RN Utilization Review Full-time Day
Company: Providence Health and Services
Location: Glendale
Posted on: October 31, 2025
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Job Description:
RN Utilization Review Full-time Day at Providence Health and
Services summary: The RN Utilization Review position at Providence
Holy Cross Medical Center involves conducting clinical reviews and
utilization management to ensure appropriate patient care and
medical necessity. The role requires a registered nurse license
with experience in utilization review or hospital case management
and demands strong decision-making and communication skills in a
fast-paced healthcare environment. Providence offers a supportive
work culture with comprehensive benefits and a focus on
patient-centered care across multiple facilities. Description RN
Utilization Review at Providence Holy Cross Medical Center in
Mission Hills, CA. This position is Full- time and will work
8-hour, Day shifts. Providence Holy Cross Medical Center is
four-time designated for Magnet® status, the highest recognition
for nursing excellence, making it one of just four hospitals in
California to achieve this status. Since 2007, Holy Cross has been
recognized as a Magnet® hospital—a prestigious designation from the
American Nurses Credentialing Center (ANCC), which recognizes
organizations that provide the highest-quality care. Only 9.96% of
U.S. hospitals earn Magnet® recognition, which means that only 1%
of U.S. hospitals are four times designated. Provide prospective,
retrospective, and concurrent utilization reviews for our LA
ministries. Conduct clinical reviews and review medical records
daily during admission for all payers, as required by the health
plans. This role requires a strong clinical background combined
with well-developed knowledge and skills in Utilization Management,
medical necessity, and patient status determination. The
Utilization Management RN must effectively and efficiently manage a
diverse workload in a fast-paced, rapidly changing regulatory
environment, demonstrating excellent negotiation, communication,
problem-solving, and decision-making skills. Providence caregivers
are not simply valued – they’re invaluable. Join our team at
Providence California Regional Services 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: Associate's Degree Nursing. Upon
hire: California Registered Nurse License. 2 years Experience
working in a remote UR environment or working as an acute hospital
case manager. Preferred Qualifications: Bachelor’s Degree in
Nursing. Master's Degree in Nursing. Experience working with
Interqual guidelines. Experience in a multi-hospital and/or
integrated healthcare system. Why Join Providence? 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. About Providence 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.
The amounts listed 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. 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
providence.jobs/benefits. Applicants in the Unincorporated County
of Los Angeles: Qualified applications with arrest or conviction
records will be considered for employment in accordance with the
Unincorporated Los Angeles County Fair Chance Ordinance for
Employers and the California Fair Chance Act." Requsition ID:
397447 Company: Providence Jobs Job Category: Health Information
Management Job Function: Revenue Cycle Job Schedule: Full time Job
Shift: Multiple shifts available Career Track: Nursing Department:
7000 UTILIZATION MGMT REMOTE Address: CA Mission Hills 15031
Rinaldi St Work Location: Providence Holy Cross Medical Ctr-Mission
Hills Workplace Type: On-site Pay Range: $56.44 - $87.63 The
amounts listed 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. PandoLogic. Category:Healthcare,
Keywords:Utilization Review Nurse, Location:Glendale, CA-91203
Keywords: RN Utilization Review, Registered Nurse, Utilization
Management, Patient Care, Medical Necessity, Case Management,
Healthcare Nursing, Clinical Review, Hospital Nursing, Magnet
Hospital
Keywords: Providence Health and Services, Glendale , RN Utilization Review Full-time Day, Healthcare , Glendale, Arizona
