Nursing Jobs in West Hollywood, CA

CNA Med-Surg Full-time
Adventist Health

Certified Nursing Assistant - MedSurg - Per Diem, Night Shift

Adventist Health Montebello, CA
Job Description Centered in the heart of Montebello, Adventist Health White Memorial Montebello has a 70-year history of providing quality healthcare to the community. We are comprised of a 192-bed hospital, wound care medical office and surgical and laboratory services. The greater Los Angeles area is known for its art, rich culture, numerous sports teams and world-renowned dining. There is something for everyone in this culturally diverse community. Job Summary Provides personal nursing care to the patient under the direction of a licensed registered nurse (RN). Performs tasks associated with activities of daily living including self-care needs. Performs routine assigned tasks and reports patients’ status and concerns to the RN. Job Requirements Education and Work Experience: High School Education/GED or equivalent: Preferred Licenses/Certifications Basic Life Support (BLS OR HS-BLS OR RQIBLS) certification from approved vendor per AH policy: Required Phlebotomy Certification: Preferred in CA and HI Audiometry and vision training or have a certificate from CHDP: Preferred in CA and HI Certified Nursing Assistant (CNA) certification: Required Facility Specific License/Certifications Basic Life Support (BLS OR HS-BLS OR RQI BLS) certification: Required Hospital Fire and Life Safety (HLFS): Required Essential Functions Performs tasks associated with activities of daily living, including assisting with nutrition and hydration, elimination, personal care, positioning devices, restraints and restorative care. Takes vital signs including, pulse and blood pressure. Helps patients with their basic needs, i.e., bathing, dressing and feeding. Performs a variety clerical duties, which include but are not limited to routing patient reports as appropriate. Uses organizational skills to keep unit running smoothly and uses prioritization skills to meet deadlines as indicated. Provides assessment data to certified nurse within the scope of practice (vital signs, patient verbal and nonverbal responses, etc.). Performs other job-related duties as assigned. Organizational Requirements Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply. Adventist Health participates in E-Verify. Visit https://adventisthealth.org/careers/everify/ for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein. About Us Adventist Health is a faith-based, nonprofit, integrated health system serving more than 100 communities on the West Coast and Hawaii with over 440 sites of care, including 27 acute care facilities. Founded on Adventist heritage and values, Adventist Health provides care in hospitals, clinics, home care, and hospice agencies in both rural and urban communities. Our compassionate and talented team of more than 38,000 includes employees, physicians, Medical Staff, and volunteers driven in pursuit of one mission: living God's love by inspiring health, wholeness and hope.
CNA Psych Part-time
CareRev

Behavioral Health CNA shifts in Los Angeles, CA

CareRev Los Angeles, CA
$23 - $26 / hour
CareRev is looking for Certified Nursing Assistants (CNAs) with behavioral health experience in Los Angeles, CA to find and claim per diem shifts at local hospitals and psychiatric facilities. In this role, you will support patients experiencing mental health challenges, assist with daily care activities under the supervision of licensed staff, and contribute to a safe and therapeutic environment. With CareRev, you choose the shifts that work for your schedule, giving you real flexibility without giving up meaningful, patient-centered work. The CareRev app empowers healthcare professionals to find and claim local per diem shifts on demand. Choose the days you work and pick shifts that fit your schedule, whether that's days, evenings, or nights. Work where you want, when you want, with the freedom to build a schedule that works for your life. No burnout. No hassle. Los Angeles is one of the most dynamic cities in the world, and living here means you are never short of ways to recharge outside of work. Griffith Park offers miles of hiking trails with sweeping views of the city and the Hollywood Sign, while the beaches of Santa Monica and Venice are just a short drive away for those who prefer the coast. The city's food scene is truly unmatched, with everything from world-class tacos in Boyle Heights to Michelin-starred restaurants in Beverly Hills, and a cultural calendar packed with live music, film screenings, and festivals year-round. Ready to take control of your schedule? Download the CareRev app today and start finding and claiming per diem shifts that fit your life. Requirements: Must have completed a state-approved CNA program Current AHA BLS, and CNA certification. Minimum of 6 months experience as an inpatient behavioral health CNA within the last year. Must show competency assisting medical and nursing staff during acute mental health crises and monitoring patients 1:1 to ensure safety. Ability to provide comfort and support to patients, assisting with personal hygiene and other activities of daily living, therapeutic activities, and alternative activities to prevent restraint. Sign up today to get started!
RN ICU Full-time
Prime Healthcare

Registered Nurse, RN - ICU

Prime Healthcare Lynwood, CA
$50.11 - $67.36 / hour
Overview St. Francis Medical Center is one of the leading comprehensive healthcare institutions in Los Angeles. St. Francis provides vital healthcare services for the 700,000 adults and 300,000 children in our community who count on the hospital for high quality and compassionate medical care. St. Francis is recognized for its full range of diagnostic and treatment services in specialties including Cardiovascular, Surgical, Orthopedics, Obstetrics, Pediatrics, Behavioral Health, and Emergency and Trauma Care. In addition, the hospital offers a broad array of education and outreach programs that advance community health. St. Francis Medical Center is a Comprehensive Stroke Center, STEMI Receiving Center, ED Approved for Pediatrics, Geriatric ED, Level III Neonatal ICU, and Level II Trauma Center. Please visit www.stfrancismedicalcenter.com for more information. Join an award-winning team of dedicated professionals committed to compassion, quality, and service! Responsibilities The Registered Nurse is responsible for the delivery of safe patient care utilizing the nursing process of assessment, planning, implementation and evaluation. Provides direct patient care within the scope of practice. The Registered Nurse also directs and guides patient/family teaching and activities of other nursing personnel while maintaining standards of care in the ICU. The Registered Nurse is directly responsible and accountable for the care given to his/her assigned patients. They communicate with the physician about changes in the patient’s clinical condition including hemodynamic monitoring, results of diagnostic studies and abnormal results and symptomatology. Is able to respond quickly and accurately to changes in condition and/or response to treatment. Maintains patient privacy and confidentiality. Qualifications EDUCATION, EXPERIENCE, TRAINING 1. Current and valid state RN License.2. Current BLS certificate upon hire and maintain current.3. Completion of Critical Care Course preferred. 4. Basic Arrythmia Interpretation within 30 days of hire.5. Current ACLS certificate 30 days upon hire and maintain current. 6. Minimum of one year as a staff RN in acute care hospital, critical care preferred.7. Critical Care RN (CCRN) Certification preferred. 8. Bachelor of Science in Nursing (BSN) preferred. Pay Transparency St. Francis Medical Center offers competitive compensation and a comprehensive benefits package that provides employees the flexibility to tailor benefits according to their individual needs. Our Total Rewards package includes, but is not limited to, paid time off, a 401K retirement plan, medical, dental, and vision coverage, tuition reimbursement, and many more voluntary benefit options. Benefits may vary based on collective bargaining agreement requirements and/or the employment status, i.e. full-time or part-time. The current compensation range for this role is $50.11 to $67.36. The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire, in which a wide range of factors will be considered, including but not limited to, skillset, years of applicable experience, education, credentials and licensure. Employment Status Full Time Shift Nights Equal Employment Opportunity Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf Privacy Notice Privacy Notice for California Applicants: https://www.primehealthcare.com/wp-content/uploads/2024/04/Notice-at-Collection-and-Privacy-Policy-for-California-Job-Applicants.pdf
NP Full-time
Cedars-Sinai

