Nursing Jobs in Fullerton, CA
$164,403 - $271,265 / year
The Supervisor works under the direction of the Associate Administrator of Advance Practice Providers, Department's Administration, and Medical Directors to provide both clinical services as well as leadership and managerial services . The Supervisor will facilitate safe and efficient operational flow of the dedicated patient population. The Supervisor is responsible for the application of the advance practice provider processes, supervision of clinical practice, education, leadership, and patient care management. This position will function as a part of inter-professional teams by communicating, planning, and implementing care directly with other healthcare professionals, including but not limited to physicians, pharmacists, office support staff, and clinical nurse specialists and nurse practitioners. The Supervisor administrative duties include but are not limited to supervising NP's, PA's as assigned. Depending on location, may be supervising union employees. They will be responsible for annual reviews and employee counseling. Departmental Specific Summary The Supervisor works under the direction of the Associate Administrator, Department's Administrative, and Medical Directors to provide both clinical services as well as leadership and managerial services. The Supervisor will facilitate safe and efficient operational flow of the the patient population at Keck Medical Center, Arcadia Hospital, Verdugo Hills Hospital, and USC Care Clinics. The Supervisor is responsible for the application of the advance practice provider process, supervision of clinical practice, education, leadership, and patient care management. This position will function as a part of inter-professional teams by communicating, planning, and implementing care directly with other healthcare professionals, including but not limited to physicians, pharmacists, office support staff, and clinical nurse specialists and nurse practitioners. The Supervisor administrative duties include but are not limited to supervising NP's, PA's, as assigned. They will be responsible for annual reviews and employee counseling. They will collaborate with Department Administrator and Medical Director. Essential Duties Management: • Utilizes professional, respectful, effective communication to delegate and direct activities and assignments • Supervises, hires, educates, disciplines and evaluates the performance of Nurse Practitioner and Physician Assistant staff. Ensures performance appraisals are completed in a timely manner. Interviews Nurse Practitioner and Physician Assistant candidates and orients new employees. • Schedules, assigns daily duties, and assesses the general performance of the Nurse Practitioners and Physician Assistantin the department. Partners with management in making daily staffing assignments in accordance with budgeted hours per patient day and provides rationale for any staffing variances. • Completes an initial assessment at the beginning of the day. Oversees the staffing and operational needs of the unit and organization • Oversees the education and orientation of Nurse Practitioners and Physician Assistants and keeps abreast of current trends, quality issues and departmental affairs. Acts as a clinical resource and support . • Models compassion, understanding, problem solving and conflict resolution skills amongst the staff to assist patients and families having difficulty coping with their illness and/or hospitalization and maintains good public relations • Effectively collaborates with other disciplines and providers to meet the needs of patients and fellow staff members • Keeps informed of clinical / service / organizational updates / changes • Manages time effectively and able to organize and prioritize responsibilities. • Demonstrates enthusiasm and commitment to the service, department and organization’s mission and goals. • Participates in departmental or organizational activities as assigned Compliance and Performance Improvement: • Identifies and participates in data collection and process improvements related to Quality Indicators • Responsible for observing and adhering to the regulatory agency requirements. • Continually reassesses clinic or hospital needs. • Ensures patient care is delivered in accordance with professional regulatory standards. • Identifies potential barriers to efficient operational flow. • Evaluates and modifies current practices to assure the most efficient way to assure effective operational flow. • Identifies quality improvement issues and develops unit-based quality improvement programs, as well as standards of care and practice. • Oversees the quality assurance initiatives for the department. • Develops, implements, and evaluates the clinical collaborative practice agreements in the clinical area. • Consistently keeps current on clinical, department and medical center changes; shares information with staff members by participating in huddles and utilizing all forms of communication as directed by the department