Put your nursing expertise to work in a remote role that blends clinical knowledge with data-driven decision-making. This opportunity offers strong pay, professional growth, and the chance to support hospitals nationwide.
About Ensemble Health Partners
Ensemble Health Partners is a top provider of revenue cycle management solutions for hospitals and physician groups. Recognized with multiple Best in KLAS awards and named among the best workplaces in healthcare, Ensemble combines technology with a people-first culture. Their mission: keep communities healthy by keeping hospitals financially strong.
Schedule
- Full-time remote (Nationwide, USA)
- PRN positions also available
- Must have reliable high-speed internet and availability for meetings or training sessions
What You’ll Do
- Conduct medical necessity reviews for admissions, continued stays, and observation cases
- Identify over/under-utilization of services and escalate to physician advisors as needed
- Collaborate with in-house care management, financial clearance, and revenue cycle teams
- Review, document, and communicate utilization outcomes with accuracy and timeliness
- Support denial management through appeals, peer-to-peer coordination, and trend tracking
- Maintain compliance with payer, CMS, and regulatory requirements while prioritizing patient care
- Provide education and support to physicians and staff regarding utilization review processes
What You Need
- Bachelor’s degree in Nursing or related field (or equivalent experience)
- Current unrestricted LPN or RN license (compact RN license preferred)
- At least 3 years of nursing experience in an acute care environment
- Prior utilization review or discharge planning experience preferred
- Strong knowledge of medical necessity review criteria and quality improvement processes
- Excellent communication, negotiation, and problem-solving skills
- Ability to prioritize tasks and work independently in a fast-paced, remote setting
Benefits
- Pay range: $28.90 – $35.45/hr (based on experience)
- Comprehensive medical, dental, and vision coverage
- 401(k) with match, PTO, and well-being programs
- Paid certifications and tuition reimbursement
- Bonus incentives and career advancement opportunities
- A collaborative, award-winning workplace culture
Advance your career while making an impact in patient care and healthcare quality.
Join Ensemble Health Partners today.
Happy Hunting,
~Two Chicks…