Nursing Jobs in San Fernando, 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 Supervisor of Utilization Management (UM) RN is responsible for executing the day-to-day operations of the UM department, and monitoring the Care Management (CM) staff’s responsibilities and activities. This includes, but not limited to, ensuring proper staffing and coverage; monitoring and evaluating departmental operations to ensure optimal efficiency, productivity, and effectiveness; documenting and appropriately addressing excellence or deviations in work, departmental, and organizational expectations; and conducting intermittent and annual performance evaluations. This role assists in triaging identified issues/problems and forming resolution within the scope of work/licensure. The Supervisor is a subject matter expert (SME) in Care/Case/Utilization Management and supporting regulations, policies, protocols, and procedures. This position serves as a formal and informal instructor, and escalates issues/concerns to the appropriate person when outside of their scope. This position is responsible in assisting with and development and maintenance of a successful and cohesive unit, with high level of productivity and accuracy to achieve the department's overall performance metrics. The Supervisor ensures all functions of the UM department are operating in accordance with the organization's mission, values and strategic goals, which are focused on quality care delivery and continuous improvement; and are provided in a manner that is responsive and sensitive to the needs of L.A. Care's culturally diverse membership. The position supports the UM Manager/Director. This role also assists UM Educator/Manager/Director in identification of training needs including, but not limited to, collaborating in development of programs, training materials, competency checklist, and orientation checklists necessary to meet education and training needs of UM staff. The position supervises all aspects of running an efficient team, including hiring, supervising, coaching, training, disciplining, and motivating direct-reports. Duties Ensures adequate/appropriate distributions of workforce, assignments and time off requests. Participates in the hiring and termination process providing recommendations with appropriate supporting documentation. Monitors of staff's performance including productivity and compliance with regulatory requirements, compliance with policies. Identifies, communicates and coaches to improve staff performance. Develops tools, job aids, and workflows to optimize the process flow, performance and productivity of the UM team. Completes intermittent and annual staff evaluations. Serves as the primary resource for all business-related questions/issues raised by staff; escalates to appropriate leader/team when necessary. Recommends and implements process improvement measures to achieve department's performance measures outcomes and goals. Plans and oversees UM activities according to model of care, program description and policy and procedures to provide timely, quality care and services to members. Maintains all assigned reporting responsibilities, conducts regular audits to ensure compliance with community, industry and organizational standards including regulatory requirements. Serves as a super-user on electronic programs and systems used by the department. Assists in the development of programs, workflows, tools, training materials, orientation checklists, and competency checklist necessary to meet educational needs. Trains new staff, remediation of seasoned staff and cross training as needed in specified business lines. Serves as a leader and role model as well as technical and informational resource for staff and peers. Duties Continued Fosters a culture that encourages employee contribution to ensure that the department maintains an environment in which quality flourishes. Services as member/resource/liaison to the Interdisciplinary Care Team. Recommends resources to improve performance standards in terms of Utilization Management. Collaborates with peers and colleagues within the organization to address process improvements, member's needs, department and organizational enhancements and communicate development as appropriate. Participates on internal and external committees as delegated or assigned. Serves as a consultant to other departments or organizations as needed. Responsible for the daily workflow and leading the work of assigned staff. This role will mentor, coach, act as a resource and provide feedback on performance of assigned staff. Performs other duties as assigned. Education Required Associate's Degree in NursingEducation Preferred Bachelor's Degree in NursingExperience Required: Minimum of 7 years of acute/clinical care experience. Minimum of 2 years of experience in Case/Care/Utilization Management in an acute care or health plan setting. Minimum of 3 years leading process, program, or staff or supervisory experience. Equivalency: Completion of the L.A. Care Management Certificate Training Program may substitute for the supervisory/management experience requirement. Skills Required: Knowledge of state, federal and regulatory requirements in Care/Case/Utilization Management. Strong verbal and written communication skills. Computer literacy with proficiency with Microsoft Word, Excel, etc. and ability to learn core departmental computer systems and software. Excellent organizational, time management, and interpersonal skills. Must be detailed-oriented, energetic, and an enthusiastic team player. Must be able to work independently. Licenses/Certifications Required Registered Nurse (RN) - Active, current and unrestricted California LicenseLicenses/Certifications Preferred Required Training Physical Requirements LightAdditional 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) 
