Nursing Jobs in San Fernando, CA
$123,000 - $145,000 / year
Nurse Practitioner / Physician Assistant - Hybrid (Harris County, TX) Department: Quality - Risk Adjustment Ops Employment Type: Full Time Location: 568 W. Garvey Ave, Monterey Park, CA 91754 Compensation: $123,000 - $145,000 / year Description We are looking for a motivated Spanish and/or Tagalog speaking Nurse Practitioner / Physician Assistant to join a team that is passionate about improving the health of our patients. As part of the Quality Department, the Clinical Operations team leads the effort to improve health outcomes through proactive outreach, preventive care, and patient education. Together, we empower patients to take an active role in managing their health and chronic conditions while advancing healthier communities across all stages of life. This is a unique opportunity to play an instrumental role in the expansion of our Annual Wellness Visit (AWV) program throughout the Houston market. As one of the first providers supporting this initiative in the region, you will help establish a strong foundation for patient engagement, preventive care delivery, and quality outcomes while partnering closely with clinical and operational leaders as the program grows. In this hybrid role, you will conduct 5 to 6 Annual Wellness Visits (AWVs) per day across Harris County, meeting patients where they are, primarily in their homes or local care facilities, or 10 to 11 AWVs per day via telemedicine. These visits serve as critical touchpoints to assess patients' current health status, identify and address risk factors, and support long-term wellness planning. You will review and update medical histories, evaluate health risks, and recommend appropriate preventive services. Through close collaboration with patients, you will play a key role in influencing health behaviors and driving improved outcomes over time. Our Values: Put Patients First Empower Entrepreneurial Provider and Care Teams Operate with Integrity & Excellence Be Innovative Work As One Team What You'll Do Conduct 5-6 Annual Wellness Home Visits per day within the Harris County, TX area Conduct 10-11 Annual Wellness Telehealth Visits per day across Astrana Health’s covered markets Document chief complaint, previous medical, family, and social history, review of systems, examination, assessment, and appropriate plan of care Identify gaps in care during the evaluation that may require additional screening, diagnostics, and laboratory studies Recapture previous conditions while carefully capturing newly found conditions Create or update a Personalized Prevention Plan based on current health and risk factors to optimize the management of current conditions and prevent illnesses Provide patient education regarding preventive services and prescribed treatments, reinforce the importance of staying current on covered preventive services Make recommendations for member's follow-up with their primary care physician Communicate with AWV Care Coordination team to ensure patients receive necessary referrals to additional services Complete documentation/charting in an accurate and timely manner Comply with federal, state, and local legal and professional requirements by studying existing and new legislation, anticipating future legislation; enforcing adherence to requirements; advising management on outstanding actions Other duties as assigned Qualifications Active and unrestricted Texas Nurse Practitioner (NP) or Physician Assistant (PA) license. Current national board certification (AANP, ANCC, or NCCPA, as applicable). Active DEA registration and NPI number. Valid Texas driver's license, reliable transportation, and ability to travel within the service area as needed. Minimum of one (1) year of direct patient care experience as a Nurse Practitioner or Physician Assistant in Primary Care, Geriatrics, Family Medicine, Internal Medicine, Home Visits or related setting. Experience using electronic health record (EHR) systems. Strong clinical assessment, documentation, and patient communication skills. You’ll be great for this role if you have: Experience with Medicare Advantage populations, Annual Wellness Visits (AWVs), and value-based care models. Knowledge of HEDIS, HCC coding, and quality measures. Experience working with ACO, IPA, managed care, or population health programs. Fluency in Tagalog and/or Spanish (preferred). Environmental Job Requirements and Working Conditions This is a full-time, hybrid position scheduled as four (4) - ten (10) hour shifts per week OR five (5) days - eight (8) hour shifts per week, serving patients throughout the Harris County, Texas territory. This position will work two days in the field and two days from home. Mileage reimbursement is included. The national target compensation target pay range for this role is between $123,000 - $145,000 annually. Actual compensation will be determined based on geographic location (current or future), experience, and other job-related factors. Additional Information: Astrana Health is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. All employment is decided on the basis of qualifications, merit, and business need. If you require assistance in applying for open positions due to a disability, please email us at humanresourcesdept@astranahealth.com to request accommodation. The job description does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the job change. 
