RN Registered Nurse - Utilization Review

Details\n

• Department : Utilization Management\n
• Schedule : Full-time, Day Shift, 40 hours / week, Monday-Friday, 8am-4 : 30pm\n
• Location : Wichita, KS - Must be located within market for on-site training and occasional on-site work\n
• Salary : $78,561.60 - $110,905.60 per year\nBenefits\n\nPaid time off (PTO)\nVarious health insurance options & wellness plans\nRetirement benefits including employer match plans\nLong-term & short-term disability\nEmployee assistance programs (EAP)\nParental leave & adoption assistance\nTuition reimbursement\nWays to give back to your community\n\nBenefit 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.\nResponsibilities\n\nProvide health care services regarding admissions, case management, discharge planning and utilization review.\n
• 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.\n
• Assist departmental staff with issues related to coding, medical records / documentation, precertification, reimbursement and claim denials / appeals.\n
• Assess and coordinate discharge planning needs with healthcare team members.\n
• May prepare statistical analysis and utilization review reports as necessary.\n
• Oversee and coordinate compliance to federally mandated and third party payer utilization management rules and regulations.\nRequirements\n\nLicensure / Certification / Registration : \n\nRequired Credential(s) : \n
• Licensed Registered Nurse credentialed from the Kansas Board of Nursing obtained prior to hire date or job transfer date.\n\nEducation : \n
• Diploma from an accredited school / college of nursing OR Required professional licensure at time of hire.\nAdditional Preferences\n\nNo additional preferences.\nWhy Join Our Team\n\nAscension 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.\n\nAscension 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.\n\nOur 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.\nEqual Employment Opportunity Employer\n\nAscension 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.\n\nFor further information, view the EEO Know Your Rights (English) poster or EEO Know Your Rights (Spanish) poster.\n\nAs 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.\n\nPay Non-Discrimination Notice\n\nPlease 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.\nE-Verify Statement\n\nThis employer participates in the Electronic Employment Verification Program. Please click the E-Verify link below for more information.\n\nE-Verify