Nursing Jobs in Los Angeles, CA

NP Full-time
Planned Parenthood of Los Angeles

Nurse Practitioner or Physician Assistant - East Los Angeles, CA

Planned Parenthood of Los Angeles East Los Angeles, CA
$75 - $80 / hour
Planned Parenthood Los Angeles is seeking highly skilled full-time Nurse Practitioners, Physician Assistants, or Certified Nurse Midwives with great communication skills, clinical skills and a strong emphasis on excellent customer service to see our increasing, diverse patient population within our East LA Health Center (plus, additional sites within LA County as needed). The full-time Clinician will join the Patient Services team and provide quality patient care including examinations, diagnosis, treatment, education, counseling, and serve as a medical resource for other licensed and non-licensed staff. Perform physical exams for both males and females with special emphasis on the reproductive system, including breast examination, pelvic examination, male genital exam, cancer screening tests, diagnosis of sexually transmitted infections, Mid-Life Services counseling, examinations and other types of more specialized procedures as indicated by medical policy. 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: A valid and current California license as a Certified Nurse Midwife (CNM), Nurse Practitioner (NP), or Physician Associate (PA) required. Current furnishing license required (for NP). Current BLS & ACLS certification required from American Heart Association Master’s/Graduate degree required. National Board Certification required. Medi-Cal Provider application must be completed. NPI number required. DEA license preferred. Must be able to work flexible hours, including evenings and at least 2 Saturdays per month. If there are 5 Saturdays in a month, 3 Saturdays may be expected per month. Must be able to make every effort to work additional hours if needed to accommodate patient access in the event of a callout or health center disruption. Must be available to take rotating on-call duties. Minimum 1 weeklong shift per calendar year. Availability to work flexible hours including weekends (2 Saturdays per month) Must provide and have excellent customer service skills. Ability to work independently and as a team member. Ability to communicate and interact well with patients, staff, and volunteers. Demonstration of mature judgment, initiative, critical thinking, accuracy, and attention to detail is essential. Ability to read and implement written instructions. Ability to relate to diverse communities. Ability to maximize Health Center flow with appropriate utilization of Flow Facilitator. Professional appearance and attitude. Must be proficient in electronic health record (EHR) documentation. Ability and willingness to travel within Los Angeles County. Reliable means of transportation. If using a personal vehicle to drive for work purposes, a valid CA driver license and current auto insurance in compliance with the minimum requirements of CA vehicle code are required. About this position: 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. Supporting these critical services is an essential job duty, and a fundamental responsibility of all employees and contractors. Comply with agency medical protocols (unless Physician consult sought) at all times. Perform family planning services with intent to train on medication abortion (MAB) and procedural abortion (PAB) services, physical exams for all genders with special emphasis on the reproductive system, including breast examination, pelvic examination, male genital exams, cancer screening tests, diagnosis and treatment of sexually transmitted infections, Mid-Life Services counseling, and other types of more specialized procedures as indicated by Planned Parenthood Los Angeles (PPLA) Medical Standards & Guidelines (MS&Gs). Perform, order, and interpret diagnostic studies as indicated and permitted by PPLA MS&Gs. Perform examination and assessment of post-abortion clients including pelvic exams and labs when needed. Ability to interpret colposcopy results and/or follow-up plans for patients. Maintain PPLA standards of productivity. Minimum of 3 visits per hour and 18 work units. Recognize and treat minor deviations from the norm using PPLA MS&Gs and consulting with the Program Director, Charge Clinician, Senior Director of Clinical Services, Physician, Medical Director and/or Chief Medical Officer as needed. Label, dispense, and prescribe all FDA approved birth control methods, including emergency contraception. Placement and removal of long-acting reversible contraception such as IUDs and implants. Perform venipuncture, injections, and IV insertions. Proficient in microscopy and interpretation of results. Complete and maintain Rh, Beta and medication abortion (MAB) follow-up logs. Train or precept licensed health care professionals as needed. Act as a medical resource to and provide oversight of non-licensed staff. The following are responsibilities of Planned Parenthood clinicians as outlined in the medical standards and guidelines: Secures a complete health history, including gynecologic, contraceptive, medical, surgical, sexual, family health, and psychosocial, performs a general screening physical examination, obtains and/or interprets appropriate diagnostic procedures and laboratory tests. Provide family planning, nutrition, sexual counseling, and principles of health promotion and maintenance to patients. Collaborate with other community agencies in providing comprehensive care when necessary. Provide appropriate management for individuals in need of reproductive related services, including contraception, infertility, and sexually transmitted infection treatment. Serves as a resource for medical and procedural abortion services. Conducts post-abortion follow-up examination with recognition of normal and abnormal findings and refers or collaborates with physician as appropriate. Recognizes ethical, legal, and professional issues inherent in providing care to individuals throughout the life cycle. Additional assignments based on training and competency. 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 Company-paid renewal of medical license, BLS, and ACLS $500 annually for CME conferences 3 paid days off annually to obtain CMEs Malpractice coverage Base hiring range: $75-80 per hour (Non-Exempt) \n Compensation Philosophy and Position Hiring Range: At Planned Parenthood Los Angeles we continuously work towards our value of "we respect and honor all people", which also relates to our compensation philosophy. PPLA recognizes that decisions about pay, and benefits have significant impact on staff, so we are committed to ensuring all positions are rooted in a description that identifies competencies, duties, responsibilities, and qualifications, and that they are compensated equitably which considers both internal organizational equity and market compensation data for similar roles. Equal Employment Opportunity will be afforded to all applicants and other covered persons without regard to protected characteristics, including their perceived protected characteristic. Protected categories include: race (including traits historically associated with race, including but not limited to, hair texture and protective hair styles such as, braids, locs, and twists as examples but not exhaustive list), color, religion or religious creed (including religious belief, observation, practice, dress, and grooming practices), national origin, ancestry, physical or mental disability, medical condition, genetic information, marital status, sex (including pregnancy, childbirth, breastfeeding/chestfeeding, or related medical conditions), reproductive health decision-making, gender, gender identity, gender expression, age (40 years and over), sexual orientation, veteran and/or military status (including past, current or prospective service in the uniformed service), and any other characteristic protected under applicable federal, state or local law. PPLA will consider for employment qualified applicants with criminal histories in accordance with the requirements of Los Angeles Fair Chance Initiative for Hiring.
RN Full-time
Cedars-Sinai

