Prime Healthcare

Registered Nurse, RN - ICU

$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
Prime Healthcare

Registered Nurse, RN - ICU

$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
PIH Health

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

$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 Evidence of continuing education Current experience in an acute care facility Current Basic Life Support Card Basic EKG interpretation required Current ACLS certification required Current NIHSS certificate Critical Care Course preferred ICU experience preferred Address 12401 Washington Blvd. Salary 50.50-84.25 Shift Nights Shift Differential 7.00 Zip Code 90602
PIH Health

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

$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
L.A. Care Health Plan

Delegation Oversight Clinical Auditor RN II

$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 Delegation Oversight Clinical Auditor RN II is responsible for ensuring that delegates contracted to perform Utilization Management (UM) functions on behalf of L.A. Care (LAC) is in compliance with all UM regulatory requirements and new legislation through the maintenance of required policies/procedures/workflows/ processes/audit tools necessary to meet the requirements. This position utilizes a rapid team approach for needed improvements identified through external audits of delegated entities. This position assist in maintaining continuous quality improvement in the Delegation Oversight Clinical Audit unit ensuring that departmental/divisional and organizational goals are accomplished through overseeing and facilitating compliance of the Plan Partners, Participating Provider Groups (PPG), Specialty Health Plans (SHP), and contracted provider network as managed by the Delegation Oversight Department. This position is responsible, as part of the oversight team, for ensuring compliance of the Plan Partners and/or Participating Physician Groups (PPG) to regulatory, contractual and L.A. Care requirements. This position is responsible for performing annual and focused audits. This position also acts as a liaison between the Plan Partners and PPGs and L.A. Care Health Plan regarding UM issues. The position assists in improving access and utilization performance of Plan Partners and PPGs by being a resource for best practices and providing continuous feedback. Additionally, the oversight responsibility of this position includes reporting to management and providing consultation/instructional/coaching recommendations to improve overall compliance of Plan Partners and PPGs with all regulations and standards. Duties Continually ensures delegate compliance with UM Policies/Procedures, Letter Templates, Workflows, Processes, and Audit Tools in compliance with all regulatory requirements/new legislation. Works collaboratively with Regulatory Affairs & Compliance. Stay abreast of new UM legislation, regulations, or other changes impacting UM in order to put processes in place for compliance. Prepares the Delegation Oversight Clinical Audit team for internal audits and for conducting PP/PPG audits, developing mechanisms for tracking/ trending of progress for --UM/PPG (internal) and PP (external) for compliance with UM standards, and identities system/individual areas for improvement through these processes. Prepares the Delegation Oversight Department for review by external regulatory bodies. Ensures that the Delegation Oversight Department is continually prepared for external review with staff daily work conducted in a manner that meets regulatory requirements. Ensures that the Delegation Oversight Clinical Audit unit functions as a team in preparing needed documents for an external review. Completes annual, focused and periodic audit activities timely and thoroughly including identification of deficiencies, response to mitigation, review and response to CAPs. Identifies repeat deficiencies. Assures audit documentation is clear, complete and accurate. Completes periodic monitoring of PP or PPG performance in critical deficiency areas. Completes follow-up audits and related reports and recommendations. Identifies options to assist PP or PPGs with continued or significant deficiencies. Updates audit tools to meet regulatory, contractual and L.A. Care requirements. Develops and conducts ongoing monitoring activities including but not limited to file reviews and letters and supplemental reports. Present summary results to L.A. Care's UM Committee. Communicates with assigned PP and PPGs on an ongoing basis. Develop mechanism to track and trend progress of PP and PPG's compliance to UM standards and identify system wide issues. Maintains confidentiality in compliance with all Health Insurance Portability and Accountability Act (HIPAA) requirements. Assists co-workers with special projects or work volume as required. Actively identifies and implements efforts to improve the quality, effectiveness and efficiency of job functions. Actively identifies and makes recommendations to supervisor ideas to improve the quality effectiveness and efficiency of departmental and health services functions. Communicates to supervisors any barriers to completing assignments or daily work in an efficient and effective manner. Duties Continued Provides training, education and consultation as necessary to PP and PPGs. Collaborates with other Clinical Auditors on identifying topics and developing agendas for the JOM's and PP visits/communication. Develops and implements procedures to assure compliance with care coordination and documentation of linked and carved out services. Conducts Interrater Reliability Testing (referral management and oversight) for new staff/physicians and annually or as needed for existing staff/physicians. Works with other departments as necessary to facilitate teamwork for creating and/or improving interdepartmental processes to meet regulatory requirements. Clinical Auditor (Performance Monitoring): In addition to the responsibilities above, the Clinical Auditor (Performance Monitoring) position ensures compliance of the delegates (Participating Physician Groups, Plan Partners and Vendors) with regulatory, contractual and L.A. Care business requirements. This position is responsible for delegation oversight continuous monitoring activities and monitoring corrective action plans from the annual and focused audits. The position also acts as a liaison between the Plan Partners, PPGs and Vendors regarding Utilization Management (UM) issues; assists in improving access and utilization performance of PPGs by being a resource for best practice and providing continuous performance feedback. Additionally, the oversight responsibility of this position includes attendance at UM Committee, Delegation Oversight Committee, Sanctions Committee, Internal Compliance Committee, and Joint Operation Meetings. It includes monitoring supplemental UM reports, reporting to management as well as consultation/coaching/instructional activities to improve overall compliance with all regulations and standards. Clinical Auditor (Behavioral Health): In addition to the duties above, the Clinical Auditor (Behavioral Health) designs an audit program specific to ensuring delegates are meeting behavioral health regulatory requirements. This ensures Specialty Health Plans and Plan Partners are in compliance with regulatory, contractual, and L.A. Care business requirements. This position is responsible for developing and maintaining annual audit tools, policy requirements specific to delegates, and a monitoring program to continually receive and aggregate Behavioral Health specific performance requirements. The position acts as a liaison between Specialty Health Plans and Plan Partners regarding Behavioral Health issues, assists in improving access and Behavioral Health performance by being a resource for best practice and providing continuous performance feedback. Additionally, the oversight responsibility includes liasing with internal Behavioral Health units, the Medical Director of Behavioral Health, attendance at UM Committee, Delegation Oversight Committee, Sanctions Committee, Internal Compliance Committee, and Joint Operation Meetings. It includes monitoring supplemental UM reports, reporting to management as well as consultation/coaching/instructional activities to improve overall compliance with all regulations and standards. Performs other duties as assigned. Education Required Associate's Degree in Nursing Education Preferred Bachelor's Degree in Nursing Experience Required: At least 7 years in a clinical setting with at least 3 years in a managed care setting in Utilization Management/Case Management. Skills Required: Knowledge of issues pertaining to Medi-Cal and other HMO & IPA contracts, & payers. Ability to manage and organize large volumes of data. Knowledge of accreditation entities and their requirements. Excellent verbal and written communication skills and excellent interpersonal skills. Good working knowledge of regulatory requirements/standards. Ability to work independently. Ability to solve complex issues and identify creative solutions. Computer ease & literacy with Word, Excel, PowerPoint Skills. 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)
PIH Health

