Nursing Jobs in Carson, CA

LVN Outpatient Outpatient Full-time
Adventist Health

LVN (Outpatient), Full Time, Day Shift

Adventist Health Los Angeles, CA
Job Description Centered in the heart of Boyle Heights, Adventist Health White Memorial is one of the area's leading healthcare providers since 1913. We are comprised of a 353-bed hospital, three medical office buildings, residency programs, comprehensive cancer care and a vast scope of services located in the Los Angeles area. In 2019, Adventist Health White Memorial was recognized with the Malcolm Baldrige National Quality Award, the nation's highest presidential honor for performance excellence. We are proud to promote wellness in the community at the local farmers market and through our community resource center with services for seniors and Spanish-speakers. Los Angeles is known for its art, rich culture, numerous sports teams and world-renowned dining. There is something for everyone in this culturally diverse city. Job Summary Performs procedures which require specialized training for general nursing care and related services for assigned patients, under the direction of a Registered Nurse (RN) or Medical Doctor (MD), in accordance with established policy. Participates in the planning for and provision of patient care. Uses knowledge of asepsis in performance of treatments, such as sterile dressings, irritations and cauterizations. Provides functional direction to ancillary personnel. Job Requirements Education and Work Experience: High School Education/GED or equivalent: Preferred Bachelor’s Degree or equivalent combination of education/related experience: Preferred Licenses/Certifications Licensed Vocational Nurse (LVN) licensure in the state of practice: Required Basic Life Support (BLS OR HS-BLS OR RQIBLS) Health Care Provider certification from approved vendor per AH policy: Required Arrhythmia certification: Preferred Facility Specific License/Certifications Basic Life Support (BLS OR HS-BLS OR RQI BLS) certification: Required Hospital Fire and Life Safety (HLFS): Required Essential Functions Provides care for assigned patients, under the supervision of an Registered Nurse (RN) according to established standard and nursing process. Performs admission assessments, and ongoing re-assessments based on departmental specific policy and procedures. Assists in the development of a prioritized interdisciplinary plan of care on each patient. Implements and coordinates plan of care utilizing appropriate organizational skills and reporting mechanisms. Implements individual teaching plans, including patient teaching protocols and discharge plans, based on mutual goal setting and with emphasis on patient decision making. Performs assigned clinical procedures (i.e. phlebotomy, injections, drug screens, etc.) Administers medications. Orders/restocks supplies as assigned, according to established par levels. Maintains neatness/cleanliness in assigned areas. Performs other job-related duties as assigned. Organizational Requirements Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply. Adventist Health participates in E-Verify. Visit https://adventisthealth.org/careers/everify/ for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein. About Us Adventist Health is a faith-based, nonprofit, integrated health system serving more than 100 communities on the West Coast and Hawaii with over 440 sites of care, including 27 acute care facilities. Founded on Adventist heritage and values, Adventist Health provides care in hospitals, clinics, home care, and hospice agencies in both rural and urban communities. Our compassionate and talented team of more than 38,000 includes employees, physicians, Medical Staff, and volunteers driven in pursuit of one mission: living God's love by inspiring health, wholeness and hope.
RN Manager/Supervisor Full-time
Adventist Health

Manager, RN - Surgery (Full Time, Day Shift)

Adventist Health Los Angeles, CA
Job Description Centered in the heart of Boyle Heights, Adventist Health White Memorial is one of the area's leading healthcare providers since 1913. We are comprised of a 353-bed hospital, three medical office buildings, residency programs, comprehensive cancer care and a vast scope of services located in the Los Angeles area. In 2019, Adventist Health White Memorial was recognized with the Malcolm Baldrige National Quality Award, the nation's highest presidential honor for performance excellence. We are proud to promote wellness in the community at the local farmers market and through our community resource center with services for seniors and Spanish-speakers. Los Angeles is known for its art, rich culture, numerous sports teams and world-renowned dining. There is something for everyone in this culturally diverse city. Job Summary Creates an environment where front line nurses and ancillary staff provide whole person care that is safe, complication free, and optimizes functional independence for each patient. Maintains a highly-visible presence on the unit. Collaborates closely with staff, charge nurses, physicians, and other department leaders to ensure that clinical operations are efficient and effective, and achieve high patient/family/staff satisfaction. Supervises and directs the activities of various levels of assigned nursing and ancillary personnel utilizing both professional and supervisory discretion and independent judgment.Schedules, leads, and coordinates the daily activities of a defined unit on an assigned shift. Assists leadership in accomplishing unit and organizational goals. Job Requirements Education and Work Experience: Bachelor’s Degree in nursing or equivalent combination of education/related experience: Required Master's Degree: Preferred Five years' technical experience: Preferred One year's leadership experience: Preferred Two years' experience of acute care nursing in hospital setting: Preferred Licenses/Certifications Registered Nurse (RN) licensure in the state of practice: Required Cardiopulmonary Resuscitation (CPR) certification or Basic Life Support (BLS OR HS-BLS OR RQIBLS) certification from approved vendor per AH policy: Preferred National specialty certification in area of expertise or in nursing administration: Preferred Facility Specific License/Certifications Basic Life Support (BLS OR HS-BLS OR RQI BLS) certification: Required Hospital Fire and Life Safety (HLFS): Required Essential Functions Builds a high performing clinical work team by recruiting and retaining skilled professional staff. Builds a strong infrastructure with designated charge nurses and unit champions. Engages staff in developing action plans for needed change to create safe, desired outcomes. Completes periodic evaluations of personnel supervised. Coaches and disciplines personnel when deems appropriate. Monitors attendance. Works closely with staff, unit champions, and the clinical educator to identify and meet educational needs. Uses consistent exercise of discretion and judgment. Sets and strives to achieve goals for patient safety, quality of care and compliance with regulatory requirements. Creates a culture of open communication. Develops strategies to improve patient/family, and physician satisfaction. Establishes standards of care for professional nursing practice that staff are held accountable to. Monitors critical processes and outcomes of care through audits, analysis of data, and complaints or incident reports. Exercises discretion and independent judgment with respect to matters of significance, evaluating and comparing possible courses-of-action, and making decisions/recommendations after considering the various possibilities. Conducts daily rounds with physicians and other staff and actively communicates, as needed, to coordinate appropriate care for patients and families. Directs/monitors personnel in the performance of patient care activities in order to ensure adequate patient care and quality of work. Investigates and resolves patient care and operational issues, as needed. Initiates and coordinates individual and team conferences with health team members, patients, and/or families to initiate and revise care plans for optimal, individualized patient care as per care setting. Assesses the personnel requirements of the unit on a daily basis and requests additional personnel when determines they are necessary. Authorizes and assigns overtime to personnel when independently determines this to be appropriate. Completes monthly unit staff schedule on time, accurately, and in collaboration with staff members and management with minimal incidents of absence or unbalanced/short staffing events. Facilitates throughput through early discharge of patients, pull-ahead beds, and timely admission/transfer of patients and forecasting admission. Works with facility services to assure that the department and equipment is maintained to be safe and operational. Prevents complications of care including nosocomial infections. Conducts emergency preparedness reviews. Performs other job-related duties as assigned. Organizational Requirements Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply. Adventist Health participates in E-Verify. Visit https://adventisthealth.org/careers/everify/ for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein. About Us Adventist Health is a faith-based, nonprofit, integrated health system serving more than 100 communities on the West Coast and Hawaii with over 440 sites of care, including 27 acute care facilities. Founded on Adventist heritage and values, Adventist Health provides care in hospitals, clinics, home care, and hospice agencies in both rural and urban communities. Our compassionate and talented team of more than 38,000 includes employees, physicians, Medical Staff, and volunteers driven in pursuit of one mission: living God's love by inspiring health, wholeness and hope.
CMA Outpatient Outpatient Full-time
Adventist Health

Medical Assistant (Outpatient) Full-Time, Variable Shift

Adventist Health Glendale, CA
Job Description Nestled between Burbank and Pasadena, Adventist Health Glendale is one of the area's leading healthcare providers. We are comprised of a 515-bed hospital, two urgent cares, home care services, comprehensive cardiology care and a vast scope of services located in the San Fernando Valley. We are committed to the development and empowerment of our nurses and have received Magnet designation from the American Nurses Credentialing Center. Glendale is known for its urban living, with easy access to dining, entertainment, shopping, amusement parks and outdoor recreation. Adventist Health Glendale is proud to be part of the thriving, diverse community since 1905. Job Summary Performs non-invasive, routine, technical support services under the specific authorization and supervision of a licensed physician, podiatrist, physician assistant, nurse practitioner or nurse midwife. Job Requirements Education and Work Experience: High School Education/GED or equivalent: Required Licenses/Certifications Certified Medical Assistant (CMA) or Registered Medical Assistant (RMA) or equivalent combination of licensure and experience: Preferred Basic Life Support (BLS) Health Care Provider certification from approved vendor per AH policy: Required Successful completion of audiometry and vision training or have a certificate from CHDP within six months of hire.: Preferred Phlebotomy certificate: Preferred Facility Specific License/Certifications Basic Life Support (BLS) certification from approved vendor per AH policy: Required Essential Functions Sets up exam rooms and checks in patients. Maintains a patient recall system, including continuity of care log for lab tests, referrals and transfers. Obtains vital signs. Reports significant findings and pertinent patient observations to clinic physician. Performs venipunctures as ordered. Performs audiometry and vision testing. Performs other job-related duties as assigned. Organizational Requirements Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply. Adventist Health participates in E-Verify. Visit https://adventisthealth.org/careers/everify/ for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein. About Us Adventist Health is a faith-based, nonprofit, integrated health system serving more than 100 communities on the West Coast and Hawaii with over 440 sites of care, including 27 acute care facilities. Founded on Adventist heritage and values, Adventist Health provides care in hospitals, clinics, home care, and hospice agencies in both rural and urban communities. Our compassionate and talented team of more than 38,000 includes employees, physicians, Medical Staff, and volunteers driven in pursuit of one mission: living God's love by inspiring health, wholeness and hope.
RN Utilization Review Telehealth Full-time
L.A. Care Health Plan

