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RN Mgr-Utilization Review
2 months ago
- Department: Utilization Management
- Schedule: FT - Days
- Location: Remote after training
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.
ResponsibilitiesManage effective utilization review processes, including management of patient statusing processes and monitoring of medical necessity review functions for assigned sites.
- Collaborate with the director to develop and implement quality review programs and key performance indicators for all utilization review activities.
- Interact with medical, nursing, and executive leadership to facilitate quality based, cost effective patient statusing in the most appropriate setting, in compliance with regulatory and revenue cycle requirements.
- Oversee day-to-day operations of the department and assist with the budgeting process.
- Serve as content specialist for staff in the areas of utilization criteria, appeal and review process, and case management system documentation.
- Conduct hiring, training, directing, development and evaluation of staff.
Licensure / Certification / Registration:
- Registered Nurse credentialed from the Texas Board of Nursing obtained prior to hire date or job transfer date required.
Education:
- Required professional licensure/certification AND 3 years of experience and 1 year of cumulative leadership experience required.
Work Experience:
- Two years of related experience is required.
- Utilization Review management experience required.
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 EmployerAscension 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.