Manager. • Responsible for pursuing opportunities for professional development (e.g. certifications, nursing committees, unit based projects, research, published peer review article) and able to mentor and share knowledge to colleagues and other staff. Transfers learned scientific knowledge into practical application. • Models expertise through the application of evidenced-based practice in clinical decision-making. Maintains a current level of knowledge inclusive of Evidenced Based Practice relative to professional practice. • Participates in the evaluation of the cost effectiveness of services provided. • Ensures complete and accurate documentation. • Responsible for the routine update of required licenses and credentials as required by organization • Responsible for the update and implementation of organization/ department’s policies and procedures; demonstrates ability to access online manuals. • Ensures that documentation is complete and correct in Electronic Health Record Direct Patient Care Accountabilities: • Responsible for ensuring the measures based on the appropriate level of care expected: management of the care and the ability to manage the care of post cardiac procedure patients. • Appropriately completes patient assessments • Interprets assessment information and formulates diagnoses. • Develops Plans of Care with individualized interventions. Documents expected/projected patient outcomes. Reviews/Revises/Updates Plans of Care daily based on evaluation and interpretation of patient outcomes. • Completes patient care procedures correctly per policy at prescribed intervals. • Delegates tasks based on others’ scope of practice and competency. • Acts as patient advocate. • Ensures prompt response to service needs as appropriate . • Provides patient/family education as needed. • Collaborates with Case Manager and/or social work for any social needs encountered with population. • Utilizes patient care equipment appropriately and safely according to manufacture guidelines. • Communicates effectively with all members of the healthcare team including patient and family. Ensures timely communication of patient needs to Providers Performs other duties as assigned. • Examples: Enthusiastic participation in unit activities such as process improvement efforts, preceptor, peer education; changing assignment to meet patient needs, etc. Required Qualifications: Req Master's degree Master's Degree In Nursing as a Nurse Practitioner, OR Graduated from an Accredited Physician Assistant (PA) program Req 5 years Experience as nurse practitioner or physician assistant Req Demonstrated strong leadership abilities. Req Demonstrates professional, respectful, effective communication to delegate and direct activities and assignments Req Strong critical and strategic thinking, analytical and planning skills. Req Organization/time management skills. Req Excellent communication skills. Preferred Qualifications: Pref 2 - 3 years Lead/charge or supervisory experience Pref Experience in clinical specialty area Required Licenses/Certifications: Req Registered Nurse - RN (CA Board of Registered Nursing) *Exempt from RN if Physician Assistant Req Nurse Practitioner - NP (CA Board of Registered Nursing) *Exempt from NP if Physician Assistant Req Nurse Practitioner Furnisher (CA Board of Registered Nursing) *Exempt from NP Furnisher if Physician Assistant Req NP Board Certified Possession of National Board Certification in Nurse Practitioner area of specialty accredited by Accreditation Board of Specialty Nursing (ABSNC) or National Commission for Certifying Agencies (NCCA). ◦ If work in Hospital/Acute Care Setting must have Certification from the American Nurses Credentialing Center (ANCC) or American Association of Critical-Care Nurses (AACN) as an Acute Care Nurse Practitioner (ACNP) or Adult Gerontology Acute Care Nurse Practitioner (AGACNP) upon hire. ▪ (*Grandfathered from Acute Care Certification requirement if hired/transferred prior to 12/2015.) (**Exempt from NP Board Certification if Physician Assistant) Req Physician Assistant - PA (CA DCA) Current Physician Assistant (PA) License in the State of California (**Exempt from PA if Nurse Practitioner) National Commission on Certification of Physician Assistants (NCCPA) National Commission on Certification of Physician Assistants (NCCPA) (**Exempt from PA Certification if Nurse Practitioner) Req DEA Certificate Drug Enforcement Agency (DEA) Certificate issued by the U.S. Department of Justice for Schedule II-V controlled substances Req Basic Life Support (BLS) Healthcare Provider from American Heart Association Req Advanced Cardiovascular Life Support (ACLS) Healthcare Provider from American Heart Association - *ACLS as required by the NPs Job description for NPs in the Hospital/Acute Care Setting and Ambulatory Infusion Centers (*Required for Hospital/Acute & Infusion Center Clinic settings only) Req Fire Life Safety Training (LA City) If no card upon hire, one must be obtained within 30 days of hire and maintained by renewal before expiration date. (Required within