Nursing Jobs in Claremont, CA
$89,169.60 - $150,300.80 / year
Riverside University Health System (RUHS) – Behavioral Health is currently recruiting for a Registered Nurse II/III/IV to support the Quality Improvement (QI) Inpatient Program . This recruitment will fill a Registered Nurse vacancy located in Riverside . Duties may include, but are not limited to: Reviewing medical records to determine medical necessity for inpatient hospitalizations Liaising and communicating with inpatient hospitals and clinical teams The ideal candidate will possess: Experience with Utilization Review Inpatient clinical experience Strong proficiency navigating several Electronic Medical Records simultaneously Working knowledge of Microsoft office (word, excel and outlook) Ability to type a minimum of 40 words per minute Excellent communication and organizational skills Prior Registered Nurse experience working in psychiatric/behavioral health settings is essential. Work Schedule: 9/80 schedule Some weekends may be required Meet the Team! Riverside University Health System – Behavioral Health is a leading provider of mental health and substance use services in Riverside County. With a dedicated team of professionals, including psychiatrists, clinicians, peer specialists, and paraprofessionals, RUHS-BH serves over 45,000 individuals annually. We are committed to delivering culturally competent, evidence-based care across all ages. Our programs, including Mental Health Services, Substance Use Services, and the Public Guardian’s Office, address the diverse needs of our community. At RUHS Behavioral Health, you’ll join a compassionate, innovative team where your skills make a real difference. We offer opportunities for growth, collaboration, and meaningful impact. If you’re passionate about advancing your career while improving mental health in Riverside County, RUHS Behavioral Health is the place for you! For more information, please visit www.ruhealth.org/behavioral-health Review the clinical records of patients admitted to psychiatric inpatient facilities to determine if the documentation adequately supports medical necessity. Must have an in-depth knowledge of what symptoms, behaviors, factors and documentation meet the standards of medical necessity as defined by Title 9, Medi-Cal, the California Department of Health Care Services (DHCS) and other relevant regulatory agencies. Must be able to recognize and gather all the information needed to make a determination, to synthesize and conceptualize this information, to reference applicable medical necessity standards and to ultimately and independently come to a determination about whether medical necessity is present. Must be able to accurately and concisely document the clinical information that does or does not support medical necessity and the reasoning that resulted in the ultimate determination. Must learn to recognize instances when (s)he is unable to come to a definitive determination and when (s)he should seek consultation with a QI Inpatient psychiatrist. Must be able to knowledgeably discuss medical necessity standards with other nurses, psychiatrists, social workers, care managers, placement workers and other mental health personnel. These discussions may occur through email, by phone or face-to-face. May attend treatment rounds at some inpatient facilities and provide immediate education and feedback to hospital staff. May provide formal training to inpatient staff or other parties and may assist in training new QI Inpatient RNs. While performing reviews for medical necessity, the RN must also evaluate for potential Quality of Care (QOC) issues. QOC issues are present when suboptimal care is provided to a patient by inpatient staff members. This requires the RN to be knowledgeable about what constitutes appropriate care by all of the various disciplines providing care to the patient, including familiarity with regulatory standards and “best practice” standards. When the RN identifies a potential QOC issue, (s)he should consult with a QI Inpatient psychiatrist about what possible, if any, actions should be taken. Will participate in periodic audits of psychiatric inpatient facilities including ITF, PHF and fee-for-service hospitals. An RN may be designated to lead one or more of these audits. Every three years QI Inpatient is itself the subject of an audit by DHCS. The RN will prepare documents, data and presentations for this audit and will interact with the state auditors during their survey. May serve on various committees as directed by their supervisor, sometimes serving as chairperson. This may include participation on the Plan of Correction (POC) Committee which meets periodically to assure that relevant