Utilization Review Nurse - Full-time Day Job at Providence Health and Services, Mission Hills, CA

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  • Providence Health and Services
  • Mission Hills, CA

Job Description

Description

Join our exceptional team as a Utilization Review Nurse at Providence Holy Cross Medical Center. This full-time position offers an engaging work environment with 8-hour day shifts.

Providence Holy Cross Medical Center is a proud recipient of the Magnet status, four times designated for nursing excellence and one of only four hospitals in California to achieve this prestigious recognition.

Since 2007, our hospital has set the standard for high-quality care, with only a small percentage of hospitals nationwide earning such distinction. As a Utilization Review Nurse, you will conduct prospective, retrospective, and concurrent reviews vital to our LA ministries. Your role will involve daily clinical reviews and medical record assessments during patient admissions for all payers as mandated by health plans.

This position requires a robust clinical background, paired with a deep understanding of Utilization Management, medical necessity, and patient status determination. You will be working in a fast-paced environment, managing a diverse caseload while demonstrating excellent negotiation, communication, problem-solving, and decision-making skills.

At Providence, our caregivers are invaluable to us. Experience the difference of working within a culture of patient-focused care, built on a foundation of respect and understanding. Here, your voice matters, and we empower you to thrive in your career.

Required Qualifications:

  • Associate's Degree in Nursing.
  • California Registered Nurse License upon hire.
  • Minimum of 2 years experience working in a remote Utilization Review environment or as an acute hospital case manager.

Preferred Qualifications:

  • Bachelor's Degree in Nursing.
  • Master's Degree in Nursing.
  • Experience with Interqual guidelines.
  • Background in multi-hospital or integrated healthcare systems.

Why Join Us?

Our benefits are designed to help you and your family thrive. We prioritize your well-being, professional development, and financial security to ensure you can focus on our mission of caring for everyone, particularly the most vulnerable in our communities.

About Us

At Providence, we are united by our Promise to 'Know me, care for me, ease my way.' As a member of our family of organizations, you will receive unwavering support in your career, allowing you to effectively support others. We value diversity and inclusivity, ensuring every voice is heard and respected. With over 120,000 caregivers serving in more than 50 hospitals and 1,000 clinics across various states, we maintain our century-long tradition of serving those in need.

The salary range is between $56.44 and $87.63, with additional compensation opportunities, such as shift differentials and bonuses.

Providence offers a comprehensive benefits package, including a 401(k) Savings Plan with employer matching, health care options, life and disability insurance, generous time-off policies, and much more.

Address: 15031 Rinaldi St, CA Mission Hills. Requisition ID: 397447.

Job Tags

Full time, Shift work, Day shift,

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