Utilization Review RN - Utility Management

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    "ExternalDescriptionStr": "<p>Responsible for providing utilization review and coordination of care throughout the healthcare continuum to promote quality and cost effective care to the members.&nbsp;</p>\n<p><span>Providence caregivers are not simply valued – they’re invaluable. Join our team at&nbsp;Providence Medical Foundation</span><span>&nbsp;</span><span>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.</span></p>\n<p><strong>Required Qualifications:&nbsp;</strong></p>\n<ul>\n <li>Nursing school graduate.</li>\n <li>Upon hire: California Registered Nurse License&nbsp;</li>\n <li>3 years of experience in utilization management and/or case management.</li>\n <li>3 years of clinical experience in hospital or medical office/clinic setting.</li>\n <li>Experience with Milliman criteria.</li>\n</ul>\n<p><strong>Preferred Qualifications:</strong></p>\n<ul>\n <li>Bachelor's Degree in Nursing or related field.</li>\n <li>Upon hire: Certification in Case Management&nbsp;</li>\n</ul>\n<p><strong>Why Join Providence?</strong></p>\n<p>Our&nbsp;<a href=\"https://nam11.safelinks.protection.outlook.com/?url=https%3A%2F%2Fprovidence.jobs%2Fbenefits%2F&amp;data=05%7C01%7Cethelleah.torres1%40providence.org%7C6da11282629946c936bc08dbf64b1e78%7C2e3190869a2646a3865f615bed576786%7C0%7C0%7C638374574718197112%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C3000%7C%7C%7C&amp;sdata=CHUc7JRL0t6AAExYx6UfCEVEH8gfmaw9cEOZ4wX0%2BZU%3D&amp;reserved=0\" target=\"_blank\" rel=\"nofollow\">best-in-class benefits</a>&nbsp;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&nbsp;<a href=\"https://providence.jobs/mission/\" target=\"_blank\" rel=\"nofollow\">Mission</a>&nbsp;of caring for everyone, especially the most vulnerable in our communities.</p>",
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    "CorporateDescriptionStr": "<br/>\n<div>\n</div>\n<div>\n <div>\n  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.\n </div>\n <div>\n  <br/>\n </div>\n <div>\n  Posted are the minimum and the maximum wage rates on the wage range for this position.&nbsp; The successful candidate's placement on the wage range for this position will be determined based upon relevant job experience and other applicable factors. These amounts 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.\n </div>\n <div>\n  <br/>\n </div>\n <div>\n  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&nbsp;<a href=\"https://providence.jobs/benefits/\" target=\"_blank\" rel=\"nofollow\">providence.jobs/benefits</a>.\n </div>\n <div>\n  <br/>\n </div>\n <div>\n  Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the&nbsp;<a href=\"https://s3-us-west-2.amazonaws.com/images.provhealth.org/HR-onboarding/LA_County_Fair_Chance_Ordinance_2024.pdf\" target=\"_blank\" rel=\"nofollow\">Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act</a>.\n </div>\n</div>",
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