Ascension is seeking a Utilization RN to review admissions and service requests for medical necessity and reimbursement criteria in a remote setting. You will provide case management and consultation for complex cases and coordinate with the healthcare team.
The role supports coding, medical records, precertification, reimbursement, and appeals, assesses discharge planning needs, and may prepare utilization review reports. You will ensure compliance with federal and third-party payer rules.
#J-18808-LjbffrRemote RN - Utilization Review & Case Management in workfromhome at Unknown Company
- Typical pay
- $84,500–$129,531
For context, most registered nurses earn between $84,500–$129,531 a year according to Bureau of Labor Statistics wage data. What this particular role pays is set by the employer — check the description above.
This position is listed as full time and able to be worked remotely.