Join Providence Health as an RN Utilization Review where you will leverage your clinical expertise to ensure high-quality patient care in a prestigious Magnet-designated hospital. This part-time role offers flexibility and the opportunity to make a significant impact in a supportive environment.
Key Responsibilities
Conduct prospective, retrospective, and concurrent utilization reviews
Perform clinical reviews and review medical records daily 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 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 parental leaveVacation and holiday time offVoluntary benefitsWell-being resources