Utilization Review RN
Providence • Mission Hills, CA • Posted May 02, 2026
About the Role
**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...
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...