Your future role at a glance
Life at Ascension: Where purpose meets opportunity
Benefits that help you thrive
How you'll make an impact in this role
What minimum qualifications you'll need
Location: Remote
Facility: Ascension Network Services
Department: Utilization Management
Schedule: Days l Full-Time
Salary range: $78,561.60 - $110,905.60 per year (Texas) | Pay ranges vary based on candidate geographic location
Life at Ascension: Where purpose meets opportunity
Ascension is a leading nonprofit Catholic health system with a culture and associate experience grounded in service, growth, care and connection. We empower our 97,000+ associates to bring their skills and expertise every day to reimagining healthcare, together. Recognized as one of the Best 150+ Places to Work in Healthcare and a Military-Friendly Gold Employer, you’ll find an inclusive and supportive environment where your contributions truly matter.
Benefits that help you thrive
- Retirement: 403(b) plan
- Well-being support: Employee Assistance Program, counseling and peer support, spiritual care and stress management resources
How you'll make an impact in this role
- Provide healthcare services related to admissions, case management, discharge planning, and utilization review.
- Review admissions and service requests for medical necessity, reimbursement compliance, and utilization management criteria.
- Support complex case management and assist staff with coding, documentation, precertification, reimbursement, and denial/appeal issues.
- Coordinate discharge planning needs with patients, providers, and interdisciplinary healthcare teams.
- Ensure compliance with federal regulations and third-party payer utilization management requirements while preparing reports and statistical analyses as needed.
What minimum qualifications you'll need
Licensure / Certification / Registration:
- 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.
Education:
- 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.
E-Verify statement
Employer does not participate in E-Verify and therefore cannot employ STEM OPT candidates.
Texas-licensed RN or compact-state RN license required; nursing diploma or professional licensure required at hire. Utilization review, case management, discharge planning, coding, and reimbursement expertise support the role.
Key Responsibilities
- reviewing admissions
- coordinating discharge
- managing utilization
Job Details
- Category: Healthcare Services - Nursing
- Seniority: Mid Level
- Commitment: Full Time
- Workplace: Remote — Austin, Texas, United States
- Salary: USD 78,561 – 110,905 / year
- Languages: English
Benefits
- Retirement plan
About Ascension Health
A nonprofit Catholic health system providing healthcare services through a large network of associates and facilities. — Industry: Healthcare