Nursing Jobs in East Los Angeles, CA

RN Utilization Review Telehealth Full-time
L.A. Care Health Plan

Utilization Management Clinical Quality Nurse Reviewer 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 Clinical Quality Nurse Reviewer RN II, under the purview of the Utilization Management (UM) Department Leadership Team, is responsible for conducting and tracking targeted and random internal department documentation audits. This role ensures that UM practices and supporting documentation are compliant with all regulatory requirements. The Incumbent also serves as a Subject Matter Expert during external audits as well as leads pre- and post-audit preparation/follow-up. This position actively participates in the development and review of policies and procedures to certify compliance with regulatory guidelines and mandates. This position focuses on UM cases for all lines of business to identify areas of opportunity for increasing positive audit outcomes and improved service to L.A. Care’s membership. This position is responsible for identifying and monitoring staff (non-clinical, nurse, and physician) performance against key performance indicator trends that warrant recognition or remediation. This position performs data mining and analysis and creates reports on audit findings, as well as makes recommendations, to submit to the department's Quality Assurance Team and UM Management. Duties Facilitates the development, review, and revision of organizational and departmental process flows to ensure compliance with relevant regulatory, organizational, and departmental guidelines. Keenly focuses on practices and documentation of clinical staff, serving as a resource on state and federal industry mandates applicable to UM functions. Generates results of findings, enhances, and analyzes various reports related, but not limited to, quality and accuracy of case documentation. Works with department leadership to assess for all opportunities related to quality improvements. Compiles and presents quality report cards that measure adherence to quality and regulatory compliance. Keeps UM Leadership apprised of departmental and industry trends, deficiencies, and any potential risks, and collaborates with the team to develop and execute mitigation efforts. Serves as a consultant to the organization's Compliance team on an ad hoc basis. Performs other duties as assigned. Duties Continued Education Required Associate's Degree in Nursing Education Preferred Bachelor's Degree Master's Degree in Nursing Experience Required: At least 5 years of experience in Clinical Nursing. Minimum of 2 years of auditing clinical documentation. Active participation in at least two state regulatory audits and one federal regulatory audits. Previous experience with Medi-Cal and Medicare in a managed care environment and experience with mitigation planning and implementation. Preferred: Experience performing clinical documentation for a health plan. Active participation in at least three state regulatory audits, at least one National Committee for Quality Assurance (NCQA) audit and/or Centers for Medicare and Medicaid Services (CMS) audit. Background in teaching and/or clinical education. Skills Required: Superior verbal and written communication skills. Advanced computer proficiency in both Microsoft Word and Excel. Strong analytical and team building skills. Ability to work independently and be self-directed. Ability to work effectively with diverse team members. Strong problem-solving skills. Ability to multitask and streamline day-to-day operations. Ability to translate regulatory requirements into auditable tools. Preferred: Proven ability to lead successful performance improvement projects. 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 - 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)
NP Outpatient Full-time
AltaMed

Nurse Practitioner

AltaMed Los Angeles, CA
Grow Healthy If you are as passionate about helping those in need as you are about growing your career, consider AltaMed. At AltaMed, your passion for helping others isn’t just welcomed – it’s nurtured, celebrated, and promoted, allowing you to grow while making a meaningful difference. We don’t just serve our communities; we are an integral part of them. By raising the expectations of what a community clinic can deliver, we demonstrate our belief that quality care is for everyone. Our commitment to providing exceptional care, despite any challenges, goes beyond just a job; it’s a calling that drives us forward every day. Job Overview The Nurse Practitioner provides medical services to clients, ensuring appropriate and professional medical services. Minimum Requirements Graduation from an accredited Baccalaureate school of nursing. Completed training in the diagnosis and management of common and some complex medical conditions. Current licensure in the State of California. Certification as an Adult/Family/Pediatric/Women’s Health Nurse Practitioner. Previous experience with computer-based systems is required; Electronic Medical Records experience is preferred. A minimum requirement of a valid BLS certification or higher, following the American Heart Association (AHA) or the American Red Cross guidelines. Compensation Pay for this job starts at $160,680.00 annually Compensation Disclaimer Actual salary offers are considered by various factors, including budget, experience, skills, education, licensure and certifications, and other business considerations. The range is subject to change. AltaMed is committed to ensuring a fair and competitive compensation package that reflects the candidate's value and the role's strategic importance within the organization. This role may also qualify for discretionary bonuses or incentives. Benefits & Career Development Medical, Dental and Vision insurance 403(b) Retirement savings plans with employer matching contributions Flexible Spending Accounts Commuter Flexible Spending Career Advancement & Development opportunities Paid Time Off & Holidays Paid CME Days Malpractice insurance and tail coverage Tuition Reimbursement Program Corporate Employee Discounts Employee Referral Bonus Program Pet Care Insurance Job Advertisement & Application Compliance Statement AltaMed Health Services Corp. will consider qualified applicants with criminal history pursuant to the California Fair Chance Act and City of Los Angeles Fair Chance Ordinance for Employers. You do not need to disclose your criminal history or participate in a background check until a conditional job offer is made to you. After making a conditional offer and running a background check, if AltaMed Health Service Corp. is concerned about a conviction directly related to the job, you will be given a chance to explain the circumstances surrounding the conviction, provide mitigating evidence, or challenge the accuracy of the background report.
NP Telehealth Telehealth Contract
Allara Health