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

$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 Evidence of continuing education Current experience in an acute care facility Current Basic Life Support Card Basic EKG interpretation required Current ACLS certification required NIHSS required Critical Care Course preferred Preferred ICU experience Address 12401 Washington Blvd. Salary 50.50-84.25 Shift Days Zip Code 90602
PIH Health

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

$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 Evidence of continuing education Current experience in an acute care facility Current Basic Life Support Card Basic EKG interpretation required Current ACLS certification required NIHSS required Critical Care Course preferred Preferred ICU experience Address 12401 Washington Blvd. Salary 50.50-84.25 Shift Days Zip Code 90602
L.A. Care Health Plan

Appeals and Grievances Nurse Specialist RN II

$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)
Cedars-Sinai

Registered Nurse IV - Heart Institute Ambulatory - 10 Hour Days

Job Description Are you ready to bring your expert clinical skills to a world-class facility recognized as top ten in the country for cardiology? Do you have a passion for the highest quality and patient happiness? 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. The Smidt Heart Institute is home to a distinguished team of experts who are setting the bar for cardiovascular care in the United States. The Institute unites 16 centers and programs to diagnose and treat the full spectrum of heart and vascular conditions for all patients, from infants to those with advanced disease. Compassionate care is integrated with an agile research enterprise, giving patients access to pioneering treatments. Qualifications Qualifications: Education: BSN (Bachelor of Science, Nursing) required License/Certifications: Current, unrestricted California RN license required Nursing Certification required. Specialized certification in pediatrics or cardiology preferred. ACLS or ALS from American Heart Association or American Red Cross required. Additional PALS certification preferred. Experience: A minimum of 5 years of Cardiac nursing experience required Experience caring for pediatric and congenital heart disease patients in an ambulatory, inpatient, or procedural setting preferred. Charge Nurse experience preferred Must be a Clinical Nurse III for at least 1 year to be promoted within the clinical ladder
Cedars-Sinai

Registered Nurse III - Cardiac Cath Lab - 12 Hour Days

Job Description Description for Internal Candidates Are you ready to bring your expert clinical skills to a world-class facility recognized as top ten in the country for cardiology? Do you have a passion for the highest quality and patient happiness? 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. The Cardiovascular Intervention Center is a core element of the Smidt Heart Institute, performing more than 8,000 procedures a year. The department serves the populations of neonates to and including geriatrics. In this twelve-laboratory facility, we perform a wide range of diagnostic and therapeutic procedures for coronary artery disease, heart muscle function and heart valve dysfunction. Same Posting Description for Internal and External Candidates Qualifications Qualifications: Education: Graduate of an accredited Nursing program required BSN strongly preferred License/Certification: Valid California RN License required ACLS from the American Heart Association required CCRN, CVRN, or RCIS required (or obtain within one year of hire to maintain CN III status) Experience: 3 years of Acute Care Nursing experience required At least 1 year of Critical Care experience strongly recommended Experience in Special Procedures/Cardiac Cath Lab/EP preferred Experience preferred in diagnostic and therapeutic interventions with all patient populations for CN II or III qualification Cedars-Sinai is an EEO employer. Cedars-Sinai does not unlawfully discriminate on the basis of the race, religion, color, national origin, citizenship, ancestry, physical or mental disability, legally protected medical condition (cancer-related or genetic characteristics or any genetic information), marital status, sex, gender, sexual orientation, gender identity, gender expression, pregnancy, age (40 or older), military and/or veteran status or any other basis protected by federal or state law. If you need a reasonable accommodation for any part of the employment process, please contact us by email at Applicant_Accommodation@cshs.org and let us know the nature of your request and your contact information. Requests for accommodation will be considered on a case-by-case basis. Please note that only inquiries concerning a request for reasonable accommodation will be responded to from this email address. Cedars-Sinai will consider for employment qualified applicants with criminal histories, in accordance with the Los Angeles Fair Chance Initiative for Hiring. At Cedars-Sinai, we are dedicated to the safety, health and wellbeing of our patients and employees. This includes protecting our patients from communicable diseases, such as influenza (flu). For this reason, we require that all new employees are vaccinated on the seasonal availability of flu vaccine (typically during September through March each year) as a condition of employment, and annually thereafter as a condition of continued employment.
Cedars-Sinai

