Registered Nurse Jobs in California

Loma Linda University Health

Admin Charge Nurse-PeriAnesthesia OSC UH: Outpatient Surgery Center-- Full-Time, Day Shift

Job Description UH: Outpatient Surgery Center-- Full-Time, Day Shift Job Summary: The Administrative Charge Nurse-Perianesthesia Services assists the manager/director in providing clinical, administrative, financial and human resource management in a hospital-based outpatient surgery center. Demonstrates comprehensive specialized body of knowledge related to the specialty practice of perianesthesia services and electroconvulsive therapy in the outpatient environment. Utilizes discretion and independent judgment to manage and supervise a team of licensed and unlicensed staff who provide direct and indirect age-specific patient care for a diverse pediatric through adult outpatient population. Facilitates uninterrupted patient flow through the various stages of perianesthesia. Demonstrates flexibility and advanced critical thinking skills to direct shift operations based on substantial knowledge and compliance with the American Society of Perianesthesia Nursing (ASPAN), state and federal regulations, LLUH policies, procedures, guidelines, Plans for Provision of Care and Medical Staff Bylaws/Rules and Regulations. Promotes the empowerment of the nursing profession and excels in implementing new knowledge, innovations and improvements in practice to enhance the patient experience and clinical outcomes. Facilitates a positive environment and provides hands-on guidance to engage staff in adopting a care delivery model of accountability, empowerment and excellence in practice. Performs other duties as needed. Education and Experience: Bachelor of Science Degree in nursing required or, an Associate's Degree in nursing with a Bachelor's degree in another field and a Master's Degree in nursing required. Minimum of three years nursing experience in perianesthesia nursing required. Minimum of one year of prior management or supervisory experience preferred. Knowledge and Skills: In-depth knowledge of peri-anesthesia and intermediate care nursing required. Basic knowledge of healthcare regulations and survey process required. Proficiency in leadership, supervision, management and communications skills required. Exhibits professional behavior at all times. Ability to apply theoretical concepts to clinical practice and continually expands knowledge base and clinical skills. Able to read and write legibly in English (and Spanish preferred) with professional quality; use computer, printer and software programs necessary to the position, e.g., Word, Excel, Outlook, PowerPoint, electronic medical record, electronic event reporting program; relate and communicate positively, effectively and professionally with others; be assertive and consistent in following and/or enforcing policies; work calmly and respond courteously when under pressure; lead, supervise, teach and collaborate; accept direction; think critically; work independently with minimal supervision; perform basic math and statistical functions; manage multiple assignments effectively; organize and prioritize workload; work well under pressure; problem solve; recall information with accuracy; pay close attention to detail; distinguish colors and smells as necessary for patient care; hear sufficiently for general conversation in person and on the telephone; identify and distinguish various sounds associated with the work place/patient care; see adequately to read computer screens, medical records and written documents necessary to position; discern temperature variances through touch. Licensures and Certifications: Active California Registered Nurse (RN) license required. Current Basic Life Support (BLS), Pediatric Advanced Life Support (PALS) and Advanced Cardiac Life Support (ACLS) certification from the American Heart Association required. Other certifications as specified in the department-specific Plans for Providing Care. About Us Our mission is to continue the teaching and healing ministry of Jesus Christ. Our core values are compassion, excellence, humility, integrity, justice, teamwork and wholeness. About The Team Loma Linda University Health is a Seventh-day Adventist, faith and values based Christian institution. Candidates must understand and embrace the mission, purpose, and identity of Loma Linda and its affiliated entities. We are an equal opportunity employer committed to the principles of diversity. We provide equal opportunities in all aspects of the employment process to every individual, regardless of gender, race, color, age, national origin, ancestry, physical or mental disability, marital or veteran status, genetic information or any other characteristic protected by law. In addition, we will provide reasonable accommodations for otherwise qualified individuals requesting an accommodation due to a disability. If you need accommodation assistance with accessing our job listings or completing an application, or during any other phase of employment with us, please contact Human Resources Management at (909) 651-4001. Loma Linda University Medical Center is a religiously-qualified Equal Opportunity Employer under Title VII of Civil Rights Act of 1964. No question on this application is asked for the purpose of unlawfully limiting or excluding any applicant’s consideration for employment because of race, color, religion, gender, age, national origin, disability, genetic information, or any other status protected by applicable law. If you need a reasonable accommodation in the hiring process, please notify Human Resource Management. We appreciate your interest in Loma Linda and wish you success in your job search!
L.A. Care Health Plan

Utilization Management Claims Review Nurse 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 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)
Paradigm

Nurse Case Manager - East Bay, CA

$108,400 - $136,600 / hour
We are seeking a Field Nurse Case Manager to cover the East Bay Area in CA, and surrounding areas . A Field Case Manager role is a home-based position with travel, up to 2 hours one-way (4 hours round trip per appointment). These appointments would be to doctors’ offices, hospitals, and various other locations. There may be multiple appointments in 1 day. This individual is responsible for the medical case management of work-related injuries, which includes assessment, planning, coordination, implementation, and evaluation of injured/disabled individuals. The Case Manager works with insurance carriers, medical care providers, attorneys, employers, and employees, and closely monitors the progress of the injured worker and reports results back to the employer and insurance carriers. At Paradigm, People Come First It's more than a job. It's a passion. Work at Paradigm, and you’ll find deep satisfaction knowing you’re making a profound difference in people’s lives. Meaningful work : better outcomes for all isn’t just our tagline. It’s what guides us to do our best—every day. At Paradigm, you’ll find an authentic connection between the work you do and your passion for making a difference in the world. Exceptional people : You'll work alongside smart people who share a commitment to excellence and a dedication to service. We're not here just for a "job." We're here to transform lives. Collaborative culture: At Paradigm, a spirit of collaboration and care is evident in everything we do. We promote a culture of inclusivity and value diversity of all kinds including thought, knowledge, and experience. No matter the team, everyone works together toward a common goal to deliver exceptional outcomes. Qualifications: Current, unencumbered Registered Nurse (RN) license in California Experience in case management of workers comp cases, preferred Recommended certifications (CCM, CRRN, CDMS, CRC) strongly preferred; will need to obtain within two years of hire date Skills required for success: organization and timeline adherence skills, PC and technology skills, communication skills (written, verbal, and interpersonal) Ability to operate autonomously with minimal oversight Skilled at patient education Valid driver’s license, and good driving history
Sutter Health

