Providence Health & Services

Utilization Review RN - Remote

Posted on

March 4, 2026

Job Type

Full-Time

Role Type

Utilization Review

License

RN

State License

Oregon

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Help & Resources

Company Description

At Providence, our strength begins with understanding. We take time to see, hear and value everyone who walks through our doors—patient or caregiver, family support person or volunteer. Working with us means that regardless of your role, we’ll walk alongside you in your career, supporting you so you can support others. Providence Health & Services and our family of organizations are gradually coming together under a unified Providence brand over the next two years. Together, our 120,000 caregivers (all employees) serve in 52 hospitals, 1,085 clinics and a comprehensive range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington.

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. This position offers 100% remote work for candidates residing in Oregon .

Requirements

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.

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Responsibilities

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.

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