Registered Nurse - 4N Neuro/Stroke- 12hr Nights

Cedars-Sinai Los Angeles, 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. This shared culture of happiness, passion and dedication pulses through Cedars-Sinai, and it’s just one of the many reasons we’ve achieved our sixth consecutive Magnet designation for nursing excellence! From working with a team of dedicated healthcare professionals to using state-of-the-art facilities, you’ll have everything you need to do something incredible—for yourself, and for others. Join us, and discover why U.S. News & World Report has named us one of America’s Best Hospitals! Nurses in 4North, our 56-bed Neurology Stroke unit, care for adult neurological patients suffering from stroke, transient ischemic attack, seizures, epilepsy, closed head injury, meningitis, encephalitis, and movements disorders, and other non-surgical conditions requiring neurological nursing observation and expertise. As a Registered Nurse in our Neurology Stroke Unit 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://jobs.cedars-sinai.edu/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 Cardiac Life Support certification For RN III: Specialty Certification preferred (external applicants may obtain within one year of hire) Experience: Minimum 3 years recent acute RN experience in specialty. Note: (minimum 1 year recent acute RN experience will be considered for Registered Nurse II) 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
L.A. Care Health Plan

Clinical Policy Nurse RN II

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

Utilization Management Claims Review Nurse RN II

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

Registered Nurse Clinical Operations Administrator - Administrator on Duty - 12-Hour - Full Time - Nights - Exempt

Cedars-Sinai Los Angeles, CA
Job Description Make a difference every single day! At Cedars-Sinai, we're motivated by a collective spirit of innovation and the challenge to continuously improve. Above all, we share a real passion for helping others. Day after day, from department to department, our people give their all to create a community unlike any other. This is just one of the many reasons U.S. News & World Report has named us one of America’s Best Hospitals—and now we invite you to join us and make a difference every single day in service of this outstanding work – excellence and innovation in patient care, research, and community service. From working with a team of dedicated professionals to using innovative facilities, you’ll have great resources to do something incredible—for yourself, and for others Why work here? Beyond outstanding employee benefits including health and dental insurance, vacation, and a 403(b), we take pride in hiring the best employees. Our accomplished staff reflects the culturally and ethnically diverse community we serve. They are proof of our dedication to creating a dynamic, inclusive environment that fuels innovation. Are you ready to bring your clinical competencies to a world-class Medical Group known for the very highest clinical standards? Do you have a passion for the highest quality and patient satisfaction? Then please respond to this dynamic opportunity available with one of the best places to work in Southern California! We would be happy to hear from you. What will you be doing in this role? The Clinical Operations Administrator (COA) is responsible for a variety of leadership and management responsibilities within the Division of Nursing Resources and throughout the Medical Center. At a division level, the COA is administratively accountable for leading, managing, developing, staff and for ensuring smooth operations of assigned areas within the division. The COA guides nursing staff in the provision of nursing care consistent with Nursing Standards of Care/Practice, the Plan for Provision of Nursing Care, The Plan for Provision of Care to Patient, the Performance Improvement Plan, the Patient Education Plan and Professional Organization Standards. They maintain competency skills including the ability to interact with people from diverse cultural backgrounds. This role coordinates staffing and nursing operations on a house-wide basis to support the expectations and philosophy of Cedars-Sinai Health System (CSHS) to provide quality patient care. Job duties and responsibilities: Works closely with Patient Placement and Transfer Center staff to evaluate bed availability and coordinate/facilitate appropriate patient placement. Demonstrates knowledge and ongoing education related to EMTALA and HIPPA regulations during all hours. Obtains facts and evaluates data to identify and intervene in actual and/or potential safety and risk management issues. Takes corrective action in situations requiring immediate intervention, including interpretation and administration of hospital policy and requirements Documents (or delegates) documentation of pertinent information, actions and decisions and communicates it to appropriate leadership. Identifies safety concerns and institute measures to provide a safe environment; and provide appropriate assessment, intervention and evaluation of patients with consideration of developmental milestones. Authorizes service recovery interventions. Guides nursing staff in the provision of nursing care consistent with Nursing Standards of Care/Practice, the Plan for Provision of Nursing Care, The Plan for Provision of Care to Patient, the Performance Improvement Plan, the Patient Education Plan and Professional Organization Standards. Administratively accountable for leading, managing, developing, and supervising within their assigned shifts. Qualifications Education: BSN (Bachelor of Science, Nursing) - Required License/Certifications: California RN license. Required BLS from the American Heart Association or American Red Cross required ANCC Specialty Certificate. Required for internals, externals have 1 year to obtain. Experience: 5 years of experience in progressive leadership in a clinical setting. Required (Manager level preferred) 5 years of experience in multiple specialty areas or hospital functions. Required
RN Full-time
L.A. Care Health Plan

