RN Manager Utilization Review

Ascension • Milwaukee, WI

9h • Remote

About The Position

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.

Requirements

• Registered Nurse credentialed from the Wisconsin Board of Nursing obtained prior to hire date or job transfer date required.
• Bachelor of Science in Nursing (BSN) by date of hire required.
• Professional licensure/certification AND 3 years of experience and 1 year of cumulative leadership experience required.
• Two years of related experience is required.

Responsibilities

• Drive clinical excellence by collaborating with executive leadership to implement quality benchmarks that ensure every patient receives the right care in the right setting.
• Empower and develop your team through active mentorship, hiring, and performance coaching, fostering a high-performance culture dedicated to patient advocacy.
• Optimize operational health by overseeing daily departmental workflows and budgetary processes to ensure resources are utilized effectively.
• Serve as the subject matter expert for utilization criteria and appeal processes, providing the clarity and guidance your staff needs to navigate complex regulatory requirements.
• Bridge the gap between care and compliance by aligning medical and nursing leadership with revenue cycle goals to maintain seamless, high-quality patient journeys.

Benefits

• Comprehensive health coverage: medical, dental, vision, prescription coverage and HSA/FSA options
• Financial security & retirement: employer-matched 403(b), planning and hardship resources, disability and life insurance
• Time to recharge: pro-rated paid time off (PTO) and holidays
• Career growth: Ascension-paid tuition (Vocare), reimbursement, ongoing professional development and online learning
• Emotional well-being: Employee Assistance Program, counseling and peer support, spiritual care and stress management resources
• Family support: parental leave, adoption assistance and family benefits
• Other benefits: optional legal and pet insurance, transportation savings and more

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Number of Employees: 5,001-10,000 employees