Nursing Jobs in Poly High, CA
$87,035 - $187,460 / year
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Title: Oak Street Health New Graduate Nurse Practitioner Fellowship Location: Glendale - 2240 E 53rd St B 1, Indianapolis, IN 46220 Fellowship Program Description: Start your NP career in the future of healthcare! Oak Street Health’s NP Fellowship in Adult Primary Care is in formal collaboration with the University of Michigan School of Nursing. The program is set in the revolutionary value-based care model, which rewards healthcare companies for the quality of their care, not the quantity. This 12-month paid fellowship will provide all the necessary skills, support, and learning required to become a highly confident and competent clinician for older adults. During the program, fellows spend time building their own patient panel, learning from a multitude of preceptors, and engaging in didactic content that aims to build on, not repeat, graduate training. All fellows commit to working at Oak Street for at least a year following program completion, but we hope they will spend their careers at Oak Street improving the health of communities across the country. The program has two concurrent cohorts starting in September and March of every year. The annual salary for this location is $100,000. Benefits: One-year paid program. Fellows commit to a second year of employment with Oak Street Health following the fellowship and future opportunities to continue working with us. Competitive salary relative to other fellowship programs. Generous benefits, including vacation time, health insurance, retirement benefits, and CME stipend. Small patient panels and true interprofessional care team collaboration. Dedicated time for teamwork to ensure optimal health outcomes for your patients. Requirements: Family, adult, or adult-gerontology primary care nurse practitioners who graduated or will graduate from their programs between December 2024 and May 2026. Must currently reside in, or be willing to relocate to, the Fellowship program location for at least the next two years. Have not yet worked as an NP. Minimum of one year experience, within the last five years, working as an adult RN. Minimum GPA of 3.0 in NP program. Have passed, or in the process of, passing NP board examinations by 6/6/2026. Currently holds or will hold by 8/3/2026 an active, non-probationary state NP license. A genuine passion for adult primary care. A supportive attitude toward our patient population of older adults. Embrace teamwork and the opportunity to collaborate with brilliant colleagues. Want to be a part of an innovative model focused on empirically guided population health. Language skills are strongly preferred, depending on clinic location. Someone who embodies being “Oaky”. What does being “Oaky” look like? Radiating positive energy Assuming good intentions Creating an unmatched patient experience Driving clinical excellence Taking ownership and delivering results Being relentlessly determined Application Timeline Please upload your CV using the link below. Once submitted, it will be reviewed by the Fellowship staff. If you meet the eligibility criteria, you will be invited to complete the full application. This next phase includes two short essays, the submission of three professional references, and supporting materials such as transcripts and applicable licenses. We encourage prospective applicants to begin identifying references early. For the NP Fellowship Program, we require one (1) reference from a current or recent supervisor, and two (2) references from a Preceptor, Program Director, or Faculty member. Why Oak Street Health? Oak Street Health is on a mission to “rebuild healthcare as it should be'', providing personalized primary care for older adults on Medicare, with the goal of keeping patients healthy and living life to the fullest. Our innovative care model is centered right in our patient’s communities and focused on the quality of care over the volume of services. We’re an organization on the move! With over 160 locations and an ambitious growth trajectory, Oak Street Health is attracting and cultivating team members who embody “Oaky” values and passion for our mission. Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $87,035.00 - $187,460.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great people We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility. Additional details about available benefits are provided during the application process and on Benefits Moments. This job does not have an application deadline, as CVS Health accepts applications on an ongoing basis. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. Our Work Experience is the combination of everything that's unique about us: our culture, our core values, our company meetings, our commitment to sustainability, our recognition programs, but most importantly, it's our people. Our employees are self-disciplined, hard working, curious, trustworthy, humble, and truthful. They make choices according to what is best for the team, they live for opportunities to collaborate and make a difference, and they make us the #1 Top Workplace in the area. 
