RN Utilization Review Part- time Day
Company: Providence Health and Services
Location: Santa Clarita
Posted on: January 2, 2026
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Job Description:
Description RN Utilization Review - Remote. This position will
work full- time in a 8-hr Day shift. 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 in Nursing. -
California Registered Nurse License upon hire. - 2 years of
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.
Posted are the minimum and the maximum wage rates on the wage range
for this position. 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. 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
/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: 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. By applying, you consent to
your information being transmitted by Veritone to the Employer, as
data controller, through the Employer’s data processor SonicJobs.
See Providence Health and Services Terms & Conditions at and
Privacy Policy at and SonicJobs Privacy Policy at and Terms of Use
at Category:Healthcare, Keywords:Utilization Review Nurse,
Location:Santa Clarita, CA-91350
Keywords: Providence Health and Services, Hemet , RN Utilization Review Part- time Day, Seasonal Jobs , Santa Clarita, California