Telehealth Nurse Practitioner | W2 FT

Allara Health Los Angeles, CA
$120,000 - $130,000 / year
Allara is a comprehensive women’s health provider that specializes in expert, longitudinal care that supports women through every life stage. Trusted by over 60,000 women nationwide, Allara makes expert healthcare accessible by connecting patients with multidisciplinary care teams that have a deep understanding of hormonal, metabolic, and reproductive care. Allara provides ongoing support for hormonal conditions like PCOS, chronic conditions like insulin resistance, and life stages like perimenopause, helping patients see improved health outcomes . As one of the fastest-growing women’s health platforms in the U.S., Allara is bridging long-overlooked gaps in healthcare for women. The Opportunity We're hiring board-certified Nurse Practitioners who want to focus on what matters most: delivering exceptional care to women who have historically been underserved. To learn more about our mission and clinical approach, visit allarahealth.com . Location: Fully remote within the U.S. Your Impact Conduct thorough patient assessments and develop personalized treatment plans via video visits Collaborate with a multidisciplinary care team to deliver the highest standards of care Complete required trainings and uphold Allara's clinical policies, standards, and best practices Educate patients on preventive care and wellness using evidence-based strategies Maintain accurate, up-to-date patient records and complete charting in a timely manner Respond to patient questions and administrative messages with clarity and care Dedicate a full-time focus to patient care, including consultations and medical guidance, with prescribing when clinically appropriate Required Qualifications Certification: Active national board certification as a (WHNP, FNP, or similar). Experience: Minimum of 2 years of consecutive experience as a Nurse Practitioner specializing in women's health and treating chronic conditions such as PCOS, Endometriosis, Hypothyroidism, Hashimoto’s, Metabolic Syndrome, Menopause, Fertility, Postpartum, PMDD, and Obesity. Clinical Independence: Proven ability to function as an autonomous provider with strong diagnostic judgment and critical thinking skills Communication: Exceptional written and verbal communication, with an emphasis on compassion and clarity Webside Manner: A natural ability to build trust and connection with patients in a virtual setting Evidence-Based Practice: A genuine commitment to delivering care rooted in current clinical research Technical Proficiency: Comfortable working across multiple platforms including EMR systems, text expanders, Gmail, Google Calendar, Zoom, and scheduling tools Telemedicine Experience: Prior telehealth experience is a plus State License Requirements & Hiring Considerations: An active, unrestricted, and unencumbered professional license in at least one U.S. state is required. A note on state licensing: All active and pending licenses held at the time of application are collected and reviewed during our process. Hiring decisions reflect current state-level needs, which evolve over time. Applicants may not move forward immediately if there is no active need in their licensed states. We regularly revisit candidates as needs expand and when experience, licensure, and role requirements align. What Allara Offers Annual base salary range: $120,000 – $130,000, and can increase up to $172,500 - $182,500 through our incentive compensation program. Final base salary & incentive range is commensurate with years of relevant experience. Health and Wellness: Medical, dental, and vision benefits Future Planning: 401(k) plan Time Off: Annual vacation, sick days, and holidays CME: Annual stipend and dedicated PTO days Flexible Scheduling: Set your schedule within full-time hour requirements Malpractice Insurance: Comprehensive coverage provided at no cost to you Mission-Driven Work: Help transform the standard of care for women living with conditions that have historically been underdiagnosed and undertreated Collaborative Provider Network: Connect with and learn from a community of skilled, like-minded Allara clinicians Inclusive Culture: Join a supportive, diverse team that values innovation, equity, and belonging #LI-JB1 At Allara , we believe in celebrating everything that makes us human and are proud to be an equal-opportunity workplace. We embrace diversity and are committed to building a team that represents a variety of backgrounds, perspectives, and skills. We believe that the more inclusive we are, the better we can serve our members. We’re an Equal Opportunity Employer and do not discriminate against candidates or patients based on race, color, gender, sexual orientation, gender identity or expression, age, religion, disability, national origin, protected veteran status, or any other status protected by applicable federal, state, or local law.
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 ICU Full-time
Cedars-Sinai

Nursing Assistant - Intensive Care Unit - Full time - 12hr Days- Marina del Rey Hospital

Cedars-Sinai Marina del Rey, CA
Job Description Make a difference every single day! Cedars-Sinai Marina del Rey Hospital and its staff aim to exceed the expectations of our patients, their families and the community with a service-oriented attitude. We seek excellence, courtesy, teamwork, respect, communication and enthusiasm in our future colleagues. If you are looking for exciting career opportunities with growth potential, come and join the team at Cedars-Sinai Marina del Rey Hospital! Job Duties and Responsibilities: The Nurse Assistant assists patients with activities of daily living, provides basic nursing care to non-acutely ill patients and assists in maintenance of a safe and clean environment under the directions and supervision of the registered nurse in charge of the team and/or unit. • Provides basic nursing care to non-acutely ill patients within the nursing attendant’s scope of practice that includes actions that meet psychosocial and physical needs. • Performs other duties as assigned, within the nursing attendant’s scope of practice • Performs basic patient care responsibilities considering needs specific to the standard of care for patient’s age. • Notifies appropriate licensed personnel when patient complains of pains • Demonstrates ability to communicate to the Registered Nurse (RN) any observed changes in patient status and responses. • Demonstrates ability to assist with feeding patients and maintaining fluid balance with technique appropriate for patient’s age and physical condition. • Provides explanation to patient and family prior to administering care to patient; answers questions within scope of practice. • Communicates appropriately and clearly to Nursing Unit Director, Charge Nurse and/or team leader, co-workers and physicians. • Provides care appropriate to condition and age of patient, including geriatric and general population. • Demonstrates an ability to assist physicians with procedures and performs services requiring technical and manual skills under the direction of an RN. • Demonstrates an ability to be flexible, organized and function under stressful situations. • Interacts professionally with patient/family and involves patient/family in the formation of the plan of care. • Meets current documentation standards and policies and completes within shift. • Demonstrates knowledge of disease entities. • Other duties as needed. Shifts: Day Shift 0600-1830 including some weekends shifts Qualifications Educational Requirements: High School diploma/General Equivalency Diploma (GED) License/Certifications: Certified Nursing Assistant (preferred) Current BLS certification (required) Experience: 6 months to 1 year work related experience preferred Ability to read and communicate effectively in English Basic computer knowledge
RN Oncology Full-time
Adventist Health

