RN Jobs in Hacienda Heights, CA

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
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
LaserAway

Aesthetic Registered Nurse

$50 / hour
Aesthetic Registered Nurse – $50/hr + $5/hr Weekend Differential Fixed Schedule | No Overnights | Comprehensive Training Provided About LaserAway LaserAway is the nation’s leader in aesthetic dermatology. We specialize in advanced, non-surgical treatments that combine medical expertise and cutting-edge technology to help every patient look and feel their best. About The Role We’re seeking an Aesthetic Registered Nurse to join our growing team. In this role, you’ll deliver exceptional patient care, perform advanced laser and injectable treatments, and educate patients on customized plans for long-term results. You’ll work in a supportive, fast-paced clinic environment where teamwork, professionalism, and patient satisfaction come first. Compensation & Schedule $50/hour base pay + $5/hour weekend differential Fixed schedule for work-life balance (no overnights required) Full-time position with benefits and ongoing training Full weekends required What You’ll Do Perform non-surgical aesthetic treatments, including laser hair removal, tattoo removal, injectables, and skin rejuvenation Conduct consultations and skin assessments to design individualized treatment plans Educate patients on procedures, pre- and post-care, and available treatment options Maintain accurate documentation and uphold all clinical protocols Partner with Patient Care Coordinators and Location Directors to ensure seamless patient experiences Float to nearby clinics as needed to support clinic operations Why Join LaserAway Competitive hourly rate + weekend differential Full medical, dental, and vision insurance 401(k) with company match Paid time off Employee discounts on treatments and products Comprehensive hands-on training across all aesthetic modalities Career advancement into Lead Nurse and Regional Clinical Trainer roles Who Thrives Here Current state-issued Registered Nurse license required 1+ year of hospital experience (ER, ICU, Med-Surg preferred) — or 2+ years in aesthetics Strong communication and interpersonal skills Professional, dependable, and patient-centered Weekend and evening availability required Join LaserAway — where science meets beauty. Apply today to start your career with the nation’s leader in aesthetic dermatology. LaserAway is an Equal Opportunity Employer. We’re committed to creating an inclusive workplace and will provide reasonable accommodations as required by law. Benefits Summary LaserAway provides competitive compensation packages and a comprehensive range of benefits, including Medical, Dental, Vision, Disability and Life Insurance, a 401(k) plan with a company match, and additional ancillary benefits. We also offer Paid Time Off (PTO) in compliance with state and federal requirements, ensuring our employees are supported both professionally and personally. LaserAway also provides incentive compensation, including potential bonuses and commissions, depending on role and performance.
AHMC Healthcare

ER RN - Specialist 12 HR FT Nights 7pm-7:30am

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 the medical surgical 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, PALS (AHA), NIHS Stroke upon hire and maintain current CPI/AB508 upon hire NRP preferred Proficiency in both written and oral English Basic Dysrhythmia certificate preferred Minimum of one year as a staff nurse in an acute care hospital setting; E.R. setting preferred.
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)
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 .
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.
East Tennessee Children's Hospital

Registered Nurse (RN) Surgery, Full Time, Days

BASIC PURPOSE OF THE JOB Manages individualized, goal-directed nursing care through use of the nursing process and the principles of primary nursing in accordance with departmental and hospital policies and procedures. REPORTS TO Nurse Manager JOB REQUIREMENTS Supervisory Responsibilities: NO Minimum Education: Bachelors or Associates of Nursing Required Degree: Nursing License/Certification Required: Nursing Licensure for State of Tennessee Minimum Work Experience: Pediatric nursing experience preferred. REQUIRED KNOWLEDGE, SKILLS, AND ABILITIES Excellent communication and customer service skills. Demonstrated clinical abilities. DUTIES AND RESPONSIBILITIES Collects comprehensive data pertinent to the healthcare needs of patients and formulates nursing diagnoses based on the analysis of that assessment data, and documents data in a concise and timely manner. Develops and follows a plan of care that prescribes interventions to attain expected outcomes. Identifies expected outcomes for the plan of care individualized to the child, family, and situation. Implements and coordinates the delivery of care while employing strategies to promote health and a safe environment. Evaluates progress toward the attainment of outcomes. Systematically evaluates the quality and effectiveness of nursing practice. Collaborates with the family in the conduct of nursing practice. All decisions and actions are on behalf of the patient and family and in all areas of practice are determined in an ethical manner. Integrates research findings into practice and, where appropriate, participates in the generation of new knowledge in innovative ways. Interacts with and contributes to the professional development of peers and colleagues. Serves as a leader in the practice setting and in the profession. Acquires and maintains current knowledge and competency in nursing practice. Considers factors related to safety, effectiveness, cost and impact on practice in planning and delivering care. PHYSICAL REQUIREMENTS-Note: Reasonable accommodations may be made for individuals with disabilities to perform the essential functions of this position. Heavy lifting, pushing, and pulling is required up to 50 lbs occasionally, 20-30 lbs frequently, and 10lbs constantly to move objects of up to 150 lbs. Sudden emergency situations have the potential for exposure to lifting or moving of up to 150 lbs. Frequent bending, walking, sitting squatting, reaching, and standing are required. Keyboard/computer use and/or repetitive motions may be required. Come work where you can make a difference everyday.
AHMC Healthcare

