Astrana Health

Astrana Health Nursing Jobs

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LVN Full-time
Astrana Health

Case Manager (LVN or RN)

Astrana Health Monterey Park, CA
$31 - $45 / hour
Case Manager (LVN or RN) Department: HS - ICM Employment Type: Full Time Location: 1600 Corporate Center Dr., Monterey Park, CA 91754 Reporting To: Dourly Galvez Compensation: $31.00 - $45.00 / hour Description Astrana Health is looking for a LVN Case Manager who has the ability to commute to our Monterey Park office at 1600 Corporate Center Drive. This position works standard day hours M-F, and we are willing to train a LVN with no case management experience! You will have the ability to work with pediatrics and/or adult populations depending on business need. What You'll Do Comply with Case Management Department’s policies and procedures 95 - 100% compliance with Utilization Management health plan delegation standards for Case Management Utilize Milliman Care Guidelines criteria for appropriateness of transition to care by level of skilled needs and acute rehab for post discharge plan Collaborating with Hospitalists, case managers, and discharge planners to establish discharge plans at time of admission Responsible for coordinating the required initial and concurrent reviews based on the review of medical records received and daily accurate reporting of all inpatient admissions to Medical Director and Manager and/ or Supervisor of Case Management Department Review of medical records and/or other documentation to determine medical necessity, appropriateness and level of care utilizing Milliman Care and other appropriate Guidelines Assess, plan, implement, coordinate, monitor, and evaluate all options and services with the goal of reducing hospital readmission • Attends/coordinates Case Management meetings on and off-site as necessary Interacts with the providers or members as appropriate to communicate determination outcomes in compliance with state, federal and accreditation requirements Attend to provider and interdepartmental calls in accordance with exceptional customer service Maintain good relationships with health plans, hospitals and medical directors. Resolve problems that arise with any IPA medical directors Report to Manager and/or Supervisor of Case Management on activities and/or problems occurring throughout the day Available for Hospital on site Case Management Other duties as assigned Qualifications Active Registered Nurse (RN) license in California OR active Licensed Vocational Nurse (LVN) license in California Experience using Microsoft applications such as Word, Excel and Outlook At least two (2) years of clinical experience as an RN/LVN You're great for this role if: Excellent analytical critical reasoning Proven ability to prioritize multiple responsibilities simultaneously in a fast-paced, changing environment while meeting deadlines Ability to educate and train staff members and other departments as needed Experience using EZCAP Strong communication and customer service skills Environmental Job Requirements and Working Conditions Our organization follows a hybrid work structure where the expectation is to work both in office and at home on a weekly basis. The office is located in San Francisco and Daly City. This role also requires visiting patients in our partnered hospitals. The target pay range for this role is between $31.00 - $45.00 per hour. LVN license will fall between $31.00 - $38.00 and RN license will fall between $39.00 - $45.00 per hour. Actual compensation will be determined based on geographic location (current or future), experience, and other job-related factors. 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. Additional Information: 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.
NP Manager/Supervisor Full-time
Astrana Health

Manager - Risk Adjustment

Astrana Health Orange, CA
$102,000 - $115,000 / year
Manager - Risk Adjustment Department: Quality - Risk Adjustment Employment Type: Full Time Location: 600 City Parkway West 10th Floor, Orange, CA 92868 Reporting To: Nallammai Vijayakumar Compensation: $102,000 - $115,000 / year Description Astrana Health is seeking Manager - Risk Adjustment to oversee risk adjustment initiatives for the organization, including in-home health assessments, embedded NP, medical chart retrieval, HCC risk adjustment data & documentation integrity, and supporting vendor programs. This manager will also oversee implementation of programs designed to ensure all diagnosed codes and conditions are properly supported by appropriate documentation in patient chart. These programs include but are not limited to training and educational activities, Nurse Practitioner and AWV programs, clinical chart review programs, retrospective reviews, encounter submission, data reconciliation, and electronic data submission including supplemental data submissions Our Values: Put Patients First Empower Entrepreneurial Provider and Care Teams Operate with Integrity & Excellence Be Innovative Work As One Team What You'll Do Oversees daily regional operations of the coding and specialists’ team, retrospective and prospective review teams and programs and ensures the appropriate strategy, tactics and data capture processes are in place. Collaborate closely with providers and regional network leadership teams to implement risk adjustment education, processes, and programs effectively for accurate and compliant capture of members' conditions. Identify and analyze implications of key changes to the regulatory & policy environment on provider organizations in the areas of risk adjustment and compliance. Serves as the vendor(Chart review/AWV /Cozeva etc) and provider liaison to ensure coordination of efforts, effective relationship management, cost effectiveness, delivery of work product, quality of work, delivery of required training for internal associates and timely communication on all issues. Manage the regional employed NP program and the vendor driven AWV program Audits the chart review outcomes provided by the risk adjustment vendor and audits provider coding trends to identify potential gaps. Support effective business relationships with external entities, including payers and health plan partners with continuous focus on performance improvement related to population clinical quality and patient experience goals. Requires significant collaboration with internal stakeholders including, but not limited to, primary care section and specialty service lines, IT, business services and finance, contracting, compliance, as well as external entities and vendors will be required Manage regional Provider Incentive and Member Incentive Programs Recover dx codes from institutional encounters through hospitalists/encounters Roll out new regional programs as applicable to improve documentation and accurate coding Ensure the accuracy of risk data in and out of core systems Establish EMR connectivity with Astrana Health and provider group/IPA Ensure compliance with all applicable regulatory and accreditation guidelines such as CMS, NCQA, DMHC etc. Develop policy and procedures as required for departmental improvements. Complete special projects when required. Other duties as assigned Qualifications Bachelor’s Degree Current AAPC or AHIMA certification (CCS, CCS-P, CPC, CPC-H, CPC-P, RHIT, or RHIA) 5 years’ experience of risk adjustment, project management, operations, quality improvement or data analysis/reporting experience in the healthcare industry 5 years’ experience in managerial or supervisory capacity Previous experience in value-based revenue and risk adjustment improvement initiatives Experienced with health plan guidelines/criteria/ICE/CMS/NCQA/DMHC Ability to effectively present information within and outside the organization Advanced ability to manage and work with minimal supervision or absence of detailed instruction. Strong computer skills with proficiency using all Microsoft Office products, and demonstrated ability and willingness to learn new software. Excellent time management, project management, organizational and communication skills. Environmental Job Requirements and Working Conditions This is a remote position. Travel to corporate offices in Orange County, Alhambra, or Monterey Park may be required once a year. The national target pay range for this role is: $102,000 - $115,000. Actual compensation will be determined based on geographic location (current or future), experience, and other job-related factors. 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. Additional Information: 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.
CMA Full-time
Astrana Health