Clinical Policy Clinical Coder RN II

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

Certified Nurse Assistant (CNA), TCU, Full Time, Nights

PIH Health Los Angeles, CA
$23 - $35.75 / hour
Facilitates the provision of timely and effective patient care under the supervision of licensed members of the healthcare team. Helps maintain a safe and clean environment in order to enhance department operations. Patient care is delivered consistent with the model and philosophy of relationship-based care. PIH Health is a nonprofit, regional healthcare network that serves approximately 3 million residents in the Los Angeles County, Orange County and San Gabriel Valley region. The fully integrated network is comprised of PIH Health Downey Hospital, PIH Health Good Samaritan Hospital, PIH Health Whittier Hospital, 37 outpatient medical office buildings, a multispecialty medical (physician) group, home healthcare services and hospice care, as well as heart, cancer, digestive health, orthopedics, women’s health, urgent care and emergency services. The organization is nationally recognized for excellence in patient care and patient experience, and the College of Healthcare Information Management Executives (CHIME) has identified PIH Health as one of the nation’s top hospital systems for best practices, cutting-edge advancements, quality of care and healthcare technology. For more information, visit PIHHealth.org or follow us on Facebook , Twitter , or Instagram . Required Skills Written and verbal English communication skill Basic organizational skills Knowledge of medical terminology Knowledge of infection control Able to work using aseptic techniques Required Experience Required: Current California CNA certification (CNA Certification number is required) Evidence of continuing education where required. Current Basic Life Support (BLS) Certification LA City Fire Card within six (6) months of employment VIP certification within three (3) months of employement Preferred: Prior experience in acute facility Basic windows and mouse skills Address 1225 Wilshire Boulevard Salary 23.00-35.75 Shift Nights Zip Code 90017
LVN Manager/Supervisor Full-time
Maywood Healthcare & Wellness Centre

Charge Nurse LVN (Licensed Vocational Nurse)

Maywood Healthcare & Wellness Centre Maywood, CA
Charge Nurse LVN (Licensed Vocational Nurse) or RN (Registered Nurse) is a licensed professional nurse directly under the supervision of the Director of Nursing Services. The Charge Nurse LVN (Licensed Vocational Nurse) or RN (Registered Nurse) is responsible for coordinating daily administrative duties of an assigned nursing unit including schedules, nursing assignments, delegation of resident care and supervision of nursing staff. Charge Nurse LVN (Licensed Vocational Nurse) or RN (Registered Nurse) Qualifications: • Graduate of an accredited school of nursing or an approved RN or LVN program • Current nursing license, in good standing with the State licensing board • Experience in a long-term care setting, preferred • Strong qualities of leadership, communication, and organizational skills • Ability to provide patient care in accordance with applicable standards, policies, and procedures • Possess critical thinking skills to analyze, synthesize, and evaluate clinical data and observations in developing a nursing plan of care • Comprehensive knowledge of applicable nursing principles, practices, and standards of care • Possess the willingness to work with and supervise professional and nonprofessional personnel • Proficiency of the English language including the ability to speak, read, write, and comprehend the language with minimal to no difficulty • Valid CPR certification Charge Nurse LVN (Licensed Vocational Nurse) or RN (Registered Nurse) General Duties and Responsibilities: GENERAL In addition to the duties and responsibilities outlined in the RN and/or LVN job description, the Charge Nurse will: • Assume responsibility and oversight of an assigned nursing unit including assignment and coordination of nursing care. • Provide supervision and support for nursing staff in accordance with their level of training and the resident’s acuity. • Monitor for compliance of facility approved procedures and policies as well as regulations set forth by state and federal agencies CLINICAL • Maintains overall shift operation in a safe, efficient, and effective matter. • Coordinates resident admissions, transfers, and discharges. • Makes daily resident rounds to interview physical and emotional status and to implement any required nursing interventions. • Routinely observes and guides direct patient care staff for appropriate technique and adherence to facility policies and procedures. • Participates in Interdisciplinary care plan meetings and contributes to the individualized person-centered plan of care for each resident. • Ensures that all safety and infection control practices are followed. • Responds to emergency situations. • Ensures that required documentation is complete and is in compliance with regulations and standards as well as policies and procedures • Assists with special projects or other duties as assigned by the Director of Nursing. COMMUNICATION • Communicates with patients and families promptly regarding treatment and care. • Communicates with the medical staff, nursing personnel, and other department supervisors and staff. SUPERVISION • Meets with unit personnel, on a regular basis, to assist in identifying and correcting problem areas, and/or the improvement of services. • Reviews and evaluates assigned personnel and makes written evaluations to the Director of Nursing and/or designee. • Coordinates Nursing service with other departments and nursing units. • Assures that all personnel follow established infection control practices and aseptic techniques when isolation procedures become necessary. • Follows required coaching and progressive disciplinary procedures. CONSUMER SERVICE • Presents professional image to consumers through dress, behavior and speech • Functions as a role model to staff. • Treats residents/family members with dignity and respect. • Responds to resident and family concern(s) and assists in resolving grievances. Records grievances per facility policy Charge Nurse LVN (Licensed Vocational Nurse) or RN (Registered Nurse) ADDITIONAL DUTIES • Actively participates in the facility's Quality Assurance (QA) program as requested or needed. Assists in correcting findings and deficiencies from the Department of Health Services, Consultants, and the Quality Assurance Team as directed by the Director of Nursing. · Ensures the protection of health information as required by the Health Insurance Portability and Accountability Act (HIPAA). • Participates in the facility’s Infection Control Program for monitoring communicable and/or infectious disease among residents and staff • Participates in procedures for reporting hazardous conditions or equipment. • Orients new staff members upon request • Attends various facility meetings (care conferences, stand-up meetings, staff meetings, Medicare meetings, discharge plan meetings, etc.) as required • Attends in-services and educational classes to maintain nursing skills competency, and current knowledge for standard of care and effective practices • Performs other position-related duties as assigned.
CMA Outpatient Full-time
Cedars-Sinai

