icims
Utilization Review Nurse
Ascension
Remote, USA
Full-time
Mid
Remote
USD 70699.2-133078.4 yearly / year
Discovered Yesterday
InterQual
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Location
- Remote
- Facility: Ascension Saint Thomas
- Department: Utilization Management
Schedule
- Full-Time | Days
Salary Range
- $70,699.20 - $133,078.40 per year
- Ascension is a leading nonprofit Catholic health system with a culture and associate experience grounded in service, growth, care and connection. We empower our 97,000+ associates to bring their skills and expertise every day to reimagining healthcare, together. Recognized as one of the Best 150+ Places to Work in Healthcare and a Military-Friendly Gold Employer, you’ll find an inclusive and supportive environment where your contributions truly matter.
- Comprehensive health coverage: medical, dental, vision, prescription coverage and HSA/FSA options
- Financial security & retirement: employer-matched 403(b), planning and hardship resources, disability and life insurance
- Time to recharge: pro-rated paid time off (PTO) and holidays
- Career growth: Ascension-paid tuition (Vocare), reimbursement, ongoing professional development and online learning
- Emotional well-being: Employee Assistance Program , counseling and peer support, spiritual care and stress management resources
- Family support: parental leave, adoption assistance and family benefits
- Other benefits: optional legal and pet insurance, transportation savings and more
- Admissions & Medical Necessity Review: Evaluating service requests and admissions for medical necessity using evidence-based tools (like InterQual) to ensure they comply with reimbursement policies.
- Case Management & Consultation: Providing coordination and consultation for complex cases to enhance clinical outcomes and manage the cost of care.
- Administrative & Billing Support: Assisting staff with medical documentation, coding, precertification, and managing claim denials or appeals.
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