Medical Assistant (Float) - Bilingual Spanish Preferred

Astrana Health Las Vegas, NV
$17 - $25 / hour
Medical Assistant (Float) - Bilingual Spanish Preferred Department: Clinic Ops Employment Type: Full Time Location: 7280 W Azure Dr, Ste 110, Las Vegas, NV 89130 Reporting To: Latisha Taylor Compensation: $17.00 - $25.00 / hour Description About the Role We are currently seeking a highly motivated Medical Assistant to assist our medical providers. The Medical Assistant is responsible for providing administrative support to ensure efficient operation of our regional medical clinics. The position supports both providers and patients through a variety of tasks related to patient care management, organization, and communication. This role will report to our Regional Clinic Manager and enable us to continue to scale in the healthcare industry. Valley Oaks Medical Group is now Astrana Care of Nevada. At Valley Oaks, we strive to redefine the way healthcare is administered through community driven preventative care and proactive treatment. By centering care around the patient, we can improve health and wellbeing instead of treating symptoms. Our passionate providers prioritize the wellness of each of our patients with the necessary tools and resources to improve the quality of life for all of our patients. Our Values: Put Patients First Empower Entrepreneurial Provider and Care Teams Operate with Integrity & Excellence Be Innovative Work As One Team What You'll Do Assists physicians, nurses, and other medical staff by performing administrative and clinical duties under the direction of a provider Administrative duties may include scheduling appointments, maintaining medical records Clinical duties may include, such as preparing a treatment room for patient exams, recording patient medical history, and cleaning and sterilizing medical equipment Escort patients to exam rooms, interview patients, measure vital signs, including weight, blood pressure, pulse, temperature, and document all information in the patient's chart Interviews patients to obtain their medical history Records patient medical history, vital statistics, and test results in patient medical files Must be detail oriented and possess strong organizational skills in a fast-paced environment Good verbal and written communication skills Be able to prioritize workload while remaining flexible May be required to work extended hours as operational needs dictate Perform other duties as assigned Qualifications Bilingual in Spanish required Display knowledge of medical terminology Possess excellent customer service skills Maintain a high level of professionalism Proficient in MS Office and patient management software Previous experience in phlebotomy or laboratory work (preferred) Bilingual Spanish fluency (preferred) Completion of an accredited Medical Assistant program Pass a minimum of one exam from the National Commission for Certifying Agencies (preferred) Environmental Job Requirements and Working Conditions Our organization follows an in-person work structure where the expectation is to work onsite on a daily basis. The home site for this position is 7280 W Azure Dr, Suite 110, Las Vegas, NV 89130, with the expectation of floating to all other locations as directed by the supervisor. The base pay range for this role is $18 - $22 per hour, with additional monthly bonus structure. This salary range represents our national target range for this role. Astrana Health is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based upon 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 on the basis of 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. Additional Information: 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.
CMA Full-time
Astrana Health

Medical Assistant (Bilingual Spanish Preferred)