Registered Nurse II, Operating Room

$74.55 - $99.23 / hour
We are so glad you are interested in joining Sutter Health! Organization: SAFH-Sutter Auburn Faith Hospital Position Overview: Accountable for the assessment, coordination, delivery and evaluation of nursing care, including direct patient care, patient/family education and transitions of care in an acute patient setting. Delivers holistic and individualized care to all patients in an assigned area. Develops, implements, and coordinates a plan of care that incorporates psychological, sociocultural, spiritual, economic, and life-style factors. Fosters and maintains collaborative relationships between patients, their family/support group, physicians, and other healthcare providers through timely and effective communications. Adheres to hospital policies, industry standards, best practices, and applicable laws and regulations to promote an optimal patient experience. Preferred Experience: Prior experience circulating cases within an Acute Hospital setting. Job Description : EDUCATION: Graduate of an accredited school of nursing Or RN license evidences completion of a RN program CERTIFICATION & LICENSURE: RN-Registered Nurse for the state where care is provided BLS-Basic Life Support Healthcare Provider DEPARTMENT REQUIRED CERTIFICATION & LICENSURE: ACLS-Advanced Cardiac Life Support PALS-Pediatric Advanced Life Support TYPICAL EXPERIENCE: 2 years of recent relevant experience SKILLS AND KNOWLEDGE: Demonstrated general knowledge and competence with regard to nursing theories, concepts and practices; medical terminology; anatomy; and physiology. Working knowledge of the healthcare industry, safety precaution policies, best practices regarding patient care and privacy, and changes in local/state/federal regulations. Possess written and verbal communications skills to explain sensitive information clearly and professionally to diverse audiences, including non-medical people. Time management and organizational skills, including the ability to prioritize patient care, assignments and work within standardized policies, procedures, and practices to achieve objectives and meet time sensitive activities. Basic knowledge of computer applications, such as Microsoft Office Suite (Word and Outlook). Work independently as well as be part of the team, while accomplishing multiple interventions in an ever-changing environment. Ability to communicate and engage team members, patients and families in a variety of stressful situations. Use existing procedures and critical thinking to identify and solve routine or complex problems. Ensure the privacy of each patient’s protected health information (PHI). Build collaborative relationships with peers and other healthcare providers to achieve departmental and corporate objectives. Prioritize assignments and work within standardized policies, procedures, and scientific methods to achieve objectives and meet deadlines. Job Shift: Varied Schedule: Per Diem/Casual Shift Hours: 8 Days of the Week: Monday - Friday, Variable Weekend Requirements: Once a Month Benefits: No Unions: Yes Position Status: Non-Exempt Weekly Hours: 0 Employee Status: Per Diem/Casual Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans. Pay Range is $74.55 to $99.23 / hour The compensation range may vary based on the geographic location where the position is filled. Total compensation considers multiple factors, including, but not limited to a candidate’s experience, education, skills, licensure, certifications, departmental equity, training, and organizational needs. Base pay is only one component of Sutter Health’s comprehensive total rewards program. Eligible positions also include a comprehensive benefits package.
Eisenhower Health

RN-Heart Failure Program Coordinator

$53 - $82.08 / hour
Sign On Bonus Eligible Default Work Shift: Day (United States of America) Hours: 40 Salary range: $53.00 - $82.08 Schedule: Full Time Shift Hours: 8 Hour employee Department: Cardiac Service Line Job Objective: Responsible for the development, planning, evaluation, and management of the Heart Failure Program. The Primary goal of this individual is to maintain and enhance the quality of care delivered to heart failure patients, with particular focus on the accreditation process and oversight Job Description: Education: Required: Bachelor’s degree in Nursing Preferred: Master’s degree in Nursing Licensure/Certification: Required: Current California RN licensure, American Heart Association BLS & Advanced Cardiovascular Life Support ACLS Experience: Required: Five (5) years clinical experience, preferably in ED and/or cardiac services Preferred: Prior experience in a heart failure program role Reports To: Clinical Director, Service Line Administrator Supervises: N/A Ages of Patients: Adolescent, Adult, Geriatric Blood Borne Pathogens: Moderate Potential Skills, Knowledge, Abilities: Ability to work independently with minimal supervision, Demonstrates clinical competencies in acute care settings, Good verbal, written and interpersonal communication skills, Knowledgeable of the standards and requirements for maintaining heart failure accreditation, Must be able to create Excel spreadsheets, aggregate and present data, Understanding heart failure center accreditation and performance management expectations Essential Responsibilities 1. Demonstrates compliance with Code of Conduct and compliance policies, and takes action to resolve compliance questions or concerns and report suspected violations. 2. Monitors heart failure program & performance data. 3. Coordinates and evaluates effectiveness of the multi-disciplinary Performance Improvement for the heart failure Program, providing recommendations for improvement. 4. Plans and establishes goals and objectives for the heart failure program, in conjunction with the Medical Director, Cardiac Leaders, and ED Leaders. 5. Provides supervision and education to ensure the proper functioning of the heart failure Program; serves as a resource to the health care team members involved in caring for all cardiac related patient population. 6. Monitors heart failure accreditation requirements and ensures timely progress. Collaborates with involved departments to fulfill accreditation. 7. Participates in Eisenhower’s heart failure & critical care committees; works closely with the Medical Director to assist in establishing the standards of quality for heart failure care. 8. Demonstrates implementation skills in accordance with Eisenhower Health’s Standards of Care, policies, procedures, and Nurse Practice Act. 9. Maintains current knowledge of cardiac-related best practices and the latest clinical practice guidelines, including legislation and regulations that impact heart failure care. 10. Coordinates and attends heart failure education presentations for those caring for heart failure patients internally – and for referring facilities as needs and opportunities are identified. 11. Consistently documents in accordance with EMH policies and procedures. 12. Assesses and analyzes outcome measures for continued heart failure accreditation. 13. Demonstrates competency in heart failure patient flow. 14. Provides accurate and precise data reporting of heart failure patient encounters to appropriate registries. 15. Identifies educational needs and provides comprehensive education pertaining to heart failure intervention, prevention and rehabilitation for inpatients and community. 16. Collaborates with nursing management, physicians and the Education Department to identify gaps in processes, develop and implement staff education related to heart failure issues. 17. Coordination of heart failure patient care between the ED and other departments as needed. 18. Coordinates research, collects and gathers data for reporting. 19. Complies with departmental plan to meet budget goals. 20. Demonstrates knowledge of Department of Nursing and Joint Commission required quality indicators, performance improvement and patient safety goals. 21. Oversee heart failure data abstraction and reporting of metrics related to the heart failure process for the ongoing term of heart failure accreditation. 22. Serves as liaison to administration and represents the heart failure program on various hospital and community committees to enhance and foster excellence in heart failure care. 23. Other duties as assigned.
Bon Secours Mercy Health