Nurse Practitioner (NP) - Congenital Heart Program - Full Time -8hr Days

Cedars-Sinai West Hollywood, CA
Job Description At Cedars-Sinai, the work you perform daily has a direct effect on the lives of others. Our enthusiastic and committed culture has resulted in six Magnet designations for nursing excellence. The Smidt Heart Institute is proud to be the top in California, ranked #6 nationally, and regularly listed among the leading heart programs by U.S. News & World Report. As a coordinated health organization, our patients benefit from the scientific and clinical progress we achieve across the full spectrum of cardiovascular care. The Congenital Heart Program at Cedars-Sinai serves patients across the entire lifespan, from newborns and children born with complex heart conditions to teenagers navigating the transition to adult care, and adults of all ages living with congenital heart disease (ACHD). Thanks to advances in medical and surgical care, the majority of people born with congenital heart disease now survive into adulthood, making lifelong, coordinated care more important than ever. Our program is built around this reality. Care is highly coordinated across Cedars-Sinai Guerin Children's and the Smidt Heart Institute, with a deliberate and structured approach to transition, ensuring that as patients grow and their needs evolve, their care team evolves with them. This transition process is not a single handoff, but an ongoing, developmentally informed journey that prepares patients and families for adult-centered care while preserving the relationships and institutional knowledge built over a lifetime of treatment. Skilled pediatric and adult congenital cardiologists, cardiac surgeons, advanced practice providers, and nurses collaborate closely across both programs to diagnose and treat a wide range of congenital heart defects and acquired conditions. Care is delivered across inpatient, outpatient, and perioperative settings, with close partnership between cardiology, cardiac surgery, the catheterization laboratory, and surgical teams. At the center of everything is a commitment to providing every patient at every stage of life with an exceptional, connected, and deeply personalized experience. Qualifications Education: Master of Nursing Degree Graduate of an accredited Nurse Practitioner program approved by the California Board of Registered Nursing (ANCC) Experience: At least one year of experience working as an inpatient Nurse Practitioner providing comprehensive, lifespan-oriented care for patients with congenital heart disease across pediatric and adult populations, including structured transition support from pediatric to adult care settings. Licensure/Certifications Requirements: Current CA RN License Nurse Practitioner and Furnishing License National Certification as a Nurse Practitioner Current DEA License Current Life Support Certification required
LVN Psych Per Diem
CareRev

Behavioral Health LVN in Los Angeles, CA (Per Diem Shifts)

CareRev Los Angeles, CA
$42 - $47 / hour
Make an hourly rate of up to $47 as an Inpatient Behavioral Health LVN in Los Angeles, CA. CareRev connects clinicians with flexible per diem shifts in your area. This role is ideal for Licensed Vocational Nurses who want more flexibility in their career and have experience working in an inpatient behavioral health setting. See specific requirements for this IP Behavioral Health LVN shift below. CareRev is a healthcare workforce platform built to put clinicians first. Through CareRev, LVNs can browse available per diem shifts and select opportunities that support their professional and financial goals, whether that means supplementing income, maintaining schedule flexibility, or gaining experience across different healthcare settings. The platform removes many of the limitations of traditional healthcare jobs while keeping you in control of your career. Los Angeles is one of the most diverse and expansive cities in the country, offering something different in every neighborhood. From the walking paths at Griffith Park and the views from the Getty Center to the beaches at Santa Monica and the energy of Grand Central Market downtown, there is no shortage of ways to spend time outside of work. LA is also home to one of the largest and most complex behavioral health ecosystems in the nation, with a wide range of inpatient facilities serving a broad patient population. For Behavioral Health LVNs, that means consistent demand for skilled clinicians and the opportunity to do genuinely meaningful work in a city that needs it. Sign up with CareRev to explore per diem Inpatient Behavioral Health LVN shifts in Los Angeles and build a schedule that works for you. Requirements: Current LVN license and good standing with the State Board of Nursing. Current AHA BLS certification. Minimum of 1 year experience as an inpatient Behavioral Health LVN within the last year. Strong ability to provide age appropriate patient care which addresses biological, emotional, developmental, psychosocial, and patient/family educational needs. Must show competency managing a behavioral health assignment with patients in crisis that may also have potential underlying comorbidities. Sign up today to get started!
CMA Outpatient Outpatient Full-time
Adventist Health

Medical Assistant (Outpatient) Full-Time, Variable Shift

Adventist Health Glendale, CA
Job Description Nestled between Burbank and Pasadena, Adventist Health Glendale is one of the area's leading healthcare providers. We are comprised of a 515-bed hospital, two urgent cares, home care services, comprehensive cardiology care and a vast scope of services located in the San Fernando Valley. We are committed to the development and empowerment of our nurses and have received Magnet designation from the American Nurses Credentialing Center. Glendale is known for its urban living, with easy access to dining, entertainment, shopping, amusement parks and outdoor recreation. Adventist Health Glendale is proud to be part of the thriving, diverse community since 1905. Job Summary Performs non-invasive, routine, technical support services under the specific authorization and supervision of a licensed physician, podiatrist, physician assistant, nurse practitioner or nurse midwife. Job Requirements Education and Work Experience: High School Education/GED or equivalent: Required Licenses/Certifications Certified Medical Assistant (CMA) or Registered Medical Assistant (RMA) or equivalent combination of licensure and experience: Preferred Basic Life Support (BLS) Health Care Provider certification from approved vendor per AH policy: Required Successful completion of audiometry and vision training or have a certificate from CHDP within six months of hire.: Preferred Phlebotomy certificate: Preferred Facility Specific License/Certifications Basic Life Support (BLS) certification from approved vendor per AH policy: Required Essential Functions Sets up exam rooms and checks in patients. Maintains a patient recall system, including continuity of care log for lab tests, referrals and transfers. Obtains vital signs. Reports significant findings and pertinent patient observations to clinic physician. Performs venipunctures as ordered. Performs audiometry and vision testing. Performs other job-related duties as assigned. Organizational Requirements Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply. Adventist Health participates in E-Verify. Visit https://adventisthealth.org/careers/everify/ for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein. About Us Adventist Health is a faith-based, nonprofit, integrated health system serving more than 100 communities on the West Coast and Hawaii with over 440 sites of care, including 27 acute care facilities. Founded on Adventist heritage and values, Adventist Health provides care in hospitals, clinics, home care, and hospice agencies in both rural and urban communities. Our compassionate and talented team of more than 38,000 includes employees, physicians, Medical Staff, and volunteers driven in pursuit of one mission: living God's love by inspiring health, wholeness and hope.
NP Full-time
Cedars-Sinai

Nurse Practitioner (NP) - Adult Congenital Heart Program - Full Time -8hr Days

Cedars-Sinai Los Angeles, CA
Job Description At Cedars-Sinai, the work you perform daily has a direct effect on the lives of others. Our enthusiastic and committed culture has resulted in six Magnet designations for nursing excellence. The Smidt Heart Institute is proud to be the top in California, ranked #6 nationally, and regularly listed among the leading heart programs by U.S. News & World Report. As a coordinated health organization, our patients benefit from the scientific and clinical progress we achieve across the full spectrum of cardiovascular care. The Congenital Heart Program at Cedars-Sinai serves patients across the entire lifespan, from newborns and children born with complex heart conditions to teenagers navigating the transition to adult care, and adults of all ages living with congenital heart disease (ACHD). Thanks to advances in medical and surgical care, the majority of people born with congenital heart disease now survive into adulthood, making lifelong, coordinated care more important than ever. Our program is built around this reality. Care is highly coordinated across Cedars-Sinai Guerin Children's and the Smidt Heart Institute, with a deliberate and structured approach to transition, ensuring that as patients grow and their needs evolve, their care team evolves with them. This transition process is not a single handoff, but an ongoing, developmentally informed journey that prepares patients and families for adult-centered care while preserving the relationships and institutional knowledge built over a lifetime of treatment. Skilled pediatric and adult congenital cardiologists, cardiac surgeons, advanced practice providers, and nurses collaborate closely across both programs to diagnose and treat a wide range of congenital heart defects and acquired conditions. Care is delivered across inpatient, outpatient, and perioperative settings, with close partnership between cardiology, cardiac surgery, the catheterization laboratory, and surgical teams. At the center of everything is a commitment to providing every patient at every stage of life with an exceptional, connected, and deeply personalized experience. Qualifications Education: Master of Nursing Degree Graduate of an accredited Nurse Practitioner program approved by the California Board of Registered Nursing (ANCC) Experience: At least one year of experience working as an inpatient Nurse Practitioner providing comprehensive, lifespan-oriented care for patients with congenital heart disease across pediatric and adult populations, including structured transition support from pediatric to adult care settings. Licensure/Certifications Requirements: Current CA RN License Nurse Practitioner and Furnishing License National Certification as a Nurse Practitioner Current DEA License Current Life Support Certification required
CMA Outpatient Outpatient Full-time
Adventist Health

