Nursing Jobs in Lomita, CA
$95,352.78 - $119,190.97 / year
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 RN Case Manager will provide daily care coordination with concurrent review for patients in the hospital or Skilled Nursing Facilities (SNF) in person or telephonically. This position will also provide case management to patients who are admitted to the hospital and patients who may need to be enrolled in ambulatory case management. The RN case manager will be responsible for identifying (California Children Services) CCS cases, handling transfers, and retro reviews. Works as part of an interdisciplinary care team coordinating care and collaborating with social work, ambulatory case management, and Regional Medical Directors, Hospitalists, the hospital nursing personnel, and the physician in the clinic. The RN Case Manager will be expected to perform assessments and use the appropriate guidelines to ensure the patient is receiving the appropriate level of care. Minimum Requirements Graduation from an accredited nursing program. Current valid License as a Registered Nurse through the California Board of Registered Nursing; bachelor’s degree in nursing, or another health or human services field, with the appropriate licensure, is preferred. Experience in and willingness to be part of the multi-disciplinary team. Experience with physically or mentally impaired adults and/or the geriatric population. Minimum of 3 years of RN experience in public health nursing, acute care, case management, and/or home health care is required. Minimum of 2 years of managed care experience in case management with a focus on inpatient and/or outpatient ambulatory care is required. Bilingual in English/Spanish is preferred. BLS certification is required. Compensation $95,352.78 - $119,190.97 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. 
$78,391.04 - $97,988.80 / year
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 LVN Supervisor, Utilization Management - Clinical position is responsible for overseeing and managing the day-to-day operations of the Utilization Management Department, health plan delegated activities, and medical management initiatives. This position works closely with the Manager, Director, Medical Director, and VP to evaluate and monitor medical appropriateness determinations and care coordination activities. This position is responsible for developing and implementing strategic plans that will directly impact cost containment and improve patient outcomes. Minimum Requirements Graduated from an accredited LVN school with a current LVN license issued by the State of California, Vocational Nursing. RN, preferred AA degree or equivalent work experience preferred A minimum of 3 years of experience in a managed care environment is required. Minimum of 1 year of leadership experience preferred (lead or supervisor) Knowledge of State and Federal regulations is required. A minimum requirement of a valid BLS certification or higher, following the American Heart Association (AHA) or the American Red Cross guidelines. Compensation $78,391.04 - $97,988.80 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. $72,800 - $130,000 / year
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. The Clinical Team Lead will provide operational support to managers and supervisors for the assigned program. The Team lead is an individual contributor. Team lead assignments will be highly dependent on operational needs and priorities. The team leader will work closely with leaders to use data and reporting to identify and prioritize supports needed. They will act as subject matter experts for system and program support. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Prefers Southern California, but candidates could live outside of California if they have a good candidate. Primary Responsibilities: Onboarding new teammates, provide training for the assigned work and monitor quality of work performance during the probationary period In collaboration with the management team will provide ongoing training to teammates identified through quality auditing where opportunities are identified to improve performance or productivity In collaboration with the management will develop and provide training to teams for all new, updated processes and workflows. Training attendance will be documented and submitted with the Operational Support team Manage patient and provider escalations or grievances by providing research into the inquire and provide a summary to the leadership for actions needed Manage health plan escalations in collaboration with the delegation oversight team Development and maintenance of all job aids that support system and processes for the assigned team Support for organizational realignment and change management by providing training, document updates and communication Support resource planning and allocation by reviewing daily assignments, shifting resource assignments when necessary to manage daily workloads Teammate scheduling when applicable Internal messaging and communication on upcoming changes and plans for operational readiness related to membership, programs, regulations or health plan changes Technology training and change readiness monitoring in support of system modifications Post implementation program/process monitoring and re-training to assure quality and performance meet team goals Implementation and monitoring of process changes needed to support CAP remediation in close collaboration with the Delegation oversight team Works with teams to bring forward patients for IDT collaboration Monitors team caseloads and productivity and make recommendations to leadership for workforce management Professional Competencies: Demonstrate knowledge of PC applications including MS Office Suite Ability to use written and oral communication skills Ability to read and interpret data Skill in writing clear, grammatically correct, easy-to-use instructional documentation Ability to identify learning needs, set goals and seek educational opportunities Ability to analyze problems and formulate appropriate plans, solutions and courses of action Knowledge of age specific communication is needed with the ability to listen actively and respond to internal and external customers in a timely, competent manner both verbally and nonverbally Ability to work with frequent interruptions Ability to establish and maintain cooperative working relationships with individuals at all levels of the organization and affiliates Ability to maintain confidentiality of patient and all related entity business matters of the organization and its partners Ability to manage detail and work with accuracy Ability to recognize and act appropriately in situations where patient care needs exceed medical certification Skill in working with a team; ability to collaborate on projects with colleagues Skill in working effectively under deadlines and changing priorities Skills: All staff members are to promote a positive and productive work environment by acting maturely and responsibly, satisfactorily performing his or her job responsibilities and conducting themselves in a professional, courteous, and respectful manner toward fellow employees, physicians and patients Must relate to other people beyond giving and receiving instructions: (a) get along with co-workers or peers without exhibiting behavioral extreme; (b) perform work activities requiring negotiating, instructing, supervising, persuading, or speaking with others; and (c) respond openly and appropriately to feedback regarding performance from a supervisor Integrates Lean principles, practices, and tools to improve operational efficiency, reduce costs and increase customer satisfaction Perform all duties in a manner which promotes and supports the Core Values and Mission Statement Working knowledge of health care delivery systems Work as an interdisciplinary team member with members, physicians, administration, staff and other managers Frequently follow written and oral instructions and complete routine tasks independently Ensures confidentiality of patient information following HIPAA guidelines and company policies Attends/completes training to meet requirements of the job position and as needed or mandated by company policies and regulations Has regular and predictable attendance *Note: This job description is not comprehensive of all duties/responsibilities performed. Management retains the right to alter this job description at any time. * The information listed above is not comprehensive of all duties/responsibilities performed. This job description is not an employment agreement or contract. Management has the exclusive right to alter this job description at any time without notice. You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: Unrestricted RN license California license 3+ years of broad-based clinical experience and an expert in their respected function Preferred Qualifications: Bachelor's degree BLS if working in a clinical setting *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $72,800 to $130,000 annually based on full-time employment. We comply with all minimum wage laws as applicable. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. 