$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 Supervisor of Appeals and Grievances Clinical Operations (A&G) RN is responsible for executing the day-to-day clinical operations of the A&G department, and monitoring the A&G RN staff responsibilities and activities. This includes, but is not limited to, ensuring proper staffing and coverage; monitoring and evaluating departmental operations to ensure optimal efficiency, productivity, and effectiveness; documenting and appropriately addressing excellence or deviations in work, departmental, and organizational expectations; and conducting intermittent and annual performance evaluations. This role assists in triaging identified issues/problems and forming resolutions within the scope of work/licensure. The Supervisor is a subject matter expert (SME) in Appeals & Grievances and supporting regulations, policies, protocols, and procedures. This position serves as a formal and informal instructor, and escalates issues/concerns to the appropriate person when outside of their scope. This position is responsible for assisting with and development and maintenance of a successful and cohesive unit, with a high level of productivity and accuracy to achieve the department's overall performance metrics. The Supervisor ensures all functions of the A&G department are operating in accordance with the organization's mission, values and strategic goals, which are focused on quality care delivery and continuous improvement; and are provided in a manner that is responsive and sensitive to the needs of L.A Care's culturally diverse membership. The position supports the A&G Clinical Manager. This role also assists the A&G Leadership in identification of training needs including, but not limited to, collaborating in development of programs, training materials, competency checklist, and orientation checklists necessary to meet education and training needs of A&G staff. The position supervises all aspects of running an efficient team, including hiring, supervising, coaching, training, disciplining, and motivating direct-reports. Duties Ensures adequate/appropriate distributions of workforce, assignments and time off requests. Participates in the hiring and termination process providing recommendations with appropriate supporting documentation. Monitors staff’s performance including productivity and compliance with regulatory requirements, compliance with policies. Identifies, communicates and coaches to improve staff performance. Develops tools, job aids, and workflows to optimize the process flow, performance and productivity of the A&G team. Completes intermittent and annual staff evaluations. Serves as the primary resource for all business-related questions/issues raised by staff; escalates to appropriate leader/team when necessary. Recommends and implements process improvement measures to achieve department's performance measures outcomes and goals. Plans and oversees A&G clinical activities according to model of care, program description and policy and procedures to provide timely, quality care and services to members. Duties Continued Maintains all assigned reporting responsibilities, conducts regular audits to ensure compliance with community, industry and organizational standards including regulatory requirements. Serves as a super-user on electronic programs and systems used by the department. Assists in the development of programs, workflows, tools, training materials, orientation checklists, and competency checklist necessary to meet educational needs. Trains new staff, remediation of seasoned staff and cross training as needed in specified business lines. Serves as a leader and role model as well as technical and informational resource for staff and peers. Fosters a culture that encourages employee contribution to ensure the department maintains an environment in which quality flourishes. Serves as a member/resource/liaison to the A&G Operations Team. Recommends resources to improve performance standards in terms of Appeals & Grievances. Collaborates with peers and colleagues within the organization to address process improvements, member's needs, department and organizational enhancements and communicate development as appropriate. Participates on internal and external committees as delegated or assigned. Serves as a consultant to other departments or organizations as needed. Performs other duties as assigned. Education Required Associate's Degree in NursingEducation Preferred Bachelor's Degree in NursingExperience Required: At least 8 years of RN acute/clinical care experience. At least 2 years in a lead/supervisory experience. Equivalency: Completion of the L.A. Care Management Certificate Training Program may substitute for