RN Healthcare Professional

3 days ago


Tulsa, Oklahoma, United States Ascension Full time

Job Summary

We are seeking a skilled Registered Nurse (RN) to join our team in Utilization Management at Ascension St. John Medical Center in Tulsa, OK.

Responsibilities

As a Utilization Management Nurse, you will be responsible for reviewing admissions and service requests for medical necessity and compliance with reimbursement policy criteria. You will also provide case management and consultation for complex cases, assist with coding, medical records/documentation, precertification, reimbursement, and claim denials/appeals. Additionally, you will assess and coordinate discharge planning needs with healthcare team members and prepare statistical analysis and utilization review reports as necessary.

Requirements

To be considered for this role, you must have a Diploma from an accredited school/college of nursing or Required professional licensure at time of hire. 2+ years of bedside nursing experience and 2+ years of Utilization Review experience are preferred.

About Ascension

Ascension is a leading non-profit, faith-based national health system with over 134,000 associates and 2,600 sites of care. We are committed to providing spiritually centered, holistic care that sustains and improves the health of the communities we serve. Join our team and find a rewarding healthcare career that makes a difference in people's lives.



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