$140,000 - $155,000 / year
Join Silverado Hospice Los Angeles and be part of a nationally recognized team ranked in the top 10 nationwide by Fortune Magazine’s Best Workplaces in Aging Services . Since 1997, Silverado has been delivering exceptional care to individuals with neurodegenerative conditions and those facing life-limiting illnesses through our Hospice services. We’re a certified Great Place to Work® and proud to offer competitive pay, benefits, and growth opportunities. We’re hiring a Director of Patient Care Services – a compassionate and experienced clinical leader who oversees hospice care delivery, supports interdisciplinary teams, and ensures regulatory compliance. This role blends leadership, clinical expertise, and empathy to provide dignified, meaningful care to patients and families. Be a difference-maker with a hospice care leader! You lead with compassion, resilience, and clinical precision. You’re dependable, emotionally intelligent, and thrive in a team-focused environment. You’re passionate about supporting patients and families with grace and dignity and empowering your team to deliver exceptional care. What You’ll Be Doing: Serve as a role model and resource for nursing staff and interdisciplinary team members Support staff in problem-solving and determining appropriate clinical interventions Collaborate with the Administrator on hiring, orientation, retention, and performance management Adhere to budget requirements for labor, pharmacy, DME, and medical supplies Coordinate patient care with RN Case Managers and attending physicians Review and manage patients receiving higher levels of care (respite, inpatient, continuous care) Oversee clinical and management responsibilities for assigned teams Serve as liaison between Administrator, clinical staff, patients, families, and community partners Qualifications: Graduate of an accredited school of nursing with a bachelor’s degree or higher in nursing or a related health field. Current, unencumbered Registered Nurse (RN) license in the state of employment. Active CPR certification required; certification in Hospice and Palliative Nursing preferred. Minimum of 4 years of experience within the last 5 years in hospice, palliative care, supportive care, home health, or a primary care setting. Minimum of 1 year of supervisory experience in a healthcare setting. Experience with Electronic Medical Records (EMR) preferred; familiarity with WellSky is highly desirable. Valid driver’s license with a clean driving record. Reliable transportation and willingness to travel as needed. Ability to lead bereavement support groups and make sound clinical decisions. Flexibility to work outside regular hours based on patient needs. Why Choose Silverado? Fortune Magazine Best Workplace in Aging Services™ Certified Great Place to Work® Paid training and strong internal mobility Anticipated pay range: $140,000 USD - $155,000 USD Silverado offers the following benefits to eligible employees: 401(k) matching Health, Dental and Vision Insurance Flexible Spending Account (FSA) Paid time off Tuition reimbursement and professional development assistance Referral program Other amazing benefits such as Pet Insurance, Auto and Home Insurance and Discount Programs! * Silverado does not accept candidates from outside recruiters or agencies for this role. * California Employees: For roles requiring driving, the driving requirement has been deemed essential to the performance of this role due to specific business necessity. Supporting documentation is maintained by Silverado and is available for review upon request to ensure compliance with California law. To view California Consumer Privacy Act (CCPA) information, please visit this page: https://www.silverado.com/legal-disclaimers/#Consumer-Privacy-Act-Disclosure Employment offers are contingent on background check, drug screening, physical, and TB testing (if applicable). Silverado uses E-Verify to confirm work authorization with both the Social Security Administration and the Department of Homeland Security EOE/M/F/D/V 
$161,500 - $264,160 / year
The Pre-Op Nurse Practitioner –(NP) is a NP who works under the direction of the Department's Administrative and Medical Directors to facilitate safe and efficient operational flow of the cardiovascular patient population at Keck Medical Center. The NP is responsible for the application of the nursing process, supervision of clinical practice, education, leadership, and patient care management. The NP will function as a part of inter-professional teams by communicating, planning, and implementing care directly with other healthcare professionals, including but not limited to physicians, pharmacists, office support staff, and clinical nurse specialists and nurse practitioners. Outpatient duties will include providing Cardiac Clearance for established Cardiology patients for surgery, pre-transplant evaluation as well as independent evaluation of general cardiology patients. This position may provide support to Cardiovascular Medicine physicians in their respective clinics by using a team approach to efficiently evaluate and treat our outpatient Cardiovascular Medicine patient population. Meeting all medical center requirements, the Pre-Op NP will be responsible for appropriate documentation, clinic consults. The NP will be responsible for follow up, coordination of care, assisting in triaging phone calls, clinical questions, and pharmacy. The NP may also be involved in our telemedicine program. The nurse practitioner should demonstrate a knowledge of regulatory requirements in the delivery of patient care. Demonstrates critical thinking in providing care according to the standards of the profession. Resource for RNs, LVNs, and support staff. Works in collaboration with other health care team members, consulting and referring as appropriate, but retains responsibility for ongoing clinical management of the patient (e.g. post-implant VAD care, heart failure, etc.). Departmental Specific Summary The Nurse Practitioner – Cardiology under general supervision and in accordance with standardized procedures, incumbent performs physical examinations and treats common episodic and chronic health care problems, counsels patients and families, monitors patient progress, assists with medical research projects. Resource for RNs, LVNs, and support staff. Works in collaboration with other health care team members, consulting and referring as appropriate, but retains responsibility for ongoing clinical management of the patient (e.g. post-implant VAD care, heart failure, etc.). Essential Duties 1. Conducts in-depth interviews with patients and/or family, constructs comprehensive medical histories, performs initial and periodic physical examinations and explores patient’s interpretation of health needs. Identifies and treats patients’ diseases (e.g. post-implant VAD care, heart failure, etc.). Manages treatment of hospitalized patients using critical and strategic thinking, analytical and planning skills while demonstrating effective organizational and time management skills. 