Current jobs related to RN-Utilization Review - Austin TX United States - Ascension Seton Northwest
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Utilization Review RN
1 week ago
Austin, TX, United States Ascension Seton Northwest Full timeUtilization Review RNDetails * Department: Utilization Review * Schedule: Full-time, 8-hour day shift, Monday-Friday, Remote, including occasional on-site needs, weekends and holidays required * Facility: Ascension Care Management Insurance Benefits Paid time off (PTO) Various health insurance options & wellness plans Retirement benefits including...
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Utilization Review RN
3 weeks ago
Austin, TX, United States Ascension Seton Northwest Full timeUtilization Review RN Details * Department: Utilization Review * Schedule: Full-time, 8-hour day shift, Monday-Friday, Remote, including occasional on-site needs, weekends and holidays required * Facility: Ascension Care Management Insurance Benefits Paid time off (PTO) Various health insurance options & wellness plans Retirement benefits including...
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Utilization Review RN
7 days ago
Clackamas, OR, United States Providence RN Full timeDescription The RN Coordinator-Utilization Review supports the care of the patient through assessment, planning, implementation and evaluation of appropriate services and resources to maximize optimum outcomes. This position works collaboratively with the multiple disciplines, both internal and external to the organization, in effecting quality and...
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Utilization Review RN
1 week ago
Portland, OR, United States Providence RN Full timeDescription The RN Coordinator-Utilization Review supports the care of the patient through assessment, planning, implementation and evaluation of appropriate services and resources to maximize optimum outcomes. This position works collaboratively with the multiple disciplines, both internal and external to the organization, in effecting quality and...
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Utilization Review RN
2 weeks ago
Portland, OR, United States Providence RN Full timeDescription The RN Coordinator-Utilization Review supports the care of the patient through assessment, planning, implementation and evaluation of appropriate services and resources to maximize optimum outcomes. This position works collaboratively with the multiple disciplines, both internal and external to the organization, in effecting quality and...
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Utilization Review RN
5 days ago
Portland, OR, United States Providence RN Full timeDescription The RN Coordinator-Utilization Review supports the care of the patient through assessment, planning, implementation and evaluation of appropriate services and resources to maximize optimum outcomes. This position works collaboratively with the multiple disciplines, both internal and external to the organization, in effecting quality and...
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Utilization Review RN
1 week ago
Clackamas, OR, United States Providence RN Full timeDescription The RN Coordinator-Utilization Review supports the care of the patient through assessment, planning, implementation and evaluation of appropriate services and resources to maximize optimum outcomes. This position works collaboratively with the multiple disciplines, both internal and external to the organization, in effecting quality and...
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Utilization Review RN
5 days ago
Clackamas, OR, United States Providence RN Full timeDescription The RN Coordinator-Utilization Review supports the care of the patient through assessment, planning, implementation and evaluation of appropriate services and resources to maximize optimum outcomes. This position works collaboratively with the multiple disciplines, both internal and external to the organization, in effecting quality and...
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RN Mgr-Utilization Review
3 weeks ago
Austin, TX, United States Ascension Seton Northwest Full timeRN Mgr-Utilization Review Details * Department: Utilization Management * Schedule: FT - Days * Location: 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...
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RN Mgr-Utilization Review
3 weeks ago
Austin, TX, United States Ascension Full timeDetails Department: Utilization ManagementSchedule: FT - DaysLocation: 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...
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Utilization Review RN
4 weeks ago
Austin, United States Ascension Full timeDetails Department: Utilization ReviewSchedule: Full-time, 8-hour day shift, Monday-Friday, Remote, including occasional on-site needs, weekends and holidays requiredFacility: Ascension Care Management InsuranceBenefits Paid time off (PTO) Various health insurance options & wellness plans Retirement benefits including employer match plans Long-term &...
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Utilization Review RN
4 weeks ago
Austin, United States Ascension Full timeDetails Department: Utilization ReviewSchedule: Full-time, 8-hour day shift, Monday-Friday, Remote, including occasional on-site needs, weekends and holidays requiredFacility: Ascension Care Management InsuranceBenefits Paid time off (PTO) Various health insurance options & wellness plans Retirement benefits including employer match plans Long-term &...
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Utilization Review RN
4 weeks ago
Austin, United States Ascension Full timeDetails Department: Utilization ReviewSchedule: Full-time, 8-hour day shift, Monday-Friday, Remote, including occasional on-site needs, weekends and holidays requiredFacility: Ascension Care Management InsuranceBenefits Paid time off (PTO) Various health insurance options & wellness plans Retirement benefits including employer match plans Long-term &...
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Utilization Review RN
4 weeks ago
Austin, United States Ascension Full timeDetails Department: Utilization ReviewSchedule: Full-time, 8-hour day shift, Monday-Friday, Remote, including occasional on-site needs, weekends and holidays requiredFacility: Ascension Care Management InsuranceBenefits Paid time off (PTO) Various health insurance options & wellness plans Retirement benefits including employer match plans Long-term &...
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Utilization Review RN
4 weeks ago
Austin, United States Ascension Full timeDetails Department: Utilization ReviewSchedule: Full-time, 8-hour day shift, Monday-Friday, Remote, including occasional on-site needs, weekends and holidays requiredFacility: Ascension Care Management InsuranceBenefits Paid time off (PTO) Various health insurance options & wellness plans Retirement benefits including employer match plans Long-term &...
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Utilization Review RN
4 weeks ago
Austin, United States Ascension Full timeDetails Department: Utilization ReviewSchedule: Full-time, 8-hour day shift, Monday-Friday, Remote, including occasional on-site needs, weekends and holidays requiredFacility: Ascension Care Management InsuranceBenefits Paid time off (PTO) Various health insurance options & wellness plans Retirement benefits including employer match plans Long-term &...
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Case Manager RN
1 week ago
Naples, FL, United States Physicians Regional - Pine Ridge Full timeCase Manager RN - UTILIZATION REVIEWJob Description Full Time Utilization management is the analysis of the medical necessity, acute care appropriateness, and efficiency of medical services and procedures in the hospital setting. Utilization review is the assessment for medical necessity, both for admission to the hospital as well as continued stay. This...
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Licensed Utilization Review I
1 week ago
Miami, FL, United States Elevance Health Full timeLicensed Utilization Review I (RN)Anticipated End Date: 2024-09-21 Position Title: Licensed Utilization Review I (RN) Job Description: Simply Healthcare Plans, Inc. is a proud member of Elevance Health's family of brands. We are a licensed health maintenance organization with health plans for people enrolled in Medicaid and/or Medicare programs in...
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Licensed Utilization Review II
1 week ago
Tampa, FL, United States Elevance Health Full timeLicensed Utilization Review II (RN)Anticipated End Date: 2024-09-21 Position Title: Licensed Utilization Review II (RN) Job Description: Simply Healthcare Plans, Inc. is a proud member of Elevance Health's family of brands. We are a licensed health maintenance organization with health plans for people enrolled in Medicaid and/or Medicare programs in...
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RN Manager
3 weeks ago
Austin, Texas, United States Ascension Seton Northwest Full timeJob SummaryWe are seeking a highly skilled and experienced RN Manager to lead our Utilization Review and Optimization team at Ascension Seton Northwest. As a key member of our clinical leadership team, you will be responsible for managing effective utilization review processes, collaborating with directors to develop quality review programs, and overseeing...
RN-Utilization Review
3 months 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.
