Utilization Review RN
About The Position
Utilization Review RN - Remote Providence Health Plan caregivers are not simply valued – they’re invaluable. Join our team at Providence Health Plan Partners 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. The RN Care Coord-Qual Med Mgmt will provide administration of medical management programs for prior authorization. These programs are developed to manage medical expense, determine medically appropriate services and define clinical criteria for decision making. This position offers 100% remote work for candidates residing in Oregon .
Requirements
- Oregon Registered Nurse License
- 5 years clinical nursing experience.
- Experience working with physicians in collaboration and management of patient care.
Nice To Haves
- Bachelor’s Degree in Nursing or health care.
- Utilization review, discharge planning and/or managed care experience.
Benefits
- 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.
- Accepting a new position at another facility that is part of the Providence family of organizations may change your current benefits.
- Changes in benefits, including paid time-off, happen for various reasons.
- These reasons can include changes of Legal Employer, FTE, Union, location, time-off plan policies, availability of health and welfare benefit plan offerings, and other various reasons.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
