Manager, Registered Nurse – Utilization Review

Ascension

. Lead daily department operations and budgeting to ensure a high-performing team and a sustainable, well-resourced work environment .

Posted 11/3/2026full-timeRemote • United StatesMid-LevelSenior💰 $89,877 - $162,132 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in Utilization Review and Case Management, with a strong focus on leadership, staff development, and adherence to financial and regulatory standards. Proven ability to implement quality review programs and ensure exceptional patient care transitions.

Highest-signal resume keywords

Registered Nurse CredentialUtilization Review ExperienceLeadership ExperienceACMA CertificationBachelor's in Nursing

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Utilization ReviewCase ManagementQuality Review ProgramsPerformance MetricsPatient Care Transitions

Soft Skills

MentoringTeam LeadershipCommunication

Certifications & Qualifications

Active Indiana RN LicenseCCM Certification

Industry Keywords

Clinical ExpertiseFinancial StandardsRegulatory StandardsProfessional Development

About the role

Key responsibilities & impact

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

Requirements

What you’ll need

Registered Nurse credentialed from the Indiana Board of Nursing obtained prior to hire date or job transfer date
Required professional licensure/certification
3 years of experience
1 year of cumulative leadership experience
Active Indiana or compact RN License
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
Bachelors in Nursing preferred

Benefits

Comp & perks

Comprehensive health coverage: medical, dental, vision, prescription coverage and HSA/FSA options
Employer-matched 403(b)
Planning and hardship resources
Disability and life insurance
Pro-rated paid time off (PTO) and holidays
Ascension-paid tuition (Vocare)
Reimbursement
Ongoing professional development and online learning
Employee Assistance Program
Counseling and peer support
Spiritual care and stress management resources
Parental leave
Adoption assistance and family benefits
Optional legal and pet insurance
Transportation savings