$160,000 - $190,000 / year
About Atria: The Atria Health Institute is a membership-based primary and specialty health care practice with a focus on prevention and longevity. We bring together a multidisciplinary team of renowned physicians to provide proactive, preventive, and precision-based care for Atria members and their families. All care, including primary care, advanced screening and diagnostics, urgent care, specialty care, 24/7 home visits, and imaging is included in members’ annual fee. Our mission is to make healthspan and lifespan equal for all by translating science into medicine in real-time, all while bringing humanity back into health care. Delivering such robust, personalized, and preventive health care is complex and requires a team-wide dedication to excellence. After successfully opening our flagship Institute in New York in 2022 and expanding to South Florida in 2024, we are now bringing the Atria experience to the West Coast with the launch of our Los Angeles Institute in summer 2026. Overview We are seeking a highly skilled and motivated Nurse Practitioner (NP) or Physician Assistant (PA) to join our dynamic Endocrinology & Metabolic Health team in a fast-paced outpatient multispecialty setting. The ideal candidate will possess a strong clinical background in endocrinology, excellent communication and patient management skills, and a commitment to delivering high-quality, patient-centered care, preventatively minded endocrine and metabolic health care in a concierge practice model. Key Responsibilities Comprehensive Patient Care Conduct thorough patient evaluations, utilizing your skills to gather medical histories, perform physical exams, and assess diagnostic results in patients with endocrine disorders. Diagnose and manage common endocrine conditions, such as diabetes, overweight and obesity, thyroid disorders, adrenal disorders, and metabolic syndrome. Order and interpret lab tests and imaging studies, collaborating with the endocrinologist to develop tailored treatment plans. Develop and implement individualized treatment plans in collaboration with the attending physician and multidisciplinary team. Monitor patient progress, adjusting treatment plans as necessary and providing patient education regarding disease management and lifestyle modifications in a manner that is personalized, proactive, responsive, and collaborative Perform and oversee dynamic endocrine testing procedures, interpretation of lab results, imaging studies, and other diagnostic tests. Provide exceptional patient care by maintaining strong communication with patients and their families regarding treatment plans and health education. Empowering Patient Education Educate patients about their diagnoses and treatment options, providing them with the knowledge and tools they need for effective self-management. Guide patients in lifestyle modifications, from dietary adjustments to exercise regimens, fostering a proactive approach to their health. Create a supportive environment that encourages open communication and engagement, helping patients stay committed to their care plans. Collaborative Team Environment Work hand-in-hand with the endocrinologist, care coordination team and multidisciplinary clinical team to deliver seamless, comprehensive concierge care. Engage in team meetings and case discussions, contributing your insights to optimize patient management strategies. Administrative Excellence Maintain accurate and timely documentation in our electronic health record (EHR) system, ensuring the highest standards of patient care. Participate in the development and implementation of clinical protocols that enhance our practice and patient outcomes. Contribute to quality improvement initiatives, monitoring patient satisfaction and outcomes to drive continual enhancement of our services. Ongoing Professional Development Stay at the forefront of endocrinology by engaging in continuous education and training, ensuring your skills and knowledge remain cutting-edge. Participate in professional organizations and attend conferences to enrich your expertise and foster networking opportunities. 5 days x 8 hour shifts Current CA License required as NP for specialty, or current CA Licensed PA Minimum of 3+ years of experience in endocrinology required. Experience in endocrinology is required; a passion for prevention is essential. 2+ year’s experience as a practicing NP or PA-C Strong clinical assessment skills and a comprehensive understanding of endocrine disorders. BLS & ACLS certification from the American Heart Association Availability to be flexible with weekend coverage Thrives in a fast-paced, growing environment Internal Medicine, Primary Care, Urgent Care, Emergency, and Family Medicine (Preferred) Compensation: $160,000 - $190,000, depending on years of experience At Atria, we are proud to offer every member of the Atria team: Excellent health and wellness benefits, 100% paid by Atria effective date of hire Flexible Time Off 401k match at 4% effective date of hire Opportunity to participate in continuing medical education programs for maintenance of Continued Medical Education and CEUs for professional licensure Fitness Perks including Wellhub + Time to give back and make an impact in underserved communities $160,000 - $190,000 / year