Medical Assistant - Neurology Clinic - 10-Hour - Full Time - Days

Cedars-Sinai West Hollywood, 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 High school diploma or GED required Graduate of an accredited medical assistant program and/or Medical Assistant Experience 1 year of experience working as a Medical Assistant in a medical office setting, ambulatory care facility or medical group required. Licenses/Certification Basic Life Support (BLS) from American Heart Association or American Red Cross required Certification from Board approved Medical Assistant Organization preferred California CPT I Phlebotomy License required for some departments and preferred for others.
RN Full-time
AHMC Healthcare

3W RN - Clinical 12 HR FT Days 7am-7:30pm

AHMC Healthcare Monterey Park, CA
Overview JOB SUMMARY: Responsible for the delivery of patient care through the nursing process of assessment, diagnosing, planning, implementation and evaluation. Responsible for directing and coordinating all nursing care based on established clinical nursing care for patients the medical surgical services based on established clinical nursing practice standards. Collaborates with other professional disciplines to ensure effective and efficient patient care delivery and the achievement of desired patient outcomes. Serves as the Resource nurse role when oriented and as directed. Supports the organization vision and mission. Utilizes knowledge of patient's age, developmental status, spiritual and cultural diversity into the provision of patient care. Contributes to the provision of quality nursing care through performance improvement techniques that demonstrate positive outcomes in patient care. EDUCATION, EXPERIENCE, TRAINING Graduate of an accredited school of professional nursing certificate . Licensure in the state of California as a Registered Nurse (RN). Proficient in oral and written communication skills. Ability to practice leadership, interpersonal skills, communication skills, teamwork, quality improvement and professionalism. Current California RN license Current BCLS, ACLS (AHA), NIHS Stroke Proficiency in both written and oral English Basic Dysrhythmia certificate preferred 1 Year acute experience. Chemo preferred.
CMA Outpatient Full-time
UCLA Health

Medical Assistant - Santa Monica, 12th Street Family Medicine

UCLA Health Los Angeles, CA
$1 - $1,000,000 / year
Description There’s nothing more exciting and rewarding than being able to make a significant, positive difference in someone’s life. At UCLA Health, you’ll experience this joy every day while also enjoying the positive, supportive, and collaborative environment that makes ours one of the most loved workplaces. Join us and find out for yourself. As a Medical Assistant in Family Medicine at our 12th street Santa Monica Clinic, you will have the opportunity to work as assistive personnel who work under the direct supervision of a physician, nurse practitioner. Medical Assistants participate in the patient care in the ambulatory setting, recognizing normal and abnormal signs and symptoms and provide support during life threatening emergencies. As a Medical Assistant you may perform basic administrative, clerical and technical supportive services when conditions regarding supervision, training, specific authorization, and records are met. At UCLA Health, passionate clinicians in a wide range of disciplines have enabled us to become a world-renowned health system with five award-winning hospitals and more than 300 community clinics throughout Southern California. We’re also home to the world-class medical research and clinical education capabilities of the David Geffen School of Medicine. If you’re looking to experience greater challenge and fulfillment in your career, come to UCLA Health. Pay Range: $29.46 - $38.87 hourly
CMA Outpatient Full-time
UCLA Health

