Utilization Review RN

Description Responsible for providing utilization review and coordination of care throughout the healthcare continuum to promote quality and cost effective care to the members. Qualifications Nursing school graduate. California Registered Nurse License upon hire. 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 - Nursing or related field. Certification in Case Management (CCM) upon hire. Benefits 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, paid parental leave, vacations, holidays, health issues, voluntary benefits, well‑being resources and more. Equal Opportunity Employer Providence is an equal opportunity employer. We are committed to a workplace free from unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by law. Location Work Location: Facey Medical Foundation Admin Office-Mission Hills, CA Mission Hills 15451 San Fernando Mission Blvd. #J-18808-Ljbffr