LA City only) USC Care Medical Group serves as the sole physician entity reporting to the USC Health System, uniting faculty clinical practice under Keck Medicine of USC. This entity oversees clinical governance, physician and ambulatory services, and core enterprise functions including billing, contracting, and financial operations. The organization encompasses 17 clinical departments, with approximately 1,500 physicians and 2,000 staff delivering care across more than 80 locations from Kern County to Orange County and into Las Vegas. USC Care Medical Group is the engine for patient-centered growth—advancing quality, safety, access, and financial strength through integrated, system-level thinking that transcends silos and traditional models. By building bridges across the enterprise, embracing innovation, and leveraging technology, we deliver seamless, 5-Star access and service while expanding clinical reach and diversified models of care. Our work fuels a sustainable cycle of good health—organizationally, financially, and within the communities we serve—driving continued growth from within and beyond the system’s boundaries. The annual base salary range for this position is $164,403.00 - $271,265.00. When extending an offer of employment, the University of Southern California considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate’s work experience, education/training, key skills, internal peer equity, federal, state, and local laws, contractual stipulations, grant funding, as well as external market and organizational considerations. USC is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability, or any other characteristic protected by law or USC policy. USC observes affirmative action obligations consistent with state and federal law. USC will consider for employment all qualified applicants with criminal records in a manner consistent with applicable laws and regulations, including the Los Angeles County Fair Chance Ordinance for employers and the Fair Chance Initiative for Hiring Ordinance, and with due consideration for patient and student safety. Please refer to the Background Screening Policy Appendix D for specific employment screen implications for the position for which you are applying. We provide reasonable accommodations to applicants and employees with disabilities. Applicants with questions about access or requiring a reasonable accommodation for any part of the application or hiring process should contact USC Human Resources by phone at (213) 821-8100, or by email at uschr@usc.edu . Inquiries will be treated as confidential to the extent permitted by law. Notice of Non-discrimination Employment Equity Read USC’s Clery Act Annual Security Report USC is a smoke-free environment Digital Accessibility If you are a current USC employee, please apply to this USC job posting in Workday by copying and pasting this link into your browser: https://wd5.myworkday.com/usc/d/inst/1$9925/9925$149824.htmld 
$173,791 - $237,849 / year
Providence St. Joseph Heritage Medical Group is seeking a full-time nurse practitioner to join its Internal Medicine team at its Batavia Woods Medical Center in Orange, California. This position will be responsible for established patient overflow, tasking and coverage. Providers can expect to see around 14 to up to 18 patients per day, with 20 minutes dedicated towards regular visits and 40 minutes for patients with procedures. The Batavia Woods Medical Center is part of the Providence St. Joseph Hospital Orange campus and as such you will have access to a strong support network including direct access to the Pharmacist and nutrition teams. Join Providence Medical Group and be part of a mission-driven organization working to improve the lives of patients throughout southern California. Monday to Friday schedule; 8:00 a.m. to 5:00 p.m. Outpatient care only; no call Provide overflow tasking and coverage for established patient panels DEA registration required Experienced candidates are preferred Spanish speaking is a plus Compensation is between $173,791 and $237,849 per year The posted salary reflects the starting range of total compensation and may include productivity bonuses, incentives related to quality and performance, hospital/ED call stipends, extra shift incentives, and other forms of cash compensation as applicable to the position. In addition, providers typically receive a CME allowance and other benefits offered by their medical group employer. Please note that this salary range is provided in accordance with State law and is subject to variation due to the factors noted above Where You’ll Work St. Joseph Heritage Medical Group is a multispecialty medical practice fully integrated with St. Joseph Hospital and operating throughout southern California. The values of dignity, service, excellence and justice are the driving force of the group. With skilled physicians in virtually every specialty, St. Joseph Heritage’s medical services range from primary care to leading edge surgical procedures, and its convenient Orange County locations