Medical Assistant - Family Medicine, Burbank

UCLA Health Burbank, CA
$1 - $1,000,000 / year
Description There’s nothing more exciting and rewarding than being able to make a significant, positive difference in someone’s life. At UCLA Health, you’ll experience this joy every day while also enjoying the positive, supportive, and collaborative environment that makes ours one of the most loved workplaces. Join us and find out for yourself. As a Medical Assistant in Family Medicine at our Burbank Clinic, you will have the opportunity to work as assistive personnel who work under the direct supervision of a physician, nurse practitioner. Medical Assistants participate in the patient care in the ambulatory setting, recognizing normal and abnormal signs and symptoms and provide support during life threatening emergencies. As a Medical Assistant you may perform basic administrative, clerical and technical supportive services when conditions regarding supervision, training, specific authorization, and records are met. At UCLA Health, passionate clinicians in a wide range of disciplines have enabled us to become a world-renowned health system with five award-winning hospitals and more than 300 community clinics throughout Southern California. We’re also home to the world-class medical research and clinical education capabilities of the David Geffen School of Medicine. If you’re looking to experience greater challenge and fulfillment in your career, come to UCLA Health. Pay Range: $29.46 - $38.87 hourly
LVN Home Health Full-time
Torrance Memorial Medical Center

Licensed Vocational Nurse - Home Health FT Days

Torrance Memorial Medical Center Torrance, CA
$27.65 - $42.15 / hour
Under the supervision of a RN, the LVN provides patient care in routine and stable nursing situations. The LVN is responsible for observing, planning, implementing and evaluating all assigned patient care in collaboration with the RN and in accordance with the physician plan of care. The LVN is accountable for all patient care given, is responsible for adhering to all policies, procedures and standards of nursing practice, for managing supplies and equipment with the direction of the RN, and for promoting teamwork among co-workers, physicians and members of the interdisciplinary team. Core Competencies Observes the health status of patients and communicates this information to the RN. Completes those portions of the patient assessment as directed by the RN and as ordered in the physician plan of care: Skin condition, color, temperature Vital signs including pulse location, strength, and regularity Level of consciousness Edema including location and character Color, amount, and character of urine Color, quantity, and character of stools Presence or absence of bowel and breath sounds Collects data from the patient, family, significant others, health care providers, individuals and/or agencies in the community to include but not limited to: Chief complaint History of present illness Allergies Medications taken Past medical history Activities of daily living Perception of illness Personal hygiene Mental status Physical status Implements the patient care plan by providing direct care for those patients assigned and/or in immediate need of care. Documents patient care interventions and outcomes and communicates them to team members for follow through. Documents accurately in the patient record all activities. Completes documentation using real time charting updates patient care plans Communicates assessment data in an orderly fashion by recording, updating, and communicating among the nursing team; revises information according to patient changes. Collaborates with patients, famillies, health care team members and outside doctors' offices to establish of patient care. Collaborates with members of the healthcare team to facilitate coordinated delivery of care across the continuum. Participates in Interdisciplinary Team meetings and patient care conference. Utilizes resources in an economical manner Participates in professional development activities Department Specific Competencies Adheres to annual I will statements. Education Degree Program N/A N/A Additional Information Experience Number of Years Experience Type of Experience N/A Additional Information One year professional nursing experience. License / Certification Requirements BCLS or ACLS Certification California Licensed Vocational Nurse Drivers license, auto insurance and reliable transportation Compensation Range: $27.65 - 42.15 / Hour
Caregiver Full-time
Westminster Terrace Assisted Living

Caregiver

Westminster Terrace Assisted Living Westminster, CA
Come Join the team everyone is talking about!!! #Caregiver #Health_Aide Westminster Terrace Senior Living is a pillar in assisted living in Westminster, CA. We approach every day with one goal: To improve the lives we touch through high-quality healthcare and extraordinary compassion. Now Hiring: Caregiver/Health Aide Westminster Terrace Senior Living 7571 Westminster Blvd Westminster CA 92683 Why work for us? Caring and compassionate environment Opportunity for growth, success and longevity Come join employees who have become family! Supportive Management team Benefits: Beautiful work environment Competitive Wages and Benefit Package Flexible Schedule Paid Time Off Overtime Pay 401(k) Now Hiring: Caregiver/Health Aide Responsibilities of Caregiver/Health Aide : The caregiver is responsible for providing exceptional ADL services to a group of residents in an assisted living setting. Personal services could include toileting, diaper changing, bathing, feeding and grooming. The caregiver will also encourage socialization and participation in community activities. Qualifications of a Caregiver/Health Aide : High school diploma preferred. Must be fully vaccinated for Covid-19 Caregiver experiene preferred Ability to lift up to 25 pounds at a time Ability to reach, bend, kneel and stand for (sometimes) a long period of time Serious Applicants Westminster Terrace Senior Living is an equal opportunity employer. Westminster Terrace Senior Living is an equal opportunity employer and makes employment decisions on the basis of merit. Qualified applicants are considered for employment without regard to race, religion, sex or gender, sexual orientation, gender identity or expression, pregnancy, marital status, national origin, citizenship, veteran status, ancestry, age, physical or mental disability, genetic information, or any other consideration made unlawful by applicable laws. Westminster Terrace Senior Living will consider qualified applicants with criminal histories in a manner consistent with state, federal, or local law.
LVN Full-time
PIH Health

