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Job Description
Join Providence Health and Services as an RN Utilization Review, where you will play a critical role in ensuring efficient patient care through comprehensive utilization reviews. This part-time position offers the opportunity to work with a recognized Magnet® hospital, contributing to high-quality, patient-centered services.
Key Responsibilities
Conduct prospective, retrospective, and concurrent reviews of medical records
Ensure appropriate utilization of healthcare services
Manage a diverse workload in a fast-paced regulatory environment
Demonstrate excellent negotiation, communication, problem-solving, and decision-making skills
Required Qualifications
Associate's Degree in Nursing
California Registered Nurse License upon hire
2 years of experience in a remote UR environment or as an acute hospital case manager
Preferred Qualifications
Bachelor's Degree in Nursing
Master's Degree in Nursing
Experience working with Interqual guidelines
Experience in a multi-hospital and/or integrated healthcare system
Benefits & Perks
401(k) Savings Plan with employer matchingHealth care benefits (medical, dental, vision)Life insuranceDisability insurancePaid time off (parental leave, vacations, holidays)Voluntary benefitsWell-being resources