Join Providence Health and Services as an RN Utilization Review, where you'll play a critical role in ensuring high-quality patient care through effective utilization management in a Magnet® designated hospital.
Key Responsibilities
Conduct prospective, retrospective, and concurrent reviews of patient medical records
Ensure appropriate utilization of healthcare services
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
2 years 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
Comprehensive health care benefits (medical, dental, vision)401(k) Savings Plan with employer matchingPaid parental leaveVacations and holidaysLife and disability insuranceWell-being resources