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Utilization Review RN

Glendale Memorial Hospital and Health Glendale, California
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The posted compensation range of $53.66 - $72.87 /hour is a reasonable estimate that extends from the lowest to the highest pay CommonSpirit in good faith believes it might pay for this particular job, based on the circumstances at the time of posting. CommonSpirit may ultimately pay more or less than the posted range as permitted by law.

Requisition ID 2025-427736 Employment Type Full Time Department Case Management Hours/Pay Period 80 Shift Day Weekly Schedule Weekdays & every other weekend ( 0900 am - 5:00pm) Remote Yes Category Case Management and Social Work

Job Summary and Responsibilities

Are you a Utilization Review Nurse who loves making a real impact from the comfort of your home? We're on the hunt for a master-level critical thinker and problem-solver to join our collaborative remote team. We're looking for someone who's completely at home with Cerner, InterQual, and Xsolis programs. If these tools are second nature to you, you'll hit the ground running. If you're eager to leverage your expertise, work autonomously, and be part of a supportive, 100% remote team dedicated to quality patient outcomes, we want to hear from you! (Must be a California resident.)

  • Understand how utilization management and case management programs integrate.
  • Knowledge of managed care and payer environment. 
  • Must have critical thinking and problem-solving skills.
  • Ability to work as a team player and assist other members of the team where needed. 
  • Highly organized with excellent time management skills.

Job Requirements
  • Graduate of an accredited school of nursing
  • Minimum two (2) years of acute hospital clinical experience or a Master's degree in Case Management or Nursing field in lieu of 1 year of experience
  • California RN license.
  • Certified Case Manager (CCM), Accredited Case Manager (ACM-RN), or UM Certification preferred.
  • Graduate of an accredited school of nursing (Bachelor's Degree in Nursing (BSN)) or related healthcare field preferred.
  • At least five (5) years of nursing experience preferred.
  • Must be a California resident required.

This position is represented by CNA and is covered by the terms and conditions of the applicable collective bargaining agreement.

Where You'll Work

Founded in 1926, Glendale Memorial Hospital and Health Center is a 334-bed, acute care, nonprofit, community hospital located in Glendale, California. The hospital offers a full complement of services, including its award winning heart center, the colorectal surgery institute, a gastrointestinal program, and is a Los Angeles County approved primary stroke center. The hospital shares a legacy of humankindness with Dignity Health, one of the nation’s five largest health care systems. Visit here https://www.dignityhealth.org/socal/locations/glendalememorial for more information.

One Community. One Mission. One California 

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Equal Opportunity

CommonSpirit Health™ is an Equal Opportunity/Affirmative Action employer committed to a diverse and inclusive workforce. All qualified applicants will be considered for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, marital status, parental status, ancestry, veteran status, genetic information, or any other characteristic protected by law. For more information about your EEO rights as an applicant, please click here.

CommonSpirit Health™ will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c). External hires must pass a post-offer, pre-employment background check/drug screen. Qualified applicants with an arrest and/or conviction will be considered for employment in a manner consistent with federal and state laws, as well as applicable local ordinances, ban the box laws, including but not limited to the San Francisco and Los Angeles Fair Chance Ordinances. If you need a reasonable accommodation for any part of the employment process, please contact us by telephone at (415) 438-5575 and let us know the nature of your request. We will only respond to messages left that involve a request for a reasonable accommodation in the application process. We will accommodate the needs of any qualified candidate who requests a reasonable accommodation under the Americans with Disabilities Act (ADA). CommonSpirit Health™ participates in E-Verify.