Ascension
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.
As the Clinical Programs RN Coordinator you'll coordinate nursing program activities and resources within clinical specialty or department.
Licensure / Certification / Registration: BLS Provider obtained within 1 Month (30 days) of hire date or job transfer date required. American Heart Association or American Red Cross accepted. Registered Nurse obtained prior to hire date or job transfer date required. Advanced Life Support preferred. American Heart Association or American Red Cross accepted Education: Diploma from an accredited school/college of nursing OR Required professional licensure at time of hire. Additional Preference: Active, unrestricted RN License in state of Texas (required) 2+ years experience in utilization review or case management, required. 2-3 years of Appeals Health Plan experience preferred Supervisory experience in a healthcare setting a must have. #LI-Remote
Supervises day to day appeal team operations to ensure operational effectiveness and efficiency Assists with orientation and training of new staff Distributes staff case assignments and ensures appeal, external review and fair hearing turnaround times are met. Under minimal direction, prepare reports and documentation for committee presentation and ad hoc reports as needed. Analyze appeals and grievances data and make recommendations based on trends identified. Take initiative to follow through on issues and opportunities for process improvements. Initiate, develop and implement in-service educational presentations. Provide leadership for the appeals department in day to day activities Maintain a working knowledge of all activities in the department and provide assistance to departmental staff and interdepartmental staff as necessary
Basic
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