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RN Manager-Utilization Review - Indianapolis Indiana
Company: Ascension Location: Indianapolis, Indiana
Posted On: 05/04/2024
Details - Department: -Utilization Management
- Schedule: -Full time, Mon-Fri 8am-5pm
- Hospital: -Ascension St Vincent
- Location: -RemoteMust have minimum of 3-5 years in UR experience as well as 2+ years of leadership experience. - Please note that some meetings will be onsite.
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 -*Please note, benefits and benefits eligibility can vary by position, exclusions may apply for some roles (for example: Travel, PRN, Short-Term Option, etc.). Actual compensation offer will vary based upon role, education, experience, location, and qualifications. Connect with your Talent Advisor for additional specifics. Responsibilities Manage effective utilization review processes, including management of patient statusing processes and monitoring of medical necessity review functions for assigned sites. - - Collaborate with the director to develop and implement quality review programs and key performance indicators for all utilization review activities.
- Interact with medical, nursing, and executive leadership to facilitate quality based, cost effective patient statusing in the most appropriate setting, in compliance with regulatory and revenue cycle requirements.
- Oversee day-to-day operations of the department and assists with the budgeting process.
- Serve as content specialist for staff in the areas of utilization criteria, appeal and review process, and case management system documentation.
- Conduct hiring, training, directing, development and evaluation of staff.
Requirements Licensure / Certification / Registration: - Registered Nurse credentialed from the Indiana Board of Nursing obtained prior to hire date or job transfer date required.
Education: - Required professional licensure/certification AND 3 years of experience and 1 year of cumulative leadership experience required.
Work Experience: - Two years of related experience is required.
Additional Preferences |
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