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

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
Cedars-Sinai

Registered Nurse II - PEDS Heart Institute - 10 Hour Days

Job Description Are you ready to bring your expert clinical skills to a world-class facility recognized as top ten in the country for cardiology? Do you have a passion for the highest quality and patient happiness? Then please respond to this dynamic opportunity available with one of the best places to work in Southern California! We would be happy to hear from you. The Smidt Heart Institute is home to a distinguished team of experts who are setting the bar for cardiovascular care in the United States. The Institute unites 16 centers and programs to diagnose and treat the full spectrum of heart and vascular conditions for all patients, from infants to those with advanced disease. Compassionate care is integrated with an agile research enterprise, giving patients access to pioneering treatments. You can look forward to collaborating with our world-class faculty and attending physicians. We aim to provide deep expertise across all specialties, including transplantation, stem cell therapy, congenital heart disease, women’s heart health, valve disorders, arrhythmia and hypertension. Summary of Essential Duties: As a Clinical Nurse II you will perform a variety of direct patient care activities specific to the unit and needs of the peds patient population Perform patient assessments, triage patient concerns, provide clinical education to patients for pre-ops and other disease management education Manage anticoagulation, coordinate patient care, and maintain overall management of the ambulatory cardiac clinic with over 20 providers daily Obtain prior authorizations Triage phone calls from patients, pharmacies and other providers Identify the ability of pediatric, adolescent, adult and geriatric patients to follow direction/instructions, as well as safety concerns in the age-related populations Institute additional measures to provide a safe environment Qualifications Qualifications: Education: Graduate of an accredited nursing program required BSN highly preferred License/Certification: Current, unrestricted California RN license required BLS and PALS from the American Heart Association required or Red Cross Experience: A minimum of 1 years of acute care nursing experience required At least 3 years of experience in a specialty area (procedure center, ambulatory clinic and/or cardiology) strongly preferred Excellent IV skills 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.
Prime Healthcare

Clinical Nursing Supervisor, RN - Physical Rehab

$45.43 - $64.91 / hour
Overview At Centinela Hospital Medical Center, our dedicated team of professionals are committed to our core values of quality, compassion, and community. As a member of Prime Healthcare, a Top-15 hospital system in the United States, Centinela Hospital Medical Center is actively seeking new members to join its award-winning team! Centinela Hospital Medical Center has been serving the communities of Inglewood and the wider Los Angeles area for 100 years. An award-winning facility, ranking in the top 5% nationally for quality and patient safety, Centinela Hospital is a 362-bed acute-care hospital with a 24-hour STEMI certified emergency department and primary stroke center, orthopedic care, advanced cardiac services, critical care services, inpatient and outpatient rehab programs, and more. Centinela has earned hundreds of national awards and recognitions, including "100 Top Hospital" recognition from Fortune/Merative and straight 'A's (2018-2024) for hospital safety from The Leapfrog Group. For more information, visit www.centinelamed.com. Responsibilities The Clinical Supervisor supports administrative responsibility for the department service functions and works collaboratively with the unit Director and/or Manager. In the absence of the unit Director and/or Manager, the Clinical Supervisor may assume the administrative scope of the unit assigned. Develops and implements departmental plans, including performance improvement activities and compliance with current federal and/or state regulations. The Clinical Supervisor prepares, conducts and/or oversees department(s) orientation and training of personnel. Communicates with staff, physicians, and administration both written and verbally. The Clinical Supervisor is responsibility and accountable for the quality of staff and functions during their shift. Assists the Department Director in the daily operations of the unit, directing, supervising, and evaluating personnel, ensuring the proper use of time, equipment and staff. Ensure the efficient functions of the department. Performs direct patient care, only as needed, within the scope of practice. Continually assess care and direct staff to make immediate changes in the plan of care. Qualifications EDUCATION, EXPERIENCE, TRAINING 1. Current and valid California Registered Nurse license2. Bachelor Degree in Nursing (BSN) preferred.3. Current Basic Life Support certificate (BLS) upon hire and maintain current.4. Current Advanced Cardiac Life Support (ACLS) upon hire and maintain current.5. Minimum of three year of Charge Nurse or equivalent experience required.6. Critical Care Registered Nurse (CCRN) certificate preferred.7. Professional Certification within 2 years of hire preferred. https://calendly.com/lmancilla-primehealthcare/supervisor-rn- Pay Transparency Centinela Hospital Medical Center offers competitive compensation and a comprehensive benefits package that provides employees the flexibility to tailor benefits according to their individual needs. Our Total Rewards package includes, but is not limited to, paid time off, a 401K retirement plan, medical, dental, and vision coverage, tuition reimbursement, and many more voluntary benefit options. A reasonable compensation estimate for this role, which includes estimated wages, benefits, and other forms of compensation, is $45.43 to $64.91. 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

