The Trauma Administration department at Ascension Providence Southfield is seeking a dedicated Registered Nurse to join our team. This full-time position requires a commitment of 40 hours per week, primarily during the day. The role involves providing comprehensive health care services related to admissions, case management, discharge planning, and utilization review. The successful candidate will be responsible for reviewing admissions and service requests within the assigned unit, ensuring compliance with medical necessity and reimbursement policy criteria. This position also entails providing case management and consultation for complex cases, assisting departmental staff with coding, medical records, precertification, and addressing claim denials and appeals. In addition to these responsibilities, the Registered Nurse will assess and coordinate discharge planning needs in collaboration with healthcare team members. The role may also involve preparing statistical analyses and utilization review reports as necessary. A critical aspect of this position is overseeing and coordinating compliance with federally mandated and third-party payer utilization management rules and regulations. Joining Ascension Michigan means becoming part of a leading non-profit, faith-based national health system that operates 16 hospitals and over 300 related healthcare facilities. Our mission is to provide spiritually centered, holistic care that sustains and improves the health of the communities we serve throughout Michigan. As a member of our care teams, you will be empowered to give back, volunteer, and make a positive impact in your community, enhancing not only your life but also the lives of those around you.