Utilization Management Claims Review Nurse RN II

L.A. Care Health Plan Los Angeles, CA
$88,854 - $142,166 / year
Salary Range: $88,854.00 (Min.) - $115,509.00 (Mid.) - $142,166.00 (Max.) Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation’s largest publicly operated health plan. Serving more than 2 million members, we make sure our members get the right care at the right place at the right time. Mission: L.A. Care’s mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose. Job Summary The Utilization Management (UM) Claims Review Nurse RN II is responsible for conducting clinical review of medical claims to ensure services were medically necessary, appropriately documented, accurately billed, and compliant with established clinical policies and regulatory standards. This position supports payment integrity initiatives through retrospective and pre-payment review processes, helps reduce unnecessary denials, and monitors for potential fraud, waste, and abuse (FWA). The UM Claims Review Nurse RN II collaborates closely with internal teams to ensure accurate adjudication and compliance. This position collaborates closely with internal stakeholders and external entities to support compliance with state, federal, and accreditation requirements. Duties Perform claims pre-payment review by supporting the Claims team in evaluating flagged claims prior to adjudication to ensure services are medically necessary, documentation supports billed services, coding is accurate and aligned with authorization when applicable, and unnecessary denials are reduced through accurate clinical validation. Conduct comprehensive retrospective reviews, applying established clinical criteria, policies, and regulatory guidelines to determine medical necessity and appropriateness of services rendered. Complete Provider Dispute Review (PDR) clinical evaluations for disputed claims requiring medical necessity scrutiny and clinical determination. Apply internal and external clinical policies, including those developed by the Clinical Policy team, to ensure compliance with guidelines intended to limit fraud, waste, and abuse (FWA). Ensure adherence to federal and state regulations, and accreditation standards. Monitor trends related to contested claims and identify potential FWA concerns; escalate findings in accordance with organizational compliance protocols. Collaborate with internal teams to support payment integrity initiatives. Provide clear, well-documented clinical rationales supporting approval, denial, or adjustment decisions. Maintain productivity and quality standards consistent with departmental expectations. Participate in audits, regulatory readiness activities, and quality improvement initiatives as assigned. Document review outcomes clearly and accurately within designated systems, ensuring audit readiness and traceability. Remain current with evolving clinical guidelines, coding standards, reimbursement methodologies, and regulatory requirements. Perform other duties as assigned. Duties Continued Education Required Associate's Degree in Nursing Education Preferred Bachelor's Degree in Nursing Experience Required: At least 5 years of experience in Clinical Nursing. At least 3 years of experience with Medi-Cal and Medicare in a managed care environment. Experience in performing and creating clinical documentation. Experience in regulatory compliance for a health plan. Preferred: Experience with Provider Dispute Review (PDR) processes. Experience applying clinical guidelines (e.g., InterQual, MCG, or internally developed criteria) in processes. Prior experience in payment integrity, compliance, or fraud, waste, and abuse (FWA) monitoring. Skills Required: Knowledge of medical necessity criteria, reimbursement principles, and managed care operation. Working knowledge of clinical policies. Working knowledge of CPT/HCPC Codes, and ICD-10. Proficient in claims processing systems and electronic medical record platforms. Strong problem-solving skills and the ability to identify discrepancies, assess risk, and recommend actionable solutions. Strong verbal and written communication skills. Ability to work independently with a high degree of initiative, organization, and self-direction. Ability to work effectively with diverse teams in cross-functional work groups. Ability to multitask, re-prioritize tasking, and streamline day-to-day operations. Familiarity with regulatory and accreditation standards (e.g., CMS, Medi-Cal, NCQA). Understanding of the managed care industry and market conditions. High organizational and time-management skills. Preferred: Strong analytical and investigative skills with the ability to synthesize clinical and claims information into clear, defensible determinations are highly valued. Advanced knowledge of medical necessity criteria tools such as InterQual or MCG. Extensive knowledge in claims reviews includes retrospective reviews, pre-payment claims review, and medical necessity determinations. Licenses/Certifications Required Registered Nurse (RN) - Active, current and unrestricted California License Licenses/Certifications Preferred Required Training Physical Requirements Light Additional Information Salary Range Disclaimer: The expected pay range is based on many factors such as geography, experience, education, and the market. The range is subject to change. L.A. Care offers a wide range of benefits including Paid Time Off (PTO) Tuition Reimbursement Retirement Plans Medical, Dental and Vision Wellness Program Volunteer Time Off (VTO)
RN Full-time
Adventist Health

RN, Risk Management Specialist (White Memorial)

Adventist Health Los Angeles, CA
Job Description Located in the metropolitan area of Sacramento, the Adventist Health corporate headquarters have been based in Roseville, California, for more than 40 years. In 2019, we unveiled our WELL-certified campus - a rejuvenating place for associates systemwide to collaborate, innovate and connect. Adventist Health Roseville and shared service teams have access to enjoy a welcoming space designed to promote well-being and inspire your best work. Job Summary Performs key responsibilities that support the department in achieving risk management program goals for the organization. Key duties include initiation and review of new claims in the Event Reporting System; grievances, complaints and concerns triage, review, and resolution, and general administrative support to the Risk Management Director. Works collaboratively with stakeholders including but not limited to: Risk Management, Claims, Legal, Patient Safety, Quality, Accreditation, Regulatory, and Licensing teams. Serves as a risk management generalist to facilitate and perform the duties of the risk management department on a variety of hospital and clinic related topics including collaboration and communication with various stakeholders, patients, and medical staff. Job Requirements Education and Work Experience: Bachelor's Degree in Nursing (BSN): Preferred Three years' nursing experience or general risk management: Required One year leadership experience: Preferred Familiarity with professional liability insurance/claims handling: Preferred Licenses/Certifications Registered Nurse (RN) licensure in the state of practice: Required Essential Functions Assists with identifying and managing actual and potential risks to the organization. Reviews and manages event reporting system related to grievances, complaints, workplace violence, security, property, facilities, and claims, and other events as assigned Participates in patient safety event review meetings and completes necessary follow up. Initiates review of events with high harm and potentially compensable events (PCEs). Acts as a liaison and resource to assess risk exposures in specific clinical and other situations (e.g. Facilities, Safety, Nursing, Pharmacy, Security, and Patient Relations). Works with Safety, Procurement, and Clinical Engineering and Clinical Operations to identify medical device and equipment failures for purposes of improving organizational risk, patient safety and for reporting to the Food and Drug Administration (FDA). Participates as member of varous organizational councils/committees to provide risk management perspective and input for purposes of managing organizational risk and promoting safety activities. Ensures timely and accurate response to inquiries for claims history and coverage information. Monitors evidence preservation (e.g. surveillance video, equipment, etc, and/or litigation holds). Collaborates with Risk Management Director or Manager, Claims team, or internal or external legal counsels to coordinate reviews processes and procedures. Obtains, maintains records and documents and provides them to internal or external legal counsels for preparation of testimony in pending litigation Safeguards documents obtained or developed for cause analysis to ensure documents/proceedings are protected from discovery. Participates in claims process which includes but is not limited to: coordination of depositions; response to interrogratories; requests for production of evidence; ensuring documentation and data management. Ensures timely and accurate response to inquiries for claims history and coverage information. Monitors evidence preservation (e.g. surveillance video, equipment, etc, and/or litigation holds) Attends trial as site representative as directed by internal and external legal counsels. Safeguards documents obtained or developed for cause analysis to ensure documents/proceedings are protected from discovery. Supports Risk Management Director and various department leaders in analyzing data (e.g. complaints, grievances, claims, lawsuits) to identify priority topics and audiences for targeted training and education. Assists department staff to coordinate inservices and education related to risk prevention, reduction, and mitigation strategies Performs other job-related duties as assigned. Organizational Requirements Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply. Adventist Health participates in E-Verify. Visit https://adventisthealth.org/careers/everify/ for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein. About Us Adventist Health is a faith-based, nonprofit, integrated health system serving more than 100 communities on the West Coast and Hawaii with over 440 sites of care, including 27 acute care facilities. Founded on Adventist heritage and values, Adventist Health provides care in hospitals, clinics, home care, and hospice agencies in both rural and urban communities. Our compassionate and talented team of more than 38,000 includes employees, physicians, Medical Staff, and volunteers driven in pursuit of one mission: living God's love by inspiring health, wholeness and hope.
LVN Outpatient Full-time
Cedars-Sinai

Lead LVN - Urology - $3,000 Sign On Bonus

Cedars-Sinai Beverly Hills, CA
Job Description Join Cedars-Sinai! Cedars-Sinai has been named to the Honor Roll for the ninth consecutive year and tied for #1 in California and Los Angeles in U.S. News & World Report’s “Best Hospitals 2024-25” rankings, as well as placed among the very best in 11 specialties nationwide. Align yourself with an organization that has a reputation for excellence! Cedars-Sinai was awarded the National Research Corporation’s Consumer Choice Award 19 years in a row for providing the highest-quality medical care in Los Angeles. We were also awarded the Advisory Board Company’s Workplace of the Year. This recognizes hospitals and health systems nationwide that have outstanding levels of employee engagement. Join us! Discover why U.S. News & World Report has named us one of America’s Best Hospitals. Why work here? Beyond outstanding employee benefits including health and dental insurance, vacation, and a 403(b), we take pride in hiring the best employees. Our accomplished staff reflects the culturally and ethnically diverse community we serve. They are proof of our dedication to creating a multifaceted, inclusive environment that fuels innovation. Are you ready to bring your clinical proficiencies to a world-class Medical Group known for the very highest clinical standards? Do you have a passion for the highest quality and patient satisfaction? Then please respond to this multifaceted opportunity available with one of the best places to work in Southern California! We would be happy to hear from you. The Cedars-Sinai Medical Network is committed to helping primary care and specialist physicians provide excellent care to all their patients, who benefit from convenient access to primary and specialty care physicians and seamless coordination of care between them. As a part of Cedars-Sinai, our physicians and staff are partners in quality health care from a medical center that is consistently recognized as one of the finest hospitals in the country. For the 8th consecutive year, we have been named one of the top 20 Physician Groups in Southern California by Integrated Healthcare Associates (IHA). Primary Duties & Responsibilities Prioritizes and assigns duties and tasks to the clinical team to maintain operational needs and goals. Maintains clinical workflows by prioritizing and assuring accurate clinical team coverage needed to support providers and provide safe patient care. Monitors daily performance of the clinical team to ensure delivery of efficient quality care. Conducts departmental orientation and assures that onboarding measures have been met to meet the needs of the department and of the employee. Trains the clinical team in vital workflows to perform required job duties. Provides review of clinical skills and performance abilities using designated evaluation tools. Provides mentorship and counseling according to interpersonal policies and procedures to improve performance under the direction of the site supervisor or manager. Assists with controlling wage and non-wage expenses including pharmacy and medical supplies in accordance with the budgetary guidelines set by the organization. Provides direct and indirect patient-centered care within the scope of the LVN. Demonstrates proficient knowledge of clinical practices defined by organization policies, procedures, and best practice standards. Maintains current knowledge of interpersonal policies and procedures. Maintains a functional work environment by maintaining quality assurance/quality control logs, regulatory needs within the clinical space, needed supply levels, and housekeeping throughout the work environment. Ensures staff have met the vital certifications and licensing requirements to perform their duties in the work environment. Works in a collaborative role with leads, supervisors, managers and related offices or organizations. Qualifications Education: Vocational/Technical Diploma, CA LVN License Required Work Experience: 5 years LVN experience required Licenses and Certifications: Licensed Vocational Nurse Current CA LVN License required Intravenous/Blood Withdrawal Certification CA Board of Vocational Nursing IV/BW (intravenous/blood withdrawal) certification Basic Life Support (BLS)
CNA Full-time
Adventist Health

