Role Description Astrana Health is looking for a CA-licensed Utilization Review Nurse to assist our Health Services Department. In this position, you will utilize your clinical judgement to approve or deny outpatient medical services for patients based on Medical Necessity Criteria, respective to various Health Plans. - This position requires open availability between Monday through Sunday, 8 A - 8 P. - You would be scheduled for 5 shifts per week. - This is a remote position for CA-licensed nurses. - Candidates may reside in any state, but will be required to work PST. We are seeking nurses with at least one year of outpatient OR inpatient Utilization Management experience in a fast-paced setting. - Our Values: - Put Patients First - Empower Entrepreneurial Provider and Care Teams - Operate with Integrity & Excellence - Be Innovative - Work As One Team Qualifications - Active and unrestricted LVN license in CA. - At least one year of outpatient UM experience. - Experience with Microsoft applications such as Word, Excel, and Outlook. Requirements - At least two years of health plan, IPA or MSO experience. - Strong interpersonal skills. - Ability to collaborate with co-workers, senior leadership, and other management. - Experience educating and training staff. Benefits - This is a remote position. - Candidates who live within a 30 mile radius of the office may be expected to work hybrid. - Typical business hours are Monday - Friday from 8:30 AM to 5 PM. - This position requires open availability between 8 AM - 8 PM PST, M-Su. - Your schedule will be comprised of 5 shifts per week. - Nurses rotate weekend and holiday coverage. - Overtime is required in this position. - The national target pay range for this role is $34.00 - $42.00 per hour. - Actual compensation will be based on job level, geographic location (current or future), experience, and other job-related factors. Company Description Astrana Health is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based on race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. All employment is decided based on qualifications, merit, and business need. If you require assistance in applying for open positions due to a disability, please email us at humanresourcesdept@astranahealth.com to request an accommodation. The job description does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the job change.