Registered Nurse (RN) – Forensic Nurse Examiner – St. Vincent Medical Center

Thank you for considering a career at Mercy Health! Scheduled Weekly Hours: 24 Work Shift: Nights (United States of America) Summary of Primary Function The Forensic Registered Nurse (RN) is a highly specialized professional who leverages dedicated education and training to deliver comprehensive, trauma-informed nursing care. They operate with increasing independence, utilizing the nursing process, current evidence-based clinical knowledge, and the International Association of Forensic Nursing Scope and Standards of Practice (ANA & IAFN 2016). The core function is to provide professional nursing care for patients across the lifespan who have been affected by crime, unlawful acts, trauma, and intentional or unintentional harm. This role is inherently complex, requiring the integration of knowledge from nursing science, criminal justice, public health, and forensic science. The Forensic Nurse applies a trauma-informed approach to accurately assess the medical-legal needs of these patients, collaborating with the health team to coordinate care, anticipate nursing intervention outcomes, and set criteria for quality care. Crucially, this position demands mobility and adaptability as the RN will travel to and provide services at various hospital facilities within the system to meet patient needs. Essential Job Functions · In collaboration with the interdisciplinary care team, conducts initial and ongoing patient assessment, analyzes assessment data, creates a plan of care, implements treatment, and evaluates treatment effectiveness and safety planning throughout the process and at discharge. · Administers medications in a safe manner, consistent with the State of Practice and Bon Secours Mercy Health policies and procedures · Serves as point of contact for patients' care coordination throughout hospital departments. · Collaborates with interdisciplinary teams composed of medical professionals, community and system-based advocates, social services workers, faith community leaders, law enforcement, and legal practitioners. · Maintains departmental quality assurance through active participation in monthly peer and case reviews, ensuring all forensic documentation and care align with ANA and IAFN (2016) standards. · Applies the nursing process to assess, diagnose, and treat individuals, families, groups, communities, and populations affected by violence and trauma, through identification, management, and prevention of intentional and unintentional injuries and death. · Applies nursing practice to the care of individuals across the lifespan and integrates forensic and nursing sciences in the assessment and care of populations affected by physical, psychological, or social violence, trauma, or death including, but not limited to, sexual assault, intimate partner violence, human trafficking, physical abuse, maltreatment, and neglect, elder abuse and vulnerable persons, and violence resulting in injury or death · Provides episodic care for populations affected by trauma, including those legally defined as victims, suspects, the accused, and perpetrators. · Acts as a patient safety advocate by participating in ongoing quality improvement in the department. · Assesses the need for and implements unit-based activities (quality assessment, in-services, etc.). · Provides education to patients, staff, communities, and populations in the prevention, detection, and treatment of the effects of violence. · Accepts responsibility and accountability for ethical/legal functioning. · Facility Travel : Must be available and willing to travel to and provide services at multiple hospital facilities within the system's service area as scheduled or required by patient need. · BSMH nurses are expected to practice and deliver care in accordance with the core concepts and intention of the BSMH Nursing Professional Practice Model. Skills · Assigns patient care according to the nursing skill, knowledge, and scope of practice of staff. · Orients, facilitates learning experience, and provides education (based upon quality improvement indicators, outcomes, and implementation) to nursing staff and others. · Possesses clinical knowledge, skills, and competency to provide evidence-based patient care in accordance with the current standards of practice, policy and procedure, and BSMH mission. · Performs comprehensive assessment of patient's clinical condition and psychosocial needs of the patient and their supportive resources. · Safely and efficiently develops, implements, and prioritizes plan of care. · Application of the nursing process in patient care delivery. · Assesses patient's physical and emotional responses to treatment to evaluate effectiveness of intervention and patient outcomes; revises plan of care accordingly. · Assists patient and family in coping with patient's illness. · Collaborates with others in the delivery of coordinated patient care. · Strong interpersonal and verbal/written communication skills. · Applies cultural diversity and inclusion principles when caring for patients and their support resources. · Recognizes own limitations and seeks assistance and acquires information to perform safely. · Advances personal and professional growth through participation in educational programs, current literature, in-services, and workshops. · Exhibits professionalism through accountability for own and delegated actions. · Integrates cost-effective measures into practice and models effective stewardship of available resources. · Practices self-care and cultivates resilience in conflict and difficult circumstances. · Proactively manages the impact of vicarious trauma by participating in peer support programs and utilizing organizational resources to maintain personal resilience. · Protects the safety and privacy of all persons. · Understanding and utilization of office and clinical technologies. · Ability to communicate with patients in a manner they can understand considering their personal preferences. · Compassionate, relationship-based approach to help find meaning in illness, suffering, pain, and existence. · Remains calm, adaptive, and collective during an emergency. · Maintains a meticulous and legally defensible chain of custody for all evidence collected, ensuring integrity from the point of collection to transfer to law enforcement. · Documents relevant information accurately and thoroughly. · Applies ethical, legal, and privacy guidelines to the collection, maintenance, use, and dissemination of information. · Demonstrates proficiency in forensic photography and the use of specialized visualization equipment (e.g., Alternate Light Sources) to document non-visible trauma or biological evidence. · Knowledge of contemporary forensic nursing evidence-based practice, research, and future innovations. · Evaluation of professional forensic nursing practice to optimize goals and outcomes. · Identification, collection, and organization of data relevant to forensic nurses. · Administers, organizes, and coordinates the role of the forensic nurse in programs, systems, and environments where the forensic nurse practices. · Involvement and influence in internal and external systems where professional and societal regulations of nursing practice affect public health and safety. · Development, analysis, and implementation of health policy relevant to forensic nurses and patient populations in forensic settings. · Provision of ethical, safe, evidenced-based, trauma-informed direct patient care related to injury, crime, victimization, violence, abuse, and exploitation. · Provision of testimony forensic, both fact and expert, in a variety of judicial settings. · Participates in pre-trial consultations with legal counsel and maintains professional 'curriculum vitae' (CV) and testimony logs to establish expert/fact witness credentials. · Ability to meet the physical and emotional demands of forensic nursing care. Licensing/Certification Current RN license in state they are working or covered by compact (required) Valid State Driver’s License (required) BLS Basic Life Support (preferred upon hire, required to obtain from an approved source prior to providing direct patient care) Must be willing to obtain: Sexual Assault Nurse Examiner-Adult/Adolescent (SANE-A) - International Association of Forensic Nurses (IAFN) (obtained in one year) Sexual Assault Nurse Examiner-Pediatric (SANE-P) - International Association of Forensic Nurses (IAFN) (obtained in one year) General/Advanced Forensic Nursing Certification (GFN-C)(AFN-C) (obtained in one year) Education Bachelor of Science Nursing (Required) SANE-A Training Course or certification (preferred) SANE-P Training Course or certification (preferred) FNCB Training Course of certification (AFN-C, GFN-C, IVSE-C) (Preferred) Work Experience 2 years of RN experience (required) Training International Association of Forensic Nurses (IAFN) didactic training for Sexual Assault Nurse Examiner/Forensic Nursing program (obtained in one year) Generalist/Advanced Forensic Nursing didactic course (obtained in one year) Pediatric/Adolescent/Adult Case Review Patient Population Demonstrates the knowledge and skills necessary to provide care appropriate to the age of the patients served on his or her assigned unit. Demonstrates knowledge of the principles of growth and development of the life span and possesses the ability to assess data reflective of the patient's status and interprets the appropriate information needed to identify each patient's requirements relative to his or her age, specific needs and to provide the care needed as described in departmental policies and procedures. Neonates (0-4 weeks) Infant (1-12 months) Pediatrics (1-12 years) Adolescents (13-17 years) Adults (18-64 years) Geriatrics (65 years and older) Working Conditions · Periods of high stress and fluctuating workloads may occur · May be exposed to physical altercations and verbal abuse · May be required to use physical restraints · May be exposed to high noise levels and bright lights · May be exposed to limited hazardous substances or body fluids* · May be exposed to human blood and other potentially infectious materials* · May have periods of constant interruptions · * Individuals in this position are required to exercise universal precautions, use personal protective equipment and devices, and learn the policies concerning infection control. Hours: · Shift: Nights · Hours: 7:00PM - 7:00AM · Hours per pay period: 48 · Weekend, holiday and on-call rotation required per department policy This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Employees may be required to perform other job-related duties as required by their supervisor, subject to reasonable accommodation. Mercy Health is an equal opportunity employer. As a Mercy Health associate, you’re part of a Misson that matters. We support your well-being – personally and professionally. Our benefits are built to grow with you and meet your unique needs, every step of the way. What we offer • Competitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible) • Medical, dental, vision, prescription coverage, HAS/FSA options, life insurance, mental health resources and discounts • Paid time off, parental and FMLA leave, short- and long-term disability, backup care for children and elders • Tuition assistance, professional development and continuing education support Benefits may vary based on the market and employment status. Department: Forensic Nursing - St. Vincent It is our policy to abide by all Federal and State laws, as well as, the requirements of 41 CFR 60-1.4(a), 60-300.5(a) and 60-741.5(a). Accordingly, a ll applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability. If you’d like to view a copy of the affirmative action plan or policy statement for Mercy Health – Youngstown, Ohio or Bon Secours – Franklin, Virginia; Petersburg, Virginia; and Emporia, Virginia, which are Affirmative Action and Equal Opportunity Employer, please email recruitment@mercy.com . If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact The Talent Acquisition Team at recruitment@mercy.com .
Sutter Health