Medical Assistant (Outpatient) - Full Time, Day Shift

Adventist Health Glendale, CA
Job Description Nestled between Burbank and Pasadena, Adventist Health Glendale is one of the area's leading healthcare providers. We are comprised of a 515-bed hospital, two urgent cares, home care services, comprehensive cardiology care and a vast scope of services located in the San Fernando Valley. We are committed to the development and empowerment of our nurses and have received Magnet designation from the American Nurses Credentialing Center. Glendale is known for its urban living, with easy access to dining, entertainment, shopping, amusement parks and outdoor recreation. Adventist Health Glendale is proud to be part of the thriving, diverse community since 1905. Job Summary Performs non-invasive, routine, technical support services under the specific authorization and supervision of a licensed physician, podiatrist, physician assistant, nurse practitioner or nurse midwife. Job Requirements Education and Work Experience: High School Education/GED or equivalent: Required Licenses/Certifications Certified Medical Assistant (CMA) or Registered Medical Assistant (RMA) or equivalent combination of licensure and experience: Preferred Basic Life Support (BLS) Health Care Provider certification from approved vendor per AH policy: Required Successful completion of audiometry and vision training or have a certificate from CHDP within six months of hire.: Preferred Phlebotomy certificate: Preferred Facility Specific License/Certifications Basic Life Support (BLS) certification from approved vendor per AH policy: Required Essential Functions Sets up exam rooms and checks in patients. Maintains a patient recall system, including continuity of care log for lab tests, referrals and transfers. Obtains vital signs. Reports significant findings and pertinent patient observations to clinic physician. Performs venipunctures as ordered. Performs audiometry and vision testing. Performs other job-related duties as assigned. Organizational Requirements Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply. Adventist Health participates in E-Verify. Visit https://adventisthealth.org/careers/everify/ for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein. About Us Adventist Health is a faith-based, nonprofit, integrated health system serving more than 100 communities on the West Coast and Hawaii with over 440 sites of care, including 27 acute care facilities. Founded on Adventist heritage and values, Adventist Health provides care in hospitals, clinics, home care, and hospice agencies in both rural and urban communities. Our compassionate and talented team of more than 38,000 includes employees, physicians, Medical Staff, and volunteers driven in pursuit of one mission: living God's love by inspiring health, wholeness and hope.
RN Manager/Supervisor Full-time
Adventist Health

Manager, RN - Surgery (Full Time, Day Shift)

Adventist Health Los Angeles, CA
Job Description Centered in the heart of Boyle Heights, Adventist Health White Memorial is one of the area's leading healthcare providers since 1913. We are comprised of a 353-bed hospital, three medical office buildings, residency programs, comprehensive cancer care and a vast scope of services located in the Los Angeles area. In 2019, Adventist Health White Memorial was recognized with the Malcolm Baldrige National Quality Award, the nation's highest presidential honor for performance excellence. We are proud to promote wellness in the community at the local farmers market and through our community resource center with services for seniors and Spanish-speakers. Los Angeles is known for its art, rich culture, numerous sports teams and world-renowned dining. There is something for everyone in this culturally diverse city. Job Summary Creates an environment where front line nurses and ancillary staff provide whole person care that is safe, complication free, and optimizes functional independence for each patient. Maintains a highly-visible presence on the unit. Collaborates closely with staff, charge nurses, physicians, and other department leaders to ensure that clinical operations are efficient and effective, and achieve high patient/family/staff satisfaction. Supervises and directs the activities of various levels of assigned nursing and ancillary personnel utilizing both professional and supervisory discretion and independent judgment.Schedules, leads, and coordinates the daily activities of a defined unit on an assigned shift. Assists leadership in accomplishing unit and organizational goals. Job Requirements Education and Work Experience: Bachelor’s Degree in nursing or equivalent combination of education/related experience: Required Master's Degree: Preferred Five years' technical experience: Preferred One year's leadership experience: Preferred Two years' experience of acute care nursing in hospital setting: Preferred Licenses/Certifications Registered Nurse (RN) licensure in the state of practice: Required Cardiopulmonary Resuscitation (CPR) certification or Basic Life Support (BLS OR HS-BLS OR RQIBLS) certification from approved vendor per AH policy: Preferred National specialty certification in area of expertise or in nursing administration: Preferred Facility Specific License/Certifications Basic Life Support (BLS OR HS-BLS OR RQI BLS) certification: Required Hospital Fire and Life Safety (HLFS): Required Essential Functions Builds a high performing clinical work team by recruiting and retaining skilled professional staff. Builds a strong infrastructure with designated charge nurses and unit champions. Engages staff in developing action plans for needed change to create safe, desired outcomes. Completes periodic evaluations of personnel supervised. Coaches and disciplines personnel when deems appropriate. Monitors attendance. Works closely with staff, unit champions, and the clinical educator to identify and meet educational needs. Uses consistent exercise of discretion and judgment. Sets and strives to achieve goals for patient safety, quality of care and compliance with regulatory requirements. Creates a culture of open communication. Develops strategies to improve patient/family, and physician satisfaction. Establishes standards of care for professional nursing practice that staff are held accountable to. Monitors critical processes and outcomes of care through audits, analysis of data, and complaints or incident reports. Exercises discretion and independent judgment with respect to matters of significance, evaluating and comparing possible courses-of-action, and making decisions/recommendations after considering the various possibilities. Conducts daily rounds with physicians and other staff and actively communicates, as needed, to coordinate appropriate care for patients and families. Directs/monitors personnel in the performance of patient care activities in order to ensure adequate patient care and quality of work. Investigates and resolves patient care and operational issues, as needed. Initiates and coordinates individual and team conferences with health team members, patients, and/or families to initiate and revise care plans for optimal, individualized patient care as per care setting. Assesses the personnel requirements of the unit on a daily basis and requests additional personnel when determines they are necessary. Authorizes and assigns overtime to personnel when independently determines this to be appropriate. Completes monthly unit staff schedule on time, accurately, and in collaboration with staff members and management with minimal incidents of absence or unbalanced/short staffing events. Facilitates throughput through early discharge of patients, pull-ahead beds, and timely admission/transfer of patients and forecasting admission. Works with facility services to assure that the department and equipment is maintained to be safe and operational. Prevents complications of care including nosocomial infections. Conducts emergency preparedness reviews. Performs other job-related duties as assigned. Organizational Requirements Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply. Adventist Health participates in E-Verify. Visit https://adventisthealth.org/careers/everify/ for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein. About Us Adventist Health is a faith-based, nonprofit, integrated health system serving more than 100 communities on the West Coast and Hawaii with over 440 sites of care, including 27 acute care facilities. Founded on Adventist heritage and values, Adventist Health provides care in hospitals, clinics, home care, and hospice agencies in both rural and urban communities. Our compassionate and talented team of more than 38,000 includes employees, physicians, Medical Staff, and volunteers driven in pursuit of one mission: living God's love by inspiring health, wholeness and hope.
Home Health Aide Home Health Home Health Full-time
SYNERGY HomeCare

