RN Registered Nurse - Utilization Review

Ascension; Manhattan (KS); On-site; USD 60,000 - 85,000; Full time

Job summary

Ascension Via Christi is seeking a Licensed Registered Nurse for the Utilization Management department in Manhattan, KS. This role involves providing comprehensive health care services including case management and compliance oversight. The position offers a full-time schedule, various benefits, and the opportunity to enhance patient care within the community.

Benefits

Paid time off (PTO)

Various health insurance options

Retirement benefits with employer match

Tuition reimbursement

Qualifications

• Licensed Registered Nurse credentialed from the Kansas Board of Nursing required.
• Education: Diploma from an accredited nursing school or professional licensure required at time of hire.

Responsibilities

• Provide health care services regarding admissions, case management, and discharge planning.
• Review admissions and service requests.
• Assist staff with coding and medical documentation issues.

Skills

Patient Care Management

Utilization Review

Case Management

Compliance

Education

Diploma from an accredited school/college of nursing

Licensure as a Registered Nurse in Kansas

Job description

Details

• Department:Utilization Management
• Schedule:FT Days; Monday - Friday 7:30am 4pm
• Hospital:Ascension Via Christi
• Location:Manhattan, KS

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 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 Kansas Board of Nursing 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 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 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.

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