**Details** + **Department:** Ascension Insurance Support + **Schedule:** Full-Time, 8-hour Day Shift, Monday-Friday, Remote + **Facility:** Ascension Care Management Insurance + **Salary:** $78,561.60 - $110,905.60 (per year) **Benefits** Paid time off (PTO) Various health insurance options & wellness plans Retirement benefits including employer match plans Long-term & short-term disability Employee assistance programs (EAP) Parental leave & adoption assistance Tuition reimbursement Ways to give back to your community _Benefit options and eligibility vary by position. Compensation varies based on factors including, but not limited to, experience, skills, education, performance, location and salary range at the time of the offer._ **Responsibilities** As the Clinical Programs RN Coordinator you'll coordinate nursing program activities and resources within clinical specialty or department. + 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 **Requirements** 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 Preferences** 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 **Why Join Our Team** 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. **Equal Employment Opportunity Employer** Ascension provides Equal Employment Opportunities (EEO) to all associates and applicants for employment without regard to race, color, religion, sex/gender, sexual orientation, gender identity or expression, pregnancy, childbirth, and related medical conditions, lactation, breastfeeding, national origin, citizenship, age, disability, genetic information, veteran status, marital status, all as defined by applicable law, and any other legally protected status or characteristic in accordance with applicable federal, state and local laws. For further information, view the EEO Know Your Rights (English) (https://www.eeoc.gov/sites/default/files/2022-10/22-088\_EEOC\_KnowYourRights\_10\_20.pdf) poster or EEO Know Your Rights (Spanish) (https://www.eeoc.gov/sites/default/files/2022-10/22-088\_EEOC\_KnowYourRightsSp\_10\_20.pdf) poster. As a military friendly organization, Ascension promotes career flexibility and offers many benefits to help support the well-being of our military families, spouses, veterans and reservists. Our associates are empowered to apply their military experience and unique perspective to their civilian career with Ascension. Pay Non-Discrimination Notice (https://www.dol.gov/sites/dolgov/files/ofccp/pdf/pay-transp\_%20English\_formattedESQA508c.pdf) 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. **E-Verify Statement** This employer participates in the Electronic Employment Verification Program. Please click the E-Verify link below for more information. E-Verify (https://e-verify.uscis.gov/web/media/resourcesContents/E-Verify\_Participation\_Poster\_ES.pdf)