Registered Nurse

Overview Assesses patient/family health problems and resources, takes a leadership role in the development, implementation and outcomes evaluation of a plan for nursing care provided by the nursing team. Provides technical nursing care and interventions to designated patient populations. This position requires providing service to a geriatric population in a manner that demonstrates an understanding of the functional/developmental age of the individual served. This position requires the full understanding and active participation in fulfilling the Mission of San Gabriel Valley Medical Center. It is expected that the employee demonstrate behavior consistent with the Core Values. The employee shall support San Gabriel Valley Medical Center’s strategic plan and the goals and direction of the Performance Improvement Plan (PIP). Responsibilities Completes and documents initial assessment/care within required time frames. ▪ Performs reassessments/care at intervals as required or appropriate to the patient’s specific needs. ▪ Ensures physical assessment/care includes all major body systems. ▪ Ensures spiritual assessment/care includes actual/expressed needs. ▪ Incorporates cultural and ethnic factors into assessment/care. ▪ Correctly differentiates between normal and abnormal findings. ▪ Makes appropriate referrals for positive high risk screens. ▪ Identifies educational needs upon admission and thereafter. ▪ Identifies barriers to learning. ▪ Provides teaching based on identified needs. ▪ Evaluates the effectiveness of instruction provided. ▪ Assessment and teaching incorporates cultural and ethnic factors. ▪ Assessment and teaching incorporates functional needs. ▪ Develops and implements the plan of care based on assessment findings. ▪ Establishes the plan of care on admission. ▪ Re-evaluates and modifies the plan of care, based on the patient’s response to the interventions. ▪ Communicates the plan of care to members of the nursing team. ▪ Appropriately coordinates/delegates aspects of the plan of care. ▪ Involves the patient/family in developing the plan of care. ▪ Demonstrates sound clinical judgement in decision-making regarding patient care. ▪ Communicates effectively with physicians and allied health team. ▪ Coordinates nursing care with other disciplines involved. ▪ Involves allied health team members, as necessary. ▪ Actively participates in multidisciplinary care conferences. ▪ De-escalation of patients ▪ Adhere to “Patients Rights” ▪ Understand and follow LPS Law ▪ Other duties as assigned. Qualifications E DUCATION /T RAINING /E XPERIENCE Graduate of a RN School of Nursing At Least 6 months of RN experience in Psychiatric Nursing or Long Term Care (Not applicable for New Grad) Excellent written and verbal communication skills Bilingual (English/Spanish/Vietnamese/Chinese) preferred Computer skills L ICENSES /C ERTIFICATIONS Current California RN License Current BLS (AHA) Current MAB (AB 508) Training or within 3 months of hire
LaserAway

Aesthetic Registered Nurse

$50 / hour
Aesthetic Registered Nurse – $50/hr + $5/hr Weekend Differential Fixed Schedule - Saturday through Wednesday | No Overnights | Comprehensive Training Provided About LaserAway LaserAway is the nation’s leader in aesthetic dermatology. We specialize in advanced, non-surgical treatments that combine medical expertise and cutting-edge technology to help every patient look and feel their best. About The Role We’re seeking an Aesthetic Registered Nurse to join our growing team. In this role, you’ll deliver exceptional patient care, perform advanced laser and injectable treatments, and educate patients on customized plans for long-term results. You’ll work in a supportive, fast-paced clinic environment where teamwork, professionalism, and patient satisfaction come first. Compensation & Schedule $50/hour base pay + $5/hour weekend differential Fixed schedule for work-life balance (no overnights required) Full-time position with benefits and ongoing training Full weekends required What You’ll Do Perform non-surgical aesthetic treatments, including laser hair removal, tattoo removal, injectables, and skin rejuvenation Conduct consultations and skin assessments to design individualized treatment plans Educate patients on procedures, pre- and post-care, and available treatment options Maintain accurate documentation and uphold all clinical protocols Partner with Patient Care Coordinators and Location Directors to ensure seamless patient experiences Float to nearby clinics as needed to support clinic operations Why Join LaserAway Competitive hourly rate + weekend differential Full medical, dental, and vision insurance 401(k) with company match Paid time off Employee discounts on treatments and products Comprehensive hands-on training across all aesthetic modalities Career advancement into Lead Nurse and Regional Clinical Trainer roles Who Thrives Here Current state-issued Registered Nurse license required 1+ year of hospital experience (ER, ICU, Med-Surg preferred) — or 2+ years in aesthetics Strong communication and interpersonal skills Professional, dependable, and patient-centered Weekend and evening availability required Join LaserAway — where science meets beauty. Apply today to start your career with the nation’s leader in aesthetic dermatology. LaserAway is an Equal Opportunity Employer. We’re committed to creating an inclusive workplace and will provide reasonable accommodations as required by law. Benefits Summary LaserAway provides competitive compensation packages and a comprehensive range of benefits, including Medical, Dental, Vision, Disability and Life Insurance, a 401(k) plan with a company match, and additional ancillary benefits. We also offer Paid Time Off (PTO) in compliance with state and federal requirements, ensuring our employees are supported both professionally and personally. LaserAway also provides incentive compensation, including potential bonuses and commissions, depending on role and performance.
L.A. Care Health Plan

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

Clinical Nursing Supervisor, RN- Telemetry 2 (5W)

