RN Registered Nurse - Utilization Review

DetailsDepartment : Utilization ManagementSchedule : Full Time, 40 hours weekly, Monday - Friday 7 : 30am - 4pmHospital : Ascension Via Christi ManhattanLocation : Manhattan, KSBenefitsPaid time off (PTO)Various health insurance options & wellness plansRetirement benefits including employer match plansLong-term & short-term disabilityEmployee assistance programs (EAP)Parental leave & adoption assistanceTuition reimbursementWays 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.

ResponsibilitiesProvide 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 casemanagement 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.

RequirementsLicensure / Certification / Registration : Licensed Registered Nurse credentialed from the Kansas Board of Nursing required.

Education : Diploma from an accredited school / college of nursing OR Required professional licensure at time of hire.Additional PreferencesNo additional preferences.

Why Join Our TeamAscension Via Christi caregivers have been caring for and providing healing to Kansas communities for more than 135 years.

As the largest healthcare provider in Kansas, we offer career opportunities across a number of hospitals, clinics, therapy centers and home health services.

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.

E-Verify StatementThis employer participates in the Electronic Employment Verification Program. Please click the E-Verify link below for more information.E-Verify ()