Certified Nursing Assistant Full-time, Night Shift

Adventist Health Glendale, CA
Job Description Nestled between Burbank and Pasadena, Adventist Health Glendale is one of the area's leading healthcare providers. We are comprised of a 515-bed hospital, two urgent cares, home care services, comprehensive cardiology care and a vast scope of services located in the San Fernando Valley. We are committed to the development and empowerment of our nurses and have received Magnet designation from the American Nurses Credentialing Center. Glendale is known for its urban living, with easy access to dining, entertainment, shopping, amusement parks and outdoor recreation. Adventist Health Glendale is proud to be part of the thriving, diverse community since 1905. Job Summary Provides personal nursing care to the patient under the direction of a licensed registered nurse (RN). Performs tasks associated with activities of daily living including self-care needs. Performs routine assigned tasks and reports patients’ status and concerns to the RN. Job Requirements Education and Work Experience: High School Education/GED or equivalent: Preferred Licenses/Certifications Basic Life Support (BLS OR HS-BLS OR RQIBLS) certification from approved vendor per AH policy: Required Phlebotomy Certification: Preferred in CA and HI Audiometry and vision training or have a certificate from CHDP: Preferred in CA and HI Certified Nursing Assistant (CNA) certification: Required Facility Specific License/Certifications Basic Life Support (BLS OR HS-BLS OR RQI BLS) certification: Required Essential Functions Performs tasks associated with activities of daily living, including assisting with nutrition and hydration, elimination, personal care, positioning devices, restraints and restorative care. Takes vital signs including, pulse and blood pressure. Helps patients with their basic needs, i.e., bathing, dressing and feeding. Performs a variety clerical duties, which include but are not limited to routing patient reports as appropriate. Uses organizational skills to keep unit running smoothly and uses prioritization skills to meet deadlines as indicated. Provides assessment data to certified nurse within the scope of practice (vital signs, patient verbal and nonverbal responses, etc.). Performs other job-related duties as assigned. Organizational Requirements Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply. Adventist Health participates in E-Verify. Visit https://adventisthealth.org/careers/everify/ for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein. About Us Adventist Health is a faith-based, nonprofit, integrated health system serving more than 100 communities on the West Coast and Hawaii with over 440 sites of care, including 27 acute care facilities. Founded on Adventist heritage and values, Adventist Health provides care in hospitals, clinics, home care, and hospice agencies in both rural and urban communities. Our compassionate and talented team of more than 38,000 includes employees, physicians, Medical Staff, and volunteers driven in pursuit of one mission: living God's love by inspiring health, wholeness and hope.
CNA Full-time
West Covina Healthcare Center

Certified Nursing Assistant CNA

West Covina Healthcare Center West Covina, CA
West Covina Healthcare Center is a 99-bed skilled nursing facility located in West Covina, CA. West Covina Healthcare Center POSITION SUMMARY The purpose of your Certified Nursing Assistant position is to provide each resident with routine daily nursing care in accordance with the residents assessment plan, with current federal, state and local standards and regulations that govern the facility, and as directed by your supervisors. ESSENTIAL DUTIES AND RESPONSIBILITIES Answering call lights Ensure that all nursing care is provided in privacy Making residents comfortable (putting them in bed, bringing them water, etc.) Assisting in feeding residents (by cutting their food and spoon feeding if needed) Helping residents with their daily grooming, shower or sponge bath Proper lifting and transitioning residents from wheelchair to bed, bed to chair, etc. Helping residents, sit, stand and walk Transporting residents to dining area (for meals and activities) and returning them to their room Timely reporting of change in residents condition to the Nurse Supervisor Protecting each residents file and data with confidentially per HIPAA standards Abiding with all facility policies and procedures including not disclosing user ID codes and passwords Following Infection and Control policies Reporting any occupational exposures to blood, body fluids, or other hazardous materials to a supervisor immediately Other duties as assigned Every effort has been made to identify the essential functions of this position. However, it in no way states or implies these are the only duties you will be required to perform as directed by management. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or is an essential function of the position. BENEFITS Medical, Vision, and Dental Insurance (Full Time Employees) 401K REQUIREMENTS Education / Licensure Completion CNA training from accredited school Valid CNA certificate number Valid CPR Qualifications / Experience Some experience helpful, will provide training Must be able to speak, read, write and comprehend the English language Ability to use computer or tablet to enter resident data Working Conditions May encounter frequent interruptions May be involved with residents, family and government agencies May be requested to work beyond scheduled working hours at times Is subject to call-back during emergency conditions (e.g., severe weather, evacuation, post-disaster, etc.) May be subjected to odors, dust, disinfectants, tobacco smoking or air contaminants May be exposed to infectious waste, diseases, conditions, etc., including TB and the AIDS and Hepatitis B viruses May be exposed to or handle hazardous chemicals Physical Requirements Must be able to move intermittently throughout the day Working throughout the nursing areas Must be able to lift up to 25 pounds. Lifting more weight up to 100 pounds requires assistance Ability to read fine print on tablet, progress notes and/or medical labels
RN Full-time
Adventist Health

RN, Risk Management Specialist (Glendale)

Adventist Health Glendale, CA
Job Description Located in the metropolitan area of Sacramento, the Adventist Health corporate headquarters have been based in Roseville, California, for more than 40 years. In 2019, we unveiled our WELL-certified campus - a rejuvenating place for associates systemwide to collaborate, innovate and connect. Adventist Health Roseville and shared service teams have access to enjoy a welcoming space designed to promote well-being and inspire your best work. Job Summary Performs key responsibilities that support the department in achieving risk management program goals for the organization. Key duties include initiation and review of new claims in the Event Reporting System; grievances, complaints and concerns triage, review, and resolution, and general administrative support to the Risk Management Director. Works collaboratively with stakeholders including but not limited to: Risk Management, Claims, Legal, Patient Safety, Quality, Accreditation, Regulatory, and Licensing teams. Serves as a risk management generalist to facilitate and perform the duties of the risk management department on a variety of hospital and clinic related topics including collaboration and communication with various stakeholders, patients, and medical staff. Job Requirements Education and Work Experience: Bachelor's Degree in Nursing (BSN): Preferred Three years' nursing experience or general risk management: Required One year leadership experience: Preferred Familiarity with professional liability insurance/claims handling: Preferred Licenses/Certifications Registered Nurse (RN) licensure in the state of practice: Required Essential Functions Assists with identifying and managing actual and potential risks to the organization. Reviews and manages event reporting system related to grievances, complaints, workplace violence, security, property, facilities, and claims, and other events as assigned Participates in patient safety event review meetings and completes necessary follow up. Initiates review of events with high harm and potentially compensable events (PCEs). Acts as a liaison and resource to assess risk exposures in specific clinical and other situations (e.g. Facilities, Safety, Nursing, Pharmacy, Security, and Patient Relations). Works with Safety, Procurement, and Clinical Engineering and Clinical Operations to identify medical device and equipment failures for purposes of improving organizational risk, patient safety and for reporting to the Food and Drug Administration (FDA). Participates as member of varous organizational councils/committees to provide risk management perspective and input for purposes of managing organizational risk and promoting safety activities. Ensures timely and accurate response to inquiries for claims history and coverage information. Monitors evidence preservation (e.g. surveillance video, equipment, etc, and/or litigation holds). Collaborates with Risk Management Director or Manager, Claims team, or internal or external legal counsels to coordinate reviews processes and procedures. Obtains, maintains records and documents and provides them to internal or external legal counsels for preparation of testimony in pending litigation Safeguards documents obtained or developed for cause analysis to ensure documents/proceedings are protected from discovery. Participates in claims process which includes but is not limited to: coordination of depositions; response to interrogratories; requests for production of evidence; ensuring documentation and data management. Ensures timely and accurate response to inquiries for claims history and coverage information. Monitors evidence preservation (e.g. surveillance video, equipment, etc, and/or litigation holds) Attends trial as site representative as directed by internal and external legal counsels. Safeguards documents obtained or developed for cause analysis to ensure documents/proceedings are protected from discovery. Supports Risk Management Director and various department leaders in analyzing data (e.g. complaints, grievances, claims, lawsuits) to identify priority topics and audiences for targeted training and education. Assists department staff to coordinate inservices and education related to risk prevention, reduction, and mitigation strategies Performs other job-related duties as assigned. Organizational Requirements Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply. Adventist Health participates in E-Verify. Visit https://adventisthealth.org/careers/everify/ for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein. About Us Adventist Health is a faith-based, nonprofit, integrated health system serving more than 100 communities on the West Coast and Hawaii with over 440 sites of care, including 27 acute care facilities. Founded on Adventist heritage and values, Adventist Health provides care in hospitals, clinics, home care, and hospice agencies in both rural and urban communities. Our compassionate and talented team of more than 38,000 includes employees, physicians, Medical Staff, and volunteers driven in pursuit of one mission: living God's love by inspiring health, wholeness and hope.
Caregiver Home Health Home Health Part-time
Home Care Placement

Special Needs Caregiver Torrance, LA County

Home Care Placement Torrance, CA
Los Angeles County | In-Home Care $19. 0 0–$21.00/hour | Flexible Schedules | Immediate Openings Life-changing care, delivered locally Join Our Team | Home Care Placement At Home Care Placement , we believe that life-changing care is best delivered locally by people who genuinely care, show up with integrity, and treat every individual they serve with dignity and compassion. That's the heartbeat of our All Abilities service line, and it's why families across Los Angeles County trust us with their most vulnerable loved ones. If you have a heart for serving children, teens, or adults with intellectual and developmental disabilities and you want a team that sees you, supports you, and grows with you , you've found your place. About This Role As a Special Needs Caregiver on our All Abilities team, you'll provide personalized, non-medical in-home care to individuals with developmental disabilities through California's Self-Determination Program . You'll follow individualized care plans, partner closely with families, and be a consistent, trusted presence in the life of someone who needs you. This isn't just caregiving. It's community . It's connection . It's meaningful work delivered with excellence, every single shift. What You'll Do Support daily living activities: bathing, grooming, dressing, feeding, and toileting Provide respite support so family caregivers can rest and recharge Assist with routines, hygiene, homework, and coping strategies Accompany clients on community outings and social activities Follow behavioral strategies and care plans developed by families and facilitators Provide companionship, supervision, and a calm, safe presence Assist with light housekeeping and meal preparation Maintain accurate shift notes and progress documentation Who You Are You lead with compassion and never cut corners — because integrity isn't just a value here, it's how we show up for every client, every day. You're patient, reliable, and steady under pressure. You understand that safety and wellness aren't checklists — they're commitments. And you believe that the best care happens when families, caregivers, and coordinators work as one team. You might currently be or have experience as: A DSP (Direct Support Professional) School aide or paraprofessional ABA therapist or behavioral aide Respite provider or personal assistant A family caregiver ready to turn your experience into a career Experience supporting individuals with Autism, Down Syndrome, Intellectual Disabilities, Behavioral Disorders, or Sensory Challenges is a strong plus. Why Caregivers Choose Us Competitive Pay: $19. 00 –$21.00/hour based on client needs Flexible Scheduling — shifts that work around your life Paid Orientation — 5 hours of paid training before your first shift 401(k) Plan — we invest in your future, not just your present Health Benefits — available for qualifying employees Paid Sick Leave Bi-Weekly Pay Caregiver of the Month — $150 recognition bonus Refer-a-Caregiver Bonus — earn up to $300 per referral Fast-Track Career Growth — agency experience is recognized and rewarded Backed by 70+ years of combined home care expertise Requirements 18 years or older At least 1 year of experience supporting individuals with developmental disabilities (personal or professional) Negative TB test within the past 12 months – don’t have one? We’ll reimburse it Must pass Live Scan background check – cost is reimbursed after 60 hours worked HCA Registration – we cover the cost Reliable transportation Patience, empathy, and a genuine commitment to those you serve Serving: We're hiring across the region including Torrance, Hermosa Beach, Redondo Beach, Manhattan Beach, El Segundo, Palos Verdes, Rolling Hills Estates, Carson, Gardena, Hawthorne, Long Beach Life-changing care, delivered locally , that's our promise. Ready to Join the All Abilities Team? Apply at: [Join Our Team | Home Care Placement] Join Our Team | Home Care Placement Call us: (858) 351-4317 Submit your resume and availability. If you were referred by a current employee, be sure to mention their name , they're counting on you! We are an equal opportunity employer.
RN Telehealth Full-time
L.A. Care Health Plan

