Join Providence Health and Services as a part-time RN Utilization Review nurse, where you will play a crucial role in ensuring high-quality patient care through effective utilization management. This position offers the opportunity to work in a prestigious Magnet® designated hospital, contributing to a culture of excellence in healthcare.
Key Responsibilities
Perform clinical reviews and manage utilization reviews for patient admissions
Conduct prospective, retrospective, and concurrent utilization reviews
Review medical records daily during admission for all payers
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 off