Licensed Vocational Nurse (LVN) Orthopedics and Sports Medicine, Full-Time, Days

PIH Health Santa Fe Springs, CA
$27.50 - $42.50 / hour
The Licensed Vocational Nurse is responsible for providing direct or indirect nursing care to patients who present with urgent, emergent, or potential health problems; utilizes knowledge of basic nursing principles, practices and ethics, and concepts under the direction of a practitioner to meet patient needs in the medical office setting. 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 and written skills. Knowledge of medical terminology, infection control and safety. Good understanding of nursing principles. Good understanding of patient/family teaching principles. Knowledge of computer practice management systems and other computerized systems (Microsoft Office programs, electronic health record systems). Good communication skills, bilingual in Spanish helpful. Required Experience Required: Current California LVN license Evidence of continuing education Current American Heart Association Basic Life Support Card. Preferred: Experience in direct nursing care in the medical office setting. Address 12400 Bloomfield Ave. Salary 27.50-42.50 Shift Days Zip Code 90670
RN Manager/Supervisor Utilization Review Full-time
Molina Healthcare

(RN)Healthcare Services Supervisor- Inpatient UM/UR (CA License Required)- REMOTE

Molina Healthcare Long Beach, CA
$76,425 - $149,028 / year
JOB DESCRIPTION Job Summary Leads and supervises multidisciplinary team of healthcare services professionals in some or all of the following functions: care management, utilization management, behavioral health, care transitions, long-term services and supports (LTSS), and/or other special programs. Ensures members reach desired outcomes through integrated delivery and coordination of care across the continuum, and contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties • Assists in implementing health management, care management, utilization management, behavioral health and other program activities in accordance with regulatory, contract standards and accreditation compliance. • Functions as a “hands-on” supervisor, assisting with assessing and evaluation of systems, day-to-day operations and efficiency of operations/services. • Assists in the coordination of orienting and training staff to ensure maximum efficiency and productivity, program implementation, and service excellence. • Trains and supports team members to ensure high-risk, complex members are adequately supported. • Assists with staff performance appraisals, ongoing monitoring of performance, and application of protocols and guidelines. • Collaborates with and keeps healthcare services leadership apprised of operational issues, staffing, resources, system and program needs. • Assists with coordination and reporting of department statistics and ongoing client reports, as assigned. • Local travel may be required (based upon state/contractual requirements). Required Qualifications • At least 5 years health care experience, and at least 2 years of managed care experienced in one or more of the following areas: utilization management, care management, care transitions, behavioral health, long-term services and supports (LTSS), or equivalent combination of relevant education and experience. r equivalent combination of relevant education and experience. • Registered Nurse (RN), Licensed Vocational Nurse (LVN), Licensed Practical Nurse (LPN), Licensed Clinical Social Worker (LCSW), Licensed Marriage and Family Therapist (LMFT), Licensed Professional Clinical Counselor (LPCC), or Licensed Master of Social Work (LMSW). Clinical licensure and/or certification required ONLY if required by state contract, regulation, business operating model, or state board licensing mandates. If licensed, license must be active and unrestricted in state of practice. • Ability to manage conflict and lead through change. • Operational and process improvement experience. • Strong written and verbal communication skills. • Working knowledge of Microsoft Office suite. • Ability to prioritize and manage multiple deadlines. • Excellent organizational, problem-solving and critical-thinking skills. Preferred Qualifications • CA Registered Nurse (RN). License must be active and unrestricted in state of practice. • Certified Case Manager (CCM), Certified Professional in Health Care Management certification (CPHM), Certified Professional in Health Care Quality (CPHQ) or other health care or management certification. • Medicaid/Medicare population experience. • Clinical experience. • Supervisory/leadership experience. MCG experience. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $76,425 - $149,028 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
RN Manager/Supervisor Full-time
Prime Healthcare

Clinical Nursing Supervisor, RN - Physical Rehab

Prime Healthcare Inglewood, CA
$45.43 - $64.91 / 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 The Clinical Supervisor supports administrative responsibility for the department service functions and works collaboratively with the unit Director and/or Manager. In the absence of the unit Director and/or Manager, the Clinical Supervisor may assume the administrative scope of the unit assigned. Develops and implements departmental plans, including performance improvement activities and compliance with current federal and/or state regulations. The Clinical Supervisor prepares, conducts and/or oversees department(s) orientation and training of personnel. Communicates with staff, physicians, and administration both written and verbally. The Clinical Supervisor is responsibility and accountable for the quality of staff and functions during their shift. Assists the Department Director in the daily operations of the unit, directing, supervising, and evaluating personnel, ensuring the proper use of time, equipment and staff. Ensure the efficient functions of the department. Performs direct patient care, only as needed, within the scope of practice. Continually assess care and direct staff to make immediate changes in the plan of care. Qualifications EDUCATION, EXPERIENCE, TRAINING 1. Current and valid California Registered Nurse license2. Bachelor Degree in Nursing (BSN) preferred.3. Current Basic Life Support certificate (BLS) upon hire and maintain current.4. Current Advanced Cardiac Life Support (ACLS) upon hire and maintain current.5. Minimum of three year of Charge Nurse or equivalent experience required.6. Critical Care Registered Nurse (CCRN) certificate preferred.7. Professional Certification within 2 years of hire preferred. https://calendly.com/lmancilla-primehealthcare/supervisor-rn- 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 $45.43 to $64.91. 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 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
CNA Full-time
Prime Healthcare