Home Care Aide Client Advocate

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

CNA - Telemetry, Full-time, Night Shift

Adventist Health Glendale, CA
Job Description Nestled between Burbank and Pasadena, Adventist Health Glendale is one of the area's leading healthcare providers. We are comprised of a 515-bed hospital, two urgent cares, home care services, comprehensive cardiology care and a vast scope of services located in the San Fernando Valley. We are committed to the development and empowerment of our nurses and have received Magnet designation from the American Nurses Credentialing Center. Glendale is known for its urban living, with easy access to dining, entertainment, shopping, amusement parks and outdoor recreation. Adventist Health Glendale is proud to be part of the thriving, diverse community since 1905. Job Summary Provides personal nursing care to the patient under the direction of a licensed registered nurse (RN). Performs tasks associated with activities of daily living including self-care needs. Performs routine assigned tasks and reports patients’ status and concerns to the RN. Job Requirements Education and Work Experience: High School Education/GED or equivalent: Preferred Licenses/Certifications Basic Life Support (BLS OR HS-BLS OR RQIBLS) certification from approved vendor per AH policy: Required Phlebotomy Certification: Preferred in CA and HI Audiometry and vision training or have a certificate from CHDP: Preferred in CA and HI Certified Nursing Assistant (CNA) certification: Required Facility Specific License/Certifications Basic Life Support (BLS OR HS-BLS OR RQI BLS) certification: Required Essential Functions Performs tasks associated with activities of daily living, including assisting with nutrition and hydration, elimination, personal care, positioning devices, restraints and restorative care. Takes vital signs including, pulse and blood pressure. Helps patients with their basic needs, i.e., bathing, dressing and feeding. Performs a variety clerical duties, which include but are not limited to routing patient reports as appropriate. Uses organizational skills to keep unit running smoothly and uses prioritization skills to meet deadlines as indicated. Provides assessment data to certified nurse within the scope of practice (vital signs, patient verbal and nonverbal responses, etc.). Performs other job-related duties as assigned. Organizational Requirements Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply. Adventist Health participates in E-Verify. Visit https://adventisthealth.org/careers/everify/ for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein. About Us Adventist Health is a faith-based, nonprofit, integrated health system serving more than 100 communities on the West Coast and Hawaii with over 440 sites of care, including 27 acute care facilities. Founded on Adventist heritage and values, Adventist Health provides care in hospitals, clinics, home care, and hospice agencies in both rural and urban communities. Our compassionate and talented team of more than 38,000 includes employees, physicians, Medical Staff, and volunteers driven in pursuit of one mission: living God's love by inspiring health, wholeness and hope.
RN Full-time
Cedars-Sinai

Registered Nurse II – Float Pool, Full-time, 7AM Day Shift

Cedars-Sinai Marina del Rey, CA
Job Description Make a difference every single day! Are you ready to bring your strong clinical competencies and make a crucial impact on the lives of others? Do you have a passion for the highest quality and patient satisfaction? Then please respond to this dynamic opportunity available with one of the best places to work in Southern California! We would be happy to hear from you at Cedars-Sinai Marina Del Rey Hospital , where we are now a Primary Stroke Center and building a brand new 9 story hospital. Join us and support our community with the highest quality healthcare! $10,000 Employee Referral Program bonus eligible Join our Float Pool: We are seeking a compassionate, dedicated RN who enjoys variety to support multiple hospital units on a rotating basis. You will play a critical role in patients' lives every day. As a Registered Nurse II (RN II) in the Float Pool, you will be oriented to multiple inpatient departments. Our nursing Float Pool supplements staffing throughout the hospital based on need. Nurses who work in the Cedars-Sinai Float Pool can float between multiple areas. This position will focus primarily on our Medical Surgical, Telemetry, MSSU and Ortho Units PCU and Critical Care (ICU, PCU & ED as needed) Enjoy the flexibility of being a float-pool nurse while building your career at Cedars-Sinai: You'll get exposure to several different disciplines while making a positive impact on the lives of a diverse patient population. At Cedars-Sinai Marina Del Rey Hospital, you'll learn from dedicated healthcare professionals every single day and do something incredible – for yourself and for others. Our Units: The Float Pool is a high level performing department staffed with healthcare professionals who are equipped to work in various areas of the hospital. These highly trained professionals working in the Float Pool support the organization by having the ability to care for some or all of the specialty patient populations. The organization has several specialty units that the float pool supports which include: Medical-Surgical/Telemetry units (MS/TELE), Short Stay, Ortho, and possibly our Intensive Care Unit (ICU), Emergency Department (ED), Progressive Care Unit (PCU). Position Summary: The Registered Nurse assumes accountability and responsibility for the delivery of patient care in the hospital setting and for the respective patient population. Provides direct and indirect patient care services, including the administration of medications and therapeutic agents necessary to implement treatment, disease prevention, or rehabilitative plan of care. Demonstrates advanced assessment skills to evaluate the signs, symptoms, reactions, behaviors, or general appearance to determine normal versus abnormal characteristics. Displays knowledge and is able to identify and make special adjustments to the specific populations needs, including cultural, spiritual, age, psychosocial, communication, gender, sexual orientation, economic, education, family and condition needs. Provides assistance to co-workers, new staff, temporary staff and students Functions as a change champion and agent and participates in departmental quality improvement activities Benefits: NEW 9 story Hospital scheduled for May 2027 – state of the art and double the size! Advancement and leadership opportunities, including Clinical Ladder Program! Amazing benefits! Magnet journey started! Tuition Assistance Plans: We offer the following on the first day of employment! Tuition Reimbursement: Repays up to $600 per calendar year for fees expended to attend a job-related seminar, licensure renewal, workshop, conference, individual course, or other training programs. Tuition Loan: Provides up to $2,000 per calendar year for approved formal certificate or degree programs including prerequisites for approved degree programs. A tuition loan and reimbursement may, with appropriate approvals, be combined for a maximum of $2,600. Critical Pipeline Loan: Tuition loans up to $5,250 for specific degree programs at approved, accredited schools identified by the organization, including BSN and MSN. Employees may have their loans Forgiven if they continue eligible employment for 12 months after completion of the term for which the loan was given Hours: 7:00 a.m. – 7:30 p.m. Days Qualifications Educational Requirements: Graduate of an accredited nursing program. BSN is preferred Associate's Degree in Nursing required License/Certifications: Valid California RN license BLS through the American Heart Association or American Red Cross ACLS certification through the American Heart Association or American Red Cross PALS if floating to the Emergency Department Experience: A minimum of 2 years of acute care nursing experience required Demonstrated dedication to customer service and ability to meet the needs and expectations of patients and health care colleagues
RN Telehealth Full-time
L.A. Care Health Plan

