Ascension

RN Utilization Case Management Manager

Posted on

August 28, 2025

Job Type

Full-Time

Role Type

Case Management

License

RN

State License

Texas

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Company Description

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.

Job Description

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: 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) #LI-Remote

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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 measures Set team goals and fulfill the goals each year Assisting in the development and maintenance of review criteria Assist with HHSC, URAC and TDI audits Hire and train UM staff Act as back up to prior authorization/concurrent review staff as needed.

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