Utilization Review RN - Remote

Job description

Utilization Review RN - Remote Providence Health Plan caregivers are not simply valued – they’re invaluable. Join our team at Providence Health Plan Partners 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. The RN Care Coord-Qual Med Mgmt will provide administration of medical management programs for prior authorization. These programs are developed to manage medical expense, determine medically appropriate services and define clinical criteria for decision making. This position offers 100% remote work for candidates residing in Oregon . Required Qualifications: - Upon hire: Oregon Registered Nurse License - 5 years clinical nursing experience. - Experience working with physicians in collaboration and management of patient care. Preferred Qualifications: - Bachelor’s Degree in Nursing or health care. - Utilization review, discharge planning and/or managed care experience. Salary Range by Location: Oregon: Non-Portland Service Area: Min: $45.90, Max: $71.40 Oregon: Portland Service Area: Min: $49.34, Max: $7...