Utilization Review RN - Utilization Management FT

Providence

Providence System Offices Discovery Park-Irvine

Irvine, California

Provide prospective, retrospective, and concurrent utilization reviews for our Southern CA ministries.

Posted Sep 12

Shift and hours: 8-⁠hour · Day shifts This position is Full-time and will work 8-hour, Day shifts.5 shifts · 40 hours a week
Unit and setting: Utilization Management · Telehealth
License: RN license
Term: Permanent This position is Full-time and will work 8-hour, Day shifts.Full-time

Do you qualify?

Also asks: clinical background with knowledge and skills in Utilization Management, medical necessity, and patient status determination This role requires a strong clinical background combined with well-developed knowledge and skills in Utilization Management, medical necessity, and patient status determination.
Also asks: negotiation, communication, problem-solving, and decision-making skills in a regulatory environment

What it pays

Against similar roles: In range for California staff rolesCalifornia staff postings that state pay run $34/hr to $95/hr, the middle half $46/hr to $73/hr, across 4,561 postings.
Pay differential: 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.

Benefits

Benefitsretirement 401(k) Savings Plan with employer matchingComprehensive benefits package including retirement 401(k) Savings Plan with employer matching
Benefitshealth care benefits (medical, dental, vision)Health care benefits (medical, dental, vision)
Benefitslife insuranceLife insurance
Benefitsdisability insuranceDisability insurance
Benefitspaid parental leave, vacations, holidays, health issuesTime off benefits (paid parental leave, vacations, holidays, health issues)
Benefitsvoluntary benefitsVoluntary benefits

More benefits (3)

Benefitswell-being resourcesWell-being resources
Comprehensive benefits package including retirement 401(k) Savings Plan with employer matching
Time off benefits (paid parental leave, vacations, holidays, health issues)

The role and schedule

Day to day: prospective, retrospective, and concurrent utilization reviews Provide prospective, retrospective, and concurrent utilization reviews for our Southern CA ministries.
Day to day: conduct clinical reviews and review medical records daily during admission for all payers Conduct clinical reviews and review medical records daily during admission for all payers, as required by the health plans.
Details: remote Utilization Review RN - Remote.

The workplace

Providence

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Original listing

Posted on Providence’s careers page.

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Utilization Review RN - Remote. This position is Full-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.

What's around it?

In Irvine, CA

Irvine, CAFrom Census ACS 2024.

Living costs about 11% above the US average

Median rent: $2,997/mo
Household income: $136,719/yr, all local households, not nurse pay

Life in Irvine, CA

NeighborhoodsIrvine is a master-planned city of named villages: Woodbridge (two man-made lakes, 20-plus pools, single-family homes, condos, and townhomes), Northwood (pre-master-plan larger lots, mature trees, gated Northwood Pointe), University Park (walkable, UCI-adjacent mid-century homes for academics and professionals), Westpark (central freeway access for commuters), Oak Creek, Turtle Rock (foothills, hiking, city views, UCI proximity), Portola Springs (newer construction, Irvine Spectrum access), Great Park Neighborhoods, Quail Hill (luxury, Laguna Coast Wilderness access), plus Woodbury, Orchard Hills, and the Spectrum area. A 2026 affordable-village snapshot put medians around $732,950 in University Park, $745,050 in Woodbridge, $768,160 in Oak Creek, $798,725 in Northwood, and $815,446 in Westpark, versus citywide medians well over $1.6 million. Nurses and young professionals often land in University Park or Westpark, or look just outside to Costa Mesa and Newport Beach for a less suburban feel; Aliso Viejo, Laguna Niguel, and Mission Viejo are the nearby family-commute alternatives.

Irvine is a master-planned city of named villages: Woodbridge (two man-made lakes, 20-plus pools, single-family homes, condos, and townhomes), Northwood (pre-master-plan larger lots, mature trees, gated Northwood Pointe), University Park (walkable, UCI-adjacent mid-century homes for academics and professionals), Westpark (central freeway access for commuters), Oak Creek, Turtle Rock (foothills, hiking, city views, UCI proximity), Portola Springs (newer construction, Irvine Spectrum access), Great Park Neighborhoods, Quail Hill (luxury, Laguna Coast Wilderness access), plus Woodbury, Orchard Hills, and the Spectrum area. A 2026 affordable-village snapshot put medians around $732,950 in University Park, $745,050 in Woodbridge, $768,160 in Oak Creek, $798,725 in Northwood, and $815,446 in Westpark, versus citywide medians well over $1.6 million.

Nurses and young professionals often land in University Park or Westpark, or look just outside to Costa Mesa and Newport Beach for a less suburban feel; Aliso Viejo, Laguna Niguel, and Mission Viejo are the nearby family-commute alternatives.