the supervisory/management experience requirement. Preferred: Previous experience in Medicare/ Medicaid in a managed care/ health plan environment.Skills Required: Knowledge of state, federal and regulatory requirements in Appeals/Care/Case/Utilization Management/Quality. Strong verbal and written communication skills. Computer literacy with proficiency in Microsoft Word, Excel, etc. and ability to learn core departmental computer systems and software. Excellent organizational, time management, and interpersonal skills. Must be detailed-oriented, energetic, and an enthusiastic team player. Must be able to work independently. Licenses/Certifications Required Registered Nurse (RN) - Active, current and unrestricted California LicenseLicenses/Certifications Preferred Required Training Physical Requirements LightAdditional Information This position requires work after hours, on weekends, holidays, a hybrid remote schedule, occasional flexibility in hours/shift in critical situations and work on-call. This position requires handling various caseloads and flexibility to adapt to changing priorities which may include but not limited to redistributed work assignments, team projects, and other priorities as assigned 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) 
$125,000 - $145,000 / year
Overview Why You’ll Love Being a Regional Clinical Support Specialist DCO at AccentCare Do you take great pride in achieving the best possible outcomes for patients? Are you passionate about providing exceptional care? Join the AccentCare team today as a Regional Clinical Support Specialist DCO. As a Regional Clinical Support Specialist DCO, you will have the ability to work at the top of your licensure while working one-on-one with your clients to provide them with customized care. Under the guidance of your physician, you will develop plans of care and utilize nursing theories, skills, and techniques to provide quality care to your clients on a daily basis. When you join AccentCare, you become part of a team that is not only dedicated to their patients, but to each other as well. Here, you will truly make a difference each and every day as you work alongside a supportive team. With a competitive benefits package, work-life balance, professional development, and an outstanding work environment, you will have everything you need to achieve success in your career. Bring your passion for patient care and you will build a career you love as a Regional Clinical Support Specialist DCO. Join the AccentCare team and apply for this Regional Clinical Support Specialist DCO opportunity today! Remote/Virtual Position : Position requires 75-80% travel with focus on CA & WA Coverage Area: West Coast Find Your Passion and Purpose as a Regional Clinical Support Specialist Registered Nurse Salary: $125,000-$145,000/year Schedule: M-F / After Hours as needed Offer Based on Years of Experience What You Need to Know Our Investment in You We are committed to offering comprehensive benefits and rewards to full-time employees who work over 30 hours per week and their families, including: ● Medical, dental, and vision coverage ● Paid time off and paid holidays ● Professional development ● Company-matching 401(k) ● Flexible spending and health savings accounts ● Company store credit for your first AccentCare-branded scrubs for patient-facing employees Why AccentCare? Regional Clinical Support Specialist DCO Qualifications: Associates degree Registered Nurse License in state(s) practicing Minimum 1-year management and supervisory experience in a hospice or home health agency, or equivalent education ; Minimum 3-years’ experience in hospice, home health, general medical surgery, oncology or patient population specific nursing Ability to travel and work non-traditional work schedules as needed $200,677.92 - $300,389.28 / year
EXAM NUMBER: Y5172U TYPE OF RECRUITMENT: We welcome applications from all registered nurses for this non-competitive opportunity. FILING DATE: The application filing period will begin on August 5, 2026 - Continuous We will keep accepting applications until all vacancies are filled. The application window may close unexpectedly once we have enough qualified candidates. WHY WORK FOR US LA Health Services is LA County’s integrated healthcare system and the second-largest public health system in the nation. Our system includes four public hospitals, more than 20 community health centers, Emergency Medical Services (EMS), Correctional Health Services, and community-based programs that connect people to care where they are. We serve as the safety net for more than 10 million residents, providing care regardless of ability to pay, insurance coverage, or immigration status. As one connected system, we deliver extraordinary care—from prevention and primary care to emergency, specialty, trauma, and recovery services across Los Angeles County. With more than 2.9 million visits annually and a workforce of over 23,000 dedicated staff, LA Health Services is proud to deliver high-quality, compassionate, and accessible care to everyone, no matter how they come through our doors. Explore our one system of hospitals and community health centers: Our Locations – Health Services Los Angeles County . For additional information regarding DHS, please visit