Clinical Policy Nurse RN II

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

Assistant Nurse Manager - NICU Full-time Evening

Providence Torrance, CA
$68.94 - $108.84 / hour
Description Assistant Nurse Manager at Providence Little Company of Mary Medical Center in Torrance, CA. This position is Full-Time and will work 8-hour evening shifts. Providence Little Company of Mary in Torrance has been recognized as a Magnet® hospital—a prestigious designation from the American Nurses Credentialing Center (ANCC), which recognizes organizations that provide the highest-quality care. Only 9.96% of U.S. hospitals earn Magnet® recognition, which fitals are four times designated. We have also been celebrated in 2025 as one of America’s Best-In-State Hospitals by Newsweek and recognized by U.S. News & World Report for excellence in 11 types of care. We are also proud to be included in the Maternity Care Honor Roll by the California Surgeon General for 2024. The Assistant Nurse Manager (ANM) is a professional Registered Nurse reporting to the unit director/manager who utilizes the nursing process to manage clinical and operational activities within assigned shift. The ANM is responsible for supporting the director/manager in planning, organizing, directing, and evaluating services of the unit and providing managerial presence for all shifts. The ANM is responsible for managing clinical and non-clinical caregivers and providing input to the director/manager for evaluation purposes related to performance. Duties include but not limited to compliance to professional nursing standards and regulatory requirements, implementing and monitoring compliance to policies, processes and clinical priorities, coaching, mentoring and collaborating to deliver quality health care to patients. Providence caregivers are not simply valued – they’re invaluable. Join our team at Providence Little Company Of Mary Torrance Hospital and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them. Required Qualifications: Bachelor's Degree: Graduate from School of nursing (BS, or BSN). Registered Nurses employed in this role prior to November 1, 2024 are encouraged to pursue the BSN degree but obtaining the degree will not be a condition of employment. California Registered Nurse License upon hire National Provider BLS - American Heart Association upon hire Preferred Qualifications: Recent clinical experience in an acute care hospital. Charge Nurse/Relief Charge Nurse experience. Leadership experience. Shared Governance experience. Why Join Providence? Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities. Accepting a new position at another facility that is part of the Providence family of organizations may change your current benefits. Changes in benefits, including paid time-off, happen for various reasons. These reasons can include changes of Legal Employer, FTE, Union, location, time-off plan policies, availability of health and welfare benefit plan offerings, and other various reasons. About Providence At Providence, our strength lies in Our Promise of “Know me, care for me, ease my way.” Working at our family of organizations means that regardless of your role, we’ll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable. Posted are the minimum and the maximum wage rates on the wage range for this position. The successful candidate's placement on the wage range for this position will be determined based upon relevant job experience and other applicable factors. These amounts are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits . Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act . About the Team The Sisters of Providence and Sisters of St. Joseph of Orange have deep roots in California, bringing health care and education to communities from the redwood forests to the beach shores of Orange county - and everywhere in between. In Southern California, Providence provides care throughout Los Angeles County, Orange County, High Desert and beyond. Our award-winning and comprehensive medical centers are known for outstanding programs in cancer, cardiology, neurosciences, orthopedics, women's services, emergency and trauma care, pediatrics and neonatal intensive care. Our not-for-profit network provides a full spectrum of care with leading-edge diagnostics and treatment, outpatient health centers, physician groups and clinics, numerous outreach programs, and hospice and home care, and even our own Providence High School. Providence is proud to be an Equal Opportunity Employer . We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement. Requsition ID: 429684 Company: Providence Jobs Job Category: Nursing-Patient Facing Job Function: Nursing Job Schedule: Full time Job Shift: Evening Career Track: Leadership Department: 7014 LCMT NICU Address: CA Torrance 4101 Torrance Blvd Work Location: Providence Little Co of Mary Medical Ctr-Torrance Workplace Type: On-site Pay Range: $68.94 - $108.84 The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
RN Utilization Review Telehealth Full-time
L.A. Care Health Plan

Utilization Management Claims Review Nurse RN II

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

Clinical Policy Clinical Coder RN II

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

Registered Nurse / RN, Home Health

AccentCare, Inc. West Hills, CA
$108,058.78 - $132,071.84 / year
Overview RN / Registered Nurse, Home Health Location: West Hills Office Position: RN Case Manager, Home Health Position Type: Full-Time Remote/Virtual Position: No Coverage Area: Del Valle, Chatswoth, Woodland Hills, Encino, Burbank, San Fernando, Forest Park Find Your Passion and Purpose as an Registered Nurse, Home Health Case Manager Salary: $108,058.78 to $132,071.84 annually Schedule: Monday to Friday | 8 am to 5 pm Offer Based on Years of Experience What You Need to Know Reimagining Your Career in Home Health Caring for others is more than what you do — it’s who you are. At AccentCare, you’ll join a purpose-driven, collaborative culture that sets the standard for excellence and gives you the trust and tools to do your best work. You’ll belong to a team that cares deeply for patients and each other; a team committed to consistently providing exceptional care. We’re proud to be named one of America’s Greatest Workplaces 2025 by Newsweek — a reflection of our shared commitment to excellence, integrity and compassion as we shape the future of aging in place. When you thrive, so does the community of care we’re building together. Be the Best RN Case Manager You Can Be If you meet these qualifications, we want to meet you! Graduate from an approved school of professional nursing and currently licensed to practice as a registered nurse in the state of agency operation. One (1) year experience as a RN. Required Certifications and Licensures: Licensed to practice as a registered nurse in the state of agency operation. Must possess and maintain valid CPR certification while employed in a clinical role. Must be a licensed driver with an automobile that is insured in accordance with state and/or organization requirements and is in good working order. Ability to travel to all business locations. Our Investment in You Caring for others starts with caring for you. We’re committed to fostering a purpose-driven workplace where you feel supported, and that means prioritizing your physical, financial and mental well-being. Our benefits include: Medical, dental, and vision coverage Paid time off and paid holidays Professional development opportunities Company-matching 401(k) Flexible spending and health savings accounts Wellness offerings such as an employee assistance program, pet insurance, and access to Calm, a meditation, sleep, and relaxation app Programs to celebrate achievements, milestones, and fellow employees Company store credit for your first AccentCare-branded scrubs for patient-facing employees And more! Why AccentCare? Come As You Are At AccentCare, you’re part of a community that cares — for patients and each other. You can rest assured we offer equal employment opportunities regardless of race, ethnicity, sex, sexual orientation, gender identity, religion, national origin, age or disability.
RN Home Health Home Health Full-time
AccentCare, Inc.

Registered Nurse / RN, Home Health

AccentCare, Inc. West Hills, CA
$108,058.78 - $132,071.84 / year
Overview RN / Registered Nurse, Home Health Location: West Hills Office Position: RN Case Manager, Home Health Position Type: Full-Time Remote/Virtual Position: No Coverage Area: Del Valle, Chatswoth, Woodland Hills, Encino, Burbank, San Fernando, Forest Park Find Your Passion and Purpose as an Registered Nurse, Home Health Case Manager Salary: $108,058.78 to $132,071.84 annually Schedule: Monday to Friday | 8 am to 5 pm Offer Based on Years of Experience What You Need to Know Reimagining Your Career in Home Health Caring for others is more than what you do — it’s who you are. At AccentCare, you’ll join a purpose-driven, collaborative culture that sets the standard for excellence and gives you the trust and tools to do your best work. You’ll belong to a team that cares deeply for patients and each other; a team committed to consistently providing exceptional care. We’re proud to be named one of America’s Greatest Workplaces 2025 by Newsweek — a reflection of our shared commitment to excellence, integrity and compassion as we shape the future of aging in place. When you thrive, so does the community of care we’re building together. Be the Best RN Case Manager You Can Be If you meet these qualifications, we want to meet you! Graduate from an approved school of professional nursing and currently licensed to practice as a registered nurse in the state of agency operation. One (1) year experience as a RN. Required Certifications and Licensures: Licensed to practice as a registered nurse in the state of agency operation. Must possess and maintain valid CPR certification while employed in a clinical role. Must be a licensed driver with an automobile that is insured in accordance with state and/or organization requirements and is in good working order. Ability to travel to all business locations. Our Investment in You Caring for others starts with caring for you. We’re committed to fostering a purpose-driven workplace where you feel supported, and that means prioritizing your physical, financial and mental well-being. Our benefits include: Medical, dental, and vision coverage Paid time off and paid holidays Professional development opportunities Company-matching 401(k) Flexible spending and health savings accounts Wellness offerings such as an employee assistance program, pet insurance, and access to Calm, a meditation, sleep, and relaxation app Programs to celebrate achievements, milestones, and fellow employees Company store credit for your first AccentCare-branded scrubs for patient-facing employees And more! Why AccentCare? Come As You Are At AccentCare, you’re part of a community that cares — for patients and each other. You can rest assured we offer equal employment opportunities regardless of race, ethnicity, sex, sexual orientation, gender identity, religion, national origin, age or disability.
LVN Outpatient Full-time
Cedars-Sinai

