Utilization Review RN – Per Diem

🕒 July 31

🏄 California – Remote

🏄 California – Remote

💵 $57 - $88 / hour

⏱ Part Time

🟢 Junior

🟡 Mid-level

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 13%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Providence

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1856

💼 Consulting

🛡️ Insurance

🏥 Healthcare

Consulting • Insurance • Healthcare

Providence is a not-for-profit health system committed to providing a wide range of medical services, including primary care, urgent care, pediatrics, maternity care, cancer treatment, and specialized services like neurosurgery and orthopedics. They offer both in-person and virtual care through clinics and a mobile app, ensuring patients can access healthcare conveniently. With a mission rooted in compassion, dignity, and justice, Providence emphasizes serving those who are vulnerable and strives for excellence in healthcare delivery. They are involved in research and innovation, including genomic profiling and clinical trials to improve patient outcomes.

📋 Description

• Provide prospective, retrospective, and concurrent utilization reviews for Southern CA ministries. • Conduct clinical reviews and review medical records daily during admission for all payers, as required by the health plans. • Effectively and efficiently manage a diverse workload in a fast-paced, rapidly changing regulatory environment. • Demonstrate excellent negotiation, communication, problem-solving, and decision-making skills.

🎯 Requirements

• Associate's Degree in Nursing. • Upon hire: California Registered Nurse License. • 2 years of experience working in a remote UR environment or working as an acute hospital case manager. • Bachelor's Degree in Nursing (preferred). • Master's Degree in Nursing (preferred). • Experience working with Interqual guidelines (preferred). • Experience in a multi-hospital and/or integrated healthcare system (preferred).

🏖️ Benefits

• 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