Join Providence Health and Services as an RN Utilization Review, where you'll conduct critical utilization reviews to optimize patient care in a prestigious Magnet® designated hospital. This part-time role offers a chance to make a meaningful impact in a dynamic healthcare environment.
Key Responsibilities
Conduct prospective, concurrent, and retrospective utilization reviews
Review clinical records daily for various payers
Ensure medical necessity and proper patient status
Manage a diverse workload in a fast-paced environment
Required Qualifications
Associate's Degree - Nursing
California Registered Nurse License upon hire
2 years experience working in a remote UR environment or as an acute hospital case manager
Preferred Qualifications
Bachelor's Degree - Nursing
Master's Degree - 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 off