Charge Nurse – Float Pool, Full-time, 7PM-7:30AM Night Shift

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! Position Summary: As a Charge Nurse in our Float Pool, you will provide direct and indirect patient care in multiple inpatient departments. Our nursing float pool supplements staffing throughout the hospital based on need. This position will focus primarily on our Medical Surgical, Telemetry, MSSU and Ortho Units Critical Care (as needed) You’ll provide oversight of unit operations on the assigned shift. Address problems, concerns and/or unanticipated events in a manner that optimizes the smooth functioning of the unit. Serve as a role model and preceptor to unit staff. In fulfilling all responsibilities, consider not only the unit perspective but also a broader organizational perspective. Prepare monthly work schedules, make daily patient assignments, schedule breaks and meal periods. Determine priorities of care based on physical and psychosocial needs, as well as factors influencing patient flow through the system. 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: four Medical-Surgical/Telemetry units (MS/TELE), Intensive Care Unit (ICU), Emergency Department (ED), Post-Anesthesia Care Unit (PACU), and Progressive Care Unit (PCU). Benefits: NEW 9 story Hospital scheduled for May 2027 – state of the art and double the size! Amazing benefits for Full-time and Part-time, including Tuition Reimbursement! Clinical Ladder Program! Advancement and leadership opportunities ! 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: 19:00 p.m. – 07:30 a.m. Qualifications Educational Requirements: Graduate of accredited nursing program Minimum of an Associate's Degree in Nursing BSN preferred License/Certifications: Valid CA Nursing License BLS and ACLS required through the American Heart Association or American Red Cross PALS preferred Experience: Minimum of 2 years RN experience in an acute care facility required Prior experience as a Charge Nurse strongly preferred
Emanate Health

R.N. II ICU - Full Time - Nights - 12hr QVH

$48.97 - $74.88 / hour
Current Emanate Health Employees - Please log into your Workday account to apply Everyone at Emanate Health plays a vital role in the care we deliver. No matter what department you belong to, the work you do at Emanate Health affects lives. When you join Emanate Health, you become part of a team that works together to strengthen our communities and grow as individuals. On Glassdoor's list of "Best Places to Work" in 2021, Emanate Health was named the #1 ranked health care system in the United States, and the #19 ranked company in the country. Job Summary The Staff RN is a professional caregiver who assumes responsibility and accountability for a group of patients for a designated time frame. He/she is a clinical practitioner who coordinates and implements patient care specific to the age of the patient population served on the assigned units. He/she ensures that quality care is provided in an efficient and safe manner consistent with the unit's standard of care. Utilizes nursing skills to determine the biophysical, psychosocial, environmental, self-care and educational needs of the patient/family/significant other to develop, implement and revise the plan of care. Job Requirements Minimum Experience Requirement: All (1) newly graduated nurses, (2) re-entry nurses, and (3) nurses new to the U.S. healthcare system must satisfactorily complete the Emanate Health R.N. New Grad Program. One year critical care experience is preferred. Excellent customer service skills required. Minimum License Requirement: Current RN license in the State of California. BLS certification required. ACLS required within three (3) months of hire/transfer. National Institutes of Health (NIH) Stroke Scale Certification "A" required within three (3) months of hire/transfer. Annual eight (8) hours of Stroke Education required for those working at QVH. Must be available to work every other weekend Delivering world-class health care one patient at a time. Pay Range: $48.97 - $74.88
PIH Health

Registered Nurse (RN), ICU, Full Time, Days

$54.94 - $82.64 / hour
Responsible for independently utilizing the nursing process to safely, therapeutically and efficiently care for a group of patients based on policies and procedures. Delivers individualized quality patient care through a coordinated team approach with physicians, staff, other departments and the patient’s family. Complies with the California Nurse Practice Act, Article 2, Section 2725 of the Business and Professions Code. 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 Strong verbal & written communication skills Critical thinking skills Problem solving skills Computer skills Required Experience Current California RN License BLS from American Heart Association ACLS from American Heart Association NIH Stroke Scale (NIHSS) certification within 6 months of employment LA City Fire Card within 6 months of employment CPI/VIP within 3 months of employment (Emergency Room) 1-Year of experience Address 1225 Wilshire Boulevard Salary 54.94-82.64 Shift Days Zip Code 90017
Cedars-Sinai

Registered Nurse - Surgical Stepdown/Transplant - 6NW - 12-Hour Days - $5,000 Hiring Incentive!!

