Manager Registered Nurse Utilization Review

• Location: Indianapolis, IN
• Facility: Ascension St. Vincent Hospital
• Department/Specialty: Utilization Management
• Schedule: Full-Time, Day shift, Monday-Friday, with some weekends on-call. Must be able to work in Eastern Time zone.
• Lead daily department operations and budgeting to ensure a high-performing team and a sustainable, well-resourced work environment.
• Hire, mentor, and evaluate staff members to build a highly skilled workforce dedicated to continuous professional development.
• Design and implement quality review programs with key performance metrics to guarantee exceptional utilization review standards.
• Partner with medical and executive leadership to place patients in the most appropriate care settings while meeting all financial and regulatory standards.
• Serve as the primary clinical expert for staff on review criteria and appeals to ensure accurate documentation and smooth patient transitions.

Licensure / Certification / Registration

• Required Credential(s):
• Registered Nurse credentialed from the Indiana Board of Nursing obtained prior to hire date or job transfer date.

Education

• Required professional licensure/certification AND 3 years of experience and 1 year of cumulative leadership experience required.

Additional Preferences

• Active Indiana or compact RN License
• Bachelors in Nursing
• Minimum of 2 years of leadership experience in Utilization Review or Case Management required
• Utilization Review or Case Management experience required
• ACMA or CCM certification preferred

Ascension is a leading nonprofit Catholic health system with a culture and associate experience grounded in service, growth, care and connection. We empower our 99,000+ 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.

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) poster or EEO Know Your Rights (Spanish) poster.

Fraud prevention notice

Prospective applicants should be vigilant against fraudulent job offers and interview requests. Scammers may use sophisticated tactics to impersonate Ascension employees. To ensure your safety, please remember: Ascension will never ask for payment or to provide banking or financial information as part of the job application or hiring process, our legitimate email communications will always come from an @ascension.org email address; do not trust other domains, and an official offer will only be extended to candidates who have completed a job application through our authorized applicant tracking system.

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Employer participates in the Electronic Employment Verification Program. Please click here for more information.

Where you can work from

This job is 100% remote, for applicants who live in the United States.