RN-Oncology, Day Shift Full Time

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 Delivers coordinated nursing care for a patient or an assigned group of patients according to established standards of care and the nursing process. Supervises and directs the activities of various levels of assigned nursing staff, and coordinates care with other disciplines while utilizing critical thinking, professional and supervisory discretion, and independent judgment. Job Requirements Education and Work Experience: Bachelor's Degree in Nursing (BSN): Preferred Acute care facility experience: 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: Required Facility Specific License/Certifications Basic Life Support (BLS OR HS-BLS OR RQI BLS) certification: Required Essential Functions Collects relevant data pertinent to the patient’s health or situation. Analyzes the assessment data in determining diagnosis and care issues. Develops a plan that prescribes interventions to attain outcomes. Implements the plan, coordinates care delivery, and employs strategies to promote health and a safe environment. Evaluates progress toward attaining outcomes. Identifies outcomes for the patient or the patient’s situation. Collaborates with the team of patient, family, and healthcare providers in providing patient care in a safe, healing, humane, and caring environment. Provides learning opportunities for patients/family members and team members. Directly provides health information to patients, families, and treatment team. Participates in discharge planning in order to provide continuity of care. Delegates appropriately and coordinates duties of healthcare team members. 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 Full-time
Cedars-Sinai

Registered Nurse III - Cardiac Cath Lab - 12 Hour Days

Cedars-Sinai Los Angeles, CA
Job Description Description for Internal Candidates 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 Cardiovascular Intervention Center is a core element of the Smidt Heart Institute, performing more than 8,000 procedures a year. The department serves the populations of neonates to and including geriatrics. In this twelve-laboratory facility, we perform a wide range of diagnostic and therapeutic procedures for coronary artery disease, heart muscle function and heart valve dysfunction. Same Posting Description for Internal and External Candidates Qualifications Qualifications: Education: Graduate of an accredited Nursing program required BSN strongly preferred License/Certification: Valid California RN License required ACLS from the American Heart Association required CCRN, CVRN, or RCIS required (or obtain within one year of hire to maintain CN III status) Experience: 3 years of Acute Care Nursing experience required At least 1 year of Critical Care experience strongly recommended Experience in Special Procedures/Cardiac Cath Lab/EP preferred Experience preferred in diagnostic and therapeutic interventions with all patient populations for CN II or III qualification Cedars-Sinai is an EEO employer. Cedars-Sinai does not unlawfully discriminate on the basis of the race, religion, color, national origin, citizenship, ancestry, physical or mental disability, legally protected medical condition (cancer-related or genetic characteristics or any genetic information), marital status, sex, gender, sexual orientation, gender identity, gender expression, pregnancy, age (40 or older), military and/or veteran status or any other basis protected by federal or state law. If you need a reasonable accommodation for any part of the employment process, please contact us by email at Applicant_Accommodation@cshs.org and let us know the nature of your request and your contact information. Requests for accommodation will be considered on a case-by-case basis. Please note that only inquiries concerning a request for reasonable accommodation will be responded to from this email address. Cedars-Sinai will consider for employment qualified applicants with criminal histories, in accordance with the Los Angeles Fair Chance Initiative for Hiring. At Cedars-Sinai, we are dedicated to the safety, health and wellbeing of our patients and employees. This includes protecting our patients from communicable diseases, such as influenza (flu). For this reason, we require that all new employees are vaccinated on the seasonal availability of flu vaccine (typically during September through March each year) as a condition of employment, and annually thereafter as a condition of continued employment.
RN Full-time
Prime Healthcare

Registered Nurse, RN- Case Manager

Prime Healthcare Inglewood, CA
$46.87 - $65.63 / hour
Overview At Centinela Hospital Medical Center, our dedicated team of professionals are committed to our core values of quality, compassion, and community. As a member of Prime Healthcare, a Top-15 hospital system in the United States, Centinela Hospital Medical Center is actively seeking new members to join its award-winning team! Centinela Hospital Medical Center has been serving the communities of Inglewood and the wider Los Angeles area for 100 years. An award-winning facility, ranking in the top 5% nationally for quality and patient safety, Centinela Hospital is a 362-bed acute-care hospital with a 24-hour STEMI certified emergency department and primary stroke center, orthopedic care, advanced cardiac services, critical care services, inpatient and outpatient rehab programs, and more. Centinela has earned hundreds of national awards and recognitions, including "100 Top Hospital" recognition from Fortune/Merative and straight 'A's (2018-2024) for hospital safety from The Leapfrog Group. For more information, visit www.centinelamed.com. Responsibilities Responsible for the quality and resource management of all patients that are admitted to the facility from the point of their admission and across the continuum of the health care management. Works on behalf of the advocate, promoting cost containment and demonstrates leadership to integrate the health care providers to achieve a perceived seamless delivery of care. The methodology is designed to facilitate and insure the achievement of quality, clinical and cost effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, intensity of service and severity of illness. Qualifications EDUCATION, EXPERIENCE, TRAINING 1. A current California State Registered Nurse (RN) license is required. 2. Five years acute care nursing experience preferred. 3. At least one year experience in case management, discharge planning or nursing management, preferred. 4. Current BCLS (AHA) certificate, preferred. 5. Knowledge of Milliman Criteria and InterQual Criteria preferred. 6. Experience and knowledge in basic to intermediate computer skills. To speak to a recruiter within 24 hours text: (310) 455-8305 or Schedule a time here: https://calendly.com/wmatajimenez-primehealthcare/connect-with-wendy-rncasemanager Pay Transparency Centinela Hospital 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. A reasonable compensation estimate for this role, which includes estimated wages, benefits, and other forms of compensation, is $46.87 to $65.63. 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 Days 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 ICU Full-time
Emanate Health

