Registered Nurse Utilization Review

Ascension • Austin, TX

1d • $78,562 - $110,906 • Remote

About The Position

Ascension is a leading nonprofit Catholic health system with a culture and associate experience grounded in service, growth, care and connection. We empower our 99,000+ 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.

Requirements

• 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.

Nice To Haves

• Pediatric Utilization Management experienced required.

Responsibilities

• 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.

Benefits

• Comprehensive health coverage: medical, dental, vision, prescription coverage and HSA/FSA options
• Financial security & retirement: employer-matched 403(b), planning and hardship resources, disability and life insurance
• Time to recharge: pro-rated paid time off (PTO) and holidays
• Career growth: Ascension-paid tuition (Vocare), reimbursement, ongoing professional development and online learning
• Emotional well-being: Employee Assistance Program, counseling and peer support, spiritual care and stress management resources
• Family support: parental leave, adoption assistance and family benefits
• Other benefits: optional legal and pet insurance, transportation savings and more

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree