Providence Health & Services

Utilization Review RN - Remote

Posted on

April 28, 2026

Job Type

Full-Time

Role Type

Utilization Review

License

RN

State License

Oregon

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Company Description

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.

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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