This job posting has expired
Expired on April 1, 2026
RN Utilization Review - Full-time Day- REMOTE
Job Description
Providence is seeking an RN for Utilization Review to provide prospective, retrospective, and concurrent reviews for ministries in Southern California. You will conduct clinical reviews and manage medical records daily during admission for all payers.
Responsibilities
- Provide prospective, retrospective, and concurrent utilization reviews
- Conduct clinical reviews for medical necessity
- Review medical records daily during admission
- Manage diverse workload in a fast-paced regulatory environment
Qualifications
- Associate's Degree in Nursing
- California Registered Nurse License
- 2 years experience in remote UR environment or acute hospital case manager
- Experience with Interqual guidelines preferred