**Details** + **Department:** Utilization Management + **Schedule:** Full-time, Day shift. Monday - Friday + **Location:** Remote + **Salary:** $129,942 - $183,447 (per year) + Eligible for annual bonus incentive **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** Creates and implements Utilization Management standard operating procedures for the Behavioral Health service line. + Supports standardization of Behavioral Health utilization management activities. + Serves as the national-level subject matter expert in Utilization Management for the service line. + Identifies opportunities to reduce denials and improve documentation to support medical necessity. + Builds relationships with payers and advocates for appropriate reimbursement for services provided. + Implements tactics to support strategic goals. + Develop strategic goals and identify tactics to support. utilization management operations in the markets and ministries. + Provide support to markets in creating, implementing, and monitoring of standard operating procedures and policies. + Assist in the creation of onboarding, training, and annual education programs. + Drive and enhance operational improvements to meet the needs of markets and ministries. + Create alignment between and build relationships with revenue cycle, denial prevention, physician advisor programs, managed care, payers, and other internal and external business partners. **Requirements** Licensure / Certification / Registration: Required Credential(s): + Registered Nurse obtained prior to hire date or job transfer date. Preferred Credential(s): + Certified InterQual Instructor (IQCI) credentialed from Commission for Case Manager Certification (CCMC). + Certified Accountant. + Certified Case Manager. + Certification specializing in Six Sigma Green Belt. Education: + Bachelor's degree in nursing or diploma from an accredited school/college of nursing required. Master's degree or combination of Bachelor's degree and experience preferred. **Additional Preferences** + Behavioral Health Utilization Management experience preferred \#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)