$45.43 - $64.91 / hour
Overview At Centinela Hospital Medical Center, our dedicated team of professionals are committed to our core values of quality, compassion, and community. As a member of Prime Healthcare, a Top-15 hospital system in the United States, Centinela Hospital Medical Center is actively seeking new members to join its award-winning team! Centinela Hospital Medical Center has been serving the communities of Inglewood and the wider Los Angeles area for 100 years. An award-winning facility, ranking in the top 5% nationally for quality and patient safety, Centinela Hospital is a 362-bed acute-care hospital with a 24-hour STEMI certified emergency department and primary stroke center, orthopedic care, advanced cardiac services, critical care services, inpatient and outpatient rehab programs, and more. Centinela has earned hundreds of national awards and recognitions, including "100 Top Hospital" recognition from Fortune/Merative and straight 'A's (2018-2024) for hospital safety from The Leapfrog Group. For more information, visit www.centinelamed.com. Responsibilities The Clinical Supervisor supports administrative responsibility for the department service functions and works collaboratively with the unit Director and/or Manager. In the absence of the unit Director and/or Manager, the Clinical Supervisor may assume the administrative scope of the unit assigned. Develops and implements departmental plans, including performance improvement activities and compliance with current federal and/or state regulations. The Clinical Supervisor prepares, conducts and/or oversees department(s) orientation and training of personnel. Communicates with staff, physicians, and administration both written and verbally. The Clinical Supervisor is responsibility and accountable for the quality of staff and functions during their shift. Assists the Department Director in the daily operations of the unit, directing, supervising, and evaluating personnel, ensuring the proper use of time, equipment and staff. Ensure the efficient functions of the department. Performs direct patient care, only as needed, within the scope of practice. Continually assess care and direct staff to make immediate changes in the plan of care. Qualifications Education and Work Experience Current and valid California Registered Nurse license. Bachelor Degree in Nursing (BSN) preferred. Current Basic Life Support certificate (BLS) upon hire and maintain current. Current Advanced Cardiac Life Support (ACLS) upon hire and maintain current. Minimum of three year of Charge Nurse or equivalent experience required. Critical Care Registered Nurse (CCRN) certificate preferred. Professional Certification within 2 years of hire preferred. https://calendly.com/lmancilla-primehealthcare/supervisor-rn- Pay Transparency Centinela Hospital Medical Center offers competitive compensation and a comprehensive benefits package that provides employees the flexibility to tailor benefits according to their individual needs. Our Total Rewards package includes, but is not limited to, paid time off, a 401K retirement plan, medical, dental, and vision coverage, tuition reimbursement, and many more voluntary benefit options. A reasonable compensation estimate for this role, which includes estimated wages, benefits, and other forms of compensation, is $45.43 to $64.91. 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 Evenings 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

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

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
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
CHA Hollywood Presbyterian Medical Center

Registered Nurse Float Pool I Full Time Nights

$51.30 - $81.85 / hour
Position Summary: The Float Pool RN I (FPRN I) is a flexible and experienced professional RN who is competent to work within the following specialty groups as indicated. The FPRNI is a proficient clinical nurse who utilizes the nursing process to provide safe and therapeutic patient care. A FPRN I functions as a productive member of the interdisciplinary team, carries out established policies, procedures and standards to meet the needs of high acuity patients. A FPRN I advocates for the advancement of the mission, vision and values of the organization, i.e. promotes patient throughput, the optimal patient experience and integrates evidenced based nursing into clinical practice. As a Float Pool Registered Nurse I (FPRN I) in the Float Pool, you will be oriented to multiple inpatient departments. Our nursing float pool supplements staffing throughout the hospital based on need. Nurses who work in the Hollywood Presbyterian Medical Center float pool can float between multiple areas. Medical Surgical Telemetry DOU Required Licensure, Certification, Registration or Designation Current California RN license American Heart Association BLS card American Heart Association ACLS card Basic EKG NIHSS (Stroke) Los Angeles County Fire Card (within 30 days of hire) Assault Response Competency (ARC) (within 30 days of employment). Shift: Nights Hours: 12 Shift Hours: 6:45pm - 7:15am Weekly Hours: 36 Type: Non-Exempt FTE: 0.9
Bon Secours Mercy Health

Registered Nurse (RN) – Surgery – St. Vincent Medical Center

Thank you for considering a career at Mercy Health! Scheduled Weekly Hours: 40 Work Shift: Days/Afternoons (United States of America) Join our team today! Higher Pay Scales and Sign-On Incentives Accredited Residency Programs & Specialty Fellowships Flexible Schedule to live the life you deserve Preceptor Pay Rewarding Higher Differentials with working on the Weekend Mercy Health St. Vincent Medical Center is a faith based Catholic Healthcare Ministry committed to serving the poor and underserved of our community since 1853. Mercy Health St. Vincent Medical Center is a Regional Tertiary care facility serving a 150 mile radius of Northwest Ohio and Southeast Michigan. St. Vincent has been a well-established leader in quality healthcare as demonstrated by being verified as a Level I Adult and Level II Pediatric Trauma Center by the American College of Surgeons Committee on Trauma, designated as a STEMI Center, as well as Comprehensive Stroke Center verified by the Joint Commission. Mercy Health St. Vincent Medical Center has also partnered with Nationwide Children’s Hospital of Columbus to create Nationwide Children’s Hospital of Toledo on the campus of Mercy Health St. Vincent Medical Center. Summary: The Registered Nurse is responsible for the delivery of patient care and teaching through the nursing process. The Registered Nurse directs and guides the activities of other nursing personnel while maintaining standards of professional nursing, and the established policies and procedures of the organization. Assists in the provision of care to patients of all age groups. Knowledge and Abilities: Good oral and written communication skills. Demonstrates knowledge and skill in nursing theory and practice of the nursing process. Nurses assigned to a specialty unit will be required to meet the criteria established for that unit. Job Requirements: Education: Graduate of an accredited college/university or institution. Experience: Experience Preferred Registration, Certification, or Licensure Requirement: Current Ohio RN licensure; BLS certification required. Other certifications are required per department policy. Hours: Shift: Days Hours: 8 Hour Shifts Hours per pay period: 80 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: Inpatient Surgery - St. Vincent - Surgery OR 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 .
PIH Health

