Registered Nurse Utilization Review

The Registered Nurse Utilization Review role at Ascension Sacred Heart Emerald Coast involves reviewing admissions and service requests for medical necessity and compliance with reimbursement policies. The position requires providing case management and consultation for complex cases, assisting with coding, documentation, and claim appeals, and coordinating discharge planning with the healthcare team. Additionally, the role may include preparing statistical analysis and ensuring compliance with utilization management regulations.