Lead LVN - Urology - $3,000 Sign On Bonus

Cedars-Sinai Beverly Hills, CA
Job Description Join Cedars-Sinai! Cedars-Sinai has been named to the Honor Roll for the ninth consecutive year and tied for #1 in California and Los Angeles in U.S. News & World Report’s “Best Hospitals 2024-25” rankings, as well as placed among the very best in 11 specialties nationwide. Align yourself with an organization that has a reputation for excellence! Cedars-Sinai was awarded the National Research Corporation’s Consumer Choice Award 19 years in a row for providing the highest-quality medical care in Los Angeles. We were also awarded the Advisory Board Company’s Workplace of the Year. This recognizes hospitals and health systems nationwide that have outstanding levels of employee engagement. Join us! Discover why U.S. News & World Report has named us one of America’s Best Hospitals. Why work here? Beyond outstanding employee benefits including health and dental insurance, vacation, and a 403(b), we take pride in hiring the best employees. Our accomplished staff reflects the culturally and ethnically diverse community we serve. They are proof of our dedication to creating a multifaceted, inclusive environment that fuels innovation. Are you ready to bring your clinical proficiencies to a world-class Medical Group known for the very highest clinical standards? Do you have a passion for the highest quality and patient satisfaction? Then please respond to this multifaceted opportunity available with one of the best places to work in Southern California! We would be happy to hear from you. The Cedars-Sinai Medical Network is committed to helping primary care and specialist physicians provide excellent care to all their patients, who benefit from convenient access to primary and specialty care physicians and seamless coordination of care between them. As a part of Cedars-Sinai, our physicians and staff are partners in quality health care from a medical center that is consistently recognized as one of the finest hospitals in the country. For the 8th consecutive year, we have been named one of the top 20 Physician Groups in Southern California by Integrated Healthcare Associates (IHA). Primary Duties & Responsibilities Prioritizes and assigns duties and tasks to the clinical team to maintain operational needs and goals. Maintains clinical workflows by prioritizing and assuring accurate clinical team coverage needed to support providers and provide safe patient care. Monitors daily performance of the clinical team to ensure delivery of efficient quality care. Conducts departmental orientation and assures that onboarding measures have been met to meet the needs of the department and of the employee. Trains the clinical team in vital workflows to perform required job duties. Provides review of clinical skills and performance abilities using designated evaluation tools. Provides mentorship and counseling according to interpersonal policies and procedures to improve performance under the direction of the site supervisor or manager. Assists with controlling wage and non-wage expenses including pharmacy and medical supplies in accordance with the budgetary guidelines set by the organization. Provides direct and indirect patient-centered care within the scope of the LVN. Demonstrates proficient knowledge of clinical practices defined by organization policies, procedures, and best practice standards. Maintains current knowledge of interpersonal policies and procedures. Maintains a functional work environment by maintaining quality assurance/quality control logs, regulatory needs within the clinical space, needed supply levels, and housekeeping throughout the work environment. Ensures staff have met the vital certifications and licensing requirements to perform their duties in the work environment. Works in a collaborative role with leads, supervisors, managers and related offices or organizations. Qualifications Education: Vocational/Technical Diploma, CA LVN License Required Work Experience: 5 years LVN experience required Licenses and Certifications: Licensed Vocational Nurse Current CA LVN License required Intravenous/Blood Withdrawal Certification CA Board of Vocational Nursing IV/BW (intravenous/blood withdrawal) certification Basic Life Support (BLS)
CMA Infusion Oncology Full-time
Cedars-Sinai

Medical Assistant - Oncology - Infusion - Beverly Hills

Cedars-Sinai Beverly Hills, CA
Job Description Join Cedars-Sinai Align yourself with an organization that has a reputation for excellence! Cedars-Sinai received the National Research Corporation’s Consumer Choice Award 19 times for providing the highest-quality medical care in Los Angeles. We also were awarded the Advisory Board Company’s Workplace of the Year, 3 years in a row. This recognizes hospitals and health systems nationwide that have outstanding levels of employee engagement. We offer an outstanding benefit package and competitive compensation. Come find out why Cedars-Sinai was Voted #1 in California by U.S. News Best Hospitals! As a member of the patient care team, the Medical Assistant is responsible for positive patient relations, accurate telephone communication, verification of patient information by interviewing patient and confirming purpose of visit. The Medical Assistant is also responsible to prepare the patients for examination by performing preliminary physical tests, taking blood pressure, weight, and temperature, and reporting patient history summary. This position will also be trained and will be responsible for appointment scheduling, and to perform routine duties associated with the collection and maintenance of current patient demographics and insurance information. Primary Duties and Responsibilities Greets patients, take appropriate vital signs, review current medications and record in medical record Assists with tracking and monitoring department specific data Explains policies, procedures, or services to patients using clinical or administrative knowledge, based on scope of practice Manages patient care flow and assist with monitoring CS-Link message pools and standard work Sets up exam room/procedure rooms appropriately based on patient visit needs Sweeps clinical areas to monitor inventory based on standard work Cleans/re-processes equipment and supplies based on standard work and department guidelines Addresses patient, physician, and staff concerns and escalate accordingly Provides assistance in QA measures for suites, including recording QC testing on designated equipment Provides assistance and direct patient inquiries or complaints to appropriate medical staff members and follow up to ensure satisfactory resolution Monitors their own workflow to identify opportunities for improvement Participates in daily huddles and staff meetings Adheres to all infection prevention standards, department policies and guidelines Qualifications Education: High School Diploma/GED Required Vocational/Technical Diploma- Medical Assistant Certificate from an accredited educational program required Experience: 2 years of experience working as a Medical Assistant in an outpatient clinical/medical office setting preferred License/Certification: Basic Life Support Certification from the American Heart Association and/or the American Red Cross for Healthcare Providers Required (Upon Hire)
RN ICU Full-time
Prime Healthcare

Registered Nurse, RN - ICU

Prime Healthcare Lynwood, CA
$50.11 - $67.36 / hour
Overview St. Francis Medical Center is one of the leading comprehensive healthcare institutions in Los Angeles. St. Francis provides vital healthcare services for the 700,000 adults and 300,000 children in our community who count on the hospital for high quality and compassionate medical care. St. Francis is recognized for its full range of diagnostic and treatment services in specialties including Cardiovascular, Surgical, Orthopedics, Obstetrics, Pediatrics, Behavioral Health, and Emergency and Trauma Care. In addition, the hospital offers a broad array of education and outreach programs that advance community health. St. Francis Medical Center is a Comprehensive Stroke Center, STEMI Receiving Center, ED Approved for Pediatrics, Geriatric ED, Level III Neonatal ICU, and Level II Trauma Center. Please visit www.stfrancismedicalcenter.com for more information. Join an award-winning team of dedicated professionals committed to compassion, quality, and service! Responsibilities The Registered Nurse is responsible for the delivery of safe patient care utilizing the nursing process of assessment, planning, implementation and evaluation. Provides direct patient care within the scope of practice. The Registered Nurse also directs and guides patient/family teaching and activities of other nursing personnel while maintaining standards of care in the ICU. The Registered Nurse is directly responsible and accountable for the care given to his/her assigned patients. They communicate with the physician about changes in the patient’s clinical condition including hemodynamic monitoring, results of diagnostic studies and abnormal results and symptomatology. Is able to respond quickly and accurately to changes in condition and/or response to treatment. Maintains patient privacy and confidentiality. Qualifications EDUCATION, EXPERIENCE, TRAINING 1. Current and valid state RN License.2. Current BLS certificate upon hire and maintain current.3. Completion of Critical Care Course preferred. 4. Basic Arrythmia Interpretation within 30 days of hire.5. Current ACLS certificate 30 days upon hire and maintain current. 6. Minimum of one year as a staff RN in acute care hospital, critical care preferred.7. Critical Care RN (CCRN) Certification preferred. 8. Bachelor of Science in Nursing (BSN) preferred. Pay Transparency St. Francis Medical Center offers competitive compensation and a comprehensive benefits package that provides employees the flexibility to tailor benefits according to their individual needs. Our Total Rewards package includes, but is not limited to, paid time off, a 401K retirement plan, medical, dental, and vision coverage, tuition reimbursement, and many more voluntary benefit options. Benefits may vary based on collective bargaining agreement requirements and/or the employment status, i.e. full-time or part-time. The current compensation range for this role is $50.11 to $67.36. The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire, in which a wide range of factors will be considered, including but not limited to, skillset, years of applicable experience, education, credentials and licensure. Employment Status Full Time Shift Nights Equal Employment Opportunity Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf Privacy Notice Privacy Notice for California Applicants: https://www.primehealthcare.com/wp-content/uploads/2024/04/Notice-at-Collection-and-Privacy-Policy-for-California-Job-Applicants.pdf
CMA Outpatient Full-time
Planned Parenthood of Los Angeles

