, United States Ascension Full timeDetails Department: Case Management Schedule: Full Time Day ShiftHospital: Network ServicesLocation: Seton Administrative OfficesBenefits 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...
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RN Director Utilization Management ACM
2 weeks ago
Austin, United States Ascension Full timeDetails Department: Case Management Schedule: Full Time Day ShiftHospital: Network ServicesLocation: Seton Administrative OfficesBenefits 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...
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RN Director Utilization Management ACM
1 week ago
Austin, United States Ascension Full timeDetails Department: Case Management Schedule: Full Time Day ShiftHospital: Network ServicesLocation: Seton Administrative OfficesBenefits 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...
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Clinical Product Consultant
Found in: beBee S US - 2 weeks ago
Austin, United States Iodine Software Full timeClinical Product Consultant, Utilization ManagementJoin Us. Let's make a direct impact in healthcare.Being an Iodine employee means becoming part of something bigger: using clinical AI technology to drive smarter healthcare processes and positively impact patient care.Who We Are:Iodine is an enterprise AI company that is championing a radical rethink of...
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RN Director Utilization Management ACM
Found in: Jooble US O C2 - 2 days ago
Austin, TX, United States Ascension Full timeDetails Department: Case Management Schedule: Full Time Day Shift Hospital: Network Services Location: Seton Administrative Offices Benefits Paid time off (PTO) Please double check you have the right level of experience and qualifications by reading the full overview of this opportunity below. Various health insurance options & wellness plans ...
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RN Director Utilization Management ACM
Found in: Adzuna US C2 - 2 weeks ago
Austin, TX, 78723, Travis County, TX, United States Ascension Full timeDetails Department: Case Management Schedule: Full Time Day ShiftHospital: Network ServicesLocation: Seton Administrative OfficesBenefits 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...
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Austin, TX- RN-Pre-Op/PACU
4 days ago
Austin, United States NurseDash Full timeJob DescriptionJob DescriptionJob descriptionAre you a RN with Pre-Op/PACU experience looking to pick up flexible shifts that provide work-life balance and the freedom to match your schedule?NurseDash is making it easier for RN’s to pick up per diem shifts in hospitals and facilities. There is no minimum number of shifts required; once you are approved and...
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RN Admissions
1 week ago
Austin, United States Cross Creek Hospital Full timeRN AdmissionsOverview FT RN Admissions Behavioral Health Cross Creek Hospital - Austin, TX We are looking for individuals who are passionate about behavioral health. If you are interested in growth opportunities that are second to none in the industry and making a difference in the lives of people in our community, this position is right for you! Cross...
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RN Admissions
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Austin, United States Cross Creek Hospital Full timeRN AdmissionsOverview FT RN Admissions Behavioral Health Cross Creek Hospital - Austin, TX We are looking for individuals who are passionate about behavioral health. If you are interested in growth opportunities that are second to none in the industry and making a difference in the lives of people in our community, this position is right for you! Cross...
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Assistant Electrical Engineer
1 week ago
Austin, United States Burns & McDonnell Full timeDescription The Assistant Electrical Engineer or Power & Utilities Analyst will work under the supervision of a consultant or project manager to assist with developing solutions to technical and economic challenges encountered by our power and utility clients. The Power & Utilities Analyst will assist with power system studies that evaluate power plants...
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Registered Nurse
Found in: Lensa US P 2 C2 - 1 week ago
Austin, United States Texas Fertility Center Full timeJob Description Job Description Are you a passionate and skilled Registered Nurse (RN) looking for an exciting opportunity? Look no further! Texas Fertility Center is seeking a Full Time Registered Nurse to join our dynamic team in Austin, Texas. As an onsite nurse at our renowned fertility clinic, you will have the rewarding opportunity to make a...
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Registered Nurse
2 weeks ago
Austin, United States Texas Fertility Center Full timeJob DescriptionJob DescriptionAre you a passionate and skilled Registered Nurse (RN) looking for an exciting opportunity? Look no further! Texas Fertility Center is seeking a Full Time Registered Nurse to join our dynamic team in Austin, Texas. As an onsite nurse at our renowned fertility clinic, you will have the rewarding opportunity to make a significant...
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1 week ago
Austin, United States Harbor Healthcare System Full timeThe RN Clinical Liaison will determine if the patient is eligible for hospice care. Communicates with the families of patients. Interacts with a variety of hospital staff from different departments. Assesses patients upon admission to the hospital or medical facility. Reviews patients' medical records. Explains care options to patients and their families....
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RN Director Utilization Management ACM
2 weeks ago
Austin, TX, United States Ascension Full timeDetails Department: Case Management Schedule: Full Time Day ShiftHospital: Network ServicesLocation: Seton Administrative OfficesBenefits 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...
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Utilization Management Coordinator
6 days ago
Austin, United States CareerBuilder Full timeFor nearly two decades, TenderHeart (formerly known as Longhorn Health Solutions) has been improving the lives of those we serve with high-quality incontinence care management. We start with each individual patient by actively listening to their concerns. Then we ask the right questions to learn more about their challenges. Finally, we develop individualized...
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Utilization Management Coordinator
1 week ago
Austin, United States TenderHeart Health Outcomes Full timeJob DescriptionJob DescriptionFor nearly two decades, TenderHeart (formerly known as Longhorn Health Solutions) has been improving the lives of those we serve with high-quality incontinence care management. We start with each individual patient by actively listening to their concerns. Then we ask the right questions to learn more about their challenges....