Clinical Policy Nurse RN II

L.A. Care Health Plan Los Angeles, CA
$88,854 - $142,166 / year
Salary Range: $88,854.00 (Min.) - $115,509.00 (Mid.) - $142,166.00 (Max.) Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation’s largest publicly operated health plan. Serving more than 2 million members, we make sure our members get the right care at the right place at the right time. Mission: L.A. Care’s mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose. Job Summary The Clinical Policy Nurse RN II is responsible for analytical research, trending, and assessment based on legislation, regulatory and accreditation requirements that impact claims, Utilization Management (UM) department and healthcare services policies. Reviews and analyzes clinical financial data to assess the effectiveness of existing and proposed policies to identify opportunities for improvement, cost containment, and quality enhancement. This position plays a key role in translating regulatory impacts into operational strategies and works collaboratively with internal and external stakeholders to ensure clinical policies support safe, effective, and compliant care delivery. Assists in development of policies and programs that improve health outcomes and target Fraud, Waste and Abuse (FWA). This position works cross functionally with other departments to develop end to end operational strategies of policy content and roll out timeframes. The Clinical Policy Nurse II serves as a liaison to ensure the ongoing maintenance of clinical coding for the authorization matrix. Duties Assess federal, state, and local legislation, regulatory guidance, and health care policies to identify potential impacts on clinical practice, reimbursement and organizational operations that impact healthcare services policies. Review and interpret clinical, utilization, and financial data to identify trends, opportunities for policy improvement and cost-savings. Research, develop, and evaluate clinical and health policy designed to improve patient outcomes, detect and mitigate Fraud, Waste, and Abuse (FWA), and streamline organizational processes. Monitor the implementation of health programs, clinical initiatives, and community action plans to assess effectiveness, compliance, and impact on patient outcomes. Collaborate with internal stakeholders to evaluate utilization trends and anomalies and contribute to policy development aimed at improving efficiency and compliance identified during risk assessments. Prepare analytical reports, summaries, and analyses assessing policy performance, regulatory impact, and communicate insights and recommendations to stakeholders to drive evidence-based policy and impacted outcomes. Present findings, recommendations, and action plans to key stakeholders. Participate in work groups related to healthcare services clinical policies and procedures including efforts to improve department processes, as needed. Perform other duties as assigned. Duties Continued Education Required Associate's Degree in Nursing Education Preferred Bachelor's Degree in Nursing Experience Required: At least 5 years of experience in Clinical Nursing. At least 3 years of experience with Medi-Cal and Medicare in a managed care environment. Experience in performing and creating clinical documentation. Experience in regulatory compliance for a health plan. Preferred: Experience with active participation in state regulatory audits such as Department of Health Care Services (DHCS), Department of Managed Health Care (DMHC), Centers for Medicare and Medicaid Services (CMS), and/or National Committee for Quality Assurance (NCQA) audits. At least 1 year of experience in clinical health services policies with a managed care plan. Skills Required: Demonstrated strong reporting skills by preparing clear, concise reports and presentations that communicate findings and performance. Working knowledge of clinical policies. Strong analytical and critical thinking skills with the ability to interpret regulatory requirements and legislation. Ability to translate regulatory requirements into auditable tools. Ability to perform independent research on complex medical topics. Excellent verbal and written communication skills. Strong problem solving and team building skills. Ability to work independently with strong self-direction. Advanced proficiency in Microsoft Word, Excel, and PDF documentation tools. Ability to work effectively with diverse teams in cross-functional work groups. Ability to multitask, re-prioritize tasking, and streamline day-to-day operations. Strong organizational and time-management skills. Preferred: Advanced skills in assessing clinical policy deficiencies through literature searching and clinical research analysis based on the best available evidence. Understanding of the managed care industry and market conditions. Licenses/Certifications Required Registered Nurse (RN) - Active, current and unrestricted California License Licenses/Certifications Preferred Required Training Physical Requirements Light Additional Information Salary Range Disclaimer: The expected pay range is based on many factors such as geography, experience, education, and the market. The range is subject to change. L.A. Care offers a wide range of benefits including Paid Time Off (PTO) Tuition Reimbursement Retirement Plans Medical, Dental and Vision Wellness Program Volunteer Time Off (VTO)
RN Full-time
Cedars-Sinai

Registered Nurse II – Float Pool, Full-time, 7AM Day Shift

Cedars-Sinai Marina del Rey, CA
Job Description Make a difference every single day! Are you ready to bring your strong clinical competencies and make a crucial impact on the lives of others? Do you have a passion for the highest quality and patient satisfaction? Then please respond to this dynamic opportunity available with one of the best places to work in Southern California! We would be happy to hear from you at Cedars-Sinai Marina Del Rey Hospital , where we are now a Primary Stroke Center and building a brand new 9 story hospital. Join us and support our community with the highest quality healthcare! $10,000 Employee Referral Program bonus eligible Join our Float Pool: We are seeking a compassionate, dedicated RN who enjoys variety to support multiple hospital units on a rotating basis. You will play a critical role in patients' lives every day. As a Registered Nurse II (RN II) in the Float Pool, you will be oriented to multiple inpatient departments. Our nursing Float Pool supplements staffing throughout the hospital based on need. Nurses who work in the Cedars-Sinai Float Pool can float between multiple areas. This position will focus primarily on our Medical Surgical, Telemetry, MSSU and Ortho Units PCU and Critical Care (ICU, PCU & ED as needed) Enjoy the flexibility of being a float-pool nurse while building your career at Cedars-Sinai: You'll get exposure to several different disciplines while making a positive impact on the lives of a diverse patient population. At Cedars-Sinai Marina Del Rey Hospital, you'll learn from dedicated healthcare professionals every single day and do something incredible – for yourself and for others. Our Units: The Float Pool is a high level performing department staffed with healthcare professionals who are equipped to work in various areas of the hospital. These highly trained professionals working in the Float Pool support the organization by having the ability to care for some or all of the specialty patient populations. The organization has several specialty units that the float pool supports which include: Medical-Surgical/Telemetry units (MS/TELE), Short Stay, Ortho, and possibly our Intensive Care Unit (ICU), Emergency Department (ED), Progressive Care Unit (PCU). Position Summary: The Registered Nurse assumes accountability and responsibility for the delivery of patient care in the hospital setting and for the respective patient population. Provides direct and indirect patient care services, including the administration of medications and therapeutic agents necessary to implement treatment, disease prevention, or rehabilitative plan of care. Demonstrates advanced assessment skills to evaluate the signs, symptoms, reactions, behaviors, or general appearance to determine normal versus abnormal characteristics. Displays knowledge and is able to identify and make special adjustments to the specific populations needs, including cultural, spiritual, age, psychosocial, communication, gender, sexual orientation, economic, education, family and condition needs. Provides assistance to co-workers, new staff, temporary staff and students Functions as a change champion and agent and participates in departmental quality improvement activities Benefits: NEW 9 story Hospital scheduled for May 2027 – state of the art and double the size! Advancement and leadership opportunities, including Clinical Ladder Program! Amazing benefits! Magnet journey started! Tuition Assistance Plans: We offer the following on the first day of employment! Tuition Reimbursement: Repays up to $600 per calendar year for fees expended to attend a job-related seminar, licensure renewal, workshop, conference, individual course, or other training programs. Tuition Loan: Provides up to $2,000 per calendar year for approved formal certificate or degree programs including prerequisites for approved degree programs. A tuition loan and reimbursement may, with appropriate approvals, be combined for a maximum of $2,600. Critical Pipeline Loan: Tuition loans up to $5,250 for specific degree programs at approved, accredited schools identified by the organization, including BSN and MSN. Employees may have their loans Forgiven if they continue eligible employment for 12 months after completion of the term for which the loan was given Hours: 7:00 a.m. – 7:30 p.m. Days Qualifications Educational Requirements: Graduate of an accredited nursing program. BSN is preferred Associate's Degree in Nursing required License/Certifications: Valid California RN license BLS through the American Heart Association or American Red Cross ACLS certification through the American Heart Association or American Red Cross PALS if floating to the Emergency Department Experience: A minimum of 2 years of acute care nursing experience required Demonstrated dedication to customer service and ability to meet the needs and expectations of patients and health care colleagues
RN Telehealth Full-time
L.A. Care Health Plan

Clinical Policy Clinical Coder RN II

L.A. Care Health Plan Los Angeles, CA
$102,183 - $163,492 / year
Salary Range: $102,183.00 (Min.) - $132,838.00 (Mid.) - $163,492.00 (Max.) Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation’s largest publicly operated health plan. Serving more than 2 million members, we make sure our members get the right care at the right place at the right time. Mission: L.A. Care’s mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose. Job Summary The Clinical Policy Clinical Coder RN II is responsible for analyzing, interpreting, and operationalizing medical and utilization management policies to ensure accurate coding, appropriate authorization requirements, compliant claims processing, and effective utilization oversight. This position serves as a key clinical and coding resource, translating medical policy requirements into diagnosis, procedure, and service code logic, including determining which codes require prior authorization. Conducts in-depth research and analysis of legislation and regulatory requirements, clinical outcomes, utilization, claims, and financial data to identify utilization trends, fiscal risk, and opportunities for policy enhancement and cost containment. This position works cross-functionally with internal teams to ensure policies are codified, consistently applied, and monitored through reporting and data analysis. This position collaborates closely with internal stakeholders and external entities to support standardized benefit administration, effective program implementation, and organizational compliance with state, federal, and accreditation requirements. Duties Translate approved clinical policies and utilization management criteria into clear, codified claims rules and system logic to support accurate claims adjudication. Develop, revise, and recommend clinical policies and internal utilization management criteria when standard clinical guidelines are insufficient to support appropriate decision-making based on codified claim rules. Assess the downstream claims impact of new or revised clinical policies prior to implementation and recommend configuration updates to mitigate operational or financial risk. Participate in validation of claims configuration changes to ensure policies are applied correctly and consistently across all lines of business. Monitor post-implementation claims activity to identify configuration issues, unintended denials, or payment discrepancies related to clinical policy application. Support remediation of claims configuration defects by identifying root causes and coordinating corrective actions with internal teams. Participate in and lead specialty and cross-functional workgroups and committees focused on healthcare services clinical policies, utilization management processes, strategic initiatives, policy governance, operational alignment, and continuous improvement efforts. Ensure timely dissemination of accurate and consistent policies and procedures across departments. Promote collaboration, engagement, and a positive work environment while supporting departmental initiatives and team-based activities. Manage assigned projects from concept through implementation, ensuring timelines, quality standards, and deliverables are met. Analyze and interpret medical and utilization management policies to identify applicable diagnosis, procedure, and service codes and determine authorization, pre-payment, or post-payment review requirements. Define and maintain code lists that require prior authorization or other utilization management controls based on clinical evidence, regulatory guidance, utilization trends, and financial risk. Duties Continued Collaborate with internal teams to ensure authorization requirements and coding logic are accurately configured in authorization and claims systems based on authorization matrix requirements. Support accurate claims processing by validating codified authorization and policy requirements are correctly applied and aligned with approved medical policies. Provide clinical and coding recommendations to support the development, revision, and implementation of new or updated medical and utilization management policies. Investigate and resolve coding and authorization related issues, including claim denials, coding edits, authorization discrepancies, and policy interpretation questions. Review and assess claims edits, authorization matrixes, and coding rules to identify root causes of errors or inconsistencies and recommend corrective actions. Ensure coding, authorization requirements, and claims-related guidance align with medical necessity criteria, benefit structures, and applicable state, federal, and regulatory requirements. Develop, review, and maintain reporting related to authorization required codes, approval and denial rates, utilization patterns, claims payment outcomes, and policy effectiveness. Prepare reports, summaries, and presentations and communicate findings, recommendations, and action plans to internal and external stakeholders. Analyze claims, authorization, and utilization data to identify trends, measure policy impact, and recommend opportunities for policy refinement, cost containment, or reduction of administrative burden. Monitor post-implementation performance of authorization-required codes and recommend additions, removals, or modifications to authorization requirements based on regulatory thresholds and utilization outcomes. Perform other duties as assigned. Education Required Associate's Degree in Nursing Education Preferred Bachelor's Degree in Nursing Experience Required: At least 8 years of experience in Clinical Nursing. At least 3 years of experience with Medi-Cal and Medicare in a managed care environment. Experience in performing and creating clinical documentation. Experience in regulatory compliance for a health plan. Experience with medical coding systems. Preferred: At least 1 year of experience in editing and writing clinical health services policies within a managed care health plan. Skills Required: Proficient with clinical policy through skills in literature searching and clinical research analysis based on the best available evidence. Working knowledge of clinical policies. Working knowledge of CPT/HCPC codes and claims. Ability to translate regulatory requirements into auditable tools. Ability to perform independent research on complex medical topics. Excellent verbal and written communication skills. Strong analytical, problem solving, and team building skills. Ability to work independently with strong self-direction. Advanced proficiency in Microsoft Word, Excel, and PDF documentation tools. Ability to work effectively with diverse teams in cross-functional work groups. Ability to multitask, re-prioritize tasking, and streamline day-to-day operations. Ability to identify discrepancies, assess risk, and recommend actionable solutions. Knowledge of medical coding systems, including ICD-10-CM, CPT, and HCPCS, and their application in authorization and claims environments. Strong organizational and time-management skills. Preferred: Advanced skills in assessing clinical policy deficiencies through literature searching and clinical research analysis based on the best available evidence. Proficient in claims configuration, including claims adjudication workflows, configuration of claims edits and rules, and the translation of clinical and utilization management policies into system-based claims logic to support accurate, compliant payment outcomes. Understanding of the managed care industry and market conditions. Licenses/Certifications Required Registered Nurse (RN) - Active, current and unrestricted California License Licenses/Certifications Preferred Certified Professional Coder (CPC) Required Training Physical Requirements Light Additional Information Salary Range Disclaimer: The expected pay range is based on many factors such as geography, experience, education, and the market. The range is subject to change. L.A. Care offers a wide range of benefits including Paid Time Off (PTO) Tuition Reimbursement Retirement Plans Medical, Dental and Vision Wellness Program Volunteer Time Off (VTO)
RN NICU Full-time
PIH Health

