Jobs search

JOB DETAILS

Utilization Review RN - Utilization Management

Providence Health & Services • Full-time • Fremont, CA, US • $52 - $83 / hour • 3w ago

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.
California Registered Nurse License upon hire
3 years of experience in utilization management and/or case management.
3 years of clinical experience in hospital or medical office/clinic setting.
Experience with Milliman criteria.

Preferred qualifications:

Bachelor’s Degree in Nursing or related field.
Certification in Case Management (CCM) upon hire

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.

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.

Check out our benefits page for more information about our Benefits and Rewards.

About The Team

Providence Physician Enterprise (PE) 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.

PE 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: 307917

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

Pay Range: $52.46 - $83.05

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.

Check out our benefits page for more information about our Benefits and Rewards.

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

Related Jobs

UTILIZATION MGMT ED RN - Case Management - Full-time (1.0 FTE), 8-hr. Days

Stanford Health Care • Full-time • Palo Alto, California, United States • $74 - $98 / hour • 2m ago

RN ER Utilization Review

If you're ready to be part of our legacy of hope and innovation, we encourage you to take the first step and explore our current job openings. Your best is waiting to be discovered. Day - 08 Hour (United States of Ame... more

2m ago

VIEW JOB

UTILIZATION MGMT ED RN - Case Management - Full-time (1.0 FTE), 8-hr. Evenings

Stanford Health Care • Full-time • Palo Alto, California, United States • $74 - $98 / hour • 2m ago

RN ER Utilization Review

If you're ready to be part of our legacy of hope and innovation, we encourage you to take the first step and explore our current job openings. Your best is waiting to be discovered. Evening - 08 Hour (United States of... more

2m ago

VIEW JOB

Operating Room Travel Registered Nurse (RN)

American Traveler • Contract • Fremont, CA, US • $3,073 / week • 3d ago

RN Travel OR

American Traveler is offering a rewarding Operating Room Registered Nurse (RN) contract position in Fremont California. Shift: Days 8 Job Length: 13 weeks -- RNs who work with us receive a highly competitive pay and... more

3d ago

VIEW JOB

RN Case Manager

Anchor Health • Full-time • Palo Alto, CA, US • 1m ago

Are you looking for a workplace where you can make a genuine difference? Company Culture that feels supportive, genuine and appreciative of all? Anchor Health is committed to the communities of which we serve, the... more

1m ago

VIEW JOB

Education Specialist Registered Nurse

Kaiser Permanente • Full-time • San Leandro, CA, US • 3d ago

RN Educator

Job Summary: Develops, implements, coordinates and evaluates specialized patient educational programs (e.g., cardiac, HIV, chronic illness, diabetes). Consults with physicians and case managers in developing best c... more

3d ago

VIEW JOB

Registered Nurse

Aya Education • Full-time • Redwood City, CA, US • $2,965 - $3,108 / week • 1w ago

RN School

Aya Education has an immediate opening for a Registered Nurse job in Redwood City, California, paying $2,965/wk - $3,108/wk. Higher compensation - we negotiate on your behalf. Work-life balance - contracts are up t... more

1w ago

VIEW JOB

Clinical Nurse II - 0.9 - Nights - PCR (Float Pool) - Tele/PCU/CCU/Rapid Response

El Camino Hospital • Part-time • Mountain View, CA • 2w ago

RN Telemetry ICU PCU

El Camino Health is committed to hiring, retaining and growing the best and brightest professionals who will carry our mission and vision forward. We are proud of our reputation in the community: One built on compassi... more

2w ago

VIEW JOB

Operating Room Travel Registered Nurse (RN)

American Traveler • Contract • Fremont, CA, US • $3,073 / week • 3d ago

RN Travel OR

3d ago

VIEW JOB

Registered Nurse Intermediate

DaVita • Full-time • San Leandro, California 94578, United States • $41 - $57 / hour • 1m ago

15555 East 14th StSuite 520, San Leandro, California, 94578, United States of America DaVita is seeking a Nurse who is looking to give life in an outpatient dialysis center. You can make an exceptional difference in th... more

1m ago

VIEW JOB

Hospice RN Case Manager

Anchor Health • Full-time • Castro Valley, CA, US • 1m ago

RN Hospice

Description Are you looking for a work place where you can make a genuine difference? Company Culture that feels supportive, genuine and appreciative of all? Anchor Health is committed to the communities of w... more

1m ago

VIEW JOB