Astrana Health Las Vegas, NV
$16 - $24 / hour
Medical Assistant (Bilingual Spanish Preferred) Department: Clinic Ops Employment Type: Full Time Location: 7280 W Azure Dr, Ste 110, Las Vegas, NV 89130 Reporting To: Latisha Taylor Compensation: $16.00 - $24.00 / hour Description About the Role We are currently seeking a highly motivated bilingual Medical Assistant to assist our medical providers. This role will report to our Medical Office Manager/Site Administrator and enable us to continue to scale in the healthcare industry. Our Values: Put Patients First Empower Entrepreneurial Provider and Care Teams Operate with Integrity & Excellence Be Innovative Work As One Team What You'll Do Assists physicians, nurses, and other medical staff by performing administrative and clinical duties under the direction of a physician Administrative duties may include scheduling appointments, maintaining medical records Clinical duties may include, such as preparing a treatment room for patient exams, recording patient medical history, and cleaning and sterilizing medical equipment Escort patients to exam rooms, interview patients, measure vital signs, including weight, blood pressure, pulse, temperature, and document all information in the patient's chart Interviews patients to obtain their medical history Records patient medical history, vital statistics, and test results in patient medical files Must be detail oriented and possess strong organizational skills in a fast-pace environment Good verbal and written communication skills Be able to prioritize workload while remaining flexible May be required to work overtime to meet tight deadlines Qualifications Bilingual in Spanish One (1) or more years of experience working as a Medical Assistant Active and unrestricted Certified Medical Assistant (CMA) in California High school diploma or GED You're great for this role if: Ability to maintain confidentiality following HIPAA Demonstration of mature judgment Attention to detail, organized, ethical, and reliable Ability to communicate clearly and effectively in a courteous and friendly manner Environmental Job Requirements and Working Conditions Our organization follows an in-person work structure where the expectation is to work onsite on a daily basis. The office location is 7280 W. Azure Dr, Suite 110, Las Vegas, NV, 89130 The total compensation target pay range for this role is $16 - $24 per hour. The salary range represents our national target range for this role. Actual compensation will be determined based on geographic location (current or future), experience, and other job-related factors. Astrana Health is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based upon 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 on the basis of 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. Additional Information: 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.
NP Full-time
Astrana Health

Physician Assistant/Nurse Practitioner - Quality

Astrana Health Alhambra, CA
$135,000 - $155,000 / year
Physician Assistant/Nurse Practitioner - Quality Department: Quality - Operations Employment Type: Full Time Location: 1668 S. Garfield Ave. 2nd Floor, Alhambra, CA 91801 Reporting To: Tahira Hashmi Compensation: $135,000 - $155,000 / year Description We are looking for a Nurse Practitioner / Physician Assistant to join a team that is passionate about the health of our patients. As part of the Quality Department, the Clinical Operations team leads the effort to improve health outcomes by coordinating and delivering key clinical care. Through outreach and education, we inspire patients to take a preventive approach to maintaining their health and to be active in their management of chronic diseases. Together, we strive to achieve healthy living for all through all stages of life. As a Nurse Practitioner / Physician Assistant, you will support Astrana members with education, preventative screenings, annual wellness visits and various other healthcare screenings. Through close collaboration with patients, you'll have the opportunity to positively influence behaviors that can lead to improved health outcomes. This full-time role entails conducting visits via telehealth video calls from your home office, with occasional in-clinic or home visits depending on the region. Our Values: Putting Patients First Empower Entrepreneurial Provider and Care Teams Operate with Integrity & Excellence Be Innovative Work As One Team What You'll Do Conduct annual wellness visits, patient education outreach, acute care follow ups, HRAs, medication review/reconciliation among other preventative services. Document chief complaint, previous medical, family, and social history, review of systems, examination, assessment, and appropriate plan of care Identify gaps in care during the evaluation that may require additional screening, diagnostics, and laboratory studies Document all appropriate medical conditions to the highest level of specificity Provide patient education regarding preventive services and prescribed treatments, reinforce the importance of staying current on covered preventive services Make recommendations for member's follow-up with their primary care physicians Communicate with coordination teams on follow up requests Complete documentation/charting within one business day Obtain and maintain a thorough understanding of Hierarchical Conditions Coding (HCCs) and HEDIS measure sets including criteria for compliantly closing each measure Comply with federal, state, and local legal and professional requirements by studying existing and new legislation, anticipating future legislation; enforcing adherence to requirements; advising management on outstanding actions Other duties as assigned Qualifications Active Nurse Practitioner Licensure, Active Nurse Practitioner Furnishing License OR Active Physician Assistant Licensure Current Board Certification with (AANP, AACN, ANCC, NCCPA) Valid DEA and NPI You’ll be great for this role if you have: Minimum one year of direct patient care experience as a Nurse Practitioner OR Physician Assistant in Primary Care, Gerontology, or related field Experience in HEDIS and HCC • Fluency in Spanish or Mandarin Experience with EHRs and navigating multiple systems. Environmental Job Requirements and Working Conditions Our organization follows a hybrid work structure where the expectation is to work both in office and at home on a weekly basis. The office is located at 568 W. Garvey Ave., Monterey Park, CA 91754. The total compensation target range for this role is between $140,000.00 - $150,000.00. Actual compensation will be determined based on geographic location (current or future), experience, and other job-related factors.
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