Jobs · Healthcare

Utilization Review Nurse

Ascension · Nashville, TN · 1 mo ago
Healthcare$71k–$133k/yrFull-time
We need to output HTML fragment only, with sections: headings

for sections like About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. Use
  • for any list of duties/requirements/benefits, and

    for prose. Do NOT repeat job title as heading. Do NOT put Job ID/requisition numbers as headings. Remove boilerplate: cookie/navigation/legal/EEO/equal-opportunity/scam-warning, duplicated lines, application instructions. Include a section ONLY when posting has real, specific content for it. Avoid filler like "commensurate with experience". So we need to parse the posting. Content: - Location: Remote Facility: Ascension Saint Thomas Department: Utilization Management Schedule: Full-Time | Days Salary Range: $70,699.20 - $133,078.40 per year - Life at Ascension: description (purpose meets opportunity) - that's about the organization, maybe "About the role"? Actually "Life at Ascension" is about culture, could be "About the role"? But we have sections: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. We need to map content: - About the role: maybe the "Your future role at a glance" includes location, department, schedule, salary range. Also "Life at Ascension" could be about the organization, but maybe we treat as "About the role"? However "About the role" typically describes the role itself, not company culture. But we have no explicit "About the role" paragraph. There's "Your future role at a glance" which includes location, facility, department, schedule, salary. That could be considered "About the role". We'll include that as a section. - Responsibilities: The bullet list under "How you’ll make an impact in this role": Admissions & Medical Necessity Review..., Case Management & Consultation..., Administrative & Billing Support..., Discharge Planning... That's responsibilities. - Requirements: The "What Minimum Requirements You’ll Need" includes Licensure/Certification/Registration and Education. That's requirements. - Qualifications: Not separate; maybe we could combine with Requirements? But we need to only include sections with real content. There's no separate qualifications beyond requirements. Could we treat Licensure/Education as Qualifications? But the instruction says use headings for sections like About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. We have content for Requirements. We could also have Qualifications if there is any additional qualification like experience? Not present. Could we treat Licensure/Education as Qualifications? But we already have Requirements. Might be okay to have both Requirements and Qualifications with similar content? Better to only include sections that have distinct content. Since we have only licensure/education, we could put that under Requirements. Qualifications could be omitted. - Skills: Not explicitly listed. Could infer from responsibilities but not explicit. Better to omit Skills section if no explicit list. - Benefits: The "Benefits that help you thrive" section lists many benefits. That's Benefits. - Pay: Salary range given. So we can have Pay section. - Schedule: The posting includes Schedule: Full-Time | Days. So we can have Schedule section. We must not include boilerplate: EEO, fraud prevention, E-Verify, etc. We must not repeat job title as heading (the page already shows it). The job title is not given explicitly but we can ignore. We must not put Job ID/requisition numbers as headings. We must preserve all substantive information; do not invent or summarize away detail. We need to output HTML fragment only, no /, no markdown fences. We need to use

    for section headings. Use
    • for any list of duties/requirements/benefits, and

      for prose. Thus structure:

      About the role

      Location: Remote Facility: Ascension Saint Thomas Department: Utilization Management Schedule: Full-Time | Days Salary Range: $70,699.20 - $133,078.40 per year

      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.

      But note: The "Life at Ascension" paragraph is separate; we could include it in About the role as prose. Alternatively we could split: About the role includes location/department/schedule/salary; Life at Ascension could be its own section? Not in allowed headings. Could be part of About the role. Now Responsibilities:

      Responsibilities

      • Admissions & Medical Necessity Review: Evaluating service requests and admissions for medical necessity using evidence-based tools (like InterQual) to ensure they comply with reimbursement policies.
      • Case Management & Consultation: Providing coordination and consultation for complex cases to enhance clinical outcomes and manage the cost of care.
      • Administrative & Billing Support: Assisting staff with medical documentation, coding, precertification, and managing claim denials or appeals.
      • Discharge Planning: Assessing and coordinating a patient's post-hospital needs, such as home health, medical equipment, or transfers to skilled nursing facilities.
      Requirements:

      Requirements

      • Licensure / Certification / Registration: Required Credential(s) Licensed Registered Nurse credentialed from the Tennessee Board of Nursing or current home state license for multi-state license recognition "Compact State" obtained prior to hire date or job transfer date.
      • Education: Diploma from an accredited school/college of nursing OR Required professional licensure at time of hire.
      Benefits:

      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
      Pay:

      Pay

      Salary Range: $70,699.20 - $133,078.40 per year

      Schedule:

      Schedule

      Full-Time | Days

      We must ensure we don't duplicate salary range also in About the role. We included salary range in About the role paragraph. But we also have a separate Pay section. That duplicates. The instruction: Preserve ALL substantive information; do NOT invent or summarize away detail. It didn't say we cannot duplicate. However we should avoid unnecessary duplication? Not explicitly prohibited. But better to avoid duplication: we could either put salary range only in Pay section, and not repeat in About the role. The About the role paragraph could just include location, facility, department, schedule (maybe schedule also duplicated). But schedule also appears in Schedule section. Might be okay to have duplication but better to avoid. Let's restructure: About the role: location, facility, department. Could also include brief life at ascension description. Thus:

      About the role

      Location: Remote Facility: Ascension Saint Thomas Department: Utilization Management

      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.

      Then Pay section separate with salary range. Schedule section separate with Full-Time | Days. Thus no duplication. Now check we haven't missed any substantive info: The "Your future role at a glance" also had "Schedule: Full-Time | Days" and "Salary Range". We moved those to respective sections. We also need to include maybe "Department: Utilization Management" in About the role. Now check for any other info: The "How you’ll make an impact in this role" we captured as responsibilities. The "What Minimum Requirements You’ll Need" we captured. The "Benefits that help you thrive" we captured. Now ensure we removed boilerplate: EEO, fraud prevention, E-Verify, etc. Good. Now ensure we used

      for each section heading. Use
      • for lists. Use

        for prose. We have multiple

        inside About the role; that's fine. Now output only HTML fragment. Let's craft final HTML:

        About the role

        Location: Remote Facility: Ascension Saint Thomas Department: Utilization Management

        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.

        Responsibilities

        • Admissions & Medical Necessity Review: Evaluating service requests and admissions for medical necessity using evidence-based tools (like InterQual) to ensure they comply with reimbursement policies.
        • Case Management & Consultation: Providing coordination and consultation for complex cases to enhance clinical outcomes and manage the cost of care.
        • Administrative & Billing Support: Assisting staff with medical documentation, coding, precertification, and managing claim denials or appeals.
        • Discharge Planning: Assessing and coordinating a patient's post-hospital needs, such as home health, medical equipment, or transfers to skilled nursing facilities.

        Requirements

        • Licensure / Certification / Registration: Required Credential(s) Licensed Registered Nurse credentialed from the Tennessee Board of Nursing or current home state license for multi-state license recognition "Compact State" obtained prior to hire date or job transfer date.
        • Education: Diploma from an accredited school/college of nursing OR Required professional licensure at time of hire.

        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

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