R.N. II ICU - Full Time - Nights - 12hr QVH

Emanate Health Walnut Valley, CA
$48.97 - $74.88 / hour
Current Emanate Health Employees - Please log into your Workday account to apply Everyone at Emanate Health plays a vital role in the care we deliver. No matter what department you belong to, the work you do at Emanate Health affects lives. When you join Emanate Health, you become part of a team that works together to strengthen our communities and grow as individuals. On Glassdoor's list of "Best Places to Work" in 2021, Emanate Health was named the #1 ranked health care system in the United States, and the #19 ranked company in the country. Job Summary The Staff RN is a professional caregiver who assumes responsibility and accountability for a group of patients for a designated time frame. He/she is a clinical practitioner who coordinates and implements patient care specific to the age of the patient population served on the assigned units. He/she ensures that quality care is provided in an efficient and safe manner consistent with the unit's standard of care. Utilizes nursing skills to determine the biophysical, psychosocial, environmental, self-care and educational needs of the patient/family/significant other to develop, implement and revise the plan of care. Job Requirements Minimum Experience Requirement: All (1) newly graduated nurses, (2) re-entry nurses, and (3) nurses new to the U.S. healthcare system must satisfactorily complete the Emanate Health R.N. New Grad Program. One year critical care experience is preferred. Excellent customer service skills required. Minimum License Requirement: Current RN license in the State of California. BLS certification required. ACLS required within three (3) months of hire/transfer. National Institutes of Health (NIH) Stroke Scale Certification "A" required within three (3) months of hire/transfer. Annual eight (8) hours of Stroke Education required for those working at QVH. Must be available to work every other weekend Delivering world-class health care one patient at a time. Pay Range: $48.97 - $74.88
RN Full-time
Torrance Memorial Medical Center

Case Management Nurse I - FT Days

Torrance Memorial Medical Center Torrance, CA
$55.56 - $85.96 / hour
Under supportive supervision, the Case Management Nurse I position supports the physician and interdisciplinary team in the provision of patient care, with the underlying objective of enhancing the quality of clinical outcomes and patient satisfaction while managing the cost of care and providing timely and accurate information to payers. The role integrates and coordinates utilization management, transitions of care, and discharge planning functions. The Level II RN Case Manager is accountable for a designated patient caseload and plans effectively in order to ensure patients receive the right care in the most appropriate setting, manage the length of stay, and promote efficient utilization of resources. Core Competencies Adheres to policies, procedures, and standards of practice to deliver safe and optimal care Complies with Joint Commission’s national patient safety goals Complies with organizational quality dashboard/benchmarking goals Maintains regulatory compliance consistent with quality standards and ethical obligations of the profession Participates in activities in alignment with the Magnet Model Participates in organizational committees, task forces and/or projects including presentation of project reports, committee recommendations, and task force activities at the unit level. Participates in Peer Review Participates in professional development activities Performs as a preceptor in an active and engaged manner Provides patient and family education throughout the care of patient Provides age specific and culturally competent discharge planning to all patients. Utilizes resources in an economical manner Department Specific Competencies Assesses, analyzes, synthesizes data gathered and develops an initial discharge plan. Collaborates/communicates with the multidisciplinary care team throughout the continuum of care. Ensures appropriate utilization management by analyzing and synthesizing clinical documentation, and collaborating with the multidisciplinary team to ensure patients are receiving the right care, in the right place at the most appropriate level of care. Establishes the patient/family/case manager relationship and determines their readiness to engage in the discharge planning process. Maintains a working relationship with ancillary departments, external case managers and post-acute care providers. Screens / identifies patients that may benefit from professional case management services. Uses critical thinking to formulate and carry out a discharge plan according to the patient’s needs. Utilizes the Electronic Health Record to ensure timely, accurate and complete documentation of assessments, referrals, and variances in care. Education Degree Program Associates Nursing Experience Number of Years Experience Type of Experience 1 Recent Acute Case Management experience 5 Nursing Clinical experience Additional Information or 1+ year(s) of comparable experience (such as a clinical liaison, clinical navigator) License / Certification Requirements Registered Nurse License BCLS or ACLS Certification Compensation Range: $55.56 - $85.96 / Hour #LI-KC1
CNA Full-time
Cedars-Sinai

Nursing Assistant - Float Pool - Full time - 12hr Nights- Marina del Rey Hospital

Cedars-Sinai Marina del Rey, CA
Job Description Make a difference every single day! Cedars-Sinai Marina del Rey Hospital and its staff aim to exceed the expectations of our patients, their families and the community with a service-oriented attitude. We seek excellence, courtesy, teamwork, respect, communication and enthusiasm in our future colleagues. If you are looking for exciting career opportunities with growth potential, come and join the team at Cedars-Sinai Marina del Rey Hospital! Job Duties and Responsibilities: The Nurse Assistant assists patients with activities of daily living, provides basic nursing care to non-acutely ill patients and assists in maintenance of a safe and clean environment under the directions and supervision of the registered nurse in charge of the team and/or unit. • Provides basic nursing care to non-acutely ill patients within the nursing attendant’s scope of practice that includes actions that meet psychosocial and physical needs. • Performs other duties as assigned, within the nursing attendant’s scope of practice • Performs basic patient care responsibilities considering needs specific to the standard of care for patient’s age. • Notifies appropriate licensed personnel when patient complains of pains • Demonstrates ability to communicate to the Registered Nurse (RN) any observed changes in patient status and responses. • Demonstrates ability to assist with feeding patients and maintaining fluid balance with technique appropriate for patient’s age and physical condition. • Provides explanation to patient and family prior to administering care to patient; answers questions within scope of practice. • Communicates appropriately and clearly to Nursing Unit Director, Charge Nurse and/or team leader, co-workers and physicians. • Provides care appropriate to condition and age of patient, including geriatric and general population. • Demonstrates an ability to assist physicians with procedures and performs services requiring technical and manual skills under the direction of an RN. • Demonstrates an ability to be flexible, organized and function under stressful situations. • Interacts professionally with patient/family and involves patient/family in the formation of the plan of care. • Meets current documentation standards and policies and completes within shift. • Demonstrates knowledge of disease entities. • Other duties as needed. Shifts: Night Shift 1800- 06:30 including some weekends shifts Qualifications Educational Requirements: High School diploma/General Equivalency Diploma (GED) License/Certifications: Certified Nursing Assistant (preferred) Current BLS certification (required) Experience: 6 months to 1 year work related experience preferred Ability to read and communicate effectively in English Basic computer knowledge
RN ICU Full-time
PIH Health