www. dhs.lacounty.gov . Check Out Our Outstanding Benefits! We offer one of the strongest public-sector benefits packages in the country. Join us and discover a rich selection of health care options, robust retirement plans and the flexibility to work, relax and rejuvenate as you reach your fullest personal and professional potential. Click here to see comprehensive information regarding County employee benefits. OUR MISSION: To advance the health of our patients and our communities by providing outstanding care. The Team Member We Are Looking For: Team member with comprehensive knowledge of the physiological basis for administering anesthesia and associated drugs and the use of related equipment in order to obtain a balanced anesthesia. Pre-anesthetic Preparation and Evaluation of the Patient Obtains an appropriate health history. Conducts appropriate physical screening assessments. Recommends or requests pertinent diagnostic studies and evaluate the results. Selects, obtains, orders, and administers preanesthetic medications. Documents the preanesthetic evaluation and obtains comprehensive informed consent for anesthesia and related services. lntra-operative Care Obtains, prepares, and uses all equipment, monitors, supplies and drugs used for the administration of anesthesia and sedation techniques; performs and orders safety checks as needed. Selects, obtains or administers the anesthetics, adjuvant drugs, accessory drugs, fluids, and blood products necessary to manage the anesthetic. Performs all aspects of airway management, including fiberoptic intubation. Performs and manages regional anesthetic techniques including, but not limited to, subarachnoid, epidural and caudal blocks; plexus, major and peripheral nerve blocks; intravenous regional anesthesia; transtracheal, topical and local infiltration blocks; intracapsular, intercostal and ocular blocks. Provides appropriate invasive and noninvasive monitoring modalities using current standards and techniques. Recognizes abnormal patient response during anesthesia; selects and implements corrective action and requests consultation whenever necessary. Evaluates patient response during emergence from anesthesia and institutes pharmacological or supportive treatment to insure patient stability during transfer. Post-anesthesia Care Provides post anesthesia follow-up and evaluation of the patient's response to the anesthesia and surgical experience; takes appropriate corrective actions and requests consultation when indicated. Initiates, orders, and administers respiratory support to ensure adequate ventilation and oxygenation in the post anesthesia period. Initiates, orders, and administers pharmacological or fluid support of the cardiovascular system during the post anesthesia period to prevent morbidity and mortality. Initiates, orders, and administers acute post anesthesia pain management techniques. Discharges patients from a post anesthesia care unit (PACU) according to facility policy. Clinical Support Functions Inserts peripheral and central intravenous catheters. Inserts pulmonary artery catheters. Inserts arterial catheters and performs arterial puncture to obtain arterial blood samples. Manages emergency situations, including initiating or participating in cardiopulmonary resuscitation. Provides consultation and implementation of respiratory and ventilatory care. Management of interventional pain therapy using drugs, regional anesthetic techniques, or other accepted pain-relief modalities. Selects, obtains, orders and/or administers medications or treatments related to the care of the patient, using consultation when appropriate. Accepts additional responsibilities which are within the expertise of the individual CRNA and appropriate to the practice setting. Requirements to Qualify: Candidates must meet all of the following requirements: 1) A valid and unrestricted license to practice as a Registered Nurse issued by the California Board of Registered Nursing. -AND- 2) Graduation from a nursing anesthesia education program accredited by the Council on Accreditation of Nurse Anesthesia Education Program of the American Association of Nurse Anesthesiology. -AND- 3) Valid and unrestricted certification or recertification [of National Certification Examination] issued by the National Board of Certification and Recertification for Nurse Anesthetics. -AND- 4) Valid and unrestricted Nurse Anesthetist certification issued by the California Board of Registered Nursing -AND- 5) Current Basic Life Support (BLS) for Healthcare Providers (CPR & AED) Program certification issued by the American Heart Association . PHYSICAL CLASS 2 - LIGHT: This class includes administrative and clerical positions requiring light physical effort that may include occasional light lifting to a 10-pound limit and some bending, stooping, or squatting. Considerable ambulation may be involved. Other License Information: A valid California Class C Driver License or the ability to utilize an alternative method of transportation when needed to carry out job-related essential functions. SPECIAL REQUIREMENT INFORMATION: To receive credit for your education and training, ensure the following: Complete the Certification and License section of your application by providing the number(s), dates of issue and expiration, and