About Atria: The Atria Health Institute is a membership-based primary and specialty health care practice with a focus on prevention and longevity. We bring together a multidisciplinary team of renowned physicians to provide proactive, preventive, and precision-based care for Atria members and their families. All care, including primary care, advanced screening and diagnostics, urgent care, specialty care, 24/7 home visits, and imaging is included in members’ annual fee. Our mission is to make healthspan and lifespan equal for all by translating science into medicine in real-time, all while bringing humanity back into health care. Delivering such robust, personalized, and preventive health care is complex and requires a team-wide dedication to excellence. After successfully opening our flagship Institute in New York in 2022 and expanding to South Florida in 2024, we are now bringing the Atria experience to the West Coast with the launch of our Los Angeles Institute in summer 2026. Overview We are seeking a highly skilled and motivated Nurse Practitioner (NP) or Physician Assistant (PA) to join our dynamic Endocrinology & Metabolic Health team in a fast-paced outpatient multispecialty setting. The ideal candidate will possess a strong clinical background in endocrinology, excellent communication and patient management skills, and a commitment to delivering high-quality, patient-centered care, preventatively minded endocrine and metabolic health care in a concierge practice model. Key Responsibilities Comprehensive Patient Care Conduct thorough patient evaluations, utilizing your skills to gather medical histories, perform physical exams, and assess diagnostic results in patients with endocrine disorders. Diagnose and manage common endocrine conditions, such as diabetes, overweight and obesity, thyroid disorders, adrenal disorders, and metabolic syndrome. Order and interpret lab tests and imaging studies, collaborating with the endocrinologist to develop tailored treatment plans. Develop and implement individualized treatment plans in collaboration with the attending physician and multidisciplinary team. Monitor patient progress, adjusting treatment plans as necessary and providing patient education regarding disease management and lifestyle modifications in a manner that is personalized, proactive, responsive, and collaborative Perform and oversee dynamic endocrine testing procedures, interpretation of lab results, imaging studies, and other diagnostic tests. Provide exceptional patient care by maintaining strong communication with patients and their families regarding treatment plans and health education. Empowering Patient Education Educate patients about their diagnoses and treatment options, providing them with the knowledge and tools they need for effective self-management. Guide patients in lifestyle modifications, from dietary adjustments to exercise regimens, fostering a proactive approach to their health. Create a supportive environment that encourages open communication and engagement, helping patients stay committed to their care plans. Collaborative Team Environment Work hand-in-hand with the endocrinologist, care coordination team and multidisciplinary clinical team to deliver seamless, comprehensive concierge care. Engage in team meetings and case discussions, contributing your insights to optimize patient management strategies. Administrative Excellence Maintain accurate and timely documentation in our electronic health record (EHR) system, ensuring the highest standards of patient care. Participate in the development and implementation of clinical protocols that enhance our practice and patient outcomes. Contribute to quality improvement initiatives, monitoring patient satisfaction and outcomes to drive continual enhancement of our services. Ongoing Professional Development Stay at the forefront of endocrinology by engaging in continuous education and training, ensuring your skills and knowledge remain cutting-edge. Participate in professional organizations and attend conferences to enrich your expertise and foster networking opportunities. 5 days x 8 hour shifts Current CA License required as NP for specialty, or current CA Licensed PA Minimum of 3+ years of experience in endocrinology required. Experience in endocrinology is required; a passion for prevention is essential. 2+ year’s experience as a practicing NP or PA-C Strong clinical assessment skills and a comprehensive understanding of endocrine disorders. BLS & ACLS certification from the American Heart Association Availability to be flexible with weekend coverage Thrives in a fast-paced, growing environment Internal Medicine, Primary Care, Urgent Care, Emergency, and Family Medicine (Preferred) Compensation: $160,000 - $190,000, depending on years of experience At Atria, we are proud to offer every member of the Atria team: Excellent health and wellness benefits, 100% paid by Atria effective date of hire Flexible Time Off 401k match at 4% effective date of hire Opportunity to participate in continuing medical education programs for maintenance of Continued Medical Education and CEUs for professional licensure Fitness Perks including Wellhub + Time to give back and make an impact in underserved communities 
$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) 