Registered Nurse (RN), ICU, Full Time, Days

PIH Health Los Angeles, CA
$54.94 - $82.64 / hour
Responsible for independently utilizing the nursing process to safely, therapeutically and efficiently care for a group of patients based on policies and procedures. Delivers individualized quality patient care through a coordinated team approach with physicians, staff, other departments and the patient’s family. Complies with the California Nurse Practice Act, Article 2, Section 2725 of the Business and Professions Code. 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 Strong verbal & written communication skills Critical thinking skills Problem solving skills Computer skills Required Experience Current California RN License BLS from American Heart Association ACLS from American Heart Association NIH Stroke Scale (NIHSS) certification within 6 months of employment LA City Fire Card within 6 months of employment CPI/VIP within 3 months of employment (Emergency Room) 1-Year of experience Address 1225 Wilshire Boulevard Salary 54.94-82.64 Shift Days Zip Code 90017
RN Other
Prime Healthcare

Registered Nurse (RN) - Case Manager

Prime Healthcare Huntington Beach, CA
$43.08 - $57.91 / hour
Overview Join an award-winning team of dedicated professionals committed to our core values of quality, compassion and community! Huntington Beach Hospital, a member of the Prime Healthcare Foundation, offers incredible opportunities to expand your horizons and be part of a community dedicated to making a difference. Founded in 1967, Huntington Beach Hospital is a 131-bed acute-care community hospital. As the only hospital in Huntington Beach, Huntington Beach Hospital is proud to be the community hospital serving the residents of Huntington Beach and the surrounding area for the past 50 years. Fully accredited by The Joint Commission, and with nearly 200 physicians and more than 400 healthcare and other professionals on staff, our team is committed to providing outstanding service in a safe, comfortable, and caring environment. Learn more at https://www.hbhospital.org/. Responsibilities Responsible for the quality and resource management of all patients that are admitted to the facility from the point of their admission and across the continuum of the health care management. Works on behalf of the advocate, promoting cost containment and demonstrates leadership to integrate the health care providers to achieve a perceived seamless delivery of care. The methodology is designed to facilitate and insure the achievement of quality, clinical and cost effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, intensity of service and severity of illness. Qualifications EDUCATION, EXPERIENCE, TRAINING 1. Starting April 1 2015. Minimum 5 years work experience post-graduation of an accredited school of nursing and a current state Registered Nurse license.2. Grandfathered prior to April 1, 2015. Minimum 5 years post graduate of an accredited school Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five years acute care nursing experience preferred. At least one year experience in case management, discharge planning or nursing management, preferred.4. Current BCLS (AHA) certificate, preferred. 5. Knowledge of Milliman Criteria and InterQual Criteria preferred.6. Experience and knowledge in basic to intermediate computer skills. Pay Transparency Huntington Beach Hospital 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. A reasonable compensation estimate for this role, which includes estimated wages, benefits, and other forms of compensation, is $43.08 to $57.91. 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 Part Time < 60 Shift Days 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 ICU Full-time
PIH Health

Registered Nurse (RN), ICU, Full Time, NIghts

PIH Health Los Angeles, CA
$54.94 - $82.64 / hour
Responsible for independently utilizing the nursing process to safely, therapeutically and efficiently care for a group of patients based on policies and procedures. Delivers individualized quality patient care through a coordinated team approach with physicians, staff, other departments and the patient’s family. Complies with the California Nurse Practice Act, Article 2, Section 2725 of the Business and Professions Code. 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 Strong verbal & written communication skills Critical thinking skills Problem solving skills Computer skills Required Experience Current California RN License BLS from American Heart Association ACLS from American Heart Association (Telemetry, CVDOU, ICU, CICU, DOU, AMI, Emergency Room, Recovery Room, Radiology Invasive, Electrophysiology ) NIH Stroke Scale (NIHSS) certification within 6 months of employment (ICU, CICU Emergency Room, & DOU, Radiology Invasive only ) NIHSS preferred (Telemetry & CVDOU, Electrophysiology Emergency Room) PALS from AHA within 6 months of employment (Emergency Room only, Recovery Room only) LA City Fire Card within 6 months of employment (PHGSH only) CPI/VIP within 3 months of employment (Emergency Room) 1-Year Emergency Department experience (Emergency Room) Emergency Nursing Pediatric Course preferred (ENPC) (Emergency Room) Neonatal Resuscitation from AAP & AHA (NRP) (90 days within employment for New Grads) (NICU/Labor & Delivery) 1-Year recent experience or acceptance in /completion of a training program (NICU/Labor & Delivery) Chemo Certification within 1 year of employment (Respiratory) 6-month experience or acceptance in/completion of a New Grad/Internship program (Respiratory) Two (2) years’ experience in an acute care hospital (Radiology Invasive) One (1) year recent critical care experience or One (1) year Interventional Radiology or Cardiac Cath Lab experience (Radiology Invasive) 1-Year recent critical care experience or 1-Year Electrophysiology Lab experience ( Electrophysiology ) Address 1225 Wilshire Boulevard Salary 54.94-82.64 Shift Nights Zip Code 90017
CMA Oncology Full-time
Cedars-Sinai