name(s) of issuing agency(ies) Include a legible copy of all relevant official documents, including your diploma, transcripts, or letter, license and certificate/s from an accredited institution or issuing agency with your application. If unable to attach to your application at the time of filing, you may email them within seven (7) calendar days from the application date to Alvonte Harraway at aharraway@dhs.lacounty.gov . Please include your full name (as it appears on your application), the exam number, and the exam title in the email message. Original documents must be presented at the time of appointment. NON-COMPETITIVE EXAMINATION: This opportunity is considered non-competitive, meaning you will only need to meet the requirements. If you do, we will add your name on a list with everyone who qualifies without indication of relative standing in the examination and use this list to fill vacancies as they occur. ELIGIBILITY AND VACANCY INFORMATION: Applicants will be placed on a list of eligible candidates without indication of relative standing in the examination. The appointing power may appoint any one of the names on the appropriate list, except a person without Veterans credit may not be appointed if there are three or more names on the list of persons entitled to Veteran’s credit. Applicants who have applied and did not fulfill the Requirements when submitting their application may reapply 30 days form their latest application date. The eligible register resulting from this examination will be used to fill vacancies throughout LA Health Services as they occur. AVAILABLE SHIFTS: You may be required to work evenings, nights, weekends, and holidays, depending on operational needs. APPLICATION AND FILING INFORMATION: We only accept applications filed online. Applications submitted by U.S. mail, fax, or in person are not accepted. Apply online by clicking on the "Apply" green button at the top right of this posting. This website can also be used to get application status updates. New email addresses need to be verified. This only needs to be done once per email address and can be done at any time by logging in to https://www.governmentjobs.com and following the prompts. This is to enhance the security of the online application and to prevent incorrectly entered email addresses. Please fill out the application completely. Provide relevant job experience including employer's name and address, job title, beginning and ending dates, number of hours worked per week, and description of work performed. We may verify information included in the application at any point during the examination and hiring process, including after an appointment has been made. Falsification of information could result in refusal of application or rescission of appointment. Copying verbiage from the Requirements or class specification as your work experience will not suffice to demonstrate meeting the requirements . Doing so may result in an incomplete application and may lead to disqualification. EMAIL VERIFICATION INFORMATION: We will send notifications to the email address indicated in the application, so it is important that you provide a valid email address. If you choose to unsubscribe or opt out from receiving our emails, it is possible to view notices by logging into governmentjobs.com and checking the profile inbox. It is every applicant's responsibility to take steps to view correspondence, and we will not consider claims for missing notices to be a valid reason for re-scheduling an exam part. Register the below domains as approved senders to prevent email notifications from being filtered as spam/junk mail. aharraway@dhs.lacounty.gov noreply@governmentjobs.com info@governmentjobs.com SOCIAL SECURITY NUMBER: Federal law requires that all employed persons submit their Social Security Identification number, so include yours when applying. NO SHARING OF USER ID, E-MAIL, AND PASSWORD: All applicants must file their application using their own user ID and password. Using anyone else’s user ID and password may erase a candidate's original application record. COMPUTER AND INTERNET ACCESS AT PUBLIC LIBRARIES: For candidates who may not have regular access to a computer or the internet, applications can be completed on computers at public libraries throughout Los Angeles County. ANTI-RACISM, DIVERSITY, AND INCLUSION (ARDI): The County of Los Angeles recognizes and affirms that all people are created equal and are entitled to all rights afforded by the Constitution of the United States. LA Health Services is committed to promoting Anti-racism, Diversity, and Inclusion efforts to address the inequalities and disparities amongst races. We support the ARDI Strategic Plan and its goals by improving equality, diversity, and inclusion in recruitment, selection, and employment practices. DEPARTMENT CONTACTS: For any inquiries about the position or assistance with the application process, please contact Alvonte Harraway at aharraway @dhs.lacounty.gov. Department Contact Phone: (213) 288-7000 Teletype Phone: (800) 735-2929 California Relay Services Phone: (800) 735-2922 For Accommodation requests , please contact our Accommodation Coordinator, via (323) 914-6365 Please reference Exam Number: Y5172U in all communications during the application process. 
