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RN Utilization Review Full-time Day

Providence Health and Services

Mission Hills, CA
2 days ago
$56.44 - $87.63

Job Description

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