Registered Nurse (RN), NICU, Full time, 7pm-7:30am

PIH Health Whittier, CA
$50.50 - $84.25 / hour
Provides direct nursing care including assessment, plan of care, education, and evaluation for assigned patients. Performs patient duties necessary to maintain the flow of patient care as well as coordinates the delivery of care provided by other care team members and disciplines. PIH Health is a nonprofit, regional healthcare network that serves approximately 3 million residents in the Los Angeles County, Orange County and San Gabriel Valley region. The fully integrated network is comprised of PIH Health Downey Hospital, PIH Health Good Samaritan Hospital, PIH Health Whittier Hospital, 37 outpatient medical office buildings, a multispecialty medical (physician) group, home healthcare services and hospice care, as well as heart, cancer, digestive health, orthopedics, women’s health, urgent care and emergency services. The organization is nationally recognized for excellence in patient care and patient experience, and the College of Healthcare Information Management Executives (CHIME) has identified PIH Health as one of the nation’s top hospital systems for best practices, cutting-edge advancements, quality of care and healthcare technology. For more information, visit PIHHealth.org or follow us on Facebook , Twitter , or Instagram . Required Skills Written and verbal communications, interpersonal skills. Basic organizational skills. Basic computer skills. Demonstrated leadership abilities. Patient assessment. Clinical education related to specialty. Principles of patient/family teaching. Required Experience : Current California RN license Current BLS and NRP certifications Two years NICU RN experience Address 12401 Washington Blvd. Salary 50.50-84.25 Shift Nights Shift Differential 7.00 Zip Code 90602
CMA Outpatient Full-time
Planned Parenthood of Los Angeles

Medical Assistant I - West Hollywood, CA

Planned Parenthood of Los Angeles Central LA, CA
$25 / hour
Planned Parenthood Los Angeles is seeking an experienced and caring Medical Assistant I with excellent clinical and customer service skills to work full-time at our West Hollywood Health Center . This is an intermediate level position responsible for all supporting functions in the delivery of reproductive health care service and performs all Medical Assistant front and back office functions. Assist patients by providing testing, screening, and education required for the provision of medical reproductive health care and to provide non-judgmental, empathetic education and communication on options for patients, as required. Over one hundred years ago, Planned Parenthood was founded on the idea that everyone should have the information and care they need to live strong, healthy lives and fulfill their dreams. Founded 57+ years ago, Planned Parenthood Los Angeles is one of the largest providers of reproductive health care services in Los Angeles County. The Planned Parenthood Los Angeles (PPLA) team works together to provide high-quality, affordable reproductive health care to women, men, and young people across Los Angeles County. At PPLA, you will discover a culture of like-minded individuals who are eager to make positive contributions to their community and to the Planned Parenthood mission. \n Our Ideal Candidate will have the following qualifications: High school diploma or GED required Medical Assistant Diploma/Certificate required American Heart Association Basic Life Support (BLS) Certification required or willingness to obtain within 30 days of hire At least one (1) to two (2) years experience in a clinical setting Availability to work flexible hours including Saturdays Venipuncture and Injection training (to be completed within one (1) year of employment) Reproductive health care experience desirable Knowledge of surgical services preferred Keep current on relevant anatomy and physiology, methods of contraception, STIs, pregnancy, adoption, early prenatal care, education techniques, community resources, agency protocols, referral procedures, all Planned Parenthood programs initiatives and communications General Back Office Duties: Abortion patients are cared for at each of our health centers and in part through the administrative, support, and other non-clinical services provided at all PPLA locations and by all PPLA employees, and supporting these critical services is an essential job duty and fundamental responsibility of all employees and contractors. Obtain medical history, interview and educate clients ensuring informed consent Assist with the Patient Portal Enrollment process Obtain vital signs (blood pressure, height, weight, etc.) Accompany clients during procedures, as necessary Assist nurses and clinicians Pregnancy testing and options counseling Provide abortion education per agency protocols, make appointments and complete pre-screening form Complete daily quality control log Clean and stock exam and interview rooms Comply with infection control, safety, and emergency guidelines Sharp handling Ability to clean Autoclave and monitor Attest system Dipstick urinalysis Phlebotomy/Injection Surgical Duties: Vitals and Screen for potential problems: ascertain NPO status, identify and record allergies, identify and record drug or medication history, educate on analgesia options, note funding source, educate on contraception choices Clean and prepare room for examination, assist the patient in preparation for examination Prepare lab slips Assist in the transportation of patient, Provide support for patient Turn on equipment: EKG, pulse oximeter EKG lead placement Operate electric table: Know table positions Assist with Ultra Sound machine (as directed by MD) General Front Office Duties: Greet and assist all patients and visitors, whether in-person or by telephone Schedule, reschedule, cancel, or confirm patient appointments in a timely manner to maximize scheduling for patient volume Register patients and compile complete and accurate information Accept and process cash payments according to established guidelines Verify insurance coverage, determine patient eligibility Prepare and assemble charts, copy, transfer, and scan as needed Reconcile billing at the end of patient visit Maintain effective patient flow to assist in prompt treatment of patients Utilizes various computer programs to verify eligibility, schedule and register patients, enter charges, obtain benefit information, and generate letters for authorizations Appropriately refers patients to correct agencies or offices for service(s) Billing- complete CVRs, family planning Surgical Duties: Vitals and Screen for potential problems: ascertain NPO status, identify and record allergies, identify and record drug or medication history, educate on analgesia options, note funding source, educate on contraception choices Clean and prepare room for examination, assist the patient in preparation for examination Prepare lab slips Assist in the transportation of patient, Provide support for patient Turn on equipment: EKG, pulse oximeter EKG lead placement Operate electric table: Know table positions Assist with Ultra Sound machine (as directed by MD) General Front Office Duties: Greet and assist all patients and visitors, whether in-person or by telephone Schedule, reschedule, cancel, or confirm patient appointments in a timely manner to maximize scheduling for patient volume Register patients and compile complete and accurate information Accept and process cash payments according to established guidelines Verify insurance coverage, determine patient eligibility Prepare and assemble charts, copy, transfer, and scan as needed Reconcile billing at the end of patient visit Maintain effective patient flow to assist in prompt treatment of patients Utilizes various computer programs to verify eligibility, schedule and register patients, enter charges, obtain benefit information, and generate letters for authorizations Appropriately refers patients to correct agencies or offices for service(s) Billing- complete CVRs, family planning Generous salary and benefits package includes: Medical, dental, and vision coverage options for you and eligible dependents Free basic life/AD&D policy with additional voluntary coverage options Short Term Disability, Critical Illness and Accident policies 403(b) Retirement plan with up to 3% employer match Medical and Dependent Flexible Spending Account plans Public Transportation and Commuter Pre-Tax Reimbursements Generous vacation, sick, and holiday benefits Parking available for staff at the site Hiring Range: $25.00 per hour (Non-Exempt) Regional Differential: $3.00 per hour \n Compensation Philosophy and Position Hiring Range: At Planned Parenthood Los Angeles we continuously work towards our value of "we respect and honor all people", which also relates to our compensation philosophy. PPLA recognizes that decisions about pay, and benefits have significant impact on staff, so we are committed to ensuring all positions are rooted in a description that identifies competencies, duties, responsibilities, and qualifications, and that they are compensated equitably which considers both internal organizational equity and market compensation data for similar roles. Equal Employment Opportunity will be afforded to all applicants and other covered persons without regard to protected characteristics, including their perceived protected characteristic. Protected categories include: race (including traits historically associated with race, including but not limited to, hair texture and protective hair styles such as, braids, locs, and twists as examples but not exhaustive list), color, religion or religious creed (including religious belief, observation, practice, dress, and grooming practices), national origin, ancestry, physical or mental disability, medical condition, genetic information, marital status, sex (including pregnancy, childbirth, breastfeeding/chestfeeding, or related medical conditions), reproductive health decision-making, gender, gender identity, gender expression, age (40 years and over), sexual orientation, veteran and/or military status (including past, current or prospective service in the uniformed service), and any other characteristic protected under applicable federal, state or local law. PPLA will consider for employment qualified applicants with criminal histories in accordance with the requirements of Los Angeles Fair Chance Initiative for Hiring.
RN Telehealth Full-time
L.A. Care Health Plan