Certified Nursing Assistant, CNA - Physical Rehab (4W)

Prime Healthcare Inglewood, CA
$25.70 / 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 Assists with activities of daily living, provides basic nursing care to acute rehabilitation patients and assists in maintenance of a safe environment under the direction and supervision of the Registered nurse in charge of the team and / or unit. Qualifications EDUCATION, EXPERIENCE, TRAINING Current and valid Certified Nursing Assistant certificate. Current BCLS (ARC or AHA) certificate upon hire and maintain current. Previous experience in an acute care hospital, physician’s office or skilled nursing facility. Ability to read, write, speak and understand English. Knowledge of Medical Terminology. Training on Violence in the Workplace prevention within 90 days from date of hire. 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. 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 $25.70 to $25.70. The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire, in which a wide range of factors will be considered, including but not limited to, skillset, years of applicable experience, education, credentials and licensure. Employment Status Full Time Shift Nights Equal Employment Opportunity Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf Privacy Notice Privacy Notice for California Applicants: https://www.primehealthcare.com/wp-content/uploads/2024/04/Notice-at-Collection-and-Privacy-Policy-for-California-Job-Applicants.pdf
RN Aesthetic Full-time
LaserAway

Registered Nurse

LaserAway Beverly Hills, CA
$50 / hour
Aesthetic Registered Nurse – $50/hr + $5/hr Weekend Differential Fixed Schedule: Thursday through Monday | No Overnights | Comprehensive Training Provided About LaserAway LaserAway is the nation’s leader in aesthetic dermatology. We specialize in advanced, non-surgical treatments that combine medical expertise and cutting-edge technology to help every patient look and feel their best. About The Role We’re seeking an Aesthetic Registered Nurse to join our growing team. In this role, you’ll deliver exceptional patient care, perform advanced laser and injectable treatments, and educate patients on customized plans for long-term results. You’ll work in a supportive, fast-paced clinic environment where teamwork, professionalism, and patient satisfaction come first. Compensation & Schedule $50/hour base pay + $5/hour weekend differential Fixed schedule for work-life balance (no overnights required) Full-time position with benefits and ongoing training Full weekends required What You’ll Do Perform non-surgical aesthetic treatments, including laser hair removal, tattoo removal, injectables, and skin rejuvenation Conduct consultations and skin assessments to design individualized treatment plans Educate patients on procedures, pre- and post-care, and available treatment options Maintain accurate documentation and uphold all clinical protocols Partner with Patient Care Coordinators and Location Directors to ensure seamless patient experiences Float to nearby clinics as needed to support clinic operations Why Join LaserAway Competitive hourly rate + weekend differential Full medical, dental, and vision insurance 401(k) with company match Paid time off Employee discounts on treatments and products Comprehensive hands-on training across all aesthetic modalities Career advancement into Lead Nurse and Regional Clinical Trainer roles Who Thrives Here Current state-issued Registered Nurse license required 1+ year of hospital experience (ER, ICU, Med-Surg preferred) — or 2+ years in aesthetics Strong communication and interpersonal skills Professional, dependable, and patient-centered Weekend and evening availability required Join LaserAway — where science meets beauty. Apply today to start your career with the nation’s leader in aesthetic dermatology. LaserAway is an Equal Opportunity Employer. We’re committed to creating an inclusive workplace and will provide reasonable accommodations as required by law. Benefits Summary LaserAway provides competitive compensation packages and a comprehensive range of benefits, including Medical, Dental, Vision, Disability and Life Insurance, a 401(k) plan with a company match, and additional ancillary benefits. We also offer Paid Time Off (PTO) in compliance with state and federal requirements, ensuring our employees are supported both professionally and personally. LaserAway also provides incentive compensation, including potential bonuses and commissions, depending on role and performance.
RN Home Health Full-time
Torrance Memorial Medical Center

