Utilization Review RN - Remote

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.

• Upon hire:
  Oregon Registered Nurse License
• 5 years clinical nursing experience.
• Experience working with physicians in collaboration and management of patient care.

• Bachelor’s Degree in Nursing or health care.
• Utilization review, discharge planning and/or managed care experience.

• Non-Portland Service Area:
  Min: $45.90, Max: $71.40
• Portland Service Area:
  Min: $49.34, Max: $76.59

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.

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.