Jobs in the United States

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Added 3 mins ago
Safety, Security & Environmental Super
Menzies
Dallas, TX
Manages MA Safety Programs, Policies, Procedures and other Safety, Security, and Environmental (SSE) related systems in accordance with approved manuals, bulletins, and briefings.
Added 5 mins ago
Manager, Regional Development
Solar Energy Industries Association
Washington, DC
…represents more than 1,000 member companies and an industry workforce of more than 255,000 across the United States. SEIA is leading the transformation to a clean energy economy and is…
Added 6 mins ago
Sr Manager, Aircraft Line Maintenance Hub
United States
When applicable, may be required to work rotating shifts, nights and weekends
Added 6 mins ago
Application Engineer
University of South Carolina
SC
Experience administering and supporting ERP and enterprise systems (e.g., Banner, PeopleSoft, Oracle Identity Manager).
Added 7 mins ago
Store Sales Manager
Mattress Firm, Inc
Evergreen Park, IL
The store manager leads Mattress Firm's vision, Company Initiatives, and achieves sales performance goals by holding associates accountable for the execution of in-store merchandising in…
Added 8 mins ago
UG
Medical Practice Leader, Clinic Operations
UnitedHealth Group
Mesa, AZ
- $60,200 to $107,400 USD / year
…here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us in making healthcare work better for everyone through…
Added 9 mins ago
GBS IMO Strategic Program Manager
Gallagher
Rolling Meadows, IL
…Whether it’s shaping benefit strategies, designing wellbeing programs, or advising on workforce challenges, the work you do here creates meaningful change for businesses and the people who…
Added 11 mins ago
Junior Climate Change Analyst
Hatch
Brooklyn, NY
…encourage candidates to connect with their recruiter and hiring manager to understand workplace expectations and ensure the role aligns with their…
Added 12 mins ago
Office Coordinator
Louisiana State University and Agricultural and Mechanical College
United States
…Division of Finance. The position functionally reports to the Manager of Operations and is supervised by the Manager of Operations and Staff Senate President. Occasional travel and…
Added 12 mins ago
Director of Youth Programs
University of Georgia Staff
GA
The Director of Youth Programs manages multiple teams within the Continuing Education unit of the Georgia Center, ensuring that established goals and milestones are met across the full…
Added 12 mins ago
Administrative Financial Director
University of Georgia Staff
GA
…continuity of operations. This position supervises the Business Manager…
Added 13 mins ago
Payroll & Benefits Manager
Apex Staffing, Inc.
North Little Rock, AR
We are seeking an experienced and detail-oriented Payroll & Benefits Manager to oversee payroll operations and employee benefits administration for an established management organization…
Added 13 mins ago
Finance & Accounting Coordinator
University of Chicago
Chicago, IL
…strategies/plans, and financial forecasts/models for major service programs and initiatives. Utilizes rudimentary knowledge of finance to help coordinate quarterly and year-end reporting…
Added 13 mins ago
Dialysis Clinical Manager Registered Nurse - RN
Fresenius Medical Care
Columbus, OH
…with all legal, compliance and regulatory requirements and programs. Collaborates with the Medical Director and the Clinical Manager/Charge Nurse regarding the provision of quality patient…
Added 15 mins ago
Store Manager
Safelite Fulfilment
AMARILLO, TX
Valid state-issued driver’s license required
Added 15 mins ago
Store Manager
Safelite Fulfilment
ROEBUCK, SC
Valid state-issued driver’s license required
Added 15 mins ago
Store Manager
Safelite Group
BATON ROUGE, LA
Valid state-issued driver’s license required
Added 15 mins ago
Restaurant Manager (Dunkin' Donuts & Jimmy Johns)
Dukin
Panama City Beach, FL
As a Restaurant Manager (Dual Brand), you lead the team that delivers on our mission: improving people’s lives every day through warm, friendly, fast experiences. Whether it’s a morning…
Added 17 mins ago
WR
Summer ’27 Intern - Sustainability
Welltower Refresh 2025
New York, NY
- $32.75 USD / hour
Support the analysis and aggregation of Sustainability data in Energy Star Portfolio Manager, to meet global reporting and communication needs.
Added 17 mins ago
RN Clinical Manager, Burnet Emergency Department, Days/Evenings
Children's Hospital Medical Center
United States
Leadership - The Clinical Manager will provide programmatic leadership of the clinical component in their assigned areas to ensure quality patient care outcomes. The Manager in…
Added 17 mins ago
Utilization Review RN - Utilization Management
Providence
Irvine, CA
This position is Per Diem and will work 8- hour, Day shifts
Added 17 mins ago
Echocardiograph Technologist - Echocardiology
Providence
Fortuna, CA · Eureka, CA
This position is Full time and will work 8-hour, Day shifts
Added 19 mins ago
Employee Experience Manager
Carleton College
Northfield, MN
Must have the ability to understand and follow written and oral work instructions, operations, safety procedures, and hazardous labels
Added 19 mins ago
A
Material Handler - Litchfield, MN
ADM
Litchfield, MN
- $25 USD / hour
Other duties as assigned by the Warehouse Lead or Warehouse and Inventory Manager.
Added 19 mins ago
HF
Cash Accountability - Weekend avaiability
Hy-Vee Food Stores
New Hope, MN
- $13.5 to $16.8 USD / hour
…smile in every aisle” and those smiles can only come from a workforce that is fully engaged and committed to supporting our customers and each…

