Nursing Jobs in Los Alamitos, CA
$350,000 - $1,000,000 / year
Multi-site Dermatology group in is looking to add a BC/BE Dermatologist. The provider will perform General Dermatology/Surgical Dermatology/Cosmetic Dermatology treatments. Responsibilities and Duties Will work in clinic setting. See general dermatological cases such as rashes, psoriasis, biopsies, surgical excisions, etc. Benefits Excellent salary, percentage of collections, matching 401K and benefits. Significant net collections bonus program. Malpractice covered. Travel expenses covered. Job Type: Full-time Pay: $350,000 - 1,000,000 per year Ability to Relocate 
$145,000 - $155,000 / year
Nurse Practitioner - Cardiology (Cantonese/Mandarin) Department: Providers Employment Type: Full Time Location: 506 W. Valley Blvd. Unit #100, San Gabriel, CA 91776 Reporting To: Yih Kok Compensation: $145,000 - $155,000 / year Description Astrana Health is seeking a Cardiology Nurse Practitioner (NP) to join our Southern California Heart Center group in San Gabriel! The NP collaborates closely with supervising cardiologists and the interdisciplinary care team to provide high-quality, patient-centered care across clinic and hospital settings. This position entails working at our outpatient San Gabriel location and inpatient at Garfield Medical Center, Alhambra Medical Center, and San Gabriel Valley Medical Center. We are seeking candidates who are passionate about cardiology and providing patient-centered care! Our Values: Put Patients First Empower Entrepreneurial Provider and Care Teams Operate with Integrity & Excellence Be Innovative Work As One Team What You'll Do Clinical Care Perform comprehensive patient assessments, including history, physical examination, diagnostic interpretation, and formulation of differential diagnoses. Manage primary and secondary cardiovascular conditions under physician supervision, including preventive care, chronic disease management, and post-procedure follow-up. Participate in the evaluation and initial stabilization of acute or complex conditions, with timely physician consultation and escalation as appropriate. Order and interpret laboratory tests, imaging studies, and other diagnostic procedures consistent with clinical protocols. Perform approved procedures and minor interventions consistent with training, credentialing, and observed competency. Medication Management Prescribe, adjust, and discontinue medications in accordance with California PA regulations, supervising physician agreements, and clinic policies. Educate patients on medication use, risks, benefits, and follow-up requirements. Participate in controlled substance prescribing per practice protocols and applicable laws. Care Coordination & Documentation Maintain accurate, complete, and timely medical records in accordance with practice standards and regulatory requirements. Coordinate care with physicians, specialists, hospitals, and ancillary services. Participate in referrals, transitions of care, and follow-up planning. Supervision & Collaboration Work under the supervision of designated cardiologists. Collaborate with a team of advanced practice providers, nurses, medical assistants, technicians, and administrative staff to support efficient clinic and hospital operations. Assist in supervising delegated clinical tasks performed by medical assistants, consistent with scope and clinic policies. Quality & Compliance Participate in chart reviews, quality assurance activities, and performance evaluations. Adhere to all clinical policies, standardized procedures, and applicable federal, state, and local regulations. Support continuous improvement initiatives and evidence-based practice standards. Other duties as assigned. Qualifications Graduate of an accredited Nurse Practitioner program. Active, unrestricted California NP license. DEA registration (or eligibility to obtain). Prior cardiology or internal medicine experience preferred. Strong clinical judgment, communication skills, and ability to work in a fast-paced specialty practice. Bilingual Cantonese/Mandarin strongly preferred Environmental Job Requirements and Working Conditions This position is onsite, located at 506 W. Valley Ave, Unit #100, San Gabriel, CA 91776. NPs will also round at San Gabriel Valley Medical Center, Alhambra Medical Center, and Garfield Medical Center. This position will predominantly be M-F, 9 A - 5 P. NPs are expected to rotate weekend coverage. Our national target compensation for this position is $145,000 - $155,000 annually. Actual compensation will be determined based on geographic location (current or future), experience, and other job-related factors. 
$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 Payment Integrity Nurse Coder RN III is responsible for investigating, reviewing, and providing clinical and/or coding expertise/judgement in the application of medical and reimbursement policies within the claim adjudication process through medical record review for Payment Integrity and Utilization Management projects. The position serves as a subject matter expert (SME), performing medical records reviews to include quality audits as well as validation of accuracy and completeness of all coding elements. The position is also responsible for guidance related to Payment Integrity initiatives to include concept and cost avoidance development. This position trains and mentors Payment Integrity Nurse Coder, RN staff. Acts as a Subject Matter Expert, serves as a resource and mentor for other staff. Duties Performs Quality Audits to include validation of accuracy and completeness of ICD, Rev Code, CPT, HCPCs, APR, DRG, POA, and all relevant coding elements. Audits can include inpatient, outpatient, and professional claims. Serves cross functionally with Utilization Management, Medical Directors, and other internal teams to assist in identification of overpayments as well as other projects. Serves as SME for all Payment Integrity functions to include both Retrospective Data Mining as well as Pre-Payment Cost Avoidance. Identifies trends and patterns with overall program and individual provider coding practices. Responsible for training and mentoring Payment Integrity Nurse Coder, RN staff. Supports the creation and execution of strategies that determine impact of opportunity and recover overpayments as well as prospective internal controls preventing future overpayments of each applicable pipeline opportunity. Works with both internal and external groups to define and develop cost avoidance measures to ensure continued success. Identifies and defines Payment Integrity issues and reviews and analyzes evidence, utilizes data for the purpose of verifying errors and identifying systemic errors, works as an active team member during scheduled engagements and work collaboratively to achieve the goals of the team, and provides feedback to the team lead on any issues identified during research or claims review. Applies subject expertise in evaluating business operations and processes. Identifies areas where technical solutions would improve business performance. Consults across business operations, providing mentorship, and contributing specialized knowledge. Ensures that the facts and details are correct so that the project’s/program's deliverable meets the needs of the department, organization and legislation's policies, standards, and best practices. Provides training, recommends process improvements, and mentors junior level staff, department interns, etc. as needed. Performs other duties as assigned. Duties Continued Education Required Associate's Degree in Nursing Education Preferred Bachelor's Degree in Nursing Experience Required: At least 8 years of clinical RN experience. At least 3 years of experience in utilization management or clinical coding. Investigation and/or auditing experience. Skills Required: Knowledge in CPT, HCPCS, ICD-9, ICD-10, Medicare, and Medicaid rules and regulations. Knowledge of healthcare reimbursement concepts, health insurance business, industry terminology, and regulatory guidelines. Working knowledge of claims coding and medical terminology. Solid understanding of standard claims processing systems and claims data analysis. Strong project leadership and management skills required; ability to prioritize, plan, and handle multiple tasks/demands simultaneously. Excellent interpersonal, verbal, and written communication skills required with excellent analytical and problem-solving skills. Detail oriented and ability to thrive in fast-paced work environment. Must be collaborative and have the ability to establish credibility quickly with all levels of management across multiple functional areas and be able to present findings across all departments. Must be familiar with coordinating benefits between health plan payers. Advanced knowledge of Microsoft Office suite, including Word, Excel and PowerPoint. Licenses/Certifications Required Registered Nurse (RN) - Active, current and unrestricted California License Certified Professional Coder (CPC) designation by the American Academy of Professional Coders and/or Certified Coding Specialist (CCS) designation by the American Health Information Management Association (AHIMA). 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) 
