Nursing Jobs in Torrance, CA
$84,067 - $163,931 / year
JOB DESCRIPTION Candidates must hold a current California license , reside in the San Diego, California area , and be able to travel up to 10% as required. The ideal candidate will have 2 to 3 years of leadership experience within a managed care organization , with a proven ability to lead teams, drive performance, and support member-centered care initiatives. Strong leadership, collaboration, and operational management skills are essential to successfully advance care delivery goals and improve member outcomes. The successful candidate will ensure members achieve optimal health outcomes through the integrated delivery and coordination of care across the continuum while contributing to organizational strategies that promote high-quality, cost-effective care. Job Summary Leads and manages a 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 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 • Oversees team performance for one or more of the following healthcare services functions: care management, utilization management (prior authorizations, inpatient/outpatient medical necessity, etc.), transition of care, behavioral health, long-term services and supports (LTSS), and/or special programs. • Facilitates integrated, proactive healthcare services management - ensuring compliance with state and federal regulatory and accrediting standards and implementation of the Molina clinical model. • Functions as a “hands-on” leader - assisting with assessing and evaluation of systems, day-to-day operations and efficiency of services/care delivery. • Ensures adequate staffing and service levels and maintains customer satisfaction by implementing and monitoring staff productivity and other performance indicators. • Assists in implementing care management, utilization management, behavioral health, care transitions, LTSS and other program activities in accordance with regulatory, contract standards and accreditation compliance. • Ensures delivery of member care and services are aligned with Molina's established standards of customer service excellence. • Ensures high-risk, complex members are adequately supported. • Oversees ongoing monitoring of performance, protocols and guidelines related to healthcare services. • Collaborates with and keeps senior level healthcare services leadership apprised of operational issues, staffing, resources, system and program needs. • Performs and promotes interdepartmental/multidisciplinary integration and collaboration to enhance continuity of care. • Oversees interdisciplinary care team (ICT) meetings. • Analyzes and reports on care access and monitoring statistics including plan utilization, staff productivity, cost-effective utilization of services, management of targeted member population, and triage activities. • Ensures completion of staff quality audit reviews evaluates services provided, outcomes achieved and recommends enhancements/improvements for programs and staff development to ensure consistent cost-effectiveness and compliance with all state and federal regulations and guidelines. • Maintains professional relationships with provider community, internal and external customers, and state agencies as appropriate. • Identifies opportunities for care delivery/quality/operational/etc. process improvements. • Hires, trains, develops and manages team demonstrates accountability for team performance and achievement of department-specific goals. • Local travel may be required (based upon state/contractual requirements). Required Qualifications • At least 7 years of health care experience, including at least 3 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 special programs, or equivalent combination of relevant education and experience, or equivalent combination of relevant education and experience. • At least 1 year of management/leadership 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. • Strong customer service skills/member-centric focus. • Ability to work within a variety of settings and adjust style as needed, including ability to work with diverse populations, various personalities and personal situations. • Ability to prioritize and manage multiple deadlines. • Strong organizational and problem-solving skills. • Ability to collaborate cross-functionally within a highly matrixed organization. • Strong written and verbal communication skills. • Microsoft Office suite and applicable software program(s) proficiency. Preferred Qualifications • Clinical experience. • Registered Nurse (RN) or master's level behavioral health (BH) licensure. 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. 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: $84,067 - $163,931 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. 
$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) $84,067 - $163,931 / year
JOB DESCRIPTION Candidates must hold a current California license, 2-3 years case management exprience reside in the San Diego, California area , and be able to travel up to 10% as required. The ideal candidate will have at least 2 to 3 years of leadership experience within a managed care organization , with a proven ability to lead teams, drive performance, and support member-centered care initiatives. Strong leadership, collaboration, and operational management skills are essential to successfully advance care delivery goals and improve member outcomes. The successful candidate will ensure members achieve optimal health outcomes through the integrated delivery and coordination of care across the continuum while contributing to organizational strategies that promote high-quality, cost-effective care. Job Summary Leads and manages a 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 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 • Oversees team performance for one or more of the following healthcare services functions: care management, utilization management (prior authorizations, inpatient/outpatient medical necessity, etc.), transition of care, behavioral health, long-term services and supports (LTSS), and/or special programs. • Facilitates integrated, proactive healthcare services management - ensuring compliance with state and federal regulatory and accrediting standards and implementation of the Molina clinical model. • Functions as a “hands-on” leader - assisting with assessing and evaluation of systems, day-to-day operations and efficiency of services/care delivery. • Ensures adequate staffing and service levels and maintains customer satisfaction by implementing and monitoring staff productivity and other performance indicators. • Assists in implementing care management, utilization management, behavioral health, care transitions, LTSS and other program activities in accordance with regulatory, contract standards and accreditation compliance. • Ensures delivery of member care and services are aligned with Molina's established standards of customer service excellence. • Ensures high-risk, complex members are adequately supported. • Oversees ongoing monitoring of performance, protocols and guidelines related to healthcare services. • Collaborates with and keeps senior level healthcare services leadership apprised of operational issues, staffing, resources, system and program needs. • Performs and promotes interdepartmental/multidisciplinary integration and collaboration to enhance continuity of care. • Oversees interdisciplinary care team (ICT) meetings. • Analyzes and reports on care access and monitoring statistics including plan utilization, staff productivity, cost-effective utilization of services, management of targeted member population, and triage activities. • Ensures completion of staff quality audit reviews evaluates services provided, outcomes achieved and recommends enhancements/improvements for programs and staff development to ensure consistent cost-effectiveness and compliance with all state and federal regulations and guidelines. • Maintains professional relationships with provider community, internal and external customers, and state agencies as appropriate. • Identifies opportunities for care delivery/quality/operational/etc. process improvements. • Hires, trains, develops and manages team demonstrates accountability for team performance and achievement of department-specific goals. • Local travel may be required (based upon state/contractual requirements). Required Qualifications • At least 7 years of health care experience, including at least 3 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 special programs, or equivalent combination of relevant education and experience, or equivalent combination of relevant education and experience. • At least 1 year of management/leadership 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. • Strong customer service skills/member-centric focus. • Ability to work within a variety of settings and adjust style as needed, including ability to work with diverse populations, various personalities and personal situations. • Ability to prioritize and manage multiple deadlines. • Strong organizational and problem-solving skills. • Ability to collaborate cross-functionally within a highly matrixed organization. • Strong written and verbal communication skills. • Microsoft Office suite and applicable software program(s) proficiency. Preferred Qualifications • Clinical experience. • Registered Nurse (RN) or master's level behavioral health (BH) licensure. 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. 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: $84,067 - $163,931 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. 
$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. 
