Utilization Review RN - Utilization Management

Providence; Mission Hills (CA); On-site; USD 79,000 - 122,000; Full time

Job summary

Providence is seeking a nurse to lead utilization review and coordinate care across the healthcare continuum, promoting quality and cost-effective outcomes for members. The role emphasizes a patient-focused culture and team collaboration across Providence Medical Foundation.

Ideal candidates will have RN licensure in California, 3 years of utilization/case management experience, and clinical hospital/clinic experience.

Qualifications

• Nursing school graduate.
• Upon hire: California Registered Nurse License.
• 3 years' experience in utilization management and/or case management.
• 3 years Clinical experience in hospital or medical office/clinic setting.
• Experience with Milliman criteria.
• Bachelor's Degree in Nursing or related field (preferred).
• Upon hire: CCM certification (preferred).

Education

Nursing school graduate

California RN license

3 years' experience in utilization management

3 years Clinical experience in hospital/clinic

Experience with Milliman criteria

Bachelor's Degree in Nursing or related field

Certification in Case Management (CCM)

Job description

Description

Responsible for providing utilization review and coordination of care throughout the healthcare continuum to promote quality and cost-effective care to the members.

Providence caregivers are not simply valued – they’re invaluable. Join our team at Providence Medical Foundation and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.

Required Qualifications:

• Nursing school graduate.
• Upon hire: California Registered Nurse License.
• 3 years' experience in utilization management and/or case management.
• 3 years Clinical experience in hospital or medical office/clinic setting.
• Experience with Milliman criteria.

Preferred Qualifications:

• Bachelor's Degree in Nursing or related field.
• Upon hire: Certification in Case Management (CCM).

Why Join Providence?

Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.

About Providence

At Providence, our strength lies in Our Promise of “Know me, care for me, ease my way.” Working at our family of organizations means that regardless of your role, we’ll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.

Posted are the minimum and the maximum wage rates on the wage range for this position. The successful candidate's placement on the wage range for this position will be determined based upon relevant job experience and other applicable factors. These amounts are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits. Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.

About the Team

Providence Clinical Network (PCN) is a service line within Providence serving patients across seven states with quality, compassionate, coordinated care. Collectively, our medical groups and affiliate practices are the third largest group in the country with over 11,000 providers, 900 clinics and 30,000 caregivers.

PCN is comprised of Providence Medical Group in Alaska, Washington, Montana and Oregon; Swedish Medical Group in Washington’s greater Puget Sound area, Pacific Medical Centers in western Washington; Kadlec in southeast Washington; Providence’s St. John’s Medical Foundation in Southern California; Providence Medical Institute in Southern California; Providence Facey Medical Foundation in Southern California; Providence Medical Foundation in Northern and Southern California; and Covenant Medical Group and Covenant Health Partners in west Texas and eastern New Mexico.

Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement.

Requsition ID: 463077
Company: Providence Jobs
Job Category: Health Information Management
Job Function: Revenue Cycle
Job Schedule: Full time
Job Shift: Day
Career Track: Nursing
Department: 7520 UTIL MGMT CA HERITAGE
Address: CA Mission Hills 15451 San Fernando Mission Blv
Work Location: Facey Medical Foundation Admin Office-Mission Hills
Workplace Type: On-site
Pay Range: $57.28 - $88.92
The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.