Join Providence Health and Services as an RN Utilization Review Nurse, where you'll leverage your clinical expertise to ensure quality patient care and efficient utilization management in a supportive healthcare environment.
Key Responsibilities
Conduct prospective, concurrent, and retrospective utilization reviews
Ensure medical necessity and appropriate patient status determination
Manage a diverse workload in a fast-paced environment
Conduct clinical reviews and review medical records daily
Required Qualifications
Associate's Degree in Nursing
California Registered Nurse License upon hire
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
Health care benefits (medical, dental, vision)401(k) retirement savings plan with employer matchingLife insuranceDisability insurancePaid parental leaveVacation and holiday time offWell-being resources