standards are met and documented in anticipation of the triennial DHCS audit. Will not provide any direct patient care in their role as a QI Inpatient nurse. However, it is necessary to have prior experience, preferably several years, working as an RN in a psychiatric inpatient facility. Any prior experience working in quality improvement, utilization management or case management is a plus, but not a requirement. The RN will report to the Manager of QI Inpatient. The Manager may direct the RN to perform other reasonable duties not enumerated above. Registered Nurse II ($42.87-$59.92/hr) Education: Successful completion of the education required to obtain a valid license to practice as a Registered Nurse in the State of California. (A bachelor's degree from an accredited college or university in nursing or a health-related field may be required for some positions.) Experience: Completion of one year as a Registered Nurse in an acute care hospital, mental health setting, clinic outpatient setting, or healthcare agency program. Experience gained as an Interim Permit Nurse may be credited toward meeting the required experience. Evaluations and references must show proficiency of practice as a Registered Nurse. Registered Nurse III ($46.05-$68.49/hr) Education: Successful completion of the education required to obtain a valid license to practice as a Registered Nurse in the State of California. Experience: Three years of full time experience as a Registered Nurse in an acute care facility, mental health facility, or community health agency with references and evaluations to show appropriate skill level. (A bachelor's degree from an accredited college or university in nursing or national certification in a nursing specialty may be considered as a substitution for one year of the required experience. A master's degree from an accredited college or university in nursing may be considered as a substitution for two years of the required experience.) Registered Nurse IV ($49.27-$72.26/hr) Experience: Six years as a full-time Registered Nurse. Some positions may require two years in a specialty area. A master's degree from an accredited college or university in nursing or a health-related field may be substituted for two years of the required experience. Knowledge of: Current principles, techniques and procedures used in professional nursing; medical terminology and patient care routine appropriate to clinical setting; medical instruments and equipment; the uses and effects of medicines and narcotics; community resources available to provide patient care and follow-up; federal, state and local laws and regulations governing professional aspects of nursing; identification of potential discharge needs; payor source documentation requirements and governmental regulations affecting reimbursement. Other Requirements License/Certificate: Must possess and maintain a current valid license to practice as a Registered Nurse in the State of California. Possession of valid Basic Life Support (BLS) certificates issued by the American Heart Association. Possession of a valid California Driver's License may be required. Additional Working Knowledge Requirements for Mental Health Applicants: Current child, dependent adult, and elder abuse reporting laws; current involuntary detention and commitment laws related to mental health; involuntary psychotropic medication laws; and Tarasoff-duty to warn requirements. Ability to: Perform the full range of nursing duties and responsibilities in a patient care setting; plan, organize and implement nursing plans for patients; prepare and maintain concise and complete records and reports; establish and maintain effective working relationships with physicians, patients and co-workers; secure the cooperation of employees to work effectively together; keep abreast of developments in areas of nursing specialization; teaches, mentors and supervises others routinely; effectively prepare and present reports and recommendations both orally and in written form; evaluate the medical records of hospital admissions; provide recommendations regarding continued stay necessity; identify discharge needs; collect and evaluate data, draw conclusions and formulate recommendations. In Mental Health, ability to use individual professionally sound judgment to make complex decisions related to: triage; clinical assessments including biopsychosocial evaluation; integration of mental health, chemical dependency, and physical healthcare needs; potential suicidality; placement issues and necessary linkages and supports; and need for emergent psychiatric care and consultation. For questions regarding this recruitment contact the recruiter, Nicole Prado: nprado@rivco.org . 