Medical Assistant I - West Hollywood, CA

Planned Parenthood of Los Angeles Central LA, CA
$25 / hour
Planned Parenthood Los Angeles is seeking an experienced and caring Medical Assistant I with excellent clinical and customer service skills to work full-time at our West Hollywood Health Center . This is an intermediate level position responsible for all supporting functions in the delivery of reproductive health care service and performs all Medical Assistant front and back office functions. Assist patients by providing testing, screening, and education required for the provision of medical reproductive health care and to provide non-judgmental, empathetic education and communication on options for patients, as required. Over one hundred years ago, Planned Parenthood was founded on the idea that everyone should have the information and care they need to live strong, healthy lives and fulfill their dreams. Founded 57+ years ago, Planned Parenthood Los Angeles is one of the largest providers of reproductive health care services in Los Angeles County. The Planned Parenthood Los Angeles (PPLA) team works together to provide high-quality, affordable reproductive health care to women, men, and young people across Los Angeles County. At PPLA, you will discover a culture of like-minded individuals who are eager to make positive contributions to their community and to the Planned Parenthood mission. \n Our Ideal Candidate will have the following qualifications: High school diploma or GED required Medical Assistant Diploma/Certificate required American Heart Association Basic Life Support (BLS) Certification required or willingness to obtain within 30 days of hire At least one (1) to two (2) years experience in a clinical setting Availability to work flexible hours including Saturdays Venipuncture and Injection training (to be completed within one (1) year of employment) Reproductive health care experience desirable Knowledge of surgical services preferred Keep current on relevant anatomy and physiology, methods of contraception, STIs, pregnancy, adoption, early prenatal care, education techniques, community resources, agency protocols, referral procedures, all Planned Parenthood programs initiatives and communications General Back Office Duties: Abortion patients are cared for at each of our health centers and in part through the administrative, support, and other non-clinical services provided at all PPLA locations and by all PPLA employees, and supporting these critical services is an essential job duty and fundamental responsibility of all employees and contractors. Obtain medical history, interview and educate clients ensuring informed consent Assist with the Patient Portal Enrollment process Obtain vital signs (blood pressure, height, weight, etc.) Accompany clients during procedures, as necessary Assist nurses and clinicians Pregnancy testing and options counseling Provide abortion education per agency protocols, make appointments and complete pre-screening form Complete daily quality control log Clean and stock exam and interview rooms Comply with infection control, safety, and emergency guidelines Sharp handling Ability to clean Autoclave and monitor Attest system Dipstick urinalysis Phlebotomy/Injection Surgical Duties: Vitals and Screen for potential problems: ascertain NPO status, identify and record allergies, identify and record drug or medication history, educate on analgesia options, note funding source, educate on contraception choices Clean and prepare room for examination, assist the patient in preparation for examination Prepare lab slips Assist in the transportation of patient, Provide support for patient Turn on equipment: EKG, pulse oximeter EKG lead placement Operate electric table: Know table positions Assist with Ultra Sound machine (as directed by MD) General Front Office Duties: Greet and assist all patients and visitors, whether in-person or by telephone Schedule, reschedule, cancel, or confirm patient appointments in a timely manner to maximize scheduling for patient volume Register patients and compile complete and accurate information Accept and process cash payments according to established guidelines Verify insurance coverage, determine patient eligibility Prepare and assemble charts, copy, transfer, and scan as needed Reconcile billing at the end of patient visit Maintain effective patient flow to assist in prompt treatment of patients Utilizes various computer programs to verify eligibility, schedule and register patients, enter charges, obtain benefit information, and generate letters for authorizations Appropriately refers patients to correct agencies or offices for service(s) Billing- complete CVRs, family planning Surgical Duties: Vitals and Screen for potential problems: ascertain NPO status, identify and record allergies, identify and record drug or medication history, educate on analgesia options, note funding source, educate on contraception choices Clean and prepare room for examination, assist the patient in preparation for examination Prepare lab slips Assist in the transportation of patient, Provide support for patient Turn on equipment: EKG, pulse oximeter EKG lead placement Operate electric table: Know table positions Assist with Ultra Sound machine (as directed by MD) General Front Office Duties: Greet and assist all patients and visitors, whether in-person or by telephone Schedule, reschedule, cancel, or confirm patient appointments in a timely manner to maximize scheduling for patient volume Register patients and compile complete and accurate information Accept and process cash payments according to established guidelines Verify insurance coverage, determine patient eligibility Prepare and assemble charts, copy, transfer, and scan as needed Reconcile billing at the end of patient visit Maintain effective patient flow to assist in prompt treatment of patients Utilizes various computer programs to verify eligibility, schedule and register patients, enter charges, obtain benefit information, and generate letters for authorizations Appropriately refers patients to correct agencies or offices for service(s) Billing- complete CVRs, family planning Generous salary and benefits package includes: Medical, dental, and vision coverage options for you and eligible dependents Free basic life/AD&D policy with additional voluntary coverage options Short Term Disability, Critical Illness and Accident policies 403(b) Retirement plan with up to 3% employer match Medical and Dependent Flexible Spending Account plans Public Transportation and Commuter Pre-Tax Reimbursements Generous vacation, sick, and holiday benefits Parking available for staff at the site Hiring Range: $25.00 per hour (Non-Exempt) Regional Differential: $3.00 per hour \n Compensation Philosophy and Position Hiring Range: At Planned Parenthood Los Angeles we continuously work towards our value of "we respect and honor all people", which also relates to our compensation philosophy. PPLA recognizes that decisions about pay, and benefits have significant impact on staff, so we are committed to ensuring all positions are rooted in a description that identifies competencies, duties, responsibilities, and qualifications, and that they are compensated equitably which considers both internal organizational equity and market compensation data for similar roles. Equal Employment Opportunity will be afforded to all applicants and other covered persons without regard to protected characteristics, including their perceived protected characteristic. Protected categories include: race (including traits historically associated with race, including but not limited to, hair texture and protective hair styles such as, braids, locs, and twists as examples but not exhaustive list), color, religion or religious creed (including religious belief, observation, practice, dress, and grooming practices), national origin, ancestry, physical or mental disability, medical condition, genetic information, marital status, sex (including pregnancy, childbirth, breastfeeding/chestfeeding, or related medical conditions), reproductive health decision-making, gender, gender identity, gender expression, age (40 years and over), sexual orientation, veteran and/or military status (including past, current or prospective service in the uniformed service), and any other characteristic protected under applicable federal, state or local law. PPLA will consider for employment qualified applicants with criminal histories in accordance with the requirements of Los Angeles Fair Chance Initiative for Hiring.
RN Utilization Review Telehealth Full-time
L.A. Care Health Plan