make it easy to access exceptional care. Where You’ll Live Only a few private orange orchards remain, but the city of Orange, located in central Orange County, still has plenty of character and attractions. This suburban stronghold basks in the moderate Mediterranean climate created by its proximity to the Pacific and the Santa Ana Mountains to the east. In addition to ample shopping, parks and fine dining, the city features a historic district dating to the early 20th century, with expertly preserved homes and buildings. Who You’ll Work For Providence is a nationally recognized, comprehensive healthcare organization spanning seven states with a universal mission — to provide compassionate care to all who need its services, especially the poor and vulnerable. Its 122,000-plus caregivers/employees (including 34,000 physicians) serve in 51 hospitals, more than 1,000 clinics and a comprehensive range of health and social services. Providence: One name, one family, one extraordinary health system. Equal Opportunity Employer including disability/veteran Job ID Number: 31308 Facility Name: St. Joseph Heritage Medical Group Location Name: Orange (the city) Brand Name: Providence Provider Profession: Nurse Practitioner Medical Specialty: Family Medicine Job Setting: Medical Clinic Type of Role: Clinical Email: jamie.wright@psdrecruit.org Phone Number: (949) 236-6160 Schedule: Full Time Compensation: $173,791 - $237,849 Per Year CP: Yes CB: Yes NP: Yes HC: Yes IS: No YM: Yes J1: No H1B: No Let’s get in touch If you have questions about this specific job or others, I'm all ears. Send me a note and we'll be one step closer to the right opportunity. Jamie Wright Provider Recruiter (949) 236-6160 jamie.wright@psdrecruit.org Contact Me 
$102,183 - $163,492 / year
Salary Range: $102,183.00 (Min.) - $132,838.00 (Mid.) - $163,492.00 (Max.) Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation’s largest publicly operated health plan. Serving more than 2 million members, we make sure our members get the right care at the right place at the right time. Mission: L.A. Care’s mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose. Job Summary The Clinical Policy Clinical Coder RN II is responsible for analyzing, interpreting, and operationalizing medical and utilization management policies to ensure accurate coding, appropriate authorization requirements, compliant claims processing, and effective utilization oversight. This position serves as a key clinical and coding resource, translating medical policy requirements into diagnosis, procedure, and service code logic, including determining which codes require prior authorization. Conducts in-depth research and analysis of legislation and regulatory requirements, clinical outcomes, utilization, claims, and financial data to identify utilization trends, fiscal risk, and opportunities for policy enhancement and cost containment. This position works cross-functionally with internal teams to ensure policies are codified, consistently applied, and monitored through reporting and data analysis. This position collaborates closely with internal stakeholders and external entities to support standardized benefit administration, effective program implementation, and organizational compliance with state, federal, and accreditation requirements. Duties Translate approved clinical policies and utilization management criteria into clear, codified claims rules and system logic to support accurate claims adjudication. Develop, revise, and recommend clinical policies and internal utilization management criteria when standard clinical guidelines are insufficient to support appropriate decision-making based on codified claim rules. Assess the downstream claims impact of new or revised clinical policies prior to implementation and recommend configuration updates to mitigate operational or financial risk. Participate in validation of claims configuration changes to ensure policies are applied correctly and consistently across all lines of business. Monitor post-implementation claims activity to identify configuration issues, unintended denials, or payment discrepancies related to clinical policy application. Support remediation of claims configuration defects by identifying root causes and coordinating corrective actions with internal teams. Participate in and lead specialty and cross-functional workgroups and committees focused on healthcare services clinical policies, utilization management processes, strategic initiatives, policy governance, operational alignment, and continuous improvement efforts. Ensure timely dissemination of accurate and consistent policies and procedures across departments. Promote collaboration, engagement, and a positive work environment while supporting departmental initiatives and team-based activities. Manage assigned projects from concept through implementation, ensuring timelines, quality standards, and deliverables are met. Analyze and interpret medical and utilization management policies to identify applicable diagnosis, procedure, and