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 of experience in utilization management and/or case management. 3 years of clinical experience in hospital or medical office/clinic setting. Experience with Milliman criteria. Preferred qualifications: Bachelor’s Degree in Nursing or related field. Certification in Case Management (CCM) upon hire 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. Requisition ID: 329495 Company: Providence Jobs Job Category: Health Information Management Job Function: Revenue Cycle Job Schedule: Full time Job Shift: Day Career Track: Nursing Department: 7520 UTIL MGMT CA HERITAGE Address: CA Mission Hills 15451 San Fernando Mission Blv Work Location: Facey Medical Foundation Admin Office-Mission Hills Workplace Type: Hybrid Pay Range: $52.46 - $83.05 J-18808-Ljbffr