2. Identifies patient’s educational needs and provides health related information to enhance patient’s and family’s understanding of medical condition and related treatments. Obtains informed consent for procedures that will be performed Instructs and counsels patients and families regarding care, medical problems, psychological problems and use of prescribed devices, treatments and drugs. 3. Directly performs or orders appropriate diagnostic studies and interprets finished results. 4. Develops and implements long and short range treatment plans. 5. Performs procedures such as obtaining specimens, performing injections, immunizations, lumbar punctures, skin biopsies, suturing, wound care and management of conditions produced by trauma or infection. 6. Writes orders to increase, decrease or change medication, subject to checking and counter-signing by physician. 7. Initiates consultations and monitors scheduling of patients for special tests. 8. Identifies records pertinent progress of patients, updating and summarizing charts, changing orders when appropriate and notifying the responsible physician of changes in the patient’s condition. 9. Instructs and counsels patients and families regarding preventive care, medical problems, psychological problems, and use of prescribed treatments and drugs. 10. Acts as the lead in the clinics (e.g. being the resource for RN, LVN, and support staff) and acts as the liaison with governmental agencies such as Center for Disease Control and National Institute of Health. Assists with medical research projects, following medical research protocols. Obtains Investigational Review Board approval for treatment protocols. 11. Researches community resources for referral of patients. Refers patients to most appropriate resource based on patients’ medical needs and condition. 12. Maintains compliance with established University and department policies and procedures, quality assurance, safety, environmental, infection control and complies with requirements of accreditation and regulatory agencies. 13. Participates in in-service education programs and professional associations. 14. Performs other duties as assigned. Required Qualifications: Req Master's degree Nursing Degree in a related field Req 3 years Experience as a NP required Req 2 years Experience as NP in general cardiology, cardiothoracic or cardiac surgery experience required. Req Must have excellent communication skills, including the ability to speak, read and write English proficiently. Req Knowledge of medical procedures and conditions and ability to understand, follow and successfully perform duties, including whole blood collection, and apheresis procedures, in accordance with administrative and clinical policies, regulations and procedures. Preferred Qualifications Required Licenses/Certifications: Req Registered Nurse - RN (CA DCA) Current & Valid California Registered Nursing license. Req Nurse Practitioner - NP (CA DCA) Current & Valid California Nurse Practitioner license. ACNP, AGACNP, FNP, ANP, or AGNP required. Req DEA Certificate Drug Enforcement Agency (DEA) Certificate issued by the U.S. Department of Justice for Schedule II-V controlled substances Req NP Board Certified Possession of National Board Certification in Nurse Practitioner area of specialty accredited by Accreditation Board of Specialty Nursing (ABSNC) or National Commission for Certifying Agencies (NCCA). Req Basic Life Support (BLS) Healthcare Provider from American Heart Association Req Advanced Cardiovascular Life Support (ACLS) Healthcare Provider from American Heart Association Req Fire Life Safety Training (LA City) If no card upon hire, one must be obtained within 30 days of hire and maintained by renewal before expiration date. (Required within LA City only) USC Care Medical Group serves as the sole physician entity reporting to the USC Health System, uniting faculty clinical practice under Keck Medicine of USC. This entity oversees clinical governance, physician and ambulatory services, and core enterprise functions including billing, contracting, and financial operations. The organization encompasses 17 clinical departments, with approximately 1,500 physicians and 2,000 staff delivering care across more than 80 locations from Kern County to Orange County and into Las Vegas. USC Care Medical Group is the engine for patient-centered growth—advancing quality, safety, access, and financial strength through integrated, system-level thinking that transcends silos and traditional models. By building bridges across the enterprise, embracing innovation, and leveraging technology, we deliver seamless, 5-Star access and service while expanding clinical reach and diversified models of care. Our work fuels a sustainable cycle of good health—organizationally, financially, and within the communities we serve—driving continued growth from within and beyond the system’s boundaries. The annual base salary range for this position is $161,500.00 - $264,160.00. When extending an offer of employment, the University of Southern California considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate’s work experience, education/training, key skills, internal peer equity, federal, state, and local laws, contractual stipulations, grant funding, as well as external market and organizational considerations. USC is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability, or any other characteristic protected by law or USC policy. USC observes affirmative action obligations consistent with state and federal law. USC will consider for employment all qualified applicants with criminal records in a manner consistent with applicable laws and regulations, including the Los Angeles County Fair Chance Ordinance for employers and the Fair Chance Initiative for Hiring Ordinance, and with due consideration for patient and student safety. Please refer to the Background Screening Policy Appendix D for specific employment screen implications for the position for which you are applying. We provide reasonable accommodations to applicants and employees with disabilities. Applicants with questions about access or requiring a reasonable accommodation for any part of the application or hiring process should contact USC Human Resources by phone at (213) 821-8100, or by email at uschr@usc.edu . Inquiries will be treated as confidential to the extent permitted by law. Notice of Non-discrimination Employment Equity Read USC’s Clery Act Annual Security Report USC is a smoke-free environment Digital Accessibility If you are a current USC employee, please apply to this USC job posting in Workday by copying and pasting this link into your browser: https://wd5.myworkday.com/usc/d/inst/1$9925/9925$147921.htmld 
We are hiring a female caregiver in Los Angeles, CA 90043, in the Windsor Hills area. Mon-Fri 830am-530pm Please apply if you are available. $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) $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) 