service codes and determine authorization, pre-payment, or post-payment review requirements. Define and maintain code lists that require prior authorization or other utilization management controls based on clinical evidence, regulatory guidance, utilization trends, and financial risk. Duties Continued Collaborate with internal teams to ensure authorization requirements and coding logic are accurately configured in authorization and claims systems based on authorization matrix requirements. Support accurate claims processing by validating codified authorization and policy requirements are correctly applied and aligned with approved medical policies. Provide clinical and coding recommendations to support the development, revision, and implementation of new or updated medical and utilization management policies. Investigate and resolve coding and authorization related issues, including claim denials, coding edits, authorization discrepancies, and policy interpretation questions. Review and assess claims edits, authorization matrixes, and coding rules to identify root causes of errors or inconsistencies and recommend corrective actions. Ensure coding, authorization requirements, and claims-related guidance align with medical necessity criteria, benefit structures, and applicable state, federal, and regulatory requirements. Develop, review, and maintain reporting related to authorization required codes, approval and denial rates, utilization patterns, claims payment outcomes, and policy effectiveness. Prepare reports, summaries, and presentations and communicate findings, recommendations, and action plans to internal and external stakeholders. Analyze claims, authorization, and utilization data to identify trends, measure policy impact, and recommend opportunities for policy refinement, cost containment, or reduction of administrative burden. Monitor post-implementation performance of authorization-required codes and recommend additions, removals, or modifications to authorization requirements based on regulatory thresholds and utilization outcomes. Perform other duties as assigned. Education Required Associate's Degree in Nursing Education Preferred Bachelor's Degree in Nursing Experience Required: At least 8 years of experience in Clinical Nursing. At least 3 years of experience with Medi-Cal and Medicare in a managed care environment. Experience in performing and creating clinical documentation. Experience in regulatory compliance for a health plan. Experience with medical coding systems. Preferred: At least 1 year of experience in editing and writing clinical health services policies within a managed care health plan. Skills Required: Proficient with clinical policy through skills in literature searching and clinical research analysis based on the best available evidence. Working knowledge of clinical policies. Working knowledge of CPT/HCPC codes and claims. Ability to translate regulatory requirements into auditable tools. Ability to perform independent research on complex medical topics. Excellent verbal and written communication skills. Strong analytical, problem solving, and team building skills. Ability to work independently with strong self-direction. Advanced proficiency in Microsoft Word, Excel, and PDF documentation tools. Ability to work effectively with diverse teams in cross-functional work groups. Ability to multitask, re-prioritize tasking, and streamline day-to-day operations. Ability to identify discrepancies, assess risk, and recommend actionable solutions. Knowledge of medical coding systems, including ICD-10-CM, CPT, and HCPCS, and their application in authorization and claims environments. Strong organizational and time-management skills. Preferred: Advanced skills in assessing clinical policy deficiencies through literature searching and clinical research analysis based on the best available evidence. Proficient in claims configuration, including claims adjudication workflows, configuration of claims edits and rules, and the translation of clinical and utilization management policies into system-based claims logic to support accurate, compliant payment outcomes. Understanding of the managed care industry and market conditions. Licenses/Certifications Required Registered Nurse (RN) - Active, current and unrestricted California License Licenses/Certifications Preferred Certified Professional Coder (CPC) Required Training Physical Requirements Light Additional Information Salary Range Disclaimer: The expected pay range is based on many factors such as geography, experience, education, and the market. The range is subject to change. L.A. Care offers a wide range of benefits including Paid Time Off (PTO) Tuition Reimbursement Retirement Plans Medical, Dental and Vision Wellness Program Volunteer Time Off (VTO) $88,854 - $142,166 / year