Delegation Oversight Clinical Auditor RN II

L.A. Care Health Plan Los Angeles, CA
$88,854 - $142,166 / year
Salary Range: $88,854.00 (Min.) - $115,509.00 (Mid.) - $142,166.00 (Max.) Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation’s largest publicly operated health plan. Serving more than 2 million members, we make sure our members get the right care at the right place at the right time. Mission: L.A. Care’s mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose. Job Summary The Delegation Oversight Clinical Auditor RN II is responsible for ensuring that delegates contracted to perform Utilization Management (UM) functions on behalf of L.A. Care (LAC) is in compliance with all UM regulatory requirements and new legislation through the maintenance of required policies/procedures/workflows/ processes/audit tools necessary to meet the requirements. This position utilizes a rapid team approach for needed improvements identified through external audits of delegated entities. This position assist in maintaining continuous quality improvement in the Delegation Oversight Clinical Audit unit ensuring that departmental/divisional and organizational goals are accomplished through overseeing and facilitating compliance of the Plan Partners, Participating Provider Groups (PPG), Specialty Health Plans (SHP), and contracted provider network as managed by the Delegation Oversight Department. This position is responsible, as part of the oversight team, for ensuring compliance of the Plan Partners and/or Participating Physician Groups (PPG) to regulatory, contractual and L.A. Care requirements. This position is responsible for performing annual and focused audits. This position also acts as a liaison between the Plan Partners and PPGs and L.A. Care Health Plan regarding UM issues. The position assists in improving access and utilization performance of Plan Partners and PPGs by being a resource for best practices and providing continuous feedback. Additionally, the oversight responsibility of this position includes reporting to management and providing consultation/instructional/coaching recommendations to improve overall compliance of Plan Partners and PPGs with all regulations and standards. Duties Continually ensures delegate compliance with UM Policies/Procedures, Letter Templates, Workflows, Processes, and Audit Tools in compliance with all regulatory requirements/new legislation. Works collaboratively with Regulatory Affairs & Compliance. Stay abreast of new UM legislation, regulations, or other changes impacting UM in order to put processes in place for compliance. Prepares the Delegation Oversight Clinical Audit team for internal audits and for conducting PP/PPG audits, developing mechanisms for tracking/ trending of progress for --UM/PPG (internal) and PP (external) for compliance with UM standards, and identities system/individual areas for improvement through these processes. Prepares the Delegation Oversight Department for review by external regulatory bodies. Ensures that the Delegation Oversight Department is continually prepared for external review with staff daily work conducted in a manner that meets regulatory requirements. Ensures that the Delegation Oversight Clinical Audit unit functions as a team in preparing needed documents for an external review. Completes annual, focused and periodic audit activities timely and thoroughly including identification of deficiencies, response to mitigation, review and response to CAPs. Identifies repeat deficiencies. Assures audit documentation is clear, complete and accurate. Completes periodic monitoring of PP or PPG performance in critical deficiency areas. Completes follow-up audits and related reports and recommendations. Identifies options to assist PP or PPGs with continued or significant deficiencies. Updates audit tools to meet regulatory, contractual and L.A. Care requirements. Develops and conducts ongoing monitoring activities including but not limited to file reviews and letters and supplemental reports. Present summary results to L.A. Care's UM Committee. Communicates with assigned PP and PPGs on an ongoing basis. Develop mechanism to track and trend progress of PP and PPG's compliance to UM standards and identify system wide issues. Maintains confidentiality in compliance with all Health Insurance Portability and Accountability Act (HIPAA) requirements. Assists co-workers with special projects or work volume as required. Actively identifies and implements efforts to improve the quality, effectiveness and efficiency of job functions. Actively identifies and makes recommendations to supervisor ideas to improve the quality effectiveness and efficiency of departmental and health services functions. Communicates to supervisors any barriers to completing assignments or daily work in an efficient and effective manner. Duties Continued Provides training, education and consultation as necessary to PP and PPGs. Collaborates with other Clinical Auditors on identifying topics and developing agendas for the JOM's and PP visits/communication. Develops and implements procedures to assure compliance with care coordination and documentation of linked and carved out services. Conducts Interrater Reliability Testing (referral management and oversight) for new staff/physicians and annually or as needed for existing staff/physicians. Works with other departments as necessary to facilitate teamwork for creating and/or improving interdepartmental processes to meet regulatory requirements. Clinical Auditor (Performance Monitoring): In addition to the responsibilities above, the Clinical Auditor (Performance Monitoring) position ensures compliance of the delegates (Participating Physician Groups, Plan Partners and Vendors) with regulatory, contractual and L.A. Care business requirements. This position is responsible for delegation oversight continuous monitoring activities and monitoring corrective action plans from the annual and focused audits. The position also acts as a liaison between the Plan Partners, PPGs and Vendors regarding Utilization Management (UM) issues; assists in improving access and utilization performance of PPGs by being a resource for best practice and providing continuous performance feedback. Additionally, the oversight responsibility of this position includes attendance at UM Committee, Delegation Oversight Committee, Sanctions Committee, Internal Compliance Committee, and Joint Operation Meetings. It includes monitoring supplemental UM reports, reporting to management as well as consultation/coaching/instructional activities to improve overall compliance with all regulations and standards. Clinical Auditor (Behavioral Health): In addition to the duties above, the Clinical Auditor (Behavioral Health) designs an audit program specific to ensuring delegates are meeting behavioral health regulatory requirements. This ensures Specialty Health Plans and Plan Partners are in compliance with regulatory, contractual, and L.A. Care business requirements. This position is responsible for developing and maintaining annual audit tools, policy requirements specific to delegates, and a monitoring program to continually receive and aggregate Behavioral Health specific performance requirements. The position acts as a liaison between Specialty Health Plans and Plan Partners regarding Behavioral Health issues, assists in improving access and Behavioral Health performance by being a resource for best practice and providing continuous performance feedback. Additionally, the oversight responsibility includes liasing with internal Behavioral Health units, the Medical Director of Behavioral Health, attendance at UM Committee, Delegation Oversight Committee, Sanctions Committee, Internal Compliance Committee, and Joint Operation Meetings. It includes monitoring supplemental UM reports, reporting to management as well as consultation/coaching/instructional activities to improve overall compliance with all regulations and standards. Performs other duties as assigned. Education Required Associate's Degree in Nursing Education Preferred Bachelor's Degree in Nursing Experience Required: At least 7 years in a clinical setting with at least 3 years in a managed care setting in Utilization Management/Case Management. Skills Required: Knowledge of issues pertaining to Medi-Cal and other HMO & IPA contracts, & payers. Ability to manage and organize large volumes of data. Knowledge of accreditation entities and their requirements. Excellent verbal and written communication skills and excellent interpersonal skills. Good working knowledge of regulatory requirements/standards. Ability to work independently. Ability to solve complex issues and identify creative solutions. Computer ease & literacy with Word, Excel, PowerPoint Skills. Licenses/Certifications Required Registered Nurse (RN) - Active, current and unrestricted California License Licenses/Certifications Preferred Required Training Physical Requirements Light Additional Information Salary Range Disclaimer: The expected pay range is based on many factors such as geography, experience, education, and the market. The range is subject to change. L.A. Care offers a wide range of benefits including Paid Time Off (PTO) Tuition Reimbursement Retirement Plans Medical, Dental and Vision Wellness Program Volunteer Time Off (VTO)
CMA Outpatient Full-time
Planned Parenthood of Los Angeles

Medical Assistant I - Burbank, CA

Planned Parenthood of Los Angeles Burbank, CA
Planned Parenthood Los Angeles is seeking an experienced and caring Medical Assistant I with excellent clinical and customer service skills to work full-time at our Burbank Health Center . This is an intermediate level position responsible for all supporting functions in the delivery of reproductive health care service and performs all Medical Assistant front and back office functions. Assist patients by providing testing, screening, and education required for the provision of medical reproductive health care and to provide non-judgmental, empathetic education and communication on options for patients, as required. Over one hundred years ago, Planned Parenthood was founded on the idea that everyone should have the information and care they need to live strong, healthy lives and fulfill their dreams. Founded 57+ years ago, Planned Parenthood Los Angeles is one of the largest providers of reproductive health care services in Los Angeles County. The Planned Parenthood Los Angeles (PPLA) team works together to provide high-quality, affordable reproductive health care to women, men, and young people across Los Angeles County. At PPLA, you will discover a culture of like-minded individuals who are eager to make positive contributions to their community and to the Planned Parenthood mission. \n Our Ideal Candidate will have the following qualifications: High school diploma or GED required Medical Assistant Diploma/Certificate required American Heart Association Basic Life Support (BLS) Certification required or willingness to obtain within 30 days of hire At least one (1) to two (2) years experience in a clinical setting Availability to work flexible hours including Saturdays Venipuncture and Injection training (to be completed within one (1) year of employment) Reproductive health care experience desirable Knowledge of surgical services preferred Keep current on relevant anatomy and physiology, methods of contraception, STIs, pregnancy, adoption, early prenatal care, education techniques, community resources, agency protocols, referral procedures, all Planned Parenthood programs initiatives and communications General Back Office Duties: Abortion patients are cared for at each of our health centers and in part through the administrative, support, and other non-clinical services provided at all PPLA locations and by all PPLA employees, and supporting these critical services is an essential job duty and fundamental responsibility of all employees and contractors. Obtain medical history, interview and educate clients ensuring informed consent Assist with the Patient Portal Enrollment process Obtain vital signs (blood pressure, height, weight, etc.) Accompany clients during procedures, as necessary Assist nurses and clinicians Pregnancy testing and options counseling Provide abortion education per agency protocols, make appointments and complete pre-screening form Complete daily quality control log Clean and stock exam and interview rooms Comply with infection control, safety, and emergency guidelines Sharp handling Ability to clean Autoclave and monitor Attest system Dipstick urinalysis Phlebotomy/Injection Surgical Duties: Vitals and Screen for potential problems: ascertain NPO status, identify and record allergies, identify and record drug or medication history, educate on analgesia options, note funding source, educate on contraception choices Clean and prepare room for examination, assist the patient in preparation for examination Prepare lab slips Assist in the transportation of patient, Provide support for patient Turn on equipment: EKG, pulse oximeter EKG lead placement Operate electric table: Know table positions Assist with Ultra Sound machine (as directed by MD) General Front Office Duties: Greet and assist all patients and visitors, whether in-person or by telephone Schedule, reschedule, cancel, or confirm patient appointments in a timely manner to maximize scheduling for patient volume Register patients and compile complete and accurate information Accept and process cash payments according to established guidelines Verify insurance coverage, determine patient eligibility Prepare and assemble charts, copy, transfer, and scan as needed Reconcile billing at the end of patient visit Maintain effective patient flow to assist in prompt treatment of patients Utilizes various computer programs to verify eligibility, schedule and register patients, enter charges, obtain benefit information, and generate letters for authorizations Appropriately refers patients to correct agencies or offices for service(s) Billing- complete CVRs, family planning Surgical Duties: Vitals and Screen for potential problems: ascertain NPO status, identify and record allergies, identify and record drug or medication history, educate on analgesia options, note funding source, educate on contraception choices Clean and prepare room for examination, assist the patient in preparation for examination Prepare lab slips Assist in the transportation of patient, Provide support for patient Turn on equipment: EKG, pulse oximeter EKG lead placement Operate electric table: Know table positions Assist with Ultra Sound machine (as directed by MD) General Front Office Duties: Greet and assist all patients and visitors, whether in-person or by telephone Schedule, reschedule, cancel, or confirm patient appointments in a timely manner to maximize scheduling for patient volume Register patients and compile complete and accurate information Accept and process cash payments according to established guidelines Verify insurance coverage, determine patient eligibility Prepare and assemble charts, copy, transfer, and scan as needed Reconcile billing at the end of patient visit Maintain effective patient flow to assist in prompt treatment of patients Utilizes various computer programs to verify eligibility, schedule and register patients, enter charges, obtain benefit information, and generate letters for authorizations Appropriately refers patients to correct agencies or offices for service(s) Billing- complete CVRs, family planning Generous salary and benefits package includes: Medical, dental, and vision coverage options for you and eligible dependents Free basic life/AD&D policy with additional voluntary coverage options Short Term Disability, Critical Illness and Accident policies 403(b) Retirement plan with up to 3% employer match Medical and Dependent Flexible Spending Account plans Public Transportation and Commuter Pre-Tax Reimbursements Generous vacation, sick, and holiday benefits Hiring Range: $25.00 per hour (Non-Exempt) \n Compensation Philosophy and Position Hiring Range: At Planned Parenthood Los Angeles we continuously work towards our value of "we respect and honor all people", which also relates to our compensation philosophy. PPLA recognizes that decisions about pay, and benefits have significant impact on staff, so we are committed to ensuring all positions are rooted in a description that identifies competencies, duties, responsibilities, and qualifications, and that they are compensated equitably which considers both internal organizational equity and market compensation data for similar roles. Equal Employment Opportunity will be afforded to all applicants and other covered persons without regard to protected characteristics, including their perceived protected characteristic. Protected categories include: race (including traits historically associated with race, including but not limited to, hair texture and protective hair styles such as, braids, locs, and twists as examples but not exhaustive list), color, religion or religious creed (including religious belief, observation, practice, dress, and grooming practices), national origin, ancestry, physical or mental disability, medical condition, genetic information, marital status, sex (including pregnancy, childbirth, breastfeeding/chestfeeding, or related medical conditions), reproductive health decision-making, gender, gender identity, gender expression, age (40 years and over), sexual orientation, veteran and/or military status (including past, current or prospective service in the uniformed service), and any other characteristic protected under applicable federal, state or local law. PPLA will consider for employment qualified applicants with criminal histories in accordance with the requirements of Los Angeles Fair Chance Initiative for Hiring.
Home Health Aide Home Health Home Health Part-time
Prestige Home Care Angels, Inc