Utilization Management Clinical Quality Nurse Reviewer RN II

L.A. Care Health Plan Los Angeles, CA
$88,854 - $142,166 / year
Salary Range: $88,854.00 (Min.) - $115,509.00 (Mid.) - $142,166.00 (Max.) Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation’s largest publicly operated health plan. Serving more than 2 million members, we make sure our members get the right care at the right place at the right time. Mission: L.A. Care’s mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose. Job Summary The Utilization Management Clinical Quality Nurse Reviewer RN II, under the purview of the Utilization Management (UM) Department Leadership Team, is responsible for conducting and tracking targeted and random internal department documentation audits. This role ensures that UM practices and supporting documentation are compliant with all regulatory requirements. The Incumbent also serves as a Subject Matter Expert during external audits as well as leads pre- and post-audit preparation/follow-up. This position actively participates in the development and review of policies and procedures to certify compliance with regulatory guidelines and mandates. This position focuses on UM cases for all lines of business to identify areas of opportunity for increasing positive audit outcomes and improved service to L.A. Care’s membership. This position is responsible for identifying and monitoring staff (non-clinical, nurse, and physician) performance against key performance indicator trends that warrant recognition or remediation. This position performs data mining and analysis and creates reports on audit findings, as well as makes recommendations, to submit to the department's Quality Assurance Team and UM Management. Duties Facilitates the development, review, and revision of organizational and departmental process flows to ensure compliance with relevant regulatory, organizational, and departmental guidelines. Keenly focuses on practices and documentation of clinical staff, serving as a resource on state and federal industry mandates applicable to UM functions. Generates results of findings, enhances, and analyzes various reports related, but not limited to, quality and accuracy of case documentation. Works with department leadership to assess for all opportunities related to quality improvements. Compiles and presents quality report cards that measure adherence to quality and regulatory compliance. Keeps UM Leadership apprised of departmental and industry trends, deficiencies, and any potential risks, and collaborates with the team to develop and execute mitigation efforts. Serves as a consultant to the organization's Compliance team on an ad hoc basis. Performs other duties as assigned. Duties Continued Education Required Associate's Degree in Nursing Education Preferred Bachelor's Degree Master's Degree in Nursing Experience Required: At least 5 years of experience in Clinical Nursing. Minimum of 2 years of auditing clinical documentation. Active participation in at least two state regulatory audits and one federal regulatory audits. Previous experience with Medi-Cal and Medicare in a managed care environment and experience with mitigation planning and implementation. Preferred: Experience performing clinical documentation for a health plan. Active participation in at least three state regulatory audits, at least one National Committee for Quality Assurance (NCQA) audit and/or Centers for Medicare and Medicaid Services (CMS) audit. Background in teaching and/or clinical education. Skills Required: Superior verbal and written communication skills. Advanced computer proficiency in both Microsoft Word and Excel. Strong analytical and team building skills. Ability to work independently and be self-directed. Ability to work effectively with diverse team members. Strong problem-solving skills. Ability to multitask and streamline day-to-day operations. Ability to translate regulatory requirements into auditable tools. Preferred: Proven ability to lead successful performance improvement projects. Licenses/Certifications Required Registered Nurse (RN) - Active, current and unrestricted California License Licenses/Certifications Preferred Required Training Physical Requirements Light Additional Information Salary Range Disclaimer: The expected pay range is based on many factors such as geography, experience, education, and the market. The range is subject to change. L.A. Care offers a wide range of benefits including Paid Time Off (PTO) Tuition Reimbursement Retirement Plans Medical, Dental and Vision Wellness Program Volunteer Time Off (VTO)
RN Telehealth Full-time
L.A. Care Health Plan

Appeals and Grievances Nurse Specialist RN II

L.A. Care Health Plan Los Angeles, CA
$88,854 - $142,166 / year
Salary Range: $88,854.00 (Min.) - $115,509.00 (Mid.) - $142,166.00 (Max.) Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation’s largest publicly operated health plan. Serving more than 2 million members, we make sure our members get the right care at the right place at the right time. Mission: L.A. Care’s mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose. Job Summary The Appeals and Grievances (A&G) Nurse Specialist Registered Nurse (RN) II provides direct assistance to members with health care access or benefit coordination issues, ensuring that clinical grievances, complaints and complex issues are investigated and resolved to the member's satisfaction in a manner consistent with L.A. Care, Centers of Medicare and Medicaid Services (CMS) and regulatory guidelines. Benefit coordination may involve coordinating multiple L.A. Care products, Fee for services (FFS) Medi-Cal/Medicare, or commercial insurance. Duties Conducts intake/triage and appropriate classification of Clinical A&G, and Pharmacy requests and makes accurate judgment on appeal, grievance, Provider Claim Disputes, medical records or other issues and follows procedures on how to handle each type of request and route to the appropriate area within the department. Investigation, and resolution of clinical member complaints (grievances/appeals) utilizing all regulatory requirements. Investigation, and resolution of clinical Provider Complaints/ Provider Data Resolution (PDR) (grievances/appeals) utilizing regulatory and internal guidelines and Service Level Agreement (SLA). Identification of Expedited Cases and resolution within 72 hours. Works with the external providers and Participating Physician Group's (PPG) representatives to obtain relevant medical records and communication documentation. Prepares resolved complaint files for Centers for Medicare and Medicaid Services (CMS), DMHC, and external review organization (QIO or IRE). Process the case thru to effectuation and final case documentation in the A&G system of record. Investigation and preparation of State Fair Hearing cases as assigned. Prepares resolved complaint files for CMS external review organization - Quality Improvement Organization (QIO) or Independent Review Entity (IRE). Conducts reviews and presents to physicians, provider disputes which would be based on medical necessity reviews. Prepares authorizations, after approval by the Medical Director. When necessary, outreaches to providers, vendors, hospitals, and members to request necessary information or to provide case status and/or next steps. In instances where necessary, sends written notifications to appropriate parties. All interactions including verbal outreach and written communication will be documented in the A&G system of record. Participates inter-rater reliability training and assessments. 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 RN. At least 2 years in Medicare/ Medicaid in a managed care/ health plan environment. Skills Required: Excellent interpersonal and communication skills. Computer literacy and adaptability to computer learning. Time management and priority setting skills. Must be organized and a team player Able to work effectively with various internal departments/service areas, L.A. Care's plan partners, participating provider groups, and other external agencies. Good working knowledge of regulatory requirements/standards. Licenses/Certifications Required Registered Nurse (RN) - Active, current and unrestricted California License Licenses/Certifications Preferred Required Training Physical Requirements Light Additional 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)
RN NICU Full-time
PIH Health

Registered Nurse (RN), NICU, Full time, 7pm-7:30am

PIH Health Whittier, CA
$50.50 - $84.25 / hour
Provides direct nursing care including assessment, plan of care, education, and evaluation for assigned patients. Performs patient duties necessary to maintain the flow of patient care as well as coordinates the delivery of care provided by other care team members and disciplines. PIH Health is a nonprofit, regional healthcare network that serves approximately 3 million residents in the Los Angeles County, Orange County and San Gabriel Valley region. The fully integrated network is comprised of PIH Health Downey Hospital, PIH Health Good Samaritan Hospital, PIH Health Whittier Hospital, 37 outpatient medical office buildings, a multispecialty medical (physician) group, home healthcare services and hospice care, as well as heart, cancer, digestive health, orthopedics, women’s health, urgent care and emergency services. The organization is nationally recognized for excellence in patient care and patient experience, and the College of Healthcare Information Management Executives (CHIME) has identified PIH Health as one of the nation’s top hospital systems for best practices, cutting-edge advancements, quality of care and healthcare technology. For more information, visit PIHHealth.org or follow us on Facebook , Twitter , or Instagram . Required Skills Written and verbal communications, interpersonal skills. Basic organizational skills. Basic computer skills. Demonstrated leadership abilities. Patient assessment. Clinical education related to specialty. Principles of patient/family teaching. Required Experience : Current California RN license Current BLS and NRP certifications Two years NICU RN experience Address 12401 Washington Blvd. Salary 50.50-84.25 Shift Nights Shift Differential 7.00 Zip Code 90602