Salary Range: $88,854.00 (Min.) - $115,509.00 (Mid.) - $142,166.00 (Max.) Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation’s largest publicly operated health plan. Serving more than 2 million members, we make sure our members get the right care at the right place at the right time. Mission: L.A. Care’s mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose. Job Summary The Clinical Policy Nurse RN II is responsible for analytical research, trending, and assessment based on legislation, regulatory and accreditation requirements that impact claims, Utilization Management (UM) department and healthcare services policies. Reviews and analyzes clinical financial data to assess the effectiveness of existing and proposed policies to identify opportunities for improvement, cost containment, and quality enhancement. This position plays a key role in translating regulatory impacts into operational strategies and works collaboratively with internal and external stakeholders to ensure clinical policies support safe, effective, and compliant care delivery. Assists in development of policies and programs that improve health outcomes and target Fraud, Waste and Abuse (FWA). This position works cross functionally with other departments to develop end to end operational strategies of policy content and roll out timeframes. The Clinical Policy Nurse II serves as a liaison to ensure the ongoing maintenance of clinical coding for the authorization matrix. Duties Assess federal, state, and local legislation, regulatory guidance, and health care policies to identify potential impacts on clinical practice, reimbursement and organizational operations that impact healthcare services policies. Review and interpret clinical, utilization, and financial data to identify trends, opportunities for policy improvement and cost-savings. Research, develop, and evaluate clinical and health policy designed to improve patient outcomes, detect and mitigate Fraud, Waste, and Abuse (FWA), and streamline organizational processes. Monitor the implementation of health programs, clinical initiatives, and community action plans to assess effectiveness, compliance, and impact on patient outcomes. Collaborate with internal stakeholders to evaluate utilization trends and anomalies and contribute to policy development aimed at improving efficiency and compliance identified during risk assessments. Prepare analytical reports, summaries, and analyses assessing policy performance, regulatory impact, and communicate insights and recommendations to stakeholders to drive evidence-based policy and impacted outcomes. Present findings, recommendations, and action plans to key stakeholders. Participate in work groups related to healthcare services clinical policies and procedures including efforts to improve department processes, as needed. Perform other duties as assigned. Duties Continued Education Required Associate's Degree in Nursing Education Preferred Bachelor's Degree in Nursing Experience Required: At least 5 years of experience in Clinical Nursing. At least 3 years of experience with Medi-Cal and Medicare in a managed care environment. Experience in performing and creating clinical documentation. Experience in regulatory compliance for a health plan. Preferred: Experience with active participation in state regulatory audits such as Department of Health Care Services (DHCS), Department of Managed Health Care (DMHC), Centers for Medicare and Medicaid Services (CMS), and/or National Committee for Quality Assurance (NCQA) audits. At least 1 year of experience in clinical health services policies with a managed care plan. Skills Required: Demonstrated strong reporting skills by preparing clear, concise reports and presentations that communicate findings and performance. Working knowledge of clinical policies. Strong analytical and critical thinking skills with the ability to interpret regulatory requirements and legislation. Ability to translate regulatory requirements into auditable tools. Ability to perform independent research on complex medical topics. Excellent verbal and written communication skills. Strong problem solving and team building skills. Ability to work independently with strong self-direction. Advanced proficiency in Microsoft Word, Excel, and PDF documentation tools. Ability to work effectively with diverse teams in cross-functional work groups. Ability to multitask, re-prioritize tasking, and streamline day-to-day operations. Strong organizational and time-management skills. Preferred: Advanced skills in assessing clinical policy deficiencies through literature searching and clinical research analysis based on the best available evidence. Understanding of the managed care industry and market conditions. Licenses/Certifications Required Registered Nurse (RN) - Active, current and unrestricted California License Licenses/Certifications Preferred Required Training Physical Requirements Light Additional Information Salary Range Disclaimer: The expected pay range is based on many factors such as geography, experience, education, and the market. The range is subject to change. L.A. Care offers a wide range of benefits including Paid Time Off (PTO) Tuition Reimbursement Retirement Plans Medical, Dental and Vision Wellness Program Volunteer Time Off (VTO) 