Home Care Aide Caregiver DSP Respite Care in Los Angeles 90032

Prestige Home Care Angels, Inc Los Angeles, CA
$19 - $20 / hour
Services needed for a female client: Respite Care , companionship, safety/supervision, light cooking, Monitoring Mobility/Fall Prevention, help with meal prepping, personal hygiene and activities of daily living. Personality needed: Need someone who takes initiative to complete tasks without being told, proactive, socialize, positive energy to uplift client emotional needs, organized, structured, and professional at all times $20-21.00/hour. Shifts: Tuesdays and Thursdays from 2pm to 7pm We are looking for the best of the best! When you join our team, you will have the opportunity to improve your client's quality of life by providing friendly and compassionate care. This is our agency's goal. We want patient-focused individuals like you who truly care about quality homecare and have the desire to provide our clients with the best possible care. Here is why employees love working with us: • Competitive pay • Immediate work & flexible scheduling • Direct deposit and bi-weekly pay • A supportive management team available to help you become successful and on the job training • Freedom to give quality one-on-one attention to our elderly and disabled clients in their own homes Job Requirements • Possess a valid driver's license •Pass a DOJ/FBI criminal background clearance for Home Care Aide registry-state of California •TB test is done within 6 months • 1+ years of work experience such as HCA, CNA, ABA, DSP, Behaviorial Tech, teachers are welcome! • Job Types: Part-time Benefits • Flexible schedule • Employment development training
CNA Med-Surg Full-time
Adventist Health

Certified Nursing Assistant - MedSurg - Per Diem, Night Shift

Adventist Health Montebello, CA
Job Description Centered in the heart of Montebello, Adventist Health White Memorial Montebello has a 70-year history of providing quality healthcare to the community. We are comprised of a 192-bed hospital, wound care medical office and surgical and laboratory services. The greater Los Angeles area is known for its art, rich culture, numerous sports teams and world-renowned dining. There is something for everyone in this culturally diverse community. Job Summary Provides personal nursing care to the patient under the direction of a licensed registered nurse (RN). Performs tasks associated with activities of daily living including self-care needs. Performs routine assigned tasks and reports patients’ status and concerns to the RN. Job Requirements Education and Work Experience: High School Education/GED or equivalent: Preferred Licenses/Certifications Basic Life Support (BLS OR HS-BLS OR RQIBLS) certification from approved vendor per AH policy: Required Phlebotomy Certification: Preferred in CA and HI Audiometry and vision training or have a certificate from CHDP: Preferred in CA and HI Certified Nursing Assistant (CNA) certification: Required Facility Specific License/Certifications Basic Life Support (BLS OR HS-BLS OR RQI BLS) certification: Required Hospital Fire and Life Safety (HLFS): Required Essential Functions Performs tasks associated with activities of daily living, including assisting with nutrition and hydration, elimination, personal care, positioning devices, restraints and restorative care. Takes vital signs including, pulse and blood pressure. Helps patients with their basic needs, i.e., bathing, dressing and feeding. Performs a variety clerical duties, which include but are not limited to routing patient reports as appropriate. Uses organizational skills to keep unit running smoothly and uses prioritization skills to meet deadlines as indicated. Provides assessment data to certified nurse within the scope of practice (vital signs, patient verbal and nonverbal responses, etc.). Performs other job-related duties as assigned. Organizational Requirements Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply. Adventist Health participates in E-Verify. Visit https://adventisthealth.org/careers/everify/ for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein. About Us Adventist Health is a faith-based, nonprofit, integrated health system serving more than 100 communities on the West Coast and Hawaii with over 440 sites of care, including 27 acute care facilities. Founded on Adventist heritage and values, Adventist Health provides care in hospitals, clinics, home care, and hospice agencies in both rural and urban communities. Our compassionate and talented team of more than 38,000 includes employees, physicians, Medical Staff, and volunteers driven in pursuit of one mission: living God's love by inspiring health, wholeness and hope.
RN ICU Full-time
Prime Healthcare

Registered Nurse, RN - ICU

Prime Healthcare Lynwood, CA
$50.11 - $67.36 / hour
Overview St. Francis Medical Center is one of the leading comprehensive healthcare institutions in Los Angeles. St. Francis provides vital healthcare services for the 700,000 adults and 300,000 children in our community who count on the hospital for high quality and compassionate medical care. St. Francis is recognized for its full range of diagnostic and treatment services in specialties including Cardiovascular, Surgical, Orthopedics, Obstetrics, Pediatrics, Behavioral Health, and Emergency and Trauma Care. In addition, the hospital offers a broad array of education and outreach programs that advance community health. St. Francis Medical Center is a Comprehensive Stroke Center, STEMI Receiving Center, ED Approved for Pediatrics, Geriatric ED, Level III Neonatal ICU, and Level II Trauma Center. Please visit www.stfrancismedicalcenter.com for more information. Join an award-winning team of dedicated professionals committed to compassion, quality, and service! Responsibilities The Registered Nurse is responsible for the delivery of safe patient care utilizing the nursing process of assessment, planning, implementation and evaluation. Provides direct patient care within the scope of practice. The Registered Nurse also directs and guides patient/family teaching and activities of other nursing personnel while maintaining standards of care in the ICU. The Registered Nurse is directly responsible and accountable for the care given to his/her assigned patients. They communicate with the physician about changes in the patient’s clinical condition including hemodynamic monitoring, results of diagnostic studies and abnormal results and symptomatology. Is able to respond quickly and accurately to changes in condition and/or response to treatment. Maintains patient privacy and confidentiality. Qualifications EDUCATION, EXPERIENCE, TRAINING 1. Current and valid state RN License.2. Current BLS certificate upon hire and maintain current.3. Completion of Critical Care Course preferred. 4. Basic Arrythmia Interpretation within 30 days of hire.5. Current ACLS certificate 30 days upon hire and maintain current. 6. Minimum of one year as a staff RN in acute care hospital, critical care preferred.7. Critical Care RN (CCRN) Certification preferred. 8. Bachelor of Science in Nursing (BSN) preferred. Pay Transparency St. Francis Medical Center offers competitive compensation and a comprehensive benefits package that provides employees the flexibility to tailor benefits according to their individual needs. Our Total Rewards package includes, but is not limited to, paid time off, a 401K retirement plan, medical, dental, and vision coverage, tuition reimbursement, and many more voluntary benefit options. Benefits may vary based on collective bargaining agreement requirements and/or the employment status, i.e. full-time or part-time. The current compensation range for this role is $50.11 to $67.36. The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire, in which a wide range of factors will be considered, including but not limited to, skillset, years of applicable experience, education, credentials and licensure. Employment Status Full Time Shift Nights Equal Employment Opportunity Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf Privacy Notice Privacy Notice for California Applicants: https://www.primehealthcare.com/wp-content/uploads/2024/04/Notice-at-Collection-and-Privacy-Policy-for-California-Job-Applicants.pdf
RN Outpatient Full-time
Cedars-Sinai

Registered Nurse IV - Heart Institute Ambulatory - 10 Hour Days

Cedars-Sinai West Hollywood, CA
Job Description Are you ready to bring your expert clinical skills to a world-class facility recognized as top ten in the country for cardiology? Do you have a passion for the highest quality and patient happiness? Then please respond to this dynamic opportunity available with one of the best places to work in Southern California! We would be happy to hear from you. The Smidt Heart Institute is home to a distinguished team of experts who are setting the bar for cardiovascular care in the United States. The Institute unites 16 centers and programs to diagnose and treat the full spectrum of heart and vascular conditions for all patients, from infants to those with advanced disease. Compassionate care is integrated with an agile research enterprise, giving patients access to pioneering treatments. Qualifications Qualifications: Education: BSN (Bachelor of Science, Nursing) required License/Certifications: Current, unrestricted California RN license required Nursing Certification required. Specialized certification in pediatrics or cardiology preferred. ACLS or ALS from American Heart Association or American Red Cross required. Additional PALS certification preferred. Experience: A minimum of 5 years of Cardiac nursing experience required Experience caring for pediatric and congenital heart disease patients in an ambulatory, inpatient, or procedural setting preferred. Charge Nurse experience preferred Must be a Clinical Nurse III for at least 1 year to be promoted within the clinical ladder
RN ICU Full-time
PIH Health

Registered Nurse (RN), Critical Care, Full time, 7pm-7:30am

PIH Health Whittier, CA
$50.50 - $84.25 / hour
Provides direct nursing care including assessment, plan of care, education, and evaluation for assigned patients. Performs patient duties necessary to maintain the flow of patient care as well as coordinates the delivery of care provided by other care team members and disciplines. PIH Health is a nonprofit, regional healthcare network that serves approximately 3 million residents in the Los Angeles County, Orange County and San Gabriel Valley region. The fully integrated network is comprised of PIH Health Downey Hospital, PIH Health Good Samaritan Hospital, PIH Health Whittier Hospital, 37 outpatient medical office buildings, a multispecialty medical (physician) group, home healthcare services and hospice care, as well as heart, cancer, digestive health, orthopedics, women’s health, urgent care and emergency services. The organization is nationally recognized for excellence in patient care and patient experience, and the College of Healthcare Information Management Executives (CHIME) has identified PIH Health as one of the nation’s top hospital systems for best practices, cutting-edge advancements, quality of care and healthcare technology. For more information, visit PIHHealth.org or follow us on Facebook , Twitter , or Instagram . Required Skills Written and verbal communications, interpersonal skills. Basic organizational skills. Basic computer skills. Demonstrated leadership abilities. Patient assessment. Clinical education related to specialty. Principles of patient/family teaching. Required Experience Current California RN license Evidence of continuing education Current experience in an acute care facility Current Basic Life Support Card Basic EKG interpretation required Current ACLS certification required Current NIHSS certificate Critical Care Course preferred ICU experience preferred Address 12401 Washington Blvd. Salary 50.50-84.25 Shift Nights Shift Differential 7.00 Zip Code 90602
RN ICU Full-time
Prime Healthcare

