Registered Nurse Utilization Management

Ascension • Wichita, KS

1d • Onsite

About The Position

Ascension is a leading nonprofit Catholic health system with a culture and associate experience grounded in service, growth, care and connection. The Registered Nurse Utilization Management role at Via Christi, St. Francis in Wichita, KS, involves reviewing admissions and service requests to ensure every patient’s journey aligns with medical necessity and reimbursement standards. The position also acts as a consultant for departmental teams on coding, documentation, and precertification, resolving claim denials and managing appeals. A key aspect is ensuring compliance with federally mandated regulations and third-party payer rules, as well as preparing statistical analyses and utilization reports to inform future strategies. Ascension empowers its 99,000+ associates to reimagine healthcare and is recognized as one of the Best 150+ Places to Work in Healthcare and a Military-Friendly Gold Employer.

Requirements

• Licensed Registered Nurse credentialed from the Kansas Board of Nursing required.
• Diploma from an accredited school/college of nursing OR Required professional licensure at time of hire.

Nice To Haves

• Candidates residing in or near the Wichita, KS area.

Responsibilities

• Lead the charge in reviewing admissions and service requests to ensure every patient’s journey aligns with medical necessity and reimbursement standards.
• Act as a go-to consultant for our departmental teams, navigating the complexities of coding, documentation, and precertification to resolve claim denials and manage the appeals process seamlessly.
• Serve as a guardian of quality, overseeing and coordinating our adherence to federally mandated regulations and third-party payer rules.
• Prepare statistical analyses and utilization reports that help shape our future strategies.

Benefits

• Tuition discounts and priority placement in select healthcare programs through our academic partnership with Wichita State University.
• 403(b) plan
• Employee Assistance Program
• Counseling and peer support
• Spiritual care and stress management resources

What This Job Offers

• Job Type: Part-time
• Career Level: Mid Level
• Education Level: No Education Listed
• Number of Employees: 5,001-10,000 employees