Providence

Utilization Review RN - Utilization Management

Irvine, CA, United States

Apply on evac.fa.us2.oraclecloud.com About employer

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Job details

Experience: 2 years of experience working in a remote UR environment or working as an acute hospital case manager.
Posting language: English
Posted: Nov 11, 2026

Original job description

Utilization Review RN - REMOTE position. This position is Per Diem and will work 8- hour, Day shifts.

Provide prospective, retrospective, and concurrent utilization reviews for our Southern CA ministries. Conduct clinical reviews and review medical records daily during admission for all payers, as required by the health plans. This role requires a strong clinical background combined with well-developed knowledge and skills in Utilization Management, medical necessity, and patient status determination. The Utilization Management RN must effectively and efficiently manage a diverse workload in a fast-paced, rapidly changing regulatory environment, demonstrating excellent negotiation, communication, problem-solving, and decision-making skills.

Providence caregivers are not simply valued – they’re invaluable. Join our team at Providence California Regional Services 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.

Required Qualifications:

Associate's Degree in Nursing.
Upon hire: California Registered Nurse License.
2 years of experience working in a remote UR environment or working as an acute hospital case manager.

Preferred Qualifications:

Bachelor's Degree in Nursing.
Master's Degree in Nursing.
Experience working with Interqual guidelines.
Experience in a multi-hospital and/or integrated healthcare system.

Why Join Providence?

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.

The Sisters of Providence and Sisters of St. Joseph of Orange have deep roots in California, bringing health care and education to communities from the redwood forests to the beach shores of Orange county - and everywhere in between. In Southern California, Providence provides care throughout Los Angeles County, Orange County, High Desert and beyond.

Our award-winning and comprehensive medical centers are known for outstanding programs in cancer, cardiology, neurosciences, orthopedics, women's services, emergency and trauma care, pediatrics and neonatal intensive care. Our not-for-profit network provides a full spectrum of care with leading-edge diagnostics and treatment, outpatient health centers, physician groups and clinics, numerous outreach programs, and hospice and home care, and even our own Providence High School.

Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement.

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.

Posted are the minimum and the maximum wage rates on the wage range for this position. The successful candidate's placement on the wage range for this position will be determined based upon relevant job experience and other applicable factors. These amounts are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits.

Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.

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More about this job

Skills

Negotiation
Communication skills
Problem solving
Decision making
RN

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Work requirements

Jobs in the United States