Details Department: Ascension Insurance SupportSchedule: Full-Time, 8-hour day shift, Monday - Friday, RemoteFacility: Ascension Care Management Insurance
Benefits

Paid time off (PTO)
Various health insurance options & wellness plans
Retirement benefits including employer match plans
Long-term & short-term disability
Employee assistance programs (EAP)
Parental leave & adoption assistance
Tuition reimbursement
Ways to give back to your community

 

Benefit options and eligibility vary by position. Compensation varies based on factors including, but not limited to, experience, skills, education, performance, location and salary range at the time of the offer.

Responsibilities

Responsible for day to day operations of the Utilization Management functions including prior authorization, concurrent review and retroactive reviews.

 

Ensure the department meets the turnaround times and all other quality measuresSet team goals and fulfill the goals each year Assisting in the development and maintenance of review criteriaAssist with HHSC, URAC and TDI auditsHire and train UM staff Act as back up to prior authorization/concurrent review staff as needed.
Requirements

Licensure / Certification / Registration:

Registered Nurse obtained prior to hire date or job transfer date required. Licensure required relevant to state in which work is performed.BLS Provider preferred. American Heart Association or American Red Cross accepted.Case Manager credentialed from the Commission for Case Manager Certification (CCMC) preferred. Licensure required relevant to state in which work is performed.

Education:

Required professional licensure/certification AND 3 years of experience and 1 year of cumulative leadership experience required.
Additional Preferences

Additional preferences:

Active, unrestricted RN License in state of Texas (required)Health plan/health-care management/leadership experience in related field (required)Excellent oral and written communication and interpersonal skills (preferred)Must work independently and as well as collaboratively within a team (preferred)Must demonstrate strong organizational skills; attentiveness to details (preferred)Ability to communicate, facilitate and problem- solve with people of all levels of the organization, as provider engagement and member outreach (preferred)Ability to solve practical problems and deal with a variety of concrete variables; ability to collect and analyze data, draw valid conclusions and actively contribute to the strategic interventions that support the departmental goals (preferred)

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Why Join Our Team

Ascension associates are key to our commitment of transforming healthcare and providing care to all, especially those most in need. Join us and help us drive impact through reimagining how we can deliver a people-centered healthcare experience and creating the solutions to do it. Explore career opportunities across our ministry locations and within our corporate headquarters.

 

Ascension is a leading non-profit, faith-based national health system made up of over 134,000 associates and 2,600 sites of care, including more than 140 hospitals and 40 senior living communities in 19 states.

 

Our Mission, Vision and Values encompass everything we do at Ascension. Every associate is empowered to give back, volunteer and make a positive impact in their community. Ascension careers are more than jobs; they are opportunities to enhance your life and the lives of the people around you.

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.

 

As a military friendly organization, Ascension promotes career flexibility and offers many benefits to help support the well-being of our military families, spouses, veterans and reservists. Our associates are empowered to apply their military experience and unique perspective to their civilian career with Ascension.

 

Pay Non-Discrimination Notice

 

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 from applicants.

 

E-Verify Statement

This employer participates in the Electronic Employment Verification Program. Please click the E-Verify link below for more information.

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