Job Description Make a difference every single day When the work you do every single day has a crucial impact on the lives of others, every effort, every detail, and every second matters. Progressive care nursing requires more than just exceptional technical skill. Our nurses give their compassion, their ambition, and everything they have to provide patients with the highest level of care. This culture of integrity, passion and dedication pulses through Cedars-Sinai, and it’s one of the many reasons we’ve earned a six-time Magnet designation. So if you’d like to be a part of one of the most talented teams in healthcare, we invite you to join us at Cedars-Sinai! Come discover for yourself why U.S. News & World Report has named us one of America’s Best Hospitals! Nurses in 6NW, our 32 Bed dynamic progressive care Surgical Stepdown unit, are dedicated professional nurses trained to care for post lung, liver, kidney transplant patients or those patients who have undergone other surgical procedures. The nurses attend multidisciplinary team rounds, caring for all solid organ transplant patients. As a Registered Nurse (RN) in our Surgical Stepdown you are responsible and accountable for the application of the nursing process and the delivery of patient care for the specialty patient population. You will also provide and accurately document direct and indirect patient care services that ensures the safety, comfort, personal hygiene, and protection of patients in a timely manner provide patient education on disease prevention and restorative measures. provide administration of medications and therapeutic agents necessary to implement treatment, disease prevention, or rehabilitative plan of care. perform skin tests, immunizations, phlebotomy and the initiation of peripheral venous access. observe and assess signs and symptoms of illness, reactions to medications/treatments, general behavior, and/or general physical condition to determine normal versus abnormal characteristics and initiate emergency procedures when indicated. plan and implement individualized patient care based on observations. Implements appropriate reporting, referrals and care in accordance with standardized procedures while providing care to special patient populations and patients with diverse cultural backgrounds. identify patients' readiness for learning and their ability to follow directions/instructions and give consent while identifying and assessing patient safety concerns with respect to age and developmental considerations. demonstrate the knowledge and the ability to identify and make special adjustments as required to the specific populations' needs, including cultural, spiritual, age, psychosocial, communication, gender, sexual orientation, economic, education, family and condition needs. This position is eligible for an Employee Referral Bonus. See our website for details: https://careers.cshs.org/employee-referrals Qualifications Educational Requirements: Graduate of an accredited nursing program. BSN or higher preferred. License/Certification/Registration Requirements: Current California State RN License required American Red Cross or American Heart Association Advanced Life Support certification (expiration date needs to be 60 days or more from the hire date). For RN III: Specialty Certification (external applicants may obtain within one year of hire) Experience: Minimum 1 year recent acute RN experience in specialty. Note: (3 years or more recent acute RN experience for Registered Nurse III) Working knowledge of applicable Standards of Practice. Demonstrated dedication to customer service and ability to meet the needs and expectations of patients and health care colleagues.
PIH Health

Registered Nurse (RN), ICU, Full Time, NIghts

$54.94 - $82.64 / hour
Responsible for independently utilizing the nursing process to safely, therapeutically and efficiently care for a group of patients based on policies and procedures. Delivers individualized quality patient care through a coordinated team approach with physicians, staff, other departments and the patient’s family. Complies with the California Nurse Practice Act, Article 2, Section 2725 of the Business and Professions Code. 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 Strong verbal & written communication skills Critical thinking skills Problem solving skills Computer skills Required Experience Current California RN License BLS from American Heart Association ACLS from American Heart Association (Telemetry, CVDOU, ICU, CICU, DOU, AMI, Emergency Room, Recovery Room, Radiology Invasive, Electrophysiology ) NIH Stroke Scale (NIHSS) certification within 6 months of employment (ICU, CICU Emergency Room, & DOU, Radiology Invasive only ) NIHSS preferred (Telemetry & CVDOU, Electrophysiology Emergency Room) PALS from AHA within 6 months of employment (Emergency Room only, Recovery Room only) LA City Fire Card within 6 months of employment (PHGSH only) CPI/VIP within 3 months of employment (Emergency Room) 1-Year Emergency Department experience (Emergency Room) Emergency Nursing Pediatric Course preferred (ENPC) (Emergency Room) Neonatal Resuscitation from AAP & AHA (NRP) (90 days within employment for New Grads) (NICU/Labor & Delivery) 1-Year recent experience or acceptance in /completion of a training program (NICU/Labor & Delivery) Chemo Certification within 1 year of employment (Respiratory) 6-month experience or acceptance in/completion of a New Grad/Internship program (Respiratory) Two (2) years’ experience in an acute care hospital (Radiology Invasive) One (1) year recent critical care experience or One (1) year Interventional Radiology or Cardiac Cath Lab experience (Radiology Invasive) 1-Year recent critical care experience or 1-Year Electrophysiology Lab experience ( Electrophysiology ) Address 1225 Wilshire Boulevard Salary 54.94-82.64 Shift Nights Zip Code 90017
Prime Healthcare

