Join Providence Holy Cross Medical Center as an RN Utilization Review, where you'll provide critical utilization reviews in a prestigious Magnet® hospital. Leverage your clinical expertise to ensure high-quality patient care in a supportive environment.
Key Responsibilities
Provide prospective, retrospective, and concurrent utilization reviews
Conduct clinical reviews and review medical records daily during admission
Manage diverse workload in a fast-paced regulatory environment
Demonstrate negotiation, communication, problem-solving, and decision-making skills
Required Qualifications
Associate's Degree in Nursing
California Registered Nurse License
2 years Experience in remote UR environment or as acute hospital case manager
Preferred Qualifications
Bachelor’s Degree in Nursing
Master's Degree in Nursing
Experience with Interqual guidelines
Experience in multi-hospital and/or integrated healthcare system
Benefits & Perks
401(k) Savings Plan with employer matchingHealth care benefits (medical, dental, vision)Life insuranceDisability insurancePaid parental leaveVacation and holiday time offVoluntary benefitsWell-being resources