Job Responsibilities : Utilization Review RN – Part Time Weekends – Remote
Salary : $75000 per year
Company : Ascension
Location : Remote US
Additional Job Details: Part-Time, 24 Hours
- Saturday and Sunday, 7a-7p
- Weekends only
Additional Information:Training: 6 weeks total
First 3 weeks need availability to train during the week
Last 3 weeks, will be training on the weekends
What You Will Do:
- 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.
What You Will Need:
- Licensed Registered Nurse obtained prior to hire date or job transfer date required.
- Diploma from an accredited school/college of nursing required