Registered Nurse, RN- Case Manager

$46.87 - $65.63 / hour
Overview At Centinela Hospital Medical Center, our dedicated team of professionals are committed to our core values of quality, compassion, and community. As a member of Prime Healthcare, a Top-15 hospital system in the United States, Centinela Hospital Medical Center is actively seeking new members to join its award-winning team! Centinela Hospital Medical Center has been serving the communities of Inglewood and the wider Los Angeles area for 100 years. An award-winning facility, ranking in the top 5% nationally for quality and patient safety, Centinela Hospital is a 362-bed acute-care hospital with a 24-hour STEMI certified emergency department and primary stroke center, orthopedic care, advanced cardiac services, critical care services, inpatient and outpatient rehab programs, and more. Centinela has earned hundreds of national awards and recognitions, including "100 Top Hospital" recognition from Fortune/Merative and straight 'A's (2018-2024) for hospital safety from The Leapfrog Group. For more information, visit www.centinelamed.com. Responsibilities Responsible for the quality and resource management of all patients that are admitted to the facility from the point of their admission and across the continuum of the health care management. Works on behalf of the advocate, promoting cost containment and demonstrates leadership to integrate the health care providers to achieve a perceived seamless delivery of care. The methodology is designed to facilitate and insure the achievement of quality, clinical and cost effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, intensity of service and severity of illness. Qualifications EDUCATION, EXPERIENCE, TRAINING 1. A current California State Registered Nurse (RN) license is required. 2. Five years acute care nursing experience preferred. 3. At least one year experience in case management, discharge planning or nursing management, preferred. 4. Current BCLS (AHA) certificate, preferred. 5. Knowledge of Milliman Criteria and InterQual Criteria preferred. 6. Experience and knowledge in basic to intermediate computer skills. To speak to a recruiter within 24 hours text: (310) 455-8305 or Schedule a time here: https://calendly.com/wmatajimenez-primehealthcare/connect-with-wendy-rncasemanager Pay Transparency Centinela Hospital 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. A reasonable compensation estimate for this role, which includes estimated wages, benefits, and other forms of compensation, is $46.87 to $65.63. 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 Days 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
Torrance Memorial Medical Center

Case Management Nurse I - FT Days

$55.56 - $85.96 / hour
Under supportive supervision, the Case Management Nurse I position supports the physician and interdisciplinary team in the provision of patient care, with the underlying objective of enhancing the quality of clinical outcomes and patient satisfaction while managing the cost of care and providing timely and accurate information to payers. The role integrates and coordinates utilization management, transitions of care, and discharge planning functions. The Level II RN Case Manager is accountable for a designated patient caseload and plans effectively in order to ensure patients receive the right care in the most appropriate setting, manage the length of stay, and promote efficient utilization of resources. Core Competencies Adheres to policies, procedures, and standards of practice to deliver safe and optimal care Complies with Joint Commission’s national patient safety goals Complies with organizational quality dashboard/benchmarking goals Maintains regulatory compliance consistent with quality standards and ethical obligations of the profession Participates in activities in alignment with the Magnet Model Participates in organizational committees, task forces and/or projects including presentation of project reports, committee recommendations, and task force activities at the unit level. Participates in Peer Review Participates in professional development activities Performs as a preceptor in an active and engaged manner Provides patient and family education throughout the care of patient Provides age specific and culturally competent discharge planning to all patients. Utilizes resources in an economical manner Department Specific Competencies Assesses, analyzes, synthesizes data gathered and develops an initial discharge plan. Collaborates/communicates with the multidisciplinary care team throughout the continuum of care. Ensures appropriate utilization management by analyzing and synthesizing clinical documentation, and collaborating with the multidisciplinary team to ensure patients are receiving the right care, in the right place at the most appropriate level of care. Establishes the patient/family/case manager relationship and determines their readiness to engage in the discharge planning process. Maintains a working relationship with ancillary departments, external case managers and post-acute care providers. Screens / identifies patients that may benefit from professional case management services. Uses critical thinking to formulate and carry out a discharge plan according to the patient’s needs. Utilizes the Electronic Health Record to ensure timely, accurate and complete documentation of assessments, referrals, and variances in care. Education Degree Program Associates Nursing Experience Number of Years Experience Type of Experience 1 Recent Acute Case Management experience 5 Nursing Clinical experience Additional Information or 1+ year(s) of comparable experience (such as a clinical liaison, clinical navigator) License / Certification Requirements Registered Nurse License BCLS or ACLS Certification Compensation Range: $55.56 - $85.96 / Hour #LI-KC1
PIH Health

Registered Nurse (RN), Ambulatory Sugery Center - Operating Room, Full Time, Days 7:30-4:00p

$54.94 - $82.64 / hour
Responsible for independently utilizing the nursing process to safely, therapeutically and efficiently care for a group of patients based on policies and procedures. Delivers individualized quality patient care through a coordinated team approach with physicians, staff, other departments and the patient’s family. Complies with the California Nurse Practice Act, Article 2, Section 2725 of the Business and Professions Code. PIH Health is a nonprofit, regional healthcare network that serves approximately 3.7 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, 35 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. Required Skills Strong verbal & written communication skills Critical thinking skills Problem solving skills Computer skills Required Experience Required: Current California RN License BLS & ACLS from the American Heart Association LA City Fire Card within 6 months of employment 1-Year experience in a Operating room or scucessful completion of an operating room course Preferred: BSN Degree Address 1225 Wilshire Boulevard Salary 54.94-82.64 Shift Days Zip Code 90017
PIH Health