Sources

As of Sep 11, 2026Source 1: ireneandricky.com Source 2: extraspace.com Source 3: stephanieyounggroup.com Source 4: reddit.com Source 5: facebook.com

Getting aroundIrvine is car-dependent, with a Walk Score of 43, Transit Score of 26, and Bike Score of 69. Westpark is the village repeatedly tied to freeway access; the 405 is the highway named near central lodging such as the Irvine Marriott, and John Wayne Airport is in town. The city sits about 40 miles south of Los Angeles—about 45 minutes in light traffic—and about 90 minutes north of San Diego. Sources do not spell out hospital parking or bus lines, but Hoag and Kaiser Permanente medical centers are the named healthcare employers, Aliso Viejo, Laguna Niguel, and Mission Viejo are recommended for a convenient drive into Irvine, and traffic is a consistent local complaint.

Irvine is car-dependent, with a Walk Score of 43, Transit Score of 26, and Bike Score of 69. Westpark is the village repeatedly tied to freeway access; the 405 is the highway named near central lodging such as the Irvine Marriott, and John Wayne Airport is in town. The city sits about 40 miles south of Los Angeles—about 45 minutes in light traffic—and about 90 minutes north of San Diego.

Sources do not spell out hospital parking or bus lines, but Hoag and Kaiser Permanente medical centers are the named healthcare employers, Aliso Viejo, Laguna Niguel, and Mission Viejo are recommended for a convenient drive into Irvine, and traffic is a consistent local complaint.

Sources

As of Sep 11, 2026Source 1: rent.com Source 2: redfin.com Source 3: stephanieyounggroup.com Source 4: youtube.com Source 5: facebook.com Source 6: hyatt.com

OutdoorsIrvine set aside more than 16,000–16,500 acres of parks and open space and more than 100 miles of off-street multi-use trails. Signature hikes are Bommer Canyon (views and seasonal wildflowers) and the Quail Hill Loop Trail, with Quail Hill also opening onto Laguna Coast Wilderness. Orange County Great Park adds the Great Park Sports Complex, picnic areas, and the Great Park Balloon ride from 400 feet; Woodbridge is built around two lakes with paths, sandy lagoons, boating, and fishing. San Joaquin Marsh and Wildlife Sanctuary is the birding stop, Tanaka Farms the 30-acre farm with wagon tours, and Newport Beach and Laguna Beach the nearby ocean.

Irvine set aside more than 16,000–16,500 acres of parks and open space and more than 100 miles of off-street multi-use trails. Signature hikes are Bommer Canyon (views and seasonal wildflowers) and the Quail Hill Loop Trail, with Quail Hill also opening onto Laguna Coast Wilderness.

Orange County Great Park adds the Great Park Sports Complex, picnic areas, and the Great Park Balloon ride from 400 feet; Woodbridge is built around two lakes with paths, sandy lagoons, boating, and fishing. San Joaquin Marsh and Wildlife Sanctuary is the birding stop, Tanaka Farms the 30-acre farm with wagon tours, and Newport Beach and Laguna Beach the nearby ocean.

Sources

As of Sep 11, 2026Source 1: destinationirvine.com Source 2: youtube.com Source 3: rent.com Source 4: stephanieyounggroup.com Source 5: hungryhuy.com

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Living in Irvine

Irvine is a master-planned Orange County city of villages—Woodbridge's lakes and 20-plus pools, University Park's walkable UCI streets, Westpark's freeway access, Northwood's mature lots—wrapped around 16,500 acres of parks and 100-plus miles of trails. Bommer Canyon, Quail Hill, and Orange County Great Park (with its 400-foot balloon) are local defaults; Newport and Laguna beaches sit a short drive away. Hoag and Kaiser Permanente anchor a strong healthcare job market. The tradeoff is cost and cars: median homes around $1.65–$1.71 million, one-bedrooms near $3,600, Transit Score 26, and traffic locals warn about. After a shift, people hit Irvine Spectrum for dining and improv, Diamond Jamboree for Asian food, or Izakaya Osen and SOL Mexican Cocina. IUSD schools and top-tier safety suit families; many single professionals also consider Costa Mesa or Newport Beach for a less suburban feel. Expect nearly 300 sunny days, Tanaka Farms in October, and September's Global Village Festival.

AI area guide

Sources

As of 2026Source 1: stephanieyounggroup.com Source 2: extraspace.com Source 3: destinationirvine.com Source 4: youtube.com Source 5: rent.com Source 6: redfin.com Source 7: storamericastorage.com Source 8: reddit.com

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Original listing

What's around it?

Irvine, CAiFrom Census ACS 2024.

Life in Irvine, CA

Moving for this role?

Nurses on this role

Nurses on this role

Life in Irvine, CA

Moving for this role?

Nurses on this role

Irvine, CAFrom Census ACS 2024.