Registered Nurse (RN) Urgent Care, Per-Diem, 10 Hour, 9:30am-8:30pm

$68.25 / hour
The Registered Nurse provides expert professional nursing care; assesses, plans, implements and evaluates the care rendered to patients with urgent, emergent or potential health problems; utilizes knowledge of basic nursing principles, practices, ethics and concepts; participates in the organization and management of the practitioner’s practice; maintains positive relationships with patients, family members and other visitors, and fellow employees. PIH Health is a nonprofit, regional healthcare network that serves approximately 3 million residents in the Los Angeles County, Orange County and San Gabriel Valley region. The fully integrated network is comprised of PIH Health Downey Hospital, PIH Health Good Samaritan Hospital, PIH Health Whittier Hospital, 37 outpatient medical office buildings, a multispecialty medical (physician) group, home healthcare services and hospice care, as well as heart, cancer, digestive health, orthopedics, women’s health, urgent care and emergency services. The organization is nationally recognized for excellence in patient care and patient experience, and the College of Healthcare Information Management Executives (CHIME) has identified PIH Health as one of the nation’s top hospital systems for best practices, cutting-edge advancements, quality of care and healthcare technology. For more information, visit PIHHealth.org or follow us on Facebook , Twitter , or Instagram . Required Skills Strong verbal and written skills. Knowledge of medical terminology, infection control and safety. Current CPR certification. Adaptability. Principles of patient/family teaching. With consideration of age, utilize the approved process to resolve biophysical, psychological, educational, and environmental needs of the patient/family when administering care. Accuracy in maintaining medical records. Strong computer skills. Honest, dependable, conscientious. Management skills that emphasize mentoring, training and team building. Required Experience Formal training will be indicated by a graduation certificate from an accredited RN school of nursing Current RN state licensure Current CPR certificate Experience in clinic-based nursing Address 15733 Whittier Blvd Salary 68.25-68.25 Shift Evening Zip Code 90603
L.A. Care Health Plan