Registered Nurse (RN), NICU, Full Time, Nights 12 Hours

Responsible for independently utilizing the nursing process to safely, therapeutically and efficiently care for a group of patients based on policies and procedures. Delivers individualized quality patient care through a coordinated team approach with physicians, staff, other departments and the patient’s family. Complies with the California Nurse Practice Act, Article 2, Section 2725 of the Business and Professions Code. 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 Strong verbal & written communication skills Critical thinking skills Problem solving skills Computer skills Required Experience Current California RN License BLS from American Heart Association S.T.A.B.L.E. Certification preferred LA City Fire Card within 6 months of employment Neonatal Resuscitation from AAP & AHA (NRP) Vioence Intervention and Prevention (VIP) within three months of employment 1-Year recent experience or acceptance in /completion of a training program Address 1225 Wilshire Boulevard Shift Nights Zip Code 90017
L.A. Care Health Plan

Lead Customer Solution Center Appeals and Grievances RN

$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 Lead Appeals and Grievances RN is responsible for assisting with the development of a successful and cohesive Appeals and Grievance (A&G) clinical unit. This position is responsible for the quality review of complex and/or escalated clinical A&G cases for all lines of business (LOB). The Lead will assist in identifying areas of improvement in increasing positive audit outcomes and improved Customer Service to L.A. Care’s (LAC) membership. This position will ensure the effective investigation and resolution of clinical grievances, appeals, complaints, and complex issues in alignment with L.A. Care policy and procedures along with all relevant regulatory guidelines. Leads and works closely with assigned team daily. This position will mentor, coach, and may provide feedback to management on performance of staff. Ensure team effectiveness and project completion. Duties Review and process complex and/or escalated clinical A&G cases. Analyze the patient medical records, clinical documentation, and insurance policies to determine medical necessity. Prepares and reviews A&G files for submission to providers and internal departments. Work with other departments to ensure all aspects of a case are appropriately managed. Conduct targeted and random clinical case audits to ensure that all regulatory and departmental guidelines, policies, procedures, and standards are met. Work closely with the leadership team to create and/or modify Desk Level Procedures and recommend enhancements to process and procedures. Assist the Clinical Supervisors in identifying deviations in performance and process changes are implemented to redirect performance to acceptable levels. Recommend and implement resolutions, new processes, and/or process improvement. Provide accurate and timely written statistical reports that include historical and/or current data to aid in projecting or evaluating compliance status. Identify and analyze trends in appeals and grievances to find the root cause of denials. Duties Continued Check, verify and ensure that all clinical A&G cases are processed accurately and within established timelines to meet or exceed member satisfaction goals and regulatory (CMS, DMHC, DHCS, NCQA), Health and Safety Code and company compliance. Maintain documentation of all communications in the A&G system to ensure thorough tracking of case status. Lead the work of assigned staff; regularly assigns and checks the work of others, providing guidance, training, and feedback on performance to department management. Work closely with management to review performance and quality standards on an ongoing basis. As well as motivational programs needed to achieve regulatory standards. Act as a back-up to the Supervisor in leading meetings and handling escalations as required. Perform other duties as assigned. Education Required Associate's Degree in Nursing for Registered Nurses Education Preferred Bachelor's Degree in Nursing for Registered Nurses Experience Required: At least 8 years of clinical appeals and grievances experience in a managed care, utilization management and/or case management setting, At least 2 years in Medicare/ Medicaid in a managed care/ health plan environment. At least 1 year of leading a process, program, or staff experience. Preferred: Clinical acute experience. Skills Required: Extensive knowledge of healthcare regulations and managed care guidelines Demonstrated ability to provide recommendations towards resolution. Strong critical thinking and problem-solving abilities to assess complex clinical cases and evaluate medical necessity. Ability to communication, conflict resolution, and motivational skills. Ability to work independently and closely with a team in a collaborative and interactive environment. Ability to adjust to changing circumstances within the team. Good verbal and written communication skills. Preferred: Strong project management skills with the ability to manage multiple training initiatives simultaneously. 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, and 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)
UCI Health

