Utilization Review RN - Remote. This position is Part-time and will work 8-hour, Day shifts. Provide prospective, retrospective, and concurrent utilization reviews for our Southern CA ministries. Conduct clinical reviews…
Skills: Utilization management, Clinical reviews, Medical necessity, Patient status determination, Negotiation
Langan provides expert land development engineering and environmental consulting services for major developers, renewable energy producers, energy companies, corporations, healthcare systems, colleges/universities, and l…
Skills: Geotechnical Design, Foundation Design, Retaining Wall Design, Support of Excavation, Underpinning Systems
Langan provides expert land development engineering and environmental consulting services for major developers, renewable energy producers, energy companies, corporations, healthcare systems, colleges/universities, and l…
Skills: Geotechnical Analysis, Structural Design, Pile Elements Design, Underpinning Systems, Special Engineering Inspections
Foreclosure Title Curator, Default Services-Pre-Foreclosure Title
Irvine, California, United States · Remote OK
$24/hr–$28/hr
Mid level
Overview Are you ready to take your career to the next level? ServiceLink, one of the top providers in the mortgage services industry, seeks an individual with a solid work history in the mortgage or real estate industry…
Skills: Foreclosure Proceedings, Title Review, Curative Issues Resolution, Real Estate Industry Knowledge, Customer Service
Who is Taco Bell? Taco Bell was born and raised in California and has been around since 1962. We went from selling everyone’s favorite Crunchy Tacos on the West Coast to a global brand with 7,500+ restaurants, 350 franch…
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Anduril Industries is a defense technology company with a mission to transform U.S. and allied military capabilities with advanced technology. By bringing the expertise, technology, and business model of the 21st century…
Skills: Systems Engineering, Model Based Systems Engineering, Requirements Decomposition, Python, C/C++
Sr. Associate I, Manufacturing Production Process Engineering - Metal 3D Printing
Irvine, California, United States · On-site
$103k–$133k/yr
Mid level
At Alcon, we're passionate about enhancing sight and helping people see brilliantly. With more than 25,000 associates, we innovate fearlessly, champion progress, and act swiftly to impact global eye health. We foster an …
Skills: Metal 3D Printing, Mechanical Engineering, Production Process Design, GxP Regulations, Cost Improvement
Overview Allied Universal®, North America’s leading security and facility services company, offers rewarding careers that provide you a sense of purpose. While working in a dynamic, welcoming, and collaborative workplace…
Employment Type: Salaried Work Arrangement: Hybrid Position Summary: Commercial finance manager is a critical partner in finance team and will also be supporting customers and teams from Mexico, so the ideal candidate wo…
Sr. Associate I, Manufacturing Production Process Engineering – PCB
Irvine, California, United States · On-site
$103k–$133k/yr
Mid level
At Alcon, we're passionate about enhancing sight and helping people see brilliantly. With more than 25,000 associates, we innovate fearlessly, champion progress, and act swiftly to impact global eye health. We foster an …
Skills: PCB Engineering, Manufacturing production, Process engineering, Surface mount technology, Design for manufacturability
Overview We create communities where employees thrive in their work, helping our residents thrive in their homes. Atria Senior Living’s family of brands has openings for individuals looking for a career with outstanding …
Skills: Customer Service, Table Setting, Order Taking, Meal Preparation, Sanitization
Overview Allied Universal®, North America’s leading security and facility services company, offers rewarding careers that provide you a sense of purpose. While working in a dynamic, welcoming, and collaborative workplace…
Skills: Patrolling, Customer Service, Emergency Response, Incident Reporting, Access Control
Overview Allied Universal®, North America’s leading security and facility services company, offers rewarding careers that provide you a sense of purpose. While working in a dynamic, welcoming, and collaborative workplace…
InstaSwim is looking to hire professional and experienced private swim instructors to teach swim lessons in our clients private homes & community pools all within your location & surrounding cities! We supply the clients…
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Senior Project Manager - Capital Projects ($124,100 - $171,000)
Irvine, California, United States · On-site
$122k–$167k/yr
Senior
Position Summary: The Sr. Project Manager, Capital Projects, provides leadership and coordination of all project phases for deferred maintenance and value-add investment projects to the apartment portfolio, from initial …
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DIRECTOR OF EXECUTIVE CONFERENCE SERVICES - Pipeli
Irvine, California, United States · On-site
$130k–$140k/yr
Senior+$2.5B raised
Salary: $130000 - $140000 / year Other Forms of Compensation: bonus Pay Grade: [[payGrade_obj]] A family of companies and experiences As the leading foodservice and support services company, Compass Group USA is known fo…
Senior Project Manager - Capital Projects ($124,100 - $171,000)
Irvine, California, United States · On-site
$122k–$167k/yr
Senior
Position Summary: The Sr. Project Manager, Capital Projects, provides leadership and coordination of all project phases for deferred maintenance and value-add investment projects to the apartment portfolio, from initial …
Skills: Project Management, Budgeting, Construction Documentation, Scheduling, Value Engineering
GIA Legacy Planning
Advanced Market Insurance Agents-High Level Strategy for Serious Professionals
Irvine, California, United States · Remote OK
Entry level
Location: Remote Position/ Work from Home Job Type: Full-Time/Part-Time Compensation: 100% Uncapped Commission-Based About Us: GIA Legacy Planning is a dynamic, client-focused insurance agency specializing in personalize…
Skills: Insurance Sales, Client Relationship Management, Lead Generation, Networking, Time Management
401k Savings Plan, Health insurance, Dental insurance, Vision insurance, Life insurance, Disability insurance
Posted 2h ago
Apply by Jul 29
~40 hrs/week
Remote in United States
Responsibilities
Provide prospective, retrospective, and concurrent utilization reviews for Southern CA ministries. Conduct clinical reviews and evaluate medical records daily during admission for all payers.
Requirements
Requires an Associate's Degree in Nursing and a California Registered Nurse License. Candidates must have at least 2 years of experience in a remote UR environment or as an acute hospital case manager.
Full job description
Utilization Review RN - Remote. This position is Part-time 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' 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.
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.
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.