Rn Utilization Review - Full-time Day- Remote

Providence

Irvine, CA, United States
Base: 56.44 - 87.63; bonus/equity: not specified; ...
Fully remote
Prospective retrospective concurrent utilization reviews
Clinical reviews medical records daily
Utilization management medical necessity
Provide prospective, retrospective, and concurrent utilization reviews for our Southern CA ministries

Job Summary

  • Provide prospective, retrospective, and concurrent utilization reviews for our Southern CA ministries.
  • This role requires a strong clinical background combined with well-developed knowledge and skills in Utilization Management, medical necessity, and patient status determination.
  • 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.

Matching Summary

Provide prospective, retrospective, and concurrent utilization reviews for our Southern CA ministries.

Salary

Base: 56.44 - 87.63; Bonus/Equity: Not specified; Benefits: Not specified

Skills & Requirements

Must-have

  • prospective retrospective concurrent utilization reviews
  • clinical reviews medical records daily
  • Utilization Management medical necessity
  • patient status determination
  • fast-paced regulatory environment

Nice-to-have

  • patient-focused whole-person care
  • inclusive workplace diversity valued
  • career support professional growth

Key Requirements

  • Associate's Degree Nursing
  • California Registered Nurse License
  • 2 years remote UR experience
  • 2 years acute hospital case manager experience

Work Rights

Not specified

Tailored Resume

Cover Letter