Staff RN - Home Health FT Days

Torrance Memorial Medical Center Torrance, CA
$54.98 - $81.66 / hour
The Staff RN uses the nursing process to deliver nursing care to a given patient care population as it relates to the care setting. Nursing care is based on the interpretation and execution of the medical and nursing plan of treatment utilizing established procedures standards and protocols of individuals within the assigned work shift. The Staff RN provides nursing care to the population served in the unit. Core Competencies Adheres to infection prevention guidelines Adheres to policies, procedures, and standards of practice to deliver safe and optimal care Assesses patient history, physiological, and psychosocial status Communicates with the patient, family, medical staff and others during the continuum of care Complies with Joint Commission’s national patient safety goals Complies with organizational quality dashboard/benchmarking goals Interprets common variables affecting patient care and follows reporting process 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 activities Participates in Peer Review Participates in professional development activities Performs as a preceptor in an active and engaged manner Provides age-specific individualized care that supports protection from harm and complies with patient safety centered interventions/bundles Provides patient and family education throughout the care of patient Uses critical thinking to formulate and carry out a care plan according to patient needs Utilizes resources in an economical manner Utilizes safe administration of medications Utilizes Safe Patient Handling Department Specific Competencies Demonstrates Home Health specific competencies. Performs OASIS/Comprehensive assessment and completes documentation in a timely manner. Adheres to the guidelines regarding time points of specific questions, WOCN and outpatient infusion guidance. Oversees coordination, communication and facilitation of the patient plan of care in a timely manner, while involving the physicians, staff and other healthcare team members. Submits weekly case management schedule to manager and coordinate care with interdisciplinary team, oversight of LVNs and CHHAs, and report any changes to manager immediately. Supervises and documents the home health aide plan of care every 2 weeks. Attends weekly case conference and staff meetings. Adheres to the telecommuting policy and obtains approval prior to using Rotates on-call duties, responds within 20 minutes of receiving call, submits a call log next morning to the on call manager or team lead.” Would you put this back in halogen, so I can complete my RN job descriptions Adheres to annual I will statements. Education Degree Program College Diploma Nursing Experience Number of Years Experience Type of Experience 1 Clinical experience in healthcare License / Certification Requirements Registered Nurse License BLS certification Drivers license, auto insurance and reliable transportation Compensation Range: $54.98 - 81.66 / Hour #LI-KC1
Caregiver Full-time
HomeWell Care Services

Caregiver Needed - Cases Available

HomeWell Care Services Torrance, CA
$20 - $22 / hour
Benefits: Flexible Schedules Opportunities for Growth Ongoing Training Holiday Pay Work Locally Weekly Pay HomeWell Care Services, Serving the South Bay and Long Beach Areas We are looking for compassionate Caregivers to be a part of our South Bay team! Join us in our mission of enhancing clients lives one day at a time. You will work individually with clients providing a variety of non-medical services. Make a difference, come grow with us! Characteristics: Compassion Strong work ethic Proactive and self-motivated Passion to excel Caring Punctual Reliable Responsibilities and Duties: Companionship Light cooking and cleaning Bathing Grooming Toileting Assistance with ambulation Medication reminders Transportation for appointments and errands Qualifications and Skills: Physically able to perform the duties Reliable transportation Communication skills Pass a criminal background check via LiveScan Benefits: $20-$22 Per Hour Weekly Pay Flexible Schedules Work Close to Home Holiday Pay Ongoing Training Opportunities for Growth!
CNA Full-time
East Terrace Rehabilitation & Wellness Centre

Certified Nursing Assistant (Certified Nursing Assistant)

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

Certified Nursing Assistant, CNA - Physical Rehab (4W)

Prime Healthcare Inglewood, CA
$25.70 / 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 Assists with activities of daily living, provides basic nursing care to acute rehabilitation patients and assists in maintenance of a safe environment under the direction and supervision of the Registered nurse in charge of the team and / or unit. Qualifications EDUCATION, EXPERIENCE, TRAINING Current and valid Certified Nursing Assistant certificate. Current BCLS (ARC or AHA) certificate upon hire and maintain current. Previous experience in an acute care hospital, physician’s office or skilled nursing facility. Ability to read, write, speak and understand English. Knowledge of Medical Terminology. Training on Violence in the Workplace prevention within 90 days from date of hire. 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. 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 $25.70 to $25.70. 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
Home Health Aide Home Health Full-time
SYNERGY HomeCare

Home Care Aide Client Advocate

SYNERGY HomeCare Long Beach, CA
Are you an experienced Home Care Aide (HCA) looking to advance your career? Do you have home care scheduling experience? Synergy HomeCare, a licensed premier non-medical service provider, has an immediate opening for Care Advocates to engage with and care for seniors and short-term clientele, including children and working adults. As a Care Advoate, you will have the exciting opportunity to be part of a rapidly growing, high-end concierge care program and work with our national accounts. Qualified candidates must be a Home Care Aide (HCO) and willing to cover last -minute shifts and work in the office when needed. This role offers the perfect entry-level opportunity for candidates who aspire to take on responsibilities as a healthcare administrator, oversee people and plans, and drive towards meaningful business outcomes. Responsibilities include: Caregiving – Work scheduled and last-minute cases, including childcare cases; Assisting with Back-up Care Accounts, including 1st in line to work cases; Taking on-call days on a rotational schedule; Coordinating and recording intake of all referrals; Interfacing with clients and caregivers for quality assurance; Answering incoming phone calls; Entering computer data; Assisting the Scheduler or DOO with day-to-day care ad hoc projects; Qualifications/Requirements: Must be a registered Home Care Aide (HCA) Must have reliable car and insurance; Must be an effective team player and have a yarning need to help others; Must have experience providing care services to clients of ALL ages in their homes. Exceptional organizational skills and be detailed oriented; Excellent customer service, telephone and people skills; Ability to learn quickly in busy office; Computer skills including, Word and Excel Ability to effectively motivate large staff and multi-task. Home Care scheduling experience is a plus. Job Types: Full-time, Part-time Pay: $20.00 per hour start Expected hours: 25 – 40 per week Benefits: Flexible schedule Professional development assistance Referral program Employer Match Retirement plan for qualified HCA Ability to Relocate: Long Beach, CA: Relocate before starting work (Required) Work Location: In person --
RN Utilization Review 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)