Join Providence Health as an RN Utilization Review and contribute to high-quality patient care in a Magnet® designated hospital. Utilize your clinical expertise to manage utilization reviews in a dynamic healthcare environment.
Key Responsibilities
Provide prospective, retrospective, and concurrent utilization reviews
Conduct clinical reviews and review medical records daily during admission for all payers
Manage a diverse workload in a fast-paced regulatory environment
Demonstrate excellent negotiation, communication, problem-solving, and decision-making skills
Required Qualifications
Associate's Degree - Nursing
California Registered Nurse License upon hire
2 years of 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 offVoluntary benefitsWell-being resources