Posted on: January 15, 2022
We Are Hiring:Title: RN - Utilization ReviewCity, State:
Milwaukee, WILocation: Ascension Columbia St. Mary's
HospitalDepartment: Case ManagementAdditional Job Details: .6 FTE /
Days730-4 typical hours
We do work weekends and holidays on a rotation.
This role is an every other weekend rotation.
How will Ascension benefit you?
- Strength in our People: At Ascension, we believe our people are
our strength and we invest in them. In addition to the chance to
have a positive impact on the people and communities we serve,
associates benefit from significant professional opportunities,
career advancement, training and competitive wages. We also support
work-life balance and spirituality in the workplace.
- Compensation/Benefits: At Ascension, we care for the people who
are the foundation of our work to fulfill our mission: our
associates. We offer a comprehensive benefit package inclusive of
medical, dental, vision, retirement, and generous PTO. Associates
can also take advantage of other great benefits like tuition
reimbursement or adoption assistance.
- Leadership Development: We know that the development of our
associates is key to our mission of providing the best care
possible to those we serve. We have various in-depth leadership
programs to meet you where you are on your career journey.
Culture of Teamwork: We encourage diversity of talent and thought;
while offering the support of a multidisciplinary team. We work to
build teams that respect each other. A team that respects each
other feels good. We are on a mission to help people feel good,
patients and associates.What You Will Do: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
- Assist departmental staff with issues related to coding,
medical records/documentation, precertification, reimbursement and
- Assess and coordinate discharge planning needs with healthcare
- May prepare statistical analysis and utilization review reports
- Oversee and coordinate compliance to federally mandated and
third party payer utilization management rules and regulations.What
You Will Need:Licensure / Certification / Registration:
- Registered Nurse credentialed from the Wisconsin Board of
Nursing obtained prior to hire date or job transfer date required.
Licensure from the Wisconsin Board of Nursing OR current home state
license if considered multi-state/Compact State.Education:
- Diploma from an accredited school/college of nursing
required.Additional Preferences:Acute Care experience 3-5 years
Insurance background preferred
MCG/ Interqual experience preferredWhy Join Our Team:For over 170
years, Ascension Wisconsin has been providing rewarding career
opportunities at 20 hospital campuses and more than 100 related
healthcare facilities from Racine to Eagle River. Nearly 20,000
Ascension Wisconsin associates currently serve in four locations
throughout Wisconsin - Wheaton Franciscan Healthcare, Ministry
Healthcare, Columbia St. Mary's, and Affinity Healthcare. We
provide generous paid time off for work-life balance, a
collaborative work environment, professional development
opportunities, and more to help our associates flourish personally
and professionally. If you are looking for a rewarding career in
healthcare, we invite you to apply today.
When you join Ascension, you join a team of over 150,000
individuals across the country committed to a Mission of serving
others and providing compassionate, personalized care to all. Our
inclusive culture, continuing education programs, career coaches
and benefit offerings are just a few of the resources and tools
that team members can use to create a rewarding career path. In
fact, Ascension spent nearly $46 million in tuition assistance
alone to support associate growth and development. If you are
looking for a career where you can grow and make a difference in
your community, we invite you to join our team today.
Equal Employment Opportunity Employer:Ascension Wisconsin is an
equal opportunity employer (EEO) and affords equal opportunity to
all associates and applicants without regard to race, color,
religion, national origin, citizenship, gender identity, sexual
orientation, age, physical or mental disability, veteran status,
genetic data, or other legally protected status.
For further information regarding your EEO rights, click on the
following link to the "EEO is the Law" poster:
EEO is the Law Poster Supplement
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
Keywords: Ascension, Milwaukee , RN-Utilization Review, Healthcare , Milwaukee, Wisconsin
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