Staff Nurse II, ICU/CPU

$79.67 - $107.79 / hour
We are so glad you are interested in joining Sutter Health! Organization: ABSMC-Summit Campus Position Overview: Applying the principles of the nursing process and working within the policies/procedures of the Patient Care Services Department and the Medical Center, the staff nurse is a registered nurse (RN) who, as the patient's primary nurse, is responsible and accountable for: * The overall management of the nursing care provided, assuring competent, compassionate and cost­-effective patient care from admission to discharge; * Assuring the safety, comfort, personal hygiene and protection of patients and performing disease prevention and restorative measures; * Responding to medical and environmental emergencies Job Description : EDUCATION Graduate from an accredited school of Nursing Required . BSN Preferred EXPERIENCE Minimum one year of current experience in area of specialty is Required . Minimum 2 years of adult intensive care experience, including advanced hemodynamic monitoring is highly Preferred. IABP, CRRT/Cardiovascular open heart recovery experience preferred. LICENSURES AND CERTIFICATIONS Registered Nurse - State Licensure - RN Required Basic Life Support Certification - BLS Required Critical Care Registered Nurse - CCRN Preferred Advanced Cardiac Life Support - ACLS Required NIH Stroke Scale Certification - NIHSS Preferred upon hire and/ or within 2 weeks of starting orientation SKILLS AND KNOWLEDGE Demonstrates working knowledge of patient care techniques, medications, treatments and general health care procedures Strong communication and interpersonal skills. Ability to work in fast-paced environment with changing priorities. Ability to: provide basic patient care to a diverse patient population• read/interpret general business periodicals, professional journals, technical procedures or governmental regulations• write legibly and effectively present ideas, document activities• demonstrate leadership abilities• deal with problems involving several variables in situations where only limited standardization exists Job Shift: Days Schedule: Part Time Shift Hours: 8 Days of the Week: Variable Weekend Requirements: Every other Weekend Benefits: Yes Unions: Yes Position Status: Non-Exempt Weekly Hours: 32 Employee Status: Regular Employees of Sutter Health and its entities may handle hazardous drugs in the course of their work, including patient care, which requires them to manage, store, prepare, receive, unpack, transport, dispose of, or administer drugs identified as hazardous or potentially hazardous by the National Institute for Occupational Safety and Health (NIOSH) and in accordance with the USP 800 guidelines. Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans. Pay Range is $79.67 to $107.79 / hour The compensation range may vary based on the geographic location where the position is filled. Total compensation considers multiple factors, including, but not limited to a candidate’s experience, education, skills, licensure, certifications, departmental equity, training, and organizational needs. Base pay is only one component of Sutter Health’s comprehensive total rewards program. Eligible positions also include a comprehensive benefits package.
Tahoe Forest Health System

Staff Nurse Oncology Infusion - Temporary

$68.46 - $71.88 / hour
Bargaining Unit: EAP Rate of Pay: $71.883/hour + DOE (Base Pay of $68.46 includes 5% temporary differential) Summary Performs the nursing process through assessment, planning, implementation and evaluation of safe therapeutic care to patients in the Cancer Center by performing the following duties. Essential Duties and Responsibilities Functions as the coordinator of patient care, collaborating with other providers and health team members to provide required care as effectively as possible. Responsible for delivering care within the framework of the nursing process. Administers antineoplastic, immunotherapy and non-oncology medications, including via intravenous, intramuscular, subcutaneous and intravesical routes. Recognizes and responds to infusion reactions, including hypersensitivity reactions and anaphylaxis. Assesses and manages medication side effects and oncologic emergencies. Uses assessment findings to prioritize patient problems according to their needs. Consistently demonstrates professional skills, utilizes his/her knowledge base to act as a collegial consultant and resource to other staff as assigned. Responsible to comply with all regulatory agency and accreditation standards and requirements. Maintains and demonstrates clinical competency/skills including the ability to provide safe and effective care to our special patient populations and to patients with diverse cultural backgrounds. Performs appropriate assessment, intervention and evaluation. Identifies safety concerns and institutes measures to provide a safe environment. Actively participates in professional role development activities including continuing education, continuous quality assessment and improvement as well as the review and clinical application of research findings. Provides ethically sound care. Coordinates care using a multi-disciplinary team approach. Delivers care within the framework of the ANA standards. Identifies safety concerns and institutes measures to provide a safe environment. Engages the patient in mutual goal setting and collaboration in developing the Nursing plan of care. Participates in development of and ensures compliance with the Cancer Centers’ policies and procedures. Ensures that confidentiality and patient information policies and guidelines are observed. Demonstrates leadership and professional growth. Develops and supports Quality Assessment and improvement plans in collaboration with the Nurse Case Manager and Director. Learns, uses and serves as a resource for the electronic medical record system. Navigates the pertinent information from the EMR system effectively. Accesses and extrapolates pertinent information in an appropriate and timely manner. Performs accurate and timely documentation within EMR System. Ensures that procedural charges are entered into the EMR accurately and timely. Participates in clinical audit trials. Demonstrates System Values in performance and behavior. Complies with System policies and procedures. Other duties as may be assigned. Qualifications To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Supervisory Responsibilities No supervisory responsibilities. Minimum Education/Experience Associate's Degree from college or vocational school from a National League of Nursing (NLN), Commission on Collegiate Nursing Education (CCNE) or equivalent accredited school of nursing. The nurse shall have completed a nursing education program that included clinical experiences with actual patients under the supervision of qualified faculty and 3 or more years relevant experience Required Licenses/Certifications California Registered Nurse (RN) Upon hire Basic Life Support (BLS) for Healthcare Provider Upon hire BLS: Employee will be enrolled in the Resuscitation Quality Improvement (RQI) Basic Life Support (BLS) Entry or Prep Curriculum (depending on their previous BLS certification). Within 3 months of hire into job Other Experience/Qualifications Required: Oncology Nursing Society (ONS) Chemo Immunotherapy Administration certification within one (1) month of hire into the position A minimum of one year experience as an oncology nurse. Expert IV therapy skills. Experience assessing critically ill patients in a high acuity oncology, critical care, emergency or equivalent setting. Preferred: Oncology experience within the last three (3) years. Oncology Certified Nurse (OCN) certification One year experience as an oncology infusion nurse in an outpatient infusion center.
Community Medical Centers

RN, PACU

Overview Opportunities for you! Comprehensive relocation package and concierge service Progressive sign-on incentive paid over time for eligible candidates Consecutively recognized as a top employer by Forbes, and in 2025 by Newsweek Time and a half after 8 hrs + weekend and night differential (call pay for procedural areas) RN Advancement Pathway for growth, built for nurses, by nurses Free Continuing Education and certification including BLS, ACLS and PALS Tuition reimbursement, education programs and scholarships Vacation time starts building on Day 1, and builds with your seniority Free money toward retirement with a 403(b) and matching contributions Great food options with on-demand ordering Free parking and electric charging Commitment to diversity and inclusion is a cornerstone of our culture at Community. All are welcome as valued members of our community. We know that our ability to provide the highest level of care is through taking care of our incredible teams. Learn more on our Benefits page. Responsibilities In your role, you will: Utilize the nursing process to identify patient needs for continuous assessment in the PACU. Document and evaluate the effectiveness of nursing actions and ensure a safe environment of care. Work alongside other departments to ensure continuity of care. Provide post-surgical education to patients, creating and maintaining a sterile and safe surgical environment for the patient and monitoring the patient’s physical and emotional well-being throughout the surgical care continuum Monitoring patients for changes in status and indications of conditions such as respiratory depression and institute appropriate interventions. Qualifications Education and Experience Minimum Requirements: Graduation from an accredited registered nursing program Minimum 2 years recent ICU, Critical Care, or PACU experience California RN state license BLS Certification ACLS certification within 6 months of hire or transfer into job PALS certification within 6 months of hire or transfer into job. Ability to take On-Call during the week and some weekends and holidays Disclaimers • Pay ranges listed are an estimate and subject to change.• If any bonuses are noted, they are only applicable to external hires meeting criteria.
Cedars-Sinai