Clinical Nurse II-Critical Care Float Pool Orange & Irvine-FT Night Shift

Who We Are UCI Health is the clinical enterprise of the University of California, Irvine, and the only academic health system based in Orange County. UCI Health is comprised of its main campus, UCI Medical Center, a 459-bed, acute care hospital in in Orange, Calif., four hospitals and affiliated physicians of the UCI Health Community Network in Orange and Los Angeles counties and ambulatory care centers across the region. Listed among America’s Best Hospitals by U.S. News & World Report for 23 consecutive years, UCI Medical Center provides tertiary and quaternary care and is home to Orange County’s only National Cancer Institute-designated comprehensive cancer center, high-risk perinatal/neonatal program and American College of Surgeons-verified Level I adult and Level II pediatric trauma center, gold level 1 geriatric emergency department and regional burn center. UCI Health serves a region of nearly 4 million people in Orange County, western Riverside County and southeast Los Angeles County. To learn more about UCI Health, visit www.ucihealth.org. Your Role on the Team Position Summary The Critical Care clinical nurse collaborates with interdisciplinary teams to develop and implement a plan of care for a specific group of assigned patients, ensuring the coordination of care between other disciplines and support staff. Performs professional nursing duties that incorporate the psychomotor and age appropriate cognitive skills of the patient/family/significant other to assess, plan, intervene and advocate for the patient on an ongoing basis throughout the continuum of care. Will evaluate patient outcomes, effectiveness of plan of care, and readiness for discharge and revise plan or make referrals as necessary. Acts as a role model and mentor to a variety of students and nurses new to the unit. Functions as a (PCC) Patient Care Coordinator as requested by the supervisor/manager. Required Qualifications What It Takes to be Successful Required to float between the Orange and Irvine locations as needed. Must possess and maintain appropriate certifications, (NRP, PALS, etc.) per unit assignment, as required Minimum 2 years of recent Critical Care/ICU experience All external candidates must have a Bachelor of Science in Nursing Ability to work variable shifts including evenings, nights, weekends, and holidays Ability to read, write and communicate effectively in English Ability to maintain flexibility and work well in a constantly changing environment Preferred Qualifications Understanding of applicable regulatory requirements Bilingual skills to communicate effectively with patients and families Licenses And Certifications Registered Nurse Basic Life Support Advanced Cardiac Life Support Education Total Rewards We offer a wealth of benefits to make working at UCI even more rewarding. These benefits may include medical insurance, sick and vacation time, retirement savings plans, and access to a number of discounts and perks. Please utilize the links listed here to learn more about our compensation practices and benefits. Conditions Of Employment The University of California, Irvine (UCI) seeks to provide a safe and healthy environment for the entire UCI community. As part of this commitment, all applicants who accept an offer of employment must comply with the following conditions of employment: Background Check and Live Scan Employment Misconduct* Legal Right to Work in the United States Vaccination Policies Smoking and Tobacco Policy Drug Free Environment Misconduct Disclosure Requirement: As a condition of employment, the final candidate who accepts a conditional offer of employment will be required to disclose if they have been subject to any final administrative or judicial decisions within the last seven years determining that they committed any misconduct; received notice of any allegations or are currently the subject of any administrative or disciplinary proceedings involving misconduct; have left a position after receiving notice of allegations or while under investigation in an administrative or disciplinary proceeding involving misconduct; or have filed an appeal of a finding of misconduct with a previous employer. The following additional conditions may apply, some of which are dependent upon business unit or job specific requirements. California Child Abuse and Neglect Reporting Act E-Verify Pre-Placement Health Evaluation Details of each policy may be reviewed by visiting the following page: https://hr.uci.edu/new-hire/conditions-of-employment.php Closing Statement The University of California is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, protected veteran status, or other protected categories covered by the UC Anti-Discrimination Policy. We are committed to attracting and retaining a diverse workforce along with honoring unique experiences, perspectives, and identities. Together, our community strives to create and maintain working and learning environments that are inclusive, equitable, and welcoming. UCI provides reasonable accommodations for applicants with disabilities upon request. For more information, please contact UCI's Employee Experience Center (EEC) at eec@uci.edu or at (949) 824-0500, Monday - Friday from 8:30 a.m. - 5:00 p.m. Consideration for Work Authorization Sponsorship Must be able to provide proof of work authorization
AHMC Healthcare

Case Manager - RN FT Days 7:30am-6pm

Overview JOB SUMMARY: The Case Manager uses InterQual criteria to evaluate the appropriateness of admissions, concurrent stay and readiness for discharge. She/he assures the correct level of care: critical, telemetry, acute, observation, for all patients. The Case Manager provides an efficient, coordinated approach to clinical management, with an emphasis on discharge planning, care coordination and utilization management activities for select patient populations across the continuum of programs and services at GMC. The essential functions of the Case Manager require constant collaboration with the Social Workers, Nursing staff, Financial Counselors, Medical Staff to coordinate the care of patients in a proactive manner. The position requires the full understanding and active participation in fulfilling the mission of GMC - Garfield Medical Center. It is expected that the employee demonstrates behavior consistent with the core values. The employee shall support GMC - Garfield Medical Center strategic plan and goals and direction of the performance improvement plan. EDUCATION, EXPERIENCE, TRAINING RN License in the State of California (Required) Certified Case Manager (Preferred) Meets education and competency requirements for the position. BCLS Card AHA required. Case Manager Experience 1 year (Required)
PIH Health

