Job Information

St. Joseph Health / Covenant Health RN Coordinator - Ambulatory Utilization Management in Anaheim, California

Registered Nurse Coordinator - Ambulatory Utilization Management

Location: Anaheim, CA

Work Schedule: Full time - 80 Biweekly Hours

Shift: 8-hour, Days

Responsible for providing utilization review and coordination of care throughout the healthcare continuum to promote quality and cost effective care to the members.

Required Qualifications:

  • Nursing school graduate.

  • 3 years experience in utilization management and/or case management.

  • 3 years Clinical experience in hospital or medical office/clinic setting.

  • Experience with Milliman criteria.

  • Active California RN license.

Preferred qualifications:

  • Bachelor's Degree in Nursing or related field.

  • Certification in Case Management (CCM)

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 Medical Foundation (formerly St. Joseph Heritage Health) includes seven medical groups throughout Northern California, Orange County, High Desert and Los Angeles County. With 175 locations and nearly 4,000 caregivers (employees), Providence Medical Foundation has been continually recognized as a leader in quality, receiving top honors from various organizations, including the Orange County Medical Association for Physicians of Excellence and the Integrated Healthcare Association with distinction in clinical quality. Providence Medical Foundation provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, Providence Medical Foundation complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.

Company: Providence Medical Foundation

Category: Quality Nursing

Req ID: R364282