Registered Nurse - 4N Neuro/Stroke- 12hr Nights

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 happiness, 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 dedicated healthcare professionals to using state-of-the-art facilities, you’ll have everything you need 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! Nurses in 4North, our 56-bed Neurology Stroke unit, care for adult neurological patients suffering from stroke, transient ischemic attack, seizures, epilepsy, closed head injury, meningitis, encephalitis, and movements disorders, and other non-surgical conditions requiring neurological nursing observation and expertise. As a Registered Nurse in our Neurology Stroke Unit 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://jobs.cedars-sinai.edu/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 Cardiac Life Support certification For RN III: Specialty Certification preferred (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 will be considered for Registered Nurse II) 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.
Salinas Valley Health

Staff Nurse II/III - Outpatient Infusion

$73.62 - $89.49 / hour
It's fun to work in a company where people truly BELIEVE in what they're doing! We're committed to bringing passion and customer focus to the business. Department: Outpatient Infusion Works under the supervision of the Director. The Registered Nurse II assesses, plans, implements, evaluates, and supervises individualized care in a patient care area according to departmental policies and procedures and Nurse Practice Act. She/he will individualize patient care based upon the age appropriate and developmental needs and will accept responsibility for the direction of co-workers in the implementation of the plan of care. Collaborates with physicians, patient/families and members of the health care team in delivering a plan of care. Utilizes positive communication skills. May be required to work on other nursing units according to distribution of staff and patients. Should be able to demonstrate the knowledge and skills necessary to provide care appropriate to the age of the patients served on his/her unit. Performs other duties as assigned. Primary Duties: Completes nursing assessment of patient, and documents appropriately into patient record. Develops a plan of care based upon the assessment of patient, age appropriate and developmental needs of the patient. Collaborates with physicians and other health team members in developing a plan of care. Provides, delegates, and coordinates the plan of care. Initiates, manages, and participates in discharge planning. Initiates, manages, and participates in patient/family teaching. Demonstrates implementation skills in accordance with Policies and Procedures. Evaluates and updates patient’s response to plan of care. Maintains professional standards by participating in in-services, committees, and performance improvement activities, etc. Facilitates physiological, psychosocial, and spiritual care of the patient. Utilizes positive communication skills to effect conflict resolution and team work. Contributes to cost effective patient care by monitoring use of time, equipment, and supplies. Complies with safety policies and procedures in order to provide a safe environment for employees, patients, and visitors. Demonstrates necessary flexibility in regard to changes in Hospital or unit activities. Should be able to demonstrate the knowledge and skills necessary to provide care appropriate to the age of the patient served on his/her unit. Acts as preceptor and charge nurse as assigned. Actively participate in achieving departmental goals. Performs other duties as assigned. Job Requirements: Education: Associates of Science in nursing (ASN) required, BSN preferred. Licenses: Current California RN license. Current BLS/Healthcare Provider status as per American Heart Association standards required. Experience: Twelve (12) or more months of service as a registered nurse in an acute care setting. Candidates selected for hire will be required to successfully complete a Pharmacology and EKG Test. Pay Range: The hourly rate for this position is $73.62 - $89.49 The range displayed on this job posting reflects the target for new hire salaries for this position. Shift Differentials: Hourly Evening Shift Differential: $3.00 Hourly Night Shift Differential: $6.00 Job Specifications: ● Union: CNA ● Work Shift: Day Shift ● FTE: 1.0 ● Scheduled Hours: 40 If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us!
L.A. Care Health Plan

Clinical Policy Nurse 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 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)
Loma Linda University Health

Clinical Nurse B-Inpatient East Campus Hospital: U1300 Medical Acute Full-Time, Night Shift

Job Description East Campus Hospital: U1300 Medical Acute Full-Time, Night Shift Job Summary: The Clinical Nurse B - Inpatient utilizes discretion and independent judgment to provide, coordinate and document direct/indirect age-specific and developmentally appropriate quality patient-centered care in a fast-paced environment with minimal supervision. Performs the nursing process (assessment, care planning, intervention, evaluation) in accordance with LLUMC's established Professional Practice Model (Duffy's Quality Caring Theory). Embraces new knowledge, innovations and improvements in practice and applies theoretical concepts to clinical practice and exhibits self-motivation to continually expand knowledge base and clinical skills with a focus in area of specialty and patient population served. Exhibits interpersonal skills that portray professionalism and maximize excellence in customer service and safe patient care. Functions in a skills mix environment and directly supervises and delegates tasks to licensed and unlicensed staff. Meets qualifications, licensure, certifications and competencies as defined in the unit/department-specific Plan for Providing Care. Contributes to a work environment of caring and cooperation among a culturally diverse workforce and patient population. May be required to participate in on-call rotation based on department business needs. May be requested to serve in Shift Coordinator role upon completion of Shift Coordinator orientation. Performs other duties as needed. Education and Experience: Bachelor of Science Degree in Nursing (BSN) required. If hired into the CN-B position prior to April 1, 2020, an Associate Degree or Diploma Degree in Nursing required. Minimum of one year experience required. New hires are eligible to be promoted into the CN-C classification when criteria outlined in the Clinical Nurse Ladder handbook and job specifications outlined in CN-C job description are met. Knowledge and Skills: Demonstrates basic competencies in clinical nursing. Ability to apply theoretical concepts to clinical practice and continually expands knowledge base and clinical skills with a focus in area of specialty and population served. Basic knowledge of healthcare regulations and accreditation required. Exhibits professional behavior at all times and works calmly and responds courteously when under pressure. Able to: speak, read and write legibly in English (and Spanish preferred) with professional quality; use computer, printer and software programs necessary to the position, e.g., Word, Excel, Outlook, PowerPoint, electronic medical record, electronic event reporting program; troubleshoot and calibrate patient care equipment; perform technical patient care activities; relate and communicate positively, effectively and professionally with others; be assertive and consistent in following and/or enforcing policies; lead, supervise, teach and collaborate; accept direction; think critically; work independently with minimal supervision; perform basic math functions; manage multiple assignments effectively; organize and prioritize workload; problem solve; recall information with accuracy; pay close attention to detail; distinguish colors and smells as necessary for patient care; discern temperature variances through touch; hear sufficiently for general conversation in person and on the telephone; identify and distinguish various sounds associated with the work place; see adequately to read computer screens, medical records and written documents necessary to position. Licensures and Certifications: Active California Registered Nurse (RN) license required. Basic Life Support (BLS) certification issued by the American Heart Association required. Other certifications required as listed in the department-specific Plan for Providing Care. About Us Our mission is to continue the teaching and healing ministry of Jesus Christ. Our core values are compassion, excellence, humility, integrity, justice, teamwork and wholeness. About The Team Loma Linda University Health is a Seventh-day Adventist, faith and values based Christian institution. Candidates must understand and embrace the mission, purpose, and identity of Loma Linda and its affiliated entities. We are an equal opportunity employer committed to the principles of diversity. We provide equal opportunities in all aspects of the employment process to every individual, regardless of gender, race, color, age, national origin, ancestry, physical or mental disability, marital or veteran status, genetic information or any other characteristic protected by law. In addition, we will provide reasonable accommodations for otherwise qualified individuals requesting an accommodation due to a disability. If you need accommodation assistance with accessing our job listings or completing an application, or during any other phase of employment with us, please contact Human Resources Management at (909) 651-4001. Loma Linda University Medical Center is a religiously-qualified Equal Opportunity Employer under Title VII of Civil Rights Act of 1964. No question on this application is asked for the purpose of unlawfully limiting or excluding any applicant’s consideration for employment because of race, color, religion, gender, age, national origin, disability, genetic information, or any other status protected by applicable law. If you need a reasonable accommodation in the hiring process, please notify Human Resource Management. We appreciate your interest in Loma Linda and wish you success in your job search!
Cedars-Sinai

