RN-Utilization Review, ED Trauma Surgery

We Are Hiring

RN Utilzation Review - ED Trauma Surgery

Monday - Friday Day Shift (0700-1530 or 0800-1630)

Ascension - St. John Hospital, Detroit MI

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 cases.
• Assist departmental staff with issues related to coding, medical records/documentation, precertification, reimbursement and claim denials/appeals.
• Assess and coordinate discharge planning needs with healthcare team members.
• May prepare statistical analysis and utilization review reports as necessary.
• Oversee and coordinate compliance to federally mandated and third party payer utilization management rules and regulations.

Licensure / Certification / Registration:

• Registered Nurse credentialed from the Michigan Board of Nursing obtained prior to hire date or job transfer date required.

Education:

• Diploma from an accredited school/college of nursing required.

Minimum of 5 years clinical experience highly preferred - trauma, emergency, intensive care preferred. Experience with data abstraction, trauma registry, analyzing and interpreting processes of care and clinical outcomes. Current BLS, ACLS, PALS, TNCC preferred. BSN preferred.

Ascension is a faith-based healthcare organization dedicated to transformation through innovation across the continuum of care. As one of the leading non-profit and Catholic health systems in the U.S., Ascension is committed to delivering compassionate, personalized care to all. In FY2020, Ascension provided $2.4 billion in care of persons living in poverty and other community benefit programs. Ascension includes more than 160,000 associates and 40,000 aligned providers across a national network of ministries. We offer rewarding careers across more than 2,600 sites of care – including 146 hospitals and more than 50 senior living facilities – in 19 states and the District of Columbia."}" data-sheets-userformat="{"2":6975,"3":{"1":0},"4":{"1":2,"2":16777215},"5":{"1":[{"1":2,"2":0,"5":{"1":2,"2":0}},{"1":0,"2":0,"3":3},{"1":1,"2":0,"4":1}]},"6":{"1":[{"1":2,"2":0,"5":{"1":2,"2":0}},{"1":0,"2":0,"3":3},{"1":1,"2":0,"4":1}]},"7":{"1":[{"1":2,"2":0,"5":{"1":2,"2":0}},{"1":0,"2":0,"3":3},{"1":1,"2":0,"4":1}]},"8":{"1":[{"1":2,"2":0,"5":{"1":2,"2":0}},{"1":0,"2":0,"3":3},{"1":1,"2":0,"4":1}]},"11":4,"12":0,"14":{"1":2,"2":0},"15":"Arial"}">Ascension Michigan employs over 20,000 compassionate caregivers across 16 hospitals and hundreds of related healthcare facilities. Our care teams are dedicated to providing spiritually centered, holistic care which sustains and improves the health of the communities we serve. 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.

Pay Non-Discrimination Notice:

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For further information regarding your EEO rights, click on the following link to the “EEO is the Law” poster:

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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."}" data-sheets-userformat="{"2":1057789,"3":{"1":0},"5":{"1":[{"1":2,"2":0,"5":{"1":2,"2":0}},{"1":0,"2":0,"3":3},{"1":1,"2":0,"4":1}]},"6":{"1":[{"1":2,"2":0,"5":{"1":2,"2":0}},{"1":0,"2":0,"3":3},{"1":1,"2":0,"4":1}]},"7":{"1":[{"1":2,"2":0,"5":{"1":2,"2":0}},{"1":0,"2":0,"3":3},{"1":1,"2":0,"4":1}]},"8":{"1":[{"1":2,"2":0,"5":{"1":2,"2":0}},{"1":0,"2":0,"3":3},{"1":1,"2":0,"4":1}]},"9":0,"10":1,"11":4,"12":0,"16":10,"23":1}" data-sheets-textstyleruns="{"1":0,"2":{"2":{"1":2,"2":16711680}}}{"1":22}{"1":392,"2":{"2":{"1":2,"2":0}}}{"1":393,"2":{"2":{"1":2,"2":1136076},"9":1}}{"1":485}{"1":486,"2":{"2":{"1":2,"2":1136076},"9":1}}{"1":487}{"1":598,"2":{"2":{"1":2,"2":0}}}{"1":599,"2":{"2":{"1":2,"2":1136076},"9":1}}{"1":663}{"1":664,"2":{"2":{"1":2,"2":0}}}{"1":665,"2":{"2":{"1":2,"2":1136076},"9":1}}{"1":697}" data-sheets-hyperlinkruns="{"1":392,"2":"https://www.dol.gov/sites/dolgov/files/ofccp/pdf/pay-transp%20EnglishformattedESQA508c.pdf"}{"1":484}{"1":598,"2":"http://www.dol.gov/ofccp/regs/compliance/posters/pdf/eeopost.pdf"}{"1":662}{"1":664,"2":"http://www.dol.gov/ofccp/regs/compliance/posters/pdf/ofccpeeosupplementfinaljrfqa508c.pdf"}{"1":696}">Ascension SE Michigan is an Equal Employment Opportunity (EEO) and Affirmative Action employer. Associates and Applicants receive fair and impartial consideration 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.

Pay Non-Discrimination Notice:

https://www.dol.gov/sites/dolgov/files/ofccp/pdf/pay-transp%20EnglishformattedESQA508c.pdf

For further information regarding your EEO rights, click on the following link to the “EEO is the Law” poster:

http://www.dol.gov/ofccp/regs/compliance/posters/pdf/eeopost.pdf

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 from applicants.

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Right to Work"}" data-sheets-userformat="{"2":1057789,"3":{"1":0},"5":{"1":[{"1":2,"2":0,"5":{"1":2,"2":0}},{"1":0,"2":0,"3":3},{"1":1,"2":0,"4":1}]},"6":{"1":[{"1":2,"2":0,"5":{"1":2,"2":0}},{"1":0,"2":0,"3":3},{"1":1,"2":0,"4":1}]},"7":{"1":[{"1":2,"2":0,"5":{"1":2,"2":0}},{"1":0,"2":0,"3":3},{"1":1,"2":0,"4":1}]},"8":{"1":[{"1":2,"2":0,"5":{"1":2,"2":0}},{"1":0,"2":0,"3":3},{"1":1,"2":0,"4":1}]},"9":0,"10":1,"11":4,"12":0,"16":10,"23":1}" data-sheets-textstyleruns="{"1":0}{"1":138,"2":{"2":{"1":2,"2":1136076},"9":1}}{"1":146}{"1":147,"2":{"2":{"1":2,"2":1136076},"9":1}}" data-sheets-hyperlinkruns="{"1":138,"2":"https://e-verify.uscis.gov/web/media/resourcesContents/E-VerifyParticipationPosterES.pdf"}{"1":146}{"1":147,"2":"https://www.e-verify.gov/sites/default/files/everify/posters/IERRightToWorkPoster%20EngEs.pdf"}{"1":160}">This employer participates in the Electronic Employment Verification Program. Please click the E-Verify link below for more information.

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