Utilization Review RN

Providence
Part time Los Angeles, California Healthcare Diagnosing or Treating Practitioners
Posted:
June 16, 2026
Location:
Los Angeles, California, United States

Job 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 - Experience in utilization management and/or case management.
  • 3 years - Clinical experience in hospital or medical office/clinic setting.
  • Experience with Milliman criteria.
  • Preferred Qualifications: 

  • Bachelor's Degree - Nursing or related field.
  • Certification in Case Management (CCM)...
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    Job Overview

    Job Type: Part time
    Location: Los Angeles, United States
    Posted: June 16, 2026
    Deadline: July 26, 2026