Location: Jacksonville, FL | Remote

Facility: Ascension St. Vincent's Riverside Hospital

Schedule: Day Shift | PRN

Salary Range: $47.00 - $50.00 per hour

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.

• Retirement: 403(b) plan
• Well-being support: Employee Assistance Program, counseling and peer support, spiritual care and stress management resources

Benefit options and eligibility vary by position, scheduled hours and location. Benefits are subject to change at any time. Your recruiter will provide the most up-to-date details during the hiring process.

• Lead the end-to-end medical necessity review process, ensuring admissions and service requests meet all reimbursement and compliance criteria.
• Provide expert case management and consultation for high-complexity cases to optimize patient outcomes.
• Resolve departmental hurdles related to coding, documentation, and precertification while navigating the claims and appeals process.
• Strategize with the healthcare team to assess and execute seamless discharge plans tailored to patient needs.
• Spearhead compliance with federal and third-party payer regulations, leveraging data and utilization reports to drive operational excellence.

Licensure / Certification / Registration:

• Licensed Registered Nurse obtained prior to hire date or job transfer date. Licensed as a Registered Nurse in Florida. Credentialed from State Board of Nursing or current home state license for multi-state license recognition "Compact State" obtained prior to hire date or job transfer date required.

Education:

• Diploma from an accredited school/college of nursing OR Required professional licensure at time of hire required.

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.

E-Verify statement

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