RN Utilization Review Supervisor | Acute Care Leadership

Ensemble; United States; Remote; USD 90,000 - 120,000; Full time

Job summary

Ensemble delivers technology-enabled revenue cycle management solutions for health systems, hospitals, and affiliated groups. The nurse will ensure medical necessity and appropriate care levels, supporting quality and financial outcomes.

In this role, you will conduct daily admission reviews, coordinate appeals, monitor denials, and collaborate with liaisons, physicians, and revenue cycle teams to optimize care facilitation across the care continuum.

Qualifications

• Active RN license.
• 5+ years acute care nursing experience.
• 2+ years utilization review (UR) experience.

Responsibilities

• Perform daily admission and continued stay reviews using approved clinical criteria.
• Coordinate appeals, monitor denials, and support care facilitation.
• Collaborate with liaisons, physicians, and revenue cycle teams.

Skills

RN license

Acute care nursing

Utilization review

Leadership

Clinical assessment

Job description

Ensemble delivers technology-enabled revenue cycle management solutions for health systems, hospitals, and affiliated groups. The nurse will ensure medical necessity and appropriate care levels, supporting quality and financial outcomes.

In this role, you will conduct daily admission reviews, coordinate appeals, monitor denials, and collaborate with liaisons, physicians, and revenue cycle teams to optimize care facilitation across the care continuum.