Registered Nurse RN – Utilization Review, Remote FL
413745 Details • Department: Utilization Management • Schedule: Full time days • Hospital: Ascension Sacred Heart Pensacola • Location: Pensacola, Florida This is a remote position but does require a 6 week onsite orientation 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 Benefit options and eligibility vary by position. Compensation varies based on factors including, but not limited to, experience, skills, education, performance, location and salary range at the time of the offer. 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 Florida Board of Nursing obtained prior to hire date or job transfer date required. Licensed as a Registered Nurse in Florida required. Credentialed from State 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 No additional preferences. Why Join Our Team Ascension Sacred Heart is a leading provider of high-quality healthcare to children and adults in South Alabama and Northwest Florida communities and operates Northwest Florida's only children's hospital. Our faith-based ministry offers caregivers the opportunity to flourish personally and professionally in a variety of specialties, including cardiology, brain and spine, pediatrics, women's health, orthopedics and cancer care. 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 provides Equal Employment Opportunities (EEO) to all associates and applicants for employment without regard to race, color, religion, sex/gender, sexual orientation, gender identity or expression, pregnancy, childbirth, and related medical conditions, lactation, breastfeeding, national origin, citizenship, age, disability, genetic information, veteran status, marital status, all as defined by applicable law, and any other legally protected status or characteristic 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. E-Verify Statement This employer participates in the Electronic Employment Verification Program. Please click the E-Verify link below for more information. Apply tot his job