• Serve as a Senior Medical Writer within our Medical Strategy and Communications team • Mobilize our scientific knowledge to interpret the data and create compelling narratives • Ensure high-quality content is developed for a wide range of medical communications projects • Review all deliverables on assigned accounts for technical accuracy, content quality and editorial standards

Utilization Review RN at Providence System Offices Discovery Park-Irvine, CA. 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. 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. 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.

• Works with team members and with MW lead oversight to create the content of clinical documents that may include CSRs, protocols, ICFs, narratives and IBs in a variety of therapeutic areas. • Ensures adherence to internal standards and procedures • Maintains document standardization via model documents/templates and appropriate peer review • Remains current with writing guidelines and industry standards, participates in educational opportunities

• Responsible for improving the overall quality and completeness of clinical documentation in the medical record to reflect the severity of illness, clinical treatment, decisions and diagnoses of patients. • Involves concurrent medical record review, DRG validation, querying providers, capture of clinical and quality indicators to ensure the thoroughness of documentation prior to coding and billing. • Responsible for the day-to-day review and evaluation of clinical documentation by the Medical Staff and healthcare team in accordance with the network's designated clinical documentation policies and procedures. • Calculates working DRG within CDI tracking systems/software. • Performs follow-up on cases through patient discharge. • Applies clinical knowledge and experience to the daily review and evaluation of the medical record including physician/clinical documentation, lab results, diagnostic information and treatment plans. • Promotes integrity of clinical documentation and thoroughness of the medical record to ensure appropriate severity of illness, risk of mortality, length of stay and reimbursement are captured. • Communicates with providers via verbal and/or electronic clinical documentation integrity queries to clarify missing, unclear or conflicting medical record documentation; identifies opportunities for service line and individual provider education and communicates to CDI leadership. • Achieves key performance indicators in the areas of productivity/thoroughness and quality.