$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 Managed Long-Term Services and Supports (MLTSS) Nurse Specialist RN II applies advanced clinical judgment and critical thinking skills to facilitate appropriate physical and behavioral healthcare and social services for L.A. Care members. Utilizes assessments, member-centered care planning, direct provider coordination/collaboration and psychosocial wraparound services to promote effective utilization of available Health Plan benefits including, but not limited to Community Based Adult Services (CBAS), Skilled Nursing Facility (SNF) services, Intermediate Care Facility for Developmentally Disabled (ICF/DD) services, CalAIM Community Supports, Palliative and Hospice Care. Scope of work includes care coordination functions and must adhere to regulatory mandates that apply to Utilization Management (UM) and Care Management (CM). This position is responsible for assessing, planning, coordinating, and monitoring care needs to ensure members receive high-quality, cost-effective care that promotes independence and quality of life. The MLTSS Nurse Specialist RN II conducts comprehensive health assessments and is a member of an interdisciplinary team that is key in identifying the physical, psychological and social needs of the member. The MLTSS Nurse Specialist RN II collaborates with Skilled Nursing Facilities (SNF), Intermediate Care Facility - Developmentally Disabled (ICF-DD), Community Based Adult Services (CBAS) Centers, Residential Care Facilities for the Elderly (RCFE), Preferred Provider Groups (PPG), CalAIM providers (i.e. Community Supports Vendors), Palliative and Hospice Care Providers and cross functional units to facilitate coordination of services. This position may require provider onsite visits as needed. Duties Responsible for performing assessments and clinical review of medical records to determine appropriate care including physical health, behavioral health, and social determinants of health needs for members referred to; MLTSS administered programs. Responsible for UM authorization functions for services requiring prior authorizations in a timely manner with adherence to regulatory requirements. Identify and address gaps in care or overutilization, including overlapping services. Engages with members by conducting telephonic nursing follow up and care coordination when necessary, including transitions of care for Long Term Care (LTC) and ICF/DD populations. Provides direction to non-clinicians who assist members with accessing services and arranges for all services required while coordinating with the health care team to eliminate duplication of services. Interfaces with Medical Directors, social workers, and interdisciplinary care team (ICT). Participates in ICT meetings and makes recommendations for MLTSS and other programs. Establishes relationships with referral sources and community resources, such as external providers and care coordinators, while maintaining strict member confidentiality and complying with all Health Insurance Portability and Accountability Act (HIPAA) requirements. Performs oversight and monitoring of provider performance for adherence to regulatory standards and contractual agreements. Participate in provider audits and quality improvement initiatives. Partners with Provider Network Management (PNM) and participates in Joint Operations Meetings (JOM). Duties Continued Facilitates care coordination with and provides education on available services to internal and external entities to improve member's short- and long-term goals in collaboration with member, caregivers, family, support systems, and physicians. A person-centered approach minimizes member confusion, and ensures the best care is delivered in the most appropriate setting. Documents accurately and comprehensively based on the standards of practice and current organization policies. Performs other CM and UM functions as assigned and as needed /required by L.A. Care, to maintain regulatory requirements and company objectives. Performs other duties as assigned. Education Required Associate's Degree in NursingEducation Preferred Bachelor's Degree in NursingExperience Required: At least 3 years of clinical nursing experience in direct patient care, such as ambulatory care, home care, palliative care, hospice care OR experience in Utilization Review or Care Management will be considered in lieu of direct patient care that may include at least 2 years of relevant Licensed Vocational Nurse (LVN) experience in a UM or CM capacity substituted for 1 year of RN experience. Clinical experience working with individuals with chronic illnesses, comorbidities, and/or disabilities in a UM/CM environment. Preferred: Experience in utilization review, skilled nursing, home health, discharge planning, behavioral health, community resources, and/or other home and community-based agencies. Skills Required: Excellent verbal and written communication skills; with effective charting practices. Excellent organizational, time-management and priority-setting skills. Strong clinical skills with a knowledge of care needs for elderly, disabled, and/or frail populations and has applied knowledge of End-of-Life care. Customer Service Skills: Provision of excellent customer service required due to frequent communication with providers, members and interdisciplinary team. Technical Skills: Must be computer literate and proficient in Microsoft Office (Outlook, Word, Excel, PowerPoint, Teams). Ability to effectively utilize computer and appropriate software and interacts as needed with L.A. Care Information System. Ability to maintain strict member confidentiality and complies with all HIPAA requirements. Preferred: Bilingual in one of L.A. Care Health Plan’s threshold languages is highly desirable. English, Spanish, Chinese, Armenian, Arabic, Farsi, Khmer, Korean, Russian, Tagalog, Vietnamese. Licenses/Certifications Required Registered Nurse (RN) - Active, current and unrestricted California LicenseLicenses/Certifications Preferred Certified Case Manager (CCM)Required Training Physical Requirements LightAdditional Information Required: Travel to offsite locations for work. 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) 