Delegation Oversight Clinical Auditor RN II

$88,854 - $142,166 / year
Salary Range: $88,854.00 (Min.) - $115,509.00 (Mid.) - $142,166.00 (Max.) Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation’s largest publicly operated health plan. Serving more than 2 million members, we make sure our members get the right care at the right place at the right time. Mission: L.A. Care’s mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose. Job Summary The Delegation Oversight Clinical Auditor RN II is responsible for ensuring that delegates contracted to perform Utilization Management (UM) functions on behalf of L.A. Care (LAC) is in compliance with all UM regulatory requirements and new legislation through the maintenance of required policies/procedures/workflows/ processes/audit tools necessary to meet the requirements. This position utilizes a rapid team approach for needed improvements identified through external audits of delegated entities. This position assist in maintaining continuous quality improvement in the Delegation Oversight Clinical Audit unit ensuring that departmental/divisional and organizational goals are accomplished through overseeing and facilitating compliance of the Plan Partners, Participating Provider Groups (PPG), Specialty Health Plans (SHP), and contracted provider network as managed by the Delegation Oversight Department. This position is responsible, as part of the oversight team, for ensuring compliance of the Plan Partners and/or Participating Physician Groups (PPG) to regulatory, contractual and L.A. Care requirements. This position is responsible for performing annual and focused audits. This position also acts as a liaison between the Plan Partners and PPGs and L.A. Care Health Plan regarding UM issues. The position assists in improving access and utilization performance of Plan Partners and PPGs by being a resource for best practices and providing continuous feedback. Additionally, the oversight responsibility of this position includes reporting to management and providing consultation/instructional/coaching recommendations to improve overall compliance of Plan Partners and PPGs with all regulations and standards. Duties Continually ensures delegate compliance with UM Policies/Procedures, Letter Templates, Workflows, Processes, and Audit Tools in compliance with all regulatory requirements/new legislation. Works collaboratively with Regulatory Affairs & Compliance. Stay abreast of new UM legislation, regulations, or other changes impacting UM in order to put processes in place for compliance. Prepares the Delegation Oversight Clinical Audit team for internal audits and for conducting PP/PPG audits, developing mechanisms for tracking/ trending of progress for --UM/PPG (internal) and PP (external) for compliance with UM standards, and identities system/individual areas for improvement through these processes. Prepares the Delegation Oversight Department for review by external regulatory bodies. Ensures that the Delegation Oversight Department is continually prepared for external review with staff daily work conducted in a manner that meets regulatory requirements. Ensures that the Delegation Oversight Clinical Audit unit functions as a team in preparing needed documents for an external review. Completes annual, focused and periodic audit activities timely and thoroughly including identification of deficiencies, response to mitigation, review and response to CAPs. Identifies repeat deficiencies. Assures audit documentation is clear, complete and accurate. Completes periodic monitoring of PP or PPG performance in critical deficiency areas. Completes follow-up audits and related reports and recommendations. Identifies options to assist PP or PPGs with continued or significant deficiencies. Updates audit tools to meet regulatory, contractual and L.A. Care requirements. Develops and conducts ongoing monitoring activities including but not limited to file reviews and letters and supplemental reports. Present summary results to L.A. Care's UM Committee. Communicates with assigned PP and PPGs on an ongoing basis. Develop mechanism to track and trend progress of PP and PPG's compliance to UM standards and identify system wide issues. Maintains confidentiality in compliance with all Health Insurance Portability and Accountability Act (HIPAA) requirements. Assists co-workers with special projects or work volume as required. Actively identifies and implements efforts to improve the quality, effectiveness and efficiency of job functions. Actively identifies and makes recommendations to supervisor ideas to improve the quality effectiveness and efficiency of departmental and health services functions. Communicates to supervisors any barriers to completing assignments or daily work in an efficient and effective manner. Duties Continued Provides training, education and consultation as necessary to PP and PPGs. Collaborates with other Clinical Auditors on identifying topics and developing agendas for the JOM's and PP visits/communication. Develops and implements procedures to assure compliance with care coordination and documentation of linked and carved out services. Conducts Interrater Reliability Testing (referral management and oversight) for new staff/physicians and annually or as needed for existing staff/physicians. Works with other departments as necessary to facilitate teamwork for creating and/or improving interdepartmental processes to meet regulatory requirements. Clinical Auditor (Performance Monitoring): In addition to the responsibilities above, the Clinical Auditor (Performance Monitoring) position ensures compliance of the delegates (Participating Physician Groups, Plan Partners and Vendors) with regulatory, contractual and L.A. Care business requirements. This position is responsible for delegation oversight continuous monitoring activities and monitoring corrective action plans from the annual and focused audits. The position also acts as a liaison between the Plan Partners, PPGs and Vendors regarding Utilization Management (UM) issues; assists in improving access and utilization performance of PPGs by being a resource for best practice and providing continuous performance feedback. Additionally, the oversight responsibility of this position includes attendance at UM Committee, Delegation Oversight Committee, Sanctions Committee, Internal Compliance Committee, and Joint Operation Meetings. It includes monitoring supplemental UM reports, reporting to management as well as consultation/coaching/instructional activities to improve overall compliance with all regulations and standards. Clinical Auditor (Behavioral Health): In addition to the duties above, the Clinical Auditor (Behavioral Health) designs an audit program specific to ensuring delegates are meeting behavioral health regulatory requirements. This ensures Specialty Health Plans and Plan Partners are in compliance with regulatory, contractual, and L.A. Care business requirements. This position is responsible for developing and maintaining annual audit tools, policy requirements specific to delegates, and a monitoring program to continually receive and aggregate Behavioral Health specific performance requirements. The position acts as a liaison between Specialty Health Plans and Plan Partners regarding Behavioral Health issues, assists in improving access and Behavioral Health performance by being a resource for best practice and providing continuous performance feedback. Additionally, the oversight responsibility includes liasing with internal Behavioral Health units, the Medical Director of Behavioral Health, attendance at UM Committee, Delegation Oversight Committee, Sanctions Committee, Internal Compliance Committee, and Joint Operation Meetings. It includes monitoring supplemental UM reports, reporting to management as well as consultation/coaching/instructional activities to improve overall compliance with all regulations and standards. Performs other duties as assigned. Education Required Associate's Degree in Nursing Education Preferred Bachelor's Degree in Nursing Experience Required: At least 7 years in a clinical setting with at least 3 years in a managed care setting in Utilization Management/Case Management. Skills Required: Knowledge of issues pertaining to Medi-Cal and other HMO & IPA contracts, & payers. Ability to manage and organize large volumes of data. Knowledge of accreditation entities and their requirements. Excellent verbal and written communication skills and excellent interpersonal skills. Good working knowledge of regulatory requirements/standards. Ability to work independently. Ability to solve complex issues and identify creative solutions. Computer ease & literacy with Word, Excel, PowerPoint Skills. Licenses/Certifications Required Registered Nurse (RN) - Active, current and unrestricted California License Licenses/Certifications Preferred Required Training Physical Requirements Light Additional Information Salary Range Disclaimer: The expected pay range is based on many factors such as geography, experience, education, and the market. The range is subject to change. L.A. Care offers a wide range of benefits including Paid Time Off (PTO) Tuition Reimbursement Retirement Plans Medical, Dental and Vision Wellness Program Volunteer Time Off (VTO)
Prime Healthcare