Medical Assistant - Cancer Center Exams - 8-Hour - Full Time - Days

Cedars-Sinai Los Angeles, CA
Job Description Join Cedars-Sinai! Cedars-Sinai was awarded the Advisory Board Company’s Workplace of the Year which is an award that recognizes hospitals and health systems nationwide that have outstanding levels of employee engagement. We also have a phenomenal benefits package and competitive compensation which explains 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 an inclusive environment that fuels innovation. A Little More About What You Will be Doing As a member of the patient care team, Medical Assistants are responsible for positive patient relations, professional telephone communication, verification of patient information by interviewing patient and confirming purpose of visit. The Medical Assistant is also responsible to prepare the patients for examination by performing preliminary physical tests, taking blood pressure, weight, and temperature, and reporting patient history summary. Duties & Responsibilities: Greets patients, take appropriate vital signs, review current medications and record in medical record. Assists with tracking and monitoring department specific data. Explains policies, procedures, or services to patients using clinical or administrative knowledge, based on scope of practice Leads patient care flow and assist with monitoring CS-Link message pools and standard work. Sets up exam room/procedure rooms appropriately based on patient visit needs. Sweeps clinical areas to monitor inventory based on standard work. Cleans/re-processes equipment and supplies based on standard work and department guidelines. Addresses patient, physician, and staff concerns and escalate accordingly. Provides assistance in QA measures for suites, including recording QC testing on designated equipment. Monitors their own workflow to identify opportunities for improvement. Participates in daily huddles and staff meetings. Qualifications Education Must provide a diploma as proof of Graduating from a Vocational/Technical Program from an accreditedmedical assistant school/program - required Experience 1 year of Medical Assistant, medical office, ambulatory care facility or medical group practice - required Licenses and Certifications Basic Life Support (BLS) - Basic Life Support issued by American Heart Association or American Red Cross - required Certified Registered Medical Assistant - Upon Hire preferred California CPT I Phlebotomy License required for some departments and preferred for others.
RN NICU Full-time
PIH Health

Registered Nurse (RN), NICU, Full Time, Nights 12 Hours

PIH Health Los Angeles, CA
Responsible for independently utilizing the nursing process to safely, therapeutically and efficiently care for a group of patients based on policies and procedures. Delivers individualized quality patient care through a coordinated team approach with physicians, staff, other departments and the patient’s family. Complies with the California Nurse Practice Act, Article 2, Section 2725 of the Business and Professions Code. 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 Strong verbal & written communication skills Critical thinking skills Problem solving skills Computer skills Required Experience Current California RN License BLS from American Heart Association S.T.A.B.L.E. Certification preferred LA City Fire Card within 6 months of employment Neonatal Resuscitation from AAP & AHA (NRP) Vioence Intervention and Prevention (VIP) within three months of employment 1-Year recent experience or acceptance in /completion of a training program Address 1225 Wilshire Boulevard Shift Nights Zip Code 90017
NP Outpatient Full-time
APLA Health

Nurse Practitioner

APLA Health Long Beach, CA
Requisition #: 50053 Status: Full-time, Exempt Schedule: Monday – Friday, 8AM – 5PM (Work hours beyond clinic hours may be required to complete tasks and documentation.) On-call (by phone only) duties are required. Onsite or Hybrid: Onsite position, 5 days per week POSITION SUMMARY: Under the direction of the Site Medical Director, Long Beach, the Nurse Practitioner will provide primary medical care services. ESSENTIAL DUTIES AND RESPONSIBILITIES: Provide primary medical care for adult patients at APLA Health at its medical clinic in Long Beach and other clinical sites as needed. Conduct histories and physical exams on patients Orders, interprets and evaluates diagnostic tests to identify and assess patients’ clinical problems and health care needs Establishes treatment plans, administers, furnishes or recommends medications Documents gathered information in medical record as required by policies and completes charting within 48 hours of a clinical encounter Provides health maintenance and preventative care according to quality evidence based standards and protocols related to contractual obligations Participates in chart review and quality assurance activities as part of APLA Health Quality Management Program Follow APLA Health PrEP and PEP protocols for qualified patients Provide medical management for transgender patients, including hormone therapy management Evaluate and treat patients presenting for sexually transmitted infection testing in accordance with protocols. Provide primary care services for HIV positive persons based on expert guidelines The NP will be expected to see 14 or more patients per full clinic day. The NP will have administrative time amounting to 10% of the work week. Other clinic duties may include telephone and in person triage, seeing same-day or walk in patients, and providing injection treatments OTHER DUTIES MAY BE ASSIGNED TO MEET BUSINESS NEEDS. REQUIREMENTS: Training and Experience: Possession of a valid California Nurse Practitioner license with no pending or previous disciplinary action from any state licensing entity. Minimum 1 year experience managing primary care patients preferred. Must possess a current, RN, NP Furnishing and DEA license and BLS/CPR certificate. Must be eligible to participate in Medicare, Medi-Cal, F-PACT and other federal health programs. Experience working with electronic health records required, eClinicalWorks preferred. Bilingual English-Spanish is a plus. Knowledge of: Experience with management of HIV positive persons and/or LGBTQIA+ persons preferred. Ability to: On-call duties by phone only are required. WORKING CONDITIONS/PHYSICAL REQUIREMENTS: This is primarily an office position that requires only occasional bending, reaching, stooping, lifting and moving of office materials weighing 25 pounds or less. The position requires daily use of a personal computer and requires entering, viewing, and revising text and graphics on the computer terminal and on paper. SPECIAL REQUIREMENTS: Must possess a valid California driver’s license; proof of auto liability insurance; and have the use of a personal vehicle for work related purposes. COVID vaccination and booster required or medical/religious exemption. An Equal Opportunity Employer.
RN PCU Full-time
Cedars-Sinai

Registered Nurse - Surgical Stepdown/Transplant - 6NW - 12-Hour Days - $5,000 Hiring Incentive!!

