Registered Nurse Utilization Review

• Evaluate medical necessity for admissions and service requests to ensure patients receive the most appropriate care at the right time.
• Lead the discharge planning process by collaborating with the healthcare team to create seamless transitions and safe returns home for patients.
• Navigate complex case management scenarios, providing expert consultation to resolve barriers to care and optimize patient outcomes.
• Ensure full compliance with federal and third-party regulations, protecting the integrity of our clinical services and reimbursement processes.
• Resolve documentation and reimbursement challenges to support the department in reducing claim denials and improving operational efficiency.

• Licensed Registered Nurse credentialed from the Texas 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.

• Diploma from an accredited school/college of nursing OR Required professional licensure at time of hire.

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.

Fraud prevention notice

Prospective applicants should be vigilant against fraudulent job offers and interview requests. Scammers may use sophisticated tactics to impersonate Ascension employees. To ensure your safety, please remember: Ascension will never ask for payment or to provide banking or financial information as part of the job application or hiring process. Our legitimate email communications will always come from an @ascension.org email address; do not trust other domains, and an official offer will only be extended to candidates who have completed a job application through our authorized applicant tracking system.

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