Clinical Nursing Supervisor, RN - Med/Surg 7E

$45.43 - $64.91 / hour
Overview At Centinela Hospital Medical Center, our dedicated team of professionals are committed to our core values of quality, compassion, and community. As a member of Prime Healthcare, a Top-15 hospital system in the United States, Centinela Hospital Medical Center is actively seeking new members to join its award-winning team! Centinela Hospital Medical Center has been serving the communities of Inglewood and the wider Los Angeles area for 100 years. An award-winning facility, ranking in the top 5% nationally for quality and patient safety, Centinela Hospital is a 362-bed acute-care hospital with a 24-hour STEMI certified emergency department and primary stroke center, orthopedic care, advanced cardiac services, critical care services, inpatient and outpatient rehab programs, and more. Centinela has earned hundreds of national awards and recognitions, including "100 Top Hospital" recognition from Fortune/Merative and straight 'A's (2018-2024) for hospital safety from The Leapfrog Group. For more information, visit www.centinelamed.com. Responsibilities The Clinical Supervisor supports administrative responsibility for the department service functions and works collaboratively with the unit Director and/or Manager. In the absence of the unit Director and/or Manager, the Clinical Supervisor may assume the administrative scope of the unit assigned. Develops and implements departmental plans, including performance improvement activities and compliance with current federal and/or state regulations. The Clinical Supervisor prepares, conducts and/or oversees department(s) orientation and training of personnel. Communicates with staff, physicians, and administration both written and verbally. The Clinical Supervisor is responsibility and accountable for the quality of staff and functions during their shift. Assists the Department Director in the daily operations of the unit, directing, supervising, and evaluating personnel, ensuring the proper use of time, equipment and staff. Ensure the efficient functions of the department. Performs direct patient care, only as needed, within the scope of practice. Continually assess care and direct staff to make immediate changes in the plan of care. Qualifications EDUCATION, EXPERIENCE, TRAINING Current and valid California Registered Nurse license Bachelor Degree in Nursing (BSN) preferred. Current Basic Life Support certificate (BLS) upon hire and maintain current. Current Advanced Cardiac Life Support (ACLS) upon hire and maintain current. Minimum of three year of Charge Nurse or equivalent experience required. Critical Care Registered Nurse (CCRN) certificate preferred. Professional Certification within 2 years of hire preferred. https://calendly.com/lmancilla-primehealthcare/supervisor-rn- Pay Transparency Centinela Hospital Medical Center offers competitive compensation and a comprehensive benefits package that provides employees the flexibility to tailor benefits according to their individual needs. Our Total Rewards package includes, but is not limited to, paid time off, a 401K retirement plan, medical, dental, and vision coverage, tuition reimbursement, and many more voluntary benefit options. A reasonable compensation estimate for this role, which includes estimated wages, benefits, and other forms of compensation, is $45.43 to $64.91. 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
Prime Healthcare

Clinical Nursing Supervisor, RN - Telemetry (6W)

$45.43 - $64.91 / hour
Overview At Centinela Hospital Medical Center, our dedicated team of professionals are committed to our core values of quality, compassion, and community. As a member of Prime Healthcare, a Top-15 hospital system in the United States, Centinela Hospital Medical Center is actively seeking new members to join its award-winning team! Centinela Hospital Medical Center has been serving the communities of Inglewood and the wider Los Angeles area for 100 years. An award-winning facility, ranking in the top 5% nationally for quality and patient safety, Centinela Hospital is a 362-bed acute-care hospital with a 24-hour STEMI certified emergency department and primary stroke center, orthopedic care, advanced cardiac services, critical care services, inpatient and outpatient rehab programs, and more. Centinela has earned hundreds of national awards and recognitions, including "100 Top Hospital" recognition from Fortune/Merative and straight 'A's (2018-2024) for hospital safety from The Leapfrog Group. For more information, visit www.centinelamed.com. Responsibilities The Clinical Nursing Supervisor supports administrative responsibility for the department service functions and works collaboratively with the unit Director and/or Manager. In the absence of the unit Director and/or Manager, the Clinical Supervisor may assume the administrative scope of the unit assigned. Develops and implements departmental plans, including performance improvement activities and compliance with current federal and/or state regulations. The Clinical Supervisor prepares, conducts and/or oversees department(s) orientation and training of personnel. Communicates with staff, physicians, and administration both written and verbally. The Clinical Supervisor is responsibility and accountable for the quality of staff and functions during their shift. Assists the Department Director in the daily operations of the unit, directing, supervising, and evaluating personnel, ensuring the proper use of time, equipment and staff. Ensure the efficient functions of the department. Performs direct patient care, only as needed, within the scope of practice. Continually assess care and direct staff to make immediate changes in the plan of care. Qualifications EDUCATION, EXPERIENCE, TRAINING Current and valid California Registered Nurse license Current BCLS (ARC or AHA) certificate upon hire and maintain current. Current ACLS (ARC or AHA) certificate upon hire and maintain current. Basic Arrythmia Interpretation certificate within 30 days from date of hire. Current National Institutes of Health Stroke Scale (NIHSS) certificate is required within 90 days from date of hire and maintain current. Minimum of 2 years of clinical nursing experience, with 1 year in a supervisory or leadership role preferred. Bachelor’s degree in nursing (BSN) preferred. Training on Violence in the Workplace prevention within 90 days from date of hire. Critical Care Registered Nurse (CCRN) certificate preferred for Intensive Care Non-OB Facilities – NRP Required 90 days after hire and maintained Professional Certification within 2 years of hire preferred https://calendly.com/lmancilla-primehealthcare/supervisor-rn- Pay Transparency Centinela Hospital Medical Center offers competitive compensation and a comprehensive benefits package that provides employees the flexibility to tailor benefits according to their individual needs. Our Total Rewards package includes, but is not limited to, paid time off, a 401K retirement plan, medical, dental, and vision coverage, tuition reimbursement, and many more voluntary benefit options. A reasonable compensation estimate for this role, which includes estimated wages, benefits, and other forms of compensation, is $45.43 to $64.91. 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
CHA Hollywood Presbyterian Medical Center