Cedars-Sinai Beverly Hills, CA
Job Description Make a difference every single day When the work you do every single day has a crucial impact on the lives of others, every effort, every detail, and every second matters. Progressive care nursing requires more than just exceptional technical skill. Our nurses give their compassion, their ambition, and everything they have to provide patients with the highest level of care. This culture of integrity, passion and dedication pulses through Cedars-Sinai, and it’s one of the many reasons we’ve earned a six-time Magnet designation. So if you’d like to be a part of one of the most talented teams in healthcare, we invite you to join us at Cedars-Sinai! Come discover for yourself why U.S. News & World Report has named us one of America’s Best Hospitals! Nurses in 6NW, our 32 Bed dynamic progressive care Surgical Stepdown unit, are dedicated professional nurses trained to care for post lung, liver, kidney transplant patients or those patients who have undergone other surgical procedures. The nurses attend multidisciplinary team rounds, caring for all solid organ transplant patients. As a Registered Nurse (RN) in our Surgical Stepdown you are responsible and accountable for the application of the nursing process and the delivery of patient care for the specialty patient population. You will also provide and accurately document direct and indirect patient care services that ensures the safety, comfort, personal hygiene, and protection of patients in a timely manner provide patient education on disease prevention and restorative measures. provide administration of medications and therapeutic agents necessary to implement treatment, disease prevention, or rehabilitative plan of care. perform skin tests, immunizations, phlebotomy and the initiation of peripheral venous access. observe and assess signs and symptoms of illness, reactions to medications/treatments, general behavior, and/or general physical condition to determine normal versus abnormal characteristics and initiate emergency procedures when indicated. plan and implement individualized patient care based on observations. Implements appropriate reporting, referrals and care in accordance with standardized procedures while providing care to special patient populations and patients with diverse cultural backgrounds. identify patients' readiness for learning and their ability to follow directions/instructions and give consent while identifying and assessing patient safety concerns with respect to age and developmental considerations. demonstrate the knowledge and the ability to identify and make special adjustments as required to the specific populations' needs, including cultural, spiritual, age, psychosocial, communication, gender, sexual orientation, economic, education, family and condition needs. This position is eligible for an Employee Referral Bonus. See our website for details: https://careers.cshs.org/employee-referrals Qualifications Educational Requirements: Graduate of an accredited nursing program. BSN or higher preferred. License/Certification/Registration Requirements: Current California State RN License required American Red Cross or American Heart Association Advanced Life Support certification (expiration date needs to be 60 days or more from the hire date). For RN III: Specialty Certification (external applicants may obtain within one year of hire) Experience: Minimum 1 year recent acute RN experience in specialty. Note: (3 years or more recent acute RN experience for Registered Nurse III) Working knowledge of applicable Standards of Practice. Demonstrated dedication to customer service and ability to meet the needs and expectations of patients and health care colleagues.
RN Full-time
Adventist Health

RN-GI Lab, Day Shift, Per Diem

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 Delivers coordinated nursing care for a patient or an assigned group of patients according to established standards of care and the nursing process. Supervises and directs the activities of various levels of assigned nursing staff, and coordinates care with other disciplines while utilizing critical thinking, professional and supervisory discretion, and independent judgment. Job Requirements Education and Work Experience: Bachelor's Degree in Nursing (BSN): Preferred Acute care facility experience: 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: Required Facility Specific License/Certifications Basic Life Support (BLS OR HS-BLS OR RQI BLS) certification: Required Essential Functions Collects relevant data pertinent to the patient’s health or situation. Analyzes the assessment data in determining diagnosis and care issues. Develops a plan that prescribes interventions to attain outcomes. Implements the plan, coordinates care delivery, and employs strategies to promote health and a safe environment. Evaluates progress toward attaining outcomes. Identifies outcomes for the patient or the patient’s situation. Collaborates with the team of patient, family, and healthcare providers in providing patient care in a safe, healing, humane, and caring environment. Provides learning opportunities for patients/family members and team members. Directly provides health information to patients, families, and treatment team. Participates in discharge planning in order to provide continuity of care. Delegates appropriately and coordinates duties of healthcare team members. 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 Wound Care Full-time
PIH Health

Registered Nurse (RN), CWOC, Certified Wound and Ostomy Nurse, Quality Management, Full time, Days

PIH Health Whittier, CA
$54.32 - $89.63 / hour
Provide care for individuals who have, or will have, a diverting ostomy. Provides wound and skin evaluation and care. This specialized nursing care is given independently and in collaboration with other members of the healthcare team. Functions as an educator for patients/significant others and staff. Precepts staff and students in the specialty. 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 Hospital - Whittier, PIH Health Hospital - Downey and PIH Health Good Samaritan Hospital, 27 outpatient medical locations, a multispecialty medical (physician) group, home healthcare services and hospice care, as well as heart, cancer, women’s health, urgent care and emergency services. The organization is recognized by Watson Health as one of the nation’s Top Hospitals, and College of Healthcare Information Management Executives (CHIME) as one of the nation’s top hospital systems for best practices, cutting-edge advancements, quality of care and healthcare technology. PIH Health is certified as a Great Place to Work TM . For more information, visit PIHHealth.org or follow us on Facebook , Twitter , or Instagram . Required Skills Principles and methods of adult education. Refined written and verbal communication. Expertise in clinical performance as demonstrated in use of nursing process. Clinical competence. Ability to plan, organize, control and evaluate. With consideration to age, utilizes the approved process to resolve biophysical, psychological, educational and environmental needs of patient/significant other when administering care. Computer skills. Required Experience Required: Graduate from accredited school of nursing BSN degree Current California RN license Evidence of continuing education and self-development in both specialty and Medical Surgical Nursing. Minimum of two (2) years current clinical experience in acute care setting. Demonstrated teaching ability in formal and clinical setting. Preferred: MSN degree preferred. Wound, Ostomy, Continence Nurse Certification preferred. Wound, Ostomy Nurse Certification required within one year of hire. Address 12401 Washington Blvd. Salary 54.32-89.63 Shift Days Zip Code 90602
RN Manager/Supervisor Full-time
Cedars-Sinai