Registered Nurse, RN - ICU

Prime Healthcare Lynwood, CA
$50.11 - $67.36 / hour
Overview St. Francis Medical Center is one of the leading comprehensive healthcare institutions in Los Angeles. St. Francis provides vital healthcare services for the 700,000 adults and 300,000 children in our community who count on the hospital for high quality and compassionate medical care. St. Francis is recognized for its full range of diagnostic and treatment services in specialties including Cardiovascular, Surgical, Orthopedics, Obstetrics, Pediatrics, Behavioral Health, and Emergency and Trauma Care. In addition, the hospital offers a broad array of education and outreach programs that advance community health. St. Francis Medical Center is a Comprehensive Stroke Center, STEMI Receiving Center, ED Approved for Pediatrics, Geriatric ED, Level III Neonatal ICU, and Level II Trauma Center. Please visit www.stfrancismedicalcenter.com for more information. Join an award-winning team of dedicated professionals committed to compassion, quality, and service! Responsibilities The Registered Nurse is responsible for the delivery of safe patient care utilizing the nursing process of assessment, planning, implementation and evaluation. Provides direct patient care within the scope of practice. The Registered Nurse also directs and guides patient/family teaching and activities of other nursing personnel while maintaining standards of care in the ICU. The Registered Nurse is directly responsible and accountable for the care given to his/her assigned patients. They communicate with the physician about changes in the patient’s clinical condition including hemodynamic monitoring, results of diagnostic studies and abnormal results and symptomatology. Is able to respond quickly and accurately to changes in condition and/or response to treatment. Maintains patient privacy and confidentiality. Qualifications EDUCATION, EXPERIENCE, TRAINING 1. Current and valid state RN License.2. Current BLS certificate upon hire and maintain current.3. Completion of Critical Care Course preferred. 4. Basic Arrythmia Interpretation within 30 days of hire.5. Current ACLS certificate 30 days upon hire and maintain current. 6. Minimum of one year as a staff RN in acute care hospital, critical care preferred.7. Critical Care RN (CCRN) Certification preferred. 8. Bachelor of Science in Nursing (BSN) preferred. Pay Transparency St. Francis Medical Center offers competitive compensation and a comprehensive benefits package that provides employees the flexibility to tailor benefits according to their individual needs. Our Total Rewards package includes, but is not limited to, paid time off, a 401K retirement plan, medical, dental, and vision coverage, tuition reimbursement, and many more voluntary benefit options. Benefits may vary based on collective bargaining agreement requirements and/or the employment status, i.e. full-time or part-time. The current compensation range for this role is $50.11 to $67.36. The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire, in which a wide range of factors will be considered, including but not limited to, skillset, years of applicable experience, education, credentials and licensure. Employment Status Full Time Shift Nights Equal Employment Opportunity Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf Privacy Notice Privacy Notice for California Applicants: https://www.primehealthcare.com/wp-content/uploads/2024/04/Notice-at-Collection-and-Privacy-Policy-for-California-Job-Applicants.pdf
CNA Full-time
Driftwood Healthcare Center

Certified Nursing Assistant CNA

Driftwood Healthcare Center Torrance, CA
A Certified Nursing Assistant (CNA) is responsible for providing routine nursing care in accordance with established policies and procedures and as may be directed by the Charge Nurse, RN Supervisor, Director of Nurses or Administrator, to assure that the highest degree of quality resident care can be maintained at all times. Certified Nursing Assistant (CNA) QUALIFICATIONS • Currently enrolled in a school for nursing assistants or have a license as a certified nursing assistant. • A minimum of 6 months experience as a certified nursing assistant or clinical experience while enrolled in a nursing assistant certification class. • Must possess a sincere desire to serve the ill, aged and infirm. • Ability to read, write and speak the English language. • Possess the ability to deal tactfully with personnel, residents, family members, visitors, and the general public. • Willingness to work harmoniously with other personnel. • Must have patience, tact, cheerful disposition and enthusiasm, as well as be willing to handle residents based on whatever maturity level they are currently functioning. • Must be in good general health and demonstrate emotional stability. • Must be able to relate to and work with ill, disabled, elderly, emotionally upset, and, at times, hostile people within the facility. Certified Nursing Assistant (CNA) GENERAL DUTIES AND RESPONSIBILITIES: GENERAL • Perform all duties as assigned and in accordance with facility’s established policies and procedures, nursing care procedures and safety rules and regulations. • Make resident rounds at the beginning of each shift and every two hours thereafter to administer quality nursing care. • Verify the identification of a resident before administering nursing care or serving food, to assure that appropriate care is being provided to the correct resident. Report missing ID bands to admission coordinator immediately. • Make beds, clean bedside and overbed tables. • Serve drinking water as required. Assure that water pitchers are cleaned, filled with fresh drinking water and within the resident’s reach. Pass water pitcher as per established policy and procedure. • Dress residents neatly and in their own clothing. Assist residents in dressing as necessary. • Assist in preparing residents for meals (taking to/from dining room, serving trays, placing bibs, assisting in feeding or cutting food, removal of trays, supervision in dining room, etc.). • Serve nourishment in accordance with established facility procedures. • Feed residents who cannot feed themselves. • Assure that resident’s food is accessible and self-help devices are available as needed. • Prepare residents for therapy, activities, physician visits, religious services, etc., to include transporting residents to/from such activities. • Keep incontinent residents clean and dry as possible at all times. Change bed linens, diapers and clothing as often as necessary. • Do not permit residents to smoke in bed. • Assure that the nurse’s call system is attached to the bed and within easy reach at all times when residents are bedfast. • Answer residents’ call lights promptly. • Check for food in residents’ room. Ensure that food is kept in a sealed container. • Report all complaints to the Charge Nurse. • Report any resident abuse immediately (ie., harsh/abusive language, unnecessary roughness, etc.) • Report any medication found in the resident’s room. Take to the Charge Nurse immediately. • Report all hazardous conditions and faulty equipment to the Charge Nurse immediately. • Report any bruise, skin tears, incidents or accidents to the Charge Nurse immediately. • Attend in-service educational programs, on the job training programs and meetings as directed. • Other related duties as may become necessary or as directed by the Charge Nurse, RN Supervisor, Director of Nurses, or Administrator. Certified Nursing Assistant (CNA) CLINICAL • Wash hands before and after caring for each resident. • Place residents in correct and comfortable position. Head of bed elevated at 30° for all residents on enteral feeding. • Assist residents with dental and mouth care. Clean dentures after each meal. Keep dentures clean and soaked with Efferdent after dinner. • Record resident’s food and nourishment intake as directed. • Perform after meal care as required – cleaning resident’s hands, face, clothing, dentures, etc. • Assist residents to/from bathroom. Offer bedfast residents bedpans and urinals. Clean and store such equipment after each use (document Intake and Output as directed). • Check and document bowel movements and character of stools every shift. • Bathe residents as assigned and in accordance with established facility procedures (encourage showers and other self-help measures/activities). • Comb and brush resident’s hair daily. Shampoo hair on shower days. • Clip and trim fingernails. • Shave male residents daily or as needed. • Keep hair under arms and face on female residents clean-shaven as necessary or instructed. Trim hair in nose and ears as needed. • Observe and report the presence of reddened areas on bony prominences. • Keep drainage bag off the floor when resident is in bed or in wheelchair. • Apply Vaseline or A & D ointment to dry skin in accordance with established policies. • Move and turn bedfast residents at least every two hours and record such information on CNA notes. • Observe disoriented and comatose residents and notify Charge Nurse immediately. • Apply postural support properly. Check with Charge Nurse for type of restraint to be used. • Apply hand roll or splint to residents with contractures as outlined within the facility’s established policies and procedures. • Follow infection control procedures in accordance with established facility policy when isolation techniques are necessary. • Chart required information every shift. • Complete Intake and Output documentation on all residents with orders before the end of each shift. • Other related duties as may become necessary or as directed by the Charge Nurse, RN Supervisor, Director of Nurses, or Administrator. Certified Nursing Assistant (CNA) CONSUMER SERVICE • Presents professional image to consumers through dress, behavior and speech. • Adheres to Company Standards for resolving consumer concerns. • Ensures that all consumer/resident rights are protected.
RN Telehealth Full-time
L.A. Care Health Plan

Appeals and Grievances Nurse Specialist RN II

L.A. Care Health Plan Los Angeles, CA
$88,854 - $142,166 / year
Salary Range: $88,854.00 (Min.) - $115,509.00 (Mid.) - $142,166.00 (Max.) Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation’s largest publicly operated health plan. Serving more than 2 million members, we make sure our members get the right care at the right place at the right time. Mission: L.A. Care’s mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose. Job Summary The Appeals and Grievances (A&G) Nurse Specialist Registered Nurse (RN) II provides direct assistance to members with health care access or benefit coordination issues, ensuring that clinical grievances, complaints and complex issues are investigated and resolved to the member's satisfaction in a manner consistent with L.A. Care, Centers of Medicare and Medicaid Services (CMS) and regulatory guidelines. Benefit coordination may involve coordinating multiple L.A. Care products, Fee for services (FFS) Medi-Cal/Medicare, or commercial insurance. Duties Conducts intake/triage and appropriate classification of Clinical A&G, and Pharmacy requests and makes accurate judgment on appeal, grievance, Provider Claim Disputes, medical records or other issues and follows procedures on how to handle each type of request and route to the appropriate area within the department. Investigation, and resolution of clinical member complaints (grievances/appeals) utilizing all regulatory requirements. Investigation, and resolution of clinical Provider Complaints/ Provider Data Resolution (PDR) (grievances/appeals) utilizing regulatory and internal guidelines and Service Level Agreement (SLA). Identification of Expedited Cases and resolution within 72 hours. Works with the external providers and Participating Physician Group's (PPG) representatives to obtain relevant medical records and communication documentation. Prepares resolved complaint files for Centers for Medicare and Medicaid Services (CMS), DMHC, and external review organization (QIO or IRE). Process the case thru to effectuation and final case documentation in the A&G system of record. Investigation and preparation of State Fair Hearing cases as assigned. Prepares resolved complaint files for CMS external review organization - Quality Improvement Organization (QIO) or Independent Review Entity (IRE). Conducts reviews and presents to physicians, provider disputes which would be based on medical necessity reviews. Prepares authorizations, after approval by the Medical Director. When necessary, outreaches to providers, vendors, hospitals, and members to request necessary information or to provide case status and/or next steps. In instances where necessary, sends written notifications to appropriate parties. All interactions including verbal outreach and written communication will be documented in the A&G system of record. Participates inter-rater reliability training and assessments. Perform other duties as assigned. Duties Continued Education Required Associate's Degree in Nursing Education Preferred Bachelor's Degree in Nursing Experience Required: At least 5 years of experience in Clinical RN. At least 2 years in Medicare/ Medicaid in a managed care/ health plan environment. Skills Required: Excellent interpersonal and communication skills. Computer literacy and adaptability to computer learning. Time management and priority setting skills. Must be organized and a team player Able to work effectively with various internal departments/service areas, L.A. Care's plan partners, participating provider groups, and other external agencies. Good working knowledge of regulatory requirements/standards. Licenses/Certifications Required Registered Nurse (RN) - Active, current and unrestricted California License Licenses/Certifications Preferred Required Training Physical Requirements Light Additional Information This position requires work after hours, on weekends, holidays, a hybrid remote schedule, occasional flexibility in hours/shift in critical situations and work on-call. This position requires handling various caseloads and flexibility to adapt to changing priorities which may include but not limited to redistributed work assignments, team projects, and other priorities as assigned Salary Range Disclaimer: The expected pay range is based on many factors such as geography, experience, education, and the market. The range is subject to change. L.A. Care offers a wide range of benefits including Paid Time Off (PTO) Tuition Reimbursement Retirement Plans Medical, Dental and Vision Wellness Program Volunteer Time Off (VTO)