Registered Nurse II - GI Lab PACU - 12 Hour Days

Job Description Do you have a passion for the highest quality and patient happiness? Would you like to take your nursing skills to the next level in a state-of-the-art environment recognized as a top ten hospital in the United States? 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. Cedars-Sinai can provide every known procedure available for gastrointestinal (GI) disorders and GI tract surgery. The dedicated care team of specialists works to advance the field and improve the quality of care for patients dealing with these unique challenges. The internationally recognized IBD specialists at Cedars-Sinai are dedicated to providing outstanding, patient-centered care including for the management of IBD, and are engaged in groundbreaking research to help cure these diseases. Summary of Essential Duties: As a Pre/Post-Operative PACU Registered Nurse, you will deliver nursing care for GI patients across the preoperative and postoperative period from admission to discharge. Care involves assessing, communicating patient status, performing nursing procedures, completing preoperative check list, coordinating with anesthesia personnel, completing preoperative orders and documenting care given. The Clinical Nurse II will ensure that the patient needs are met through the continuum of care, while concurrently providing support to facility staff and the operating physician. Maintains clinical competencies with GI Lab procedures, including EGD and colonoscopies. Qualifications Qualifications: Education: Graduate of an accredited nursing program required BSN preferred License/Certification: Current, unrestricted California RN license required ACLS and PALS certifications from the American Heart Association or American Red Cross required CGRN preferred (or willing to obtain within one year from start date) Experience: A minimum of 3 years of acute care nursing experience required At least 2 years of nursing experience in an ICU or PACU setting required At least 1 year of GI nursing experience preferred 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 receive a flu vaccine based 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.
Redwood Grove Post Acute

Registered Nurse (RN) NOC Shift

Job description Job Summary We are seeking a compassionate and skilled Registered Nurse (RN) to join our healthcare team. The RN will provide essential nursing care to patients, ensuring their comfort and well-being while adhering to established protocols and standards. This role requires a strong understanding of anatomy, medical documentation, and the ability to administer basic life support as needed. Duties Provide direct patient care under the supervision of registered nurses and physicians. Administer medications and injections as prescribed, ensuring accurate documentation. Assist in the development and implementation of patient care plans. Monitor patients’ vital signs and report any changes to the healthcare team. Maintain accurate medical documentation in compliance with regulatory standards. Support patients with daily living activities, including personal hygiene and mobility assistance. Collaborate with interdisciplinary teams to ensure comprehensive patient care. Participate in training and education programs to enhance nursing skills. Requirements Valid Registered Nurse (RN) license in the state of practice. Knowledge of anatomy and physiology relevant to patient care. Proficient in basic life support techniques. Experience with memory care and behavioral health is preferred. Familiarity with medical documentation practices. Ability to administer injections safely and effectively. Experience in a medical office or travel nursing is a plus. Strong communication skills and the ability to work collaboratively within a team environment. Compassionate demeanor with a commitment to providing high-quality patient care.
Scripps Health

RN Manager, Clinic Operations - Hematology / Oncology Nurse Navigators

Caring for San Diegans since 1924, Scripps Clinic is San Diego’s first choice for exceptional primary care and highly specialized and coordinated specialty care. Scripps Clinic offers a comprehensive range of medical and surgical services that are nationally recognized for quality, excellence and innovation. From primary to specialty care, our team-based model is designed to provide the best possible care and outcomes for you and your family. More than 900 providers and physicians provide 1.5 million patient visits a year coordinated through an integrated electronic health record. This is a full time, benefited position generally working Monday-Friday from 8am-5pm. Located primarily at Torrey Pines in La Jolla but oversees all Scripps Cancer Clinic sites (Rancho Bernardo, Torrey Pines, Jefferson, Encinitas & Prebys). This is an exempt and salaried position eligible for the Management Incentive Compensation Plan (MICP) at the Manager level. Why join Scripps Health? At Scripps Health, your ambition is empowered and your abilities are appreciated: Nearly a quarter of our employees have been with Scripps Health for over 10 years. Scripps is a Great Place to Work Certified company for 2025. Scripps Health has been consistently ranked as a top employer for women, millennials, diversity, and as an overall workplace by various national publications. Becker's Healthcare ranked Scripps Health on its 2024 list of 150 top places to work in health care. We have transitional and professional development programs to create a learning environment that enables you to thrive in your specific field as well as in your overall career. Our specialties have been nationally recognized for quality in areas such as cardiovascular care, oncology, orthopedics, geriatrics, obstetrics and gynecology, and gastroenterology. Why Scripps Cancer Treatment Room? Nationally recognized as a leader in cancer care, provides expert care personalized to our patient’s unique needs. Our patient-centered approach combines the expertise of the country’s top oncologists and highly skilled cancer specialists with groundbreaking clinical trials and the most advanced treatments and technology available. What You'll Do Manage RN Specialty Nurse Navigators who resource our patients throughout the continuum of care. Be responsible for the daily operations of the patient care units or departments in an efficient and cost-effective manner, including creating and managing staffing plans and ensuring appropriate equipment and resources are available to staff to do their job. Create and maintain an environment that assures nursing practice reflects established standards of care and practice and a culture that promotes patient safety. Ensures the safe transition of patients thru the continuum of care to include active participation of nursing staff in planning and coordinating patient care, and direct hand-off to next appropriate level of care. Contribute to strategic planning of business units. Coordinate the ongoing development and productivity of the physician office practices. Provides leadership and direction to staff to ensure smooth and efficient daily operations, quality outcomes, and internal and external customer service. Be responsible for entire scope of department/location, including facilities management, where appropriate. Provide guidance, direction and education in the professional development of Nurse Navigators. Required Education/Experience/Specialized Skills Associate's degree plus five years applicable clinical experience, two of which in a leadership role. Requires excellent skills in communication, problem-solving, team development, planning and follow-through. Ability to exercise the authority and responsibility for assigned services based on the scope of the organization and complexity of patient care. Graduate of an accredited program. Applicable experience in a healthcare environment and three years of leadership experience. Ability to effectively manage healthcare business and operational practices. Strong computer skills, including knowledge of MS Word, Excel, PowerPoint, and other applicable systems. Required Certification/Registration Maintains current California RN license. Current American Heart Association Healthcare Provider BLS required in clinical setting. Preferred Education/Experience/Specialized Skills/Certification Bachelor's/Master's degree or MSN. ONS/ONCC Chemotherapy Immunotherapy Certificate. OCN. At Scripps Health, you will experience the pride, support and respect of an organization that has been repeatedly recognized as one of the nation’s Top 100 Places to Work. You’ll be surrounded by people committed to making a difference in the lives of their patients and their teammates. So if you’re open to change, go ahead and unlock your potential. Position Pay Range: $72.71-$105.41/hour
Sutter Health