Registered Nurse Float Pool I Full Time Days

$51.30 - $81.85 / hour
Position Summary: The Float Pool RN I (FPRN I) is a flexible and experienced professional RN who is competent to work within the following specialty groups as indicated. The FPRNI is a proficient clinical nurse who utilizes the nursing process to provide safe and therapeutic patient care. A FPRN I functions as a productive member of the interdisciplinary team, carries out established policies, procedures and standards to meet the needs of high acuity patients. A FPRN I advocates for the advancement of the mission, vision and values of the organization, i.e. promotes patient throughput, the optimal patient experience and integrates evidenced based nursing into clinical practice. As a Float Pool Registered Nurse I (FPRN I) in the Float Pool, you will be oriented to multiple inpatient departments. Our nursing float pool supplements staffing throughout the hospital based on need. Nurses who work in the Hollywood Presbyterian Medical Center float pool can float between multiple areas. Medical Surgical Telemetry DOU Required Licensure, Certification, Registration or Designation Current California RN license American Heart Association BLS card American Heart Association ACLS card Basic EKG NIHSS (Stroke) Los Angeles County Fire Card (within 30 days of hire) Assault Response Competency (ARC) (within 30 days of employment). Shift: Days Hours: 12 Shift Hours: 6:45am - 7:15pm Weekly Hours: 36 Type: Non-Exempt FTE: 0.9
L.A. Care Health Plan

Appeals and Grievances Nurse Specialist RN II

$88,854 - $142,166 / year
Salary Range: $88,854.00 (Min.) - $115,509.00 (Mid.) - $142,166.00 (Max.) Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation’s largest publicly operated health plan. Serving more than 2 million members, we make sure our members get the right care at the right place at the right time. Mission: L.A. Care’s mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose. Job Summary The Appeals and Grievances (A&G) Nurse Specialist Registered Nurse (RN) II provides direct assistance to members with health care access or benefit coordination issues, ensuring that clinical grievances, complaints and complex issues are investigated and resolved to the member's satisfaction in a manner consistent with L.A. Care, Centers of Medicare and Medicaid Services (CMS) and regulatory guidelines. Benefit coordination may involve coordinating multiple L.A. Care products, Fee for services (FFS) Medi-Cal/Medicare, or commercial insurance. Duties Conducts intake/triage and appropriate classification of Clinical A&G, and Pharmacy requests and makes accurate judgment on appeal, grievance, Provider Claim Disputes, medical records or other issues and follows procedures on how to handle each type of request and route to the appropriate area within the department. Investigation, and resolution of clinical member complaints (grievances/appeals) utilizing all regulatory requirements. Investigation, and resolution of clinical Provider Complaints/ Provider Data Resolution (PDR) (grievances/appeals) utilizing regulatory and internal guidelines and Service Level Agreement (SLA). Identification of Expedited Cases and resolution within 72 hours. Works with the external providers and Participating Physician Group's (PPG) representatives to obtain relevant medical records and communication documentation. Prepares resolved complaint files for Centers for Medicare and Medicaid Services (CMS), DMHC, and external review organization (QIO or IRE). Process the case thru to effectuation and final case documentation in the A&G system of record. Investigation and preparation of State Fair Hearing cases as assigned. Prepares resolved complaint files for CMS external review organization - Quality Improvement Organization (QIO) or Independent Review Entity (IRE). Conducts reviews and presents to physicians, provider disputes which would be based on medical necessity reviews. Prepares authorizations, after approval by the Medical Director. When necessary, outreaches to providers, vendors, hospitals, and members to request necessary information or to provide case status and/or next steps. In instances where necessary, sends written notifications to appropriate parties. All interactions including verbal outreach and written communication will be documented in the A&G system of record. Participates inter-rater reliability training and assessments. Perform other duties as assigned. Duties Continued Education Required Associate's Degree in Nursing Education Preferred Bachelor's Degree in Nursing Experience Required: At least 5 years of experience in Clinical RN. At least 2 years in Medicare/ Medicaid in a managed care/ health plan environment. Skills Required: Excellent interpersonal and communication skills. Computer literacy and adaptability to computer learning. Time management and priority setting skills. Must be organized and a team player Able to work effectively with various internal departments/service areas, L.A. Care's plan partners, participating provider groups, and other external agencies. Good working knowledge of regulatory requirements/standards. Licenses/Certifications Required Registered Nurse (RN) - Active, current and unrestricted California License Licenses/Certifications Preferred Required Training Physical Requirements Light Additional Information This position requires work after hours, on weekends, holidays, a hybrid remote schedule, occasional flexibility in hours/shift in critical situations and work on-call. This position requires handling various caseloads and flexibility to adapt to changing priorities which may include but not limited to redistributed work assignments, team projects, and other priorities as assigned Salary Range Disclaimer: The expected pay range is based on many factors such as geography, experience, education, and the market. The range is subject to change. L.A. Care offers a wide range of benefits including Paid Time Off (PTO) Tuition Reimbursement Retirement Plans Medical, Dental and Vision Wellness Program Volunteer Time Off (VTO)