Help ensure patients receive the right level of care, at the right time, for the right length of stay — all while working from home.
About Ensemble Health Partners
Ensemble Health Partners delivers technology-enabled revenue cycle management solutions to hospitals, health systems, and physician groups nationwide. Known for innovation, collaboration, and award-winning service, Ensemble empowers its teams to make every healthcare interaction meaningful.
Schedule & Pay
- Remote, nationwide (full-time and PRN positions available)
- $28.90–$35.45/hour (based on experience)
- Bonus incentives, paid certifications, tuition reimbursement
- Comprehensive benefits and career advancement opportunities
Key Responsibilities
Resource Utilization & Medical Necessity
- Use clinical triggers to identify over/under-utilization of services
- Review admissions for medical necessity and appropriate patient status
- Provide timely inpatient and observation reviews to the Financial Clearance Center
- Collaborate with physicians, care managers, and other stakeholders to support appropriate levels of care
Denial Management
- Coordinate peer-to-peer reviews with physicians and advisors
- Maintain documentation to reduce denial rates and track trends
- Monitor readmissions and ensure compliance with payer requirements
Quality & Revenue Integrity
- Accurately record and submit required data
- Manage ConnectCare and ADT work queues
- Ensure thorough documentation of communications, authorizations, and review outcomes
Facilitation of Patient Care
- Prioritize reviews based on patient status and clinical needs
- Work closely with in-house care managers to support care planning
- Demonstrate knowledge of patient age-specific needs and growth/development principles
Communication & Collaboration
- Provide clear coverage determinations to physicians and patients
- Maintain professional, timely communication with all stakeholders
- Participate in departmental improvement initiatives and provide back-up support as needed
Qualifications
- Bachelor’s degree in Nursing or related field (or equivalent experience)
- Current unrestricted LPN or RN license required (compact license preferred)
- Minimum 3 years acute care nursing experience
- Utilization review or discharge planning experience preferred
- Strong clinical assessment skills, attention to detail, and ability to work independently
- High-speed internet required
Benefits
- Health, dental, and vision coverage
- 401(k) with company match
- Paid time off and holidays
- Tuition reimbursement and professional certifications
- Quarterly and annual recognition programs
Awards & Recognition
- 5× “Best in KLAS” Winner (2020–2022, 2024–2025)
- Top Workplace for Remote Work (Monster, 2024)
- Fortune Best Workplaces in Healthcare (2024)
- Great Place to Work Certified (2023–2024)
Happy Hunting,
~Two Chicks…