RN Utilization Review Part- time Day
Company: Providence Health and Services
Location: Santa Monica
Posted on: October 30, 2025
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Job Description:
Job Description Description RN Utilization Review at Providence
Holy Cross Medical Center in Mission Hills, CA. This position is
Part- 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. California Registered Nurse License
upon hire. 2 years - Experience working in a remote UR environment
or working as an acute hospital case manager. Preferred
Qualifications: Bachelor's Degree - Nursing. Master's Degree -
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."
About the Team The Sisters of Providence and Sisters of St. Joseph
of Orange have deep roots in California, bringing health care and
education to communities from the redwood forests to the beach
shores of Orange county - and everywhere in between. In Southern
California, Providence provides care throughout Los Angeles County,
Orange County, High Desert and beyond. Our award-winning and
comprehensive medical centers are known for outstanding programs in
cancer, cardiology, neurosciences, orthopedics, women's services,
emergency and trauma care, pediatrics and neonatal intensive care.
Our not-for-profit network provides a full spectrum of care with
leading-edge diagnostics and treatment, outpatient health centers,
physician groups and clinics, numerous outreach programs, and
hospice and home care, and even our own Providence High School.
Providence is proud to be an Equal Opportunity Employer. We are
committed to the principle that every workforce member has the
right to work in surroundings that are free from all forms of
unlawful discrimination and harassment on the basis of race, color,
gender, disability, veteran, military status, religion, age, creed,
national origin, sexual identity or expression, sexual orientation,
marital status, genetic information, or any other basis prohibited
by local, state, or federal law. We believe diversity makes us
stronger, so we are dedicated to shaping an inclusive workforce,
learning from each other, and creating equal opportunities for
advancement. Requsition ID: 396717 Company: Providence Jobs Job
Category: Health Information Management Job Function: Revenue Cycle
Job Schedule: Part time Job Shift: Day 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. Keywords:
Utilization Review Nurse, Location: Santa Monica, CA - 90407
Keywords: Providence Health and Services, Santa Monica , RN Utilization Review Part- time Day, Seasonal Jobs , Santa Monica, California
