Join Providence Holy Cross Medical Center as an RN Utilization Review, where you'll play a crucial role in ensuring quality patient care through effective utilization management. Leverage your clinical expertise in a supportive environment recognized for nursing excellence.
Key Responsibilities
Conduct prospective, retrospective, and concurrent utilization reviews
Perform clinical reviews and review medical records during admission
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