Charge Nurse – Float Pool, Full-time, 7PM-7:30AM Night 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! Position Summary: As a Charge Nurse in our Float Pool, you will provide direct and indirect patient care in multiple inpatient departments. Our nursing float pool supplements staffing throughout the hospital based on need. This position will focus primarily on our Medical Surgical, Telemetry, MSSU and Ortho Units Critical Care (as needed) You’ll provide oversight of unit operations on the assigned shift. Address problems, concerns and/or unanticipated events in a manner that optimizes the smooth functioning of the unit. Serve as a role model and preceptor to unit staff. In fulfilling all responsibilities, consider not only the unit perspective but also a broader organizational perspective. Prepare monthly work schedules, make daily patient assignments, schedule breaks and meal periods. Determine priorities of care based on physical and psychosocial needs, as well as factors influencing patient flow through the system. 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: four Medical-Surgical/Telemetry units (MS/TELE), Intensive Care Unit (ICU), Emergency Department (ED), Post-Anesthesia Care Unit (PACU), and Progressive Care Unit (PCU). Benefits: NEW 9 story Hospital scheduled for May 2027 – state of the art and double the size! Amazing benefits for Full-time and Part-time, including Tuition Reimbursement! Clinical Ladder Program! Advancement and leadership opportunities ! 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: 19:00 p.m. – 07:30 a.m. Qualifications Educational Requirements: Graduate of accredited nursing program Minimum of an Associate's Degree in Nursing BSN preferred License/Certifications: Valid CA Nursing License BLS and ACLS required through the American Heart Association or American Red Cross PALS preferred Experience: Minimum of 2 years RN experience in an acute care facility required Prior experience as a Charge Nurse strongly preferred
RN OR Outpatient Full-time
PIH Health

Registered Nurse (RN), Ambulatory Sugery Center - Operating Room, Full Time, Days 7:30-4:00p

PIH Health Los Angeles, CA
$54.94 - $82.64 / hour
Responsible for independently utilizing the nursing process to safely, therapeutically and efficiently care for a group of patients based on policies and procedures. Delivers individualized quality patient care through a coordinated team approach with physicians, staff, other departments and the patient’s family. Complies with the California Nurse Practice Act, Article 2, Section 2725 of the Business and Professions Code. PIH Health is a nonprofit, regional healthcare network that serves approximately 3.7 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, 35 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. Required Skills Strong verbal & written communication skills Critical thinking skills Problem solving skills Computer skills Required Experience Required: Current California RN License BLS & ACLS from the American Heart Association LA City Fire Card within 6 months of employment 1-Year experience in a Operating room or scucessful completion of an operating room course Preferred: BSN Degree Address 1225 Wilshire Boulevard Salary 54.94-82.64 Shift Days Zip Code 90017
RN Telehealth Full-time
L.A. Care Health Plan

Lead Customer Solution Center Appeals and Grievances RN

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 Lead Appeals and Grievances RN is responsible for assisting with the development of a successful and cohesive Appeals and Grievance (A&G) clinical unit. This position is responsible for the quality review of complex and/or escalated clinical A&G cases for all lines of business (LOB). The Lead will assist in identifying areas of improvement in increasing positive audit outcomes and improved Customer Service to L.A. Care’s (LAC) membership. This position will ensure the effective investigation and resolution of clinical grievances, appeals, complaints, and complex issues in alignment with L.A. Care policy and procedures along with all relevant regulatory guidelines. Leads and works closely with assigned team daily. This position will mentor, coach, and may provide feedback to management on performance of staff. Ensure team effectiveness and project completion. Duties Review and process complex and/or escalated clinical A&G cases. Analyze the patient medical records, clinical documentation, and insurance policies to determine medical necessity. Prepares and reviews A&G files for submission to providers and internal departments. Work with other departments to ensure all aspects of a case are appropriately managed. Conduct targeted and random clinical case audits to ensure that all regulatory and departmental guidelines, policies, procedures, and standards are met. Work closely with the leadership team to create and/or modify Desk Level Procedures and recommend enhancements to process and procedures. Assist the Clinical Supervisors in identifying deviations in performance and process changes are implemented to redirect performance to acceptable levels. Recommend and implement resolutions, new processes, and/or process improvement. Provide accurate and timely written statistical reports that include historical and/or current data to aid in projecting or evaluating compliance status. Identify and analyze trends in appeals and grievances to find the root cause of denials. Duties Continued Check, verify and ensure that all clinical A&G cases are processed accurately and within established timelines to meet or exceed member satisfaction goals and regulatory (CMS, DMHC, DHCS, NCQA), Health and Safety Code and company compliance. Maintain documentation of all communications in the A&G system to ensure thorough tracking of case status. Lead the work of assigned staff; regularly assigns and checks the work of others, providing guidance, training, and feedback on performance to department management. Work closely with management to review performance and quality standards on an ongoing basis. As well as motivational programs needed to achieve regulatory standards. Act as a back-up to the Supervisor in leading meetings and handling escalations as required. Perform other duties as assigned. Education Required Associate's Degree in Nursing for Registered Nurses Education Preferred Bachelor's Degree in Nursing for Registered Nurses Experience Required: At least 8 years of clinical appeals and grievances experience in a managed care, utilization management and/or case management setting, At least 2 years in Medicare/ Medicaid in a managed care/ health plan environment. At least 1 year of leading a process, program, or staff experience. Preferred: Clinical acute experience. Skills Required: Extensive knowledge of healthcare regulations and managed care guidelines Demonstrated ability to provide recommendations towards resolution. Strong critical thinking and problem-solving abilities to assess complex clinical cases and evaluate medical necessity. Ability to communication, conflict resolution, and motivational skills. Ability to work independently and closely with a team in a collaborative and interactive environment. Ability to adjust to changing circumstances within the team. Good verbal and written communication skills. Preferred: Strong project management skills with the ability to manage multiple training initiatives simultaneously. 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, and 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)