Lead, RN Case Manager, Full time, Days

$57.04 - $94.11 / hour
The Lead, RN Case Manager is an experienced RN Case Manager who provides clinical and operational support to the Care Management leadership team. In addition to performing the full scope of an RN Case Manager, the Lead is responsible for supporting department operations, conducting audits, reinforcing regulatory compliance, leading assigned performance improvement projects, and ensuring standardization and quality in utilization review, care coordination, and discharge planning. Provides real-time guidance to team members, supports onboarding and competency development, leads quality and documentation audits, participates in throughput initiatives, and assists in implementing workflows and education to support safe and timely transitions of care. Manages the Student Internship and Preceptor Program for RN case management students, serving as liaison to academic partners and coordinating onboarding, preceptor assignments, and ongoing education. 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 • Demonstrated ability to provide consultation and instruction to staff regarding their assessment, intervention, planning and evaluation of cases. • Contributes to staff performance annual evaluation, performs staff annual competencies evaluations, provides staff orientation and training. • Strong working knowledge of CMS Conditions of Participation for Discharge Planning and Utilization Review, InterQual/MCG criteria, payer requirements, and hospital policies. • Knowledge with regulatory agency requirements, policies, and protocols. • Demonstrate leadership and organizational skills. • Independent performer and manages multiple assignments in a fast-paced environment. • Strong critical thinking and problem-solving skills to identify and resolve problems and or escalate barriers to support throughput. • Excellent communication and writing skills Required Experience • Current California license as current California RN license • Bachelor’s degree of Science in Nursing • 3 or more years of work experience as a case manager in hospital inpatient healthcare setting • Evidence of continuing education and obtain ACM (Accredited Case Manager) within 3 years of hire. Address 12401 Washington Blvd. Salary 57.04-94.11 Shift Days Zip Code 90602
Cedars-Sinai

Registered Nurse II - Emergency Department, Full-time, 7AM Day Shift

Job Description Make a difference every single day! When the work you do every single day has a crucial impact on the lives of others, every effort, every detail, and every second matters. This shared culture of passion, integrity and dedication pulses through Cedars-Sinai. It’s just one of the many reasons we’re on a Magnet journey for nursing excellence at our Marina del Rey campus! Working with a team of world-class healthcare professionals and a brand new 9 story hospital scheduled for December 2026, you’ll have everything you need to do something incredible—for yourself, and for others. Join us and support our community with the highest quality healthcare! Our Emergency Department (ED) has 20 patient beds and sees on average 120 people a day. There are Registered Nurses, Break RNs, Charge Nurses, Physicians, Physicians Assistants, and Nurse Practitioners on this cohesive multidisciplinary team. Our emergency medicine specialists are dedicated to providing comprehensive, leading-edge emergency care to a diverse population. $10,000 Employee Referral Program bonus eligible Position Summary: As a Registered Nurse in our ED, you are responsible and accountable for delivering direct and indirect patient care in the Emergency Room (ER) setting. You will also: Provide quality care that reflects initiative, flexibility, and responsibility indicative of professional expectations with a minimum of supervision Triage safely, rapidly and accurately, every patient that enters the emergency care system Determine priorities of care based on physical and psychosocial needs, as well as factors influencing patient flow through the hospital system Communicate with Emergency Department physicians about changes in patient’s status, symptomatology, and results of diagnostic studies Respond quickly, and with accuracy to changes in condition or response to treatment in the ED Benefits: Clinical Ladder Program! Advancement and leadership opportunities! Amazing benefits - Medical, Dental, Retirement, and Much More! NEW 9 story Hospital scheduled for December 2026 – state of the art and double the size! 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 accredited nursing program. BSN preferred Minimum of an Associate's Degree in Nursing License/Certifications: Valid California Registered Nurse License BLS through the American Heart Association or American Red Cross required ACLS through the American Heart Association or American Red Cross required PALS through the American Heart Association or American Red Cross required 16-hour Pediatric Emergency Course (EDAP or ENPC) required within first year of employment TNCC preferred Experience: Minimum of 1 year ED experience required Demonstrated dedication to customer service and ability to meet the needs and expectations of patients and health care colleagues
Cedars-Sinai

Registered Nurse - Cardiac - Operating Room - 12 Hours Nights - $5,000 Hiring Incentive!

Job Description Make a difference every single day! When the work you do every single day has a crucial impact on the lives of others, every effort, every detail, and every second matters. This shared culture of passion and dedication pulses through Cedars-Sinai, and it’s just one of the many reasons we’ve achieved our sixth-consecutive Magnet designation for nursing excellence. From working with a team of world-class healthcare professionals to using state-of-the-art facilities, you’ll have everything necessary to do something incredible—for yourself, and for others. Join us, and discover why U.S. News & World Report has named us one of America’s Best Hospitals. As a Level I trauma center with 49 Operating Rooms in seven locations, we perform advanced surgeries every day using the latest technology. The unit operates 24-hours a day, 7-days a week. We are a multiple-organ transplant center where you can be part of a team performing heart, liver, kidney, pancreas and heart-lung transplants. We have one of the highest cardiac transplant centers in the country. We also perform surgery using robotics in Urology, Cardiac, Ear, Nose and Throat, and General Surgery. Qualifications Educational Requirements: Graduate of an accredited nursing program. BSN or higher preferred. License/Certification/Registration Requirements: Current California State RN License required American Red Cross or American Heart Association Basic Life Support certification For RN III: Specialty Certification (external applicants may obtain within one year of hire) Experience: Minimum 3 years recent acute RN experience in specialty. Note: (minimum 1 year recent acute RN experience in Specialty will be considered for Registered Nurse II)