Join Providence Holy Cross Medical Center as a part-time RN Utilization Review, where you will play a crucial role in ensuring high-quality patient care through effective utilization management. Thrive in a supportive environment that values your expertise and commitment to patient-focused care.
Key Responsibilities
Provide prospective, retrospective, and concurrent utilization reviews
Conduct clinical reviews and review medical records during admission for all payers
Manage a 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 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 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 parental leaveVacation and holiday time offVoluntary benefitsWell-being resources