Staff Nurse II, Labor and Delivery

$78.94 - $106.81 / hour
We are so glad you are interested in joining Sutter Health! Organization: SDMC-Sutter Delta Medical Center Position Overview: Accountable for the assessment, coordination, delivery and evaluation of nursing care, including direct patient care, patient/family education and transitions of care in an acute patient setting. Delivers holistic and individualized care to all patients in an assigned area. Develops, implements, and coordinates a plan of care that incorporates psychological, sociocultural, spiritual, economic, and life-style factors. Fosters and maintains collaborative relationships between patients, their family/support group, physicians, and other healthcare providers through timely and effective communications. Adheres to hospital policies, industry standards, best practices, and applicable laws and regulations to promote an optimal patient experience. Job Description : EDUCATION Graduate from an accredited school of nursing Required BSN Preferred ​​ DEPARTMENT SPECIFIC EXPERIENCE 6+ months of previous clinical experience in L&D at a acute care facility. LICENSURES AND CERTIFICATIONS Registered Nurse - CA State Licensure - RN Required Basic Life Support Certification - BLS Required Advanced Cardiac Life Support - ACLS Required Neonatal Resuscitation Provider - NRP Required Advanced Fetal Monitoring - AFM Required SKILLS AND KNOWLEDGE Ability to make fine discrimination in sound Ability to work with bodily fluids and substances Contact with patients under a wide variety of circumstances Handles emergency or crisis situations Subject to varying and unpredictable situations OSHA Risk Category I (High Risk) Assist with lifting, supporting, maneuvering, and adjusting the position of patients weighing over 200 pounds. Job Shift: Nights Schedule: Part Time Shift Hours: 12 Days of the Week: Variable Weekend Requirements: Rotating Weekends Benefits: Yes Unions: Yes Position Status: Non-Exempt Weekly Hours: 24 Employee Status: Regular Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans. Pay Range is $78.94 to $106.81 / hour The compensation range may vary based on the geographic location where the position is filled. Total compensation considers multiple factors, including, but not limited to a candidate’s experience, education, skills, licensure, certifications, departmental equity, training, and organizational needs. Base pay is only one component of Sutter Health’s comprehensive total rewards program. Eligible positions also include a comprehensive benefits package.
Cedars-Sinai

Registered Nurse Clinical Operations Administrator - Administrator on Duty - 12-Hour - Full Time - Nights - Exempt

Job Description Make a difference every single day! At Cedars-Sinai, we're motivated by a collective spirit of innovation and the challenge to continuously improve. Above all, we share a real passion for helping others. Day after day, from department to department, our people give their all to create a community unlike any other. This is just one of the many reasons U.S. News & World Report has named us one of America’s Best Hospitals—and now we invite you to join us and make a difference every single day in service of this outstanding work – excellence and innovation in patient care, research, and community service. From working with a team of dedicated professionals to using innovative facilities, you’ll have great resources to do something incredible—for yourself, and for others 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 dynamic, inclusive environment that fuels innovation. Are you ready to bring your clinical competencies 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 dynamic opportunity available with one of the best places to work in Southern California! We would be happy to hear from you. What will you be doing in this role? The Clinical Operations Administrator (COA) is responsible for a variety of leadership and management responsibilities within the Division of Nursing Resources and throughout the Medical Center. At a division level, the COA is administratively accountable for leading, managing, developing, staff and for ensuring smooth operations of assigned areas within the division. The COA guides nursing staff in the provision of nursing care consistent with Nursing Standards of Care/Practice, the Plan for Provision of Nursing Care, The Plan for Provision of Care to Patient, the Performance Improvement Plan, the Patient Education Plan and Professional Organization Standards. They maintain competency skills including the ability to interact with people from diverse cultural backgrounds. This role coordinates staffing and nursing operations on a house-wide basis to support the expectations and philosophy of Cedars-Sinai Health System (CSHS) to provide quality patient care. Job duties and responsibilities: Works closely with Patient Placement and Transfer Center staff to evaluate bed availability and coordinate/facilitate appropriate patient placement. Demonstrates knowledge and ongoing education related to EMTALA and HIPPA regulations during all hours. Obtains facts and evaluates data to identify and intervene in actual and/or potential safety and risk management issues. Takes corrective action in situations requiring immediate intervention, including interpretation and administration of hospital policy and requirements Documents (or delegates) documentation of pertinent information, actions and decisions and communicates it to appropriate leadership. Identifies safety concerns and institute measures to provide a safe environment; and provide appropriate assessment, intervention and evaluation of patients with consideration of developmental milestones. Authorizes service recovery interventions. Guides nursing staff in the provision of nursing care consistent with Nursing Standards of Care/Practice, the Plan for Provision of Nursing Care, The Plan for Provision of Care to Patient, the Performance Improvement Plan, the Patient Education Plan and Professional Organization Standards. Administratively accountable for leading, managing, developing, and supervising within their assigned shifts. Qualifications Education: BSN (Bachelor of Science, Nursing) - Required License/Certifications: California RN license. Required BLS from the American Heart Association or American Red Cross required ANCC Specialty Certificate. Required for internals, externals have 1 year to obtain. Experience: 5 years of experience in progressive leadership in a clinical setting. Required (Manager level preferred) 5 years of experience in multiple specialty areas or hospital functions. Required
United Surgical Partners International, Inc

Registered Nurse Endoscopy

$45 - $50 / hour
Join our fast-paced ambulatory surgery center, where we’re dedicated to delivering top-quality care for patients and their families. Virgil Endoscopy Center , located in Los Angeles, CA, is a premier facility offering comprehensive gastroenterology and endoscopic services. Focused on delivering exceptional care, we utilize state-of-the-art equipment and a team of skilled professionals to meet the unique needs of each patient. With a commitment to safety, comfort, and quality, we strive to provide seamless and effective treatments in a welcoming environment. Virgil Endoscopy Center is proud to be a trusted healthcare provider for the Los Angeles community. What you will Do (Job Summary): As a Registered Nurse at Virgil Endoscopy Center, you’ll provide high-quality patient care using the nursing process, the medical plan of care, and our organizational policies. You’ll deliver safe, effective, patient-centered care within our GI/Endoscopy setting, supporting the mission, vision, and values of our organization. This role reports to the Site Administrator. Key Responsibilities: Conduct thorough assessments, develop individualized care plans, and provide ongoing monitoring for GI/Endoscopy patients. Prepare patients for procedures, including IV placement, administering medications, and offering educational support. Monitor patients’ vitals and respond to changes in condition throughout their stay. Ensure patient comfort, safety, and effective pain management during all stages of care. Assist in maintaining a sterile environment and applying aseptic techniques. Collaborate closely with the GI/Endoscopy team to streamline patient flow and care processes. Administers moderate sedation per physician orders while adhering to patient safety standards and facility protocols. Monday-Friday work schedule NO call required NO Nights, NO Weekends, NO Holiday work hours What We Offer USPI offers the following benefits, subject to employment status : Medical, dental, vision, disability, and life insurance Paid time off (vacation & sick leave) - Starting PTO accrual is 5 days per year. 401k retirement plan Paid holidays Health savings accounts, healthcare & dependent flexible spending accounts Employee Assistance program, Employee discount program Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance. We offer competitive starting pay range between $45.00 to $50.00 per hour,depending on experience. Required Skills: Qualifications: Must be a Registered Nurse with an unrestricted license to practice in CA Must be a graduate of an accredited school of nursing Must have 1+ years' experience in PreOp PACU. Endoscopy experience is preferred. Bilingual in Korean or Spanish is preferred Must have current BLS, ALS and PALS Previous experience in an ambulatory surgical center strongly preferred Must possess a strong knowledge of surgical procedures and management of the surgical patient Understanding of aseptic techniques and their implementation Ability to quickly adapt to changing condition of the patient when needed We are part of a much larger team with United Surgical Partners International (USPI). At USPI, we create relationships that create better care. We partner with physicians and healthcare systems to provide first-class ambulatory solutions throughout the United States. We are committed to providing surgical services in the most efficient and clinically excellent manner. USPI is committed to, and proud of our inclusive culture. An inclusive culture, in our view, is respectful of differences and nurtures and supports the contributions of each individual, while also embracing and leveraging diversity. A diverse workforce, combined with an inclusive culture, makes USPI stronger and better able to meet the needs of our diverse patient and physician population.
Prime Healthcare

