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Utilization Review - Registered Nurse

Company

Ascension
Address , Pensacola, 32504, Fl
Employment type PART_TIME
Salary From $69,555 a year
Expires 2023-06-11
Posted at 1 year ago
Job Description
We Are Hiring:
  • Location: Pensacola, FL
  • Department: Utilization Management
  • Schedule: Part Time Day Shift; Weekend Only
  • Hospital: Ascension Sacred Heart Hospital Pensacola

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.
What You Will Do:
Provide health care services regarding admissions, case management, discharge planning and utilization review.
  • Provide case management and/or consultation for complex cases.
  • May prepare statistical analysis and utilization review reports as necessary.
  • Assist departmental staff with issues related to coding, medical records/documentation, precertification, reimbursement and claim denials/appeals.
  • Review admissions and service requests within assigned unit for prospective, concurrent and retrospective medical necessity and/or compliance with reimbursement policy criteria.
  • Oversee and coordinate compliance to federally mandated and third party payer utilization management rules and regulations.
  • Assess and coordinate discharge planning needs with healthcare team members.
What You Will Need:
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 150,000 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 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.

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.
E-Verify

Salary Description: Minimum Salary: $69,555.20+ per year