Registered Nurse (RN) - Telemetry

$43.28 - $71.14 / hour
Overview Join an award-winning team of dedicated professionals committed to our core values of quality, compassion and community! Shasta Regional Medical Center, a member of Prime Healthcare, offers incredible opportunities to expand your horizons and be part of a community dedicated to making a difference. Shasta Regional Medical Center is a 226-bed acute care facility serving Northern California. The hospital offers a comprehensive range of services. Shasta Regional Medical Center is one of the nation’s 50 Top Cardiovascular Hospitals recognized by Watson Health and holds an ‘A’ Grade from Leapfrog Group, the nation's premier advocate of transparency in health care. The hospital is Joint Commission Certified for Stroke, Hip/Knee and Diabetes. They are a Five Star recipient for treatment of heart failure, respiratory failure and is named among the top 5% in the nation for patient safety. Shasta Regional Medical Center delivers patient-centered healthcare with compassion, dignity and respect for every patient and their family. For more information, visit www.shastaregional.com. 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 Telemetry Unit. The Registered Nurse is directly responsible and accountable for the care given to their assigned patients. They communicate with the physician about changes in the patient’s clinical condition including cardiac monitoring, results of diagnostic studies and symptomatology. Is able to respond quickly and accurately to changes in condition and/or response to treatment. Qualifications EDUCATION, EXPERIENCE, TRAINING 1. Current and valid state RN License. 2. Current BLS certificate upon hire and maintain current. 3. Basic Arrythmia Interpretation within 30 days of hire. 4. Current ACLS certificate 30 days upon hire and maintain current. 5. Previous Acute Care hospital experience preferred. 6. Ventilator Management experience preferred. 7. Medical-Surgical Nurse-Board Certified (RN-BC) or similar certification; preferred. 8. Bachelor of Science in Nursing (BSN) preferred. Pay Transparency Shasta Regional 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 $43.28 to $71.14. 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
AHMC Healthcare

NICU Registered Nurse

Overview The staff RN is a professional caregiver who assumes responsibility and accountability for a group of patients for a designated time frame and provides care to these patients via therapeutic use of self, the nursing process, the therapeutic environments, treatment and modalities and interdisciplinary collaboration. Qualifications Current California RN License. Current Basic Life Support Level C (Healthcare Provider) certification. Current NRP certification. One year level III NICU nursing experience to include care of the ventilated infant.
Prime Healthcare

Registered Nurse (RN) - Behavioral Health

$43.28 - $71.14 / hour
Overview Join an award-winning team of dedicated professionals committed to our core values of quality, compassion and community! Shasta Regional Medical Center, a member of Prime Healthcare, offers incredible opportunities to expand your horizons and be part of a community dedicated to making a difference. Shasta Regional Medical Center is a 226-bed acute care facility serving Northern California. The hospital offers a comprehensive range of services. Shasta Regional Medical Center is one of the nation’s 50 Top Cardiovascular Hospitals recognized by Watson Health and holds an ‘A’ Grade from Leapfrog Group, the nation's premier advocate of transparency in health care. The hospital is Joint Commission Certified for Stroke, Hip/Knee and Diabetes. They are a Five Star recipient for treatment of heart failure, respiratory failure and is named among the top 5% in the nation for patient safety. Shasta Regional Medical Center delivers patient-centered healthcare with compassion, dignity and respect for every patient and their family. For more information, visit www.shastaregional.com. Responsibilities Registered nurses (RNs) perform basic duties that include treating patients, educating patients about mental and medical conditions, and providing advice and emotional support to patients’ and/or family members, running therapeutic groups, psychiatric crisis intervention, seclusion and restraint of patients. RNs record patients’ medical histories and symptoms, help to perform diagnostic tests and analyze results, operate medical machinery, administer treatment and medications, and help with patient follow-up and rehabilitation. RNs teach patients and their families how to manage their illness or injury, diet and exercise programs, and self-administration of medication and physical therapy. Other related duties. Qualifications EDUCATION, EXPERIENCE, TRAINING 1. Must have current and valid State license as a Registered Nurse.2. Current BLS certificate upon hire and maintain current.3. Working knowledge of Mental Health Laws and practice standards. 4. Working knowledge of interdisciplinary treatment team process, behavioral health programming and daily nursing functions for inpatient and outpatient behavioral health units. 5. Working knowledge of the continuum of care for behavioral health care. Pay Transparency Shasta Regional Medical Center offers competitive compensation and the current compensation range for this role is $43.28 to $71.14. Benefits may vary based on collective bargaining agreement requirements and/or the employment status. 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 Per Diem Shift Variable 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
L.A. Care Health Plan

Clinical Policy Clinical Coder RN II

$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)
Community Medical Centers

RN Clinical Nurse Educator, CVICU

Overview Benefits and Opportunities for you! Comprehensive relocation package and concierge service Consecutively recognized as a top employer by Forbes, and in 2025 by Newsweek Time and a half after 8 hrs + weekend and night differential (call pay for procedural areas) Free Continuing Education and certification including BLS, ACLS and PALS Tuition reimbursement, education programs and scholarships Vacation time starts building on Day 1, and builds with your seniority Free money toward retirement with a 403(b) and matching contributions Great food options with on-demand ordering Free parking and electric charging Commitment to diversity and inclusion is a cornerstone of our culture at Community. All are welcome as valued members of our community. We know that our ability to provide the highest level of care is through taking care of our incredible teams. Learn more on our Benefits page. Responsibilities The Nurse Educator in CVICU will play a critical role in facilitating the professional development of Community Health System's (CHS) nursing staff and ancillary staff, ensuring the highest level of patient care and safety in our telemetry and CVICU units. This position involves planning, implementing, and evaluating educational programs, as well as providing mentorship to nurses. Additionally, the Nurse Educator will actively engage in patient care to maintain clinical competence within these high-acuity settings. You will: Function as a clinical leader/expert in this particular specialty or subspecialty of nursing (CVICU). Be responsible for coordinating orientation programs, continuing inservice education, and ongoing educational programs for the nursing staff. Work with unit management to organize and develop quality assurance projects. Collaborate and consults with other nurses and healthcare professionals to advance nursing practice and improve clinical outcomes. Qualifications Education • Bachelor's Degree in Nursing (BSN) or graduation from an accredited School of Nursing Experience • Approximately two years clinical experience in CVICU• Experience in patient and staff education development and implementation, quality improvement, program development and professional development required Licenses and Certifications • RN - Current and valid Registered Nurse license to work within the state of California required• BLS - Current Basic Life Support (BLS) for Healthcare Providers by American Heart Association (AHA) required• Additional unit specific requirements required Disclaimers • Pay ranges listed are an estimate and subject to change.• If any bonuses are noted, they are only applicable to external hires meeting criteria.
AHMC Healthcare

3E RN - Clinical 12 HR FT Days 7am-7:30pm

Overview JOB SUMMARY: Responsible for the delivery of patient care through the nursing process of assessment, diagnosing, planning, implementation and evaluation. Responsible for directing and coordinating all nursing care based on established clinical nursing care for patients in the medical surgical/Tele services based on established clinical nursing practice standards. Collaborates with other professional disciplines to ensure effective and efficient patient care delivery and the achievement of desired patient outcomes. Serves as the Resource nurse role when oriented and as directed. Supports the organization vision and mission. Utilizes knowledge of patient's age, developmental status, spiritual and cultural diversity into the provision of patient care. Contributes to the provision of quality nursing care through performance improvement techniques that demonstrate positive outcomes in patient care. EDUCATION, EXPERIENCE, TRAINING Graduate of an accredited school of professional nursing certificate . Licensure in the state of California as a Registered Nurse (RN). Proficient in oral and written communication skills. Ability to practice leadership, interpersonal skills, communication skills, teamwork, quality improvement and professionalism. Current California RN license BCLS, ACLS (AHA) , current and maintain . NIHSS certification maintain and current .. Preferred Chemotherapy Proficiency in both written and oral English Basic Dysrhythmia certificate preferred 1 Year acute experience preferred