$150,000 - $170,000 / year
Home Care Nurse Practitioner - Antelope Valley Department: Providers Employment Type: Full Time Location: 333 S. Garfield Ave. #A Alhambra, CA 91801 Reporting To: George Christides Compensation: $150,000 - $170,000 / year Description We are seeking a highly skilled and compassionate Home Care Nurse Practitioner (NP) to join our healthcare team. The ideal candidate will have expertise in managing patients with complex medical conditions in a home care setting, ensuring high-quality care for individuals who are considered high-risk due to chronic illnesses, multiple comorbidities, and complex healthcare needs. The Nurse Practitioner will work collaboratively with other healthcare professionals to deliver patient-centered care that focuses on keeping patients healthy at home throughout the Antelope Valley area, enhancing patient outcomes, and improving quality of life for homebound and complex patients. A significant component of the role will be providing supportive/palliative care to appropriate patients, ensuring symptom management and holistic support for those with serious illnesses. This position offers an exciting opportunity for a Nurse Practitioner to make a significant impact on the lives of patients with complex needs, providing care in the comfort of their own homes. If you are a dedicated, compassionate, and highly skilled healthcare professional, particularly with an interest in palliative care, we encourage you to apply. Our Values: Put Patients First Empower Entrepreneurial Provider and Care Teams Operate with Integrity & Excellence Be Innovative Work As One Team What You'll Do Patient Care & Assessment: Conduct comprehensive health assessments, physical examinations, and diagnostic evaluations for patients in their homes. Complete transitions of care post-discharge. Develop individualized care plans for high-risk patients, considering their medical history, comorbidities, and functional status. Prescribe and manage medications, including managing complex drug regimens for chronic conditions such as heart failure, diabetes, COPD, and more. Perform health screenings and provide preventive care to help minimize hospitalizations and emergency room visits. Palliative Care Management: Assess patients for eligibility and appropriateness for palliative care, focusing on symptom management and quality of life for individuals with serious or life-limiting conditions. Provide compassionate palliative care to improve comfort, alleviate pain, and address psychological, emotional, and spiritual needs for patients and their families. Collaborate with the palliative care team to develop care plans that align with the patient's goals, preferences, and values. Educate patients and families on palliative care options, including advanced care planning, pain and symptom management, and end-of-life care. Monitor and adjust palliative interventions based on patient needs, ensuring a holistic approach to care that includes physical, emotional, and social well-being. Collaboration & Coordination: Collaborate with interdisciplinary teams, including physicians, social workers, care coordinators, and family caregivers, to provide holistic patient care. Ensure effective communication and care coordination between the home care team and any specialists involved in the patient’s care. Serve as a primary point of contact for patients and their families, providing education, support, and guidance as needed. Chronic Disease Management: Monitor and manage high-risk conditions in collaboration with the patient's care team, with a focus on chronic disease management and health promotion. Educate patients and families on disease management, symptom control, medication adherence, and lifestyle modifications. Review patient records regularly and update care plans to adjust to changing conditions or new diagnoses. Clinical Documentation & Reporting: Accurately document all patient interactions, assessments, treatments, and progress in the Electronic Health Record (EHR) system. Maintain confidentiality and comply with all relevant healthcare regulations and standards (e.g., HIPAA). Participate in team rounds on patient progress, interventions, and outcomes. Patient Advocacy & Support: Advocate for patients’ rights and ensure that they receive the best possible care and services in the home setting. Address any concerns or challenges that arise in the home care environment, ensuring patient safety and satisfaction. Support patients and families with end-of-life planning, palliative care needs, and grief counseling when appropriate. Qualifications Current, unrestricted Nurse Practitioner license in CA and Furnishing License Proficient in Spanish preferred but not required. Certification as an Adult-Gerontology Nurse Practitioner (AGNP) or Family Nurse Practitioner (FNP), with additional certifications or experience in relevant specialties (e.g., palliative care, wound care, gerontology) preferred. Strong understanding of home health care protocols, chronic disease management, palliative care, and geriatric care. Ability and willingness to travel to patient homes. Ability to independently assess and manage patients in home settings with minimal supervision. Excellent communication and interpersonal skills, with the ability to work collaboratively in a multidisciplinary team. Ability to use electronic health records (EHR) systems and other clinical tools proficiently. Knowledge of state and federal regulations governing home care services. Strong critical thinking, problem-solving, and decision-making skills. Ability to work with patients from various cultural backgrounds, ability to utilize translational services. You’ll be great for this role if you have: Minimum of 3-5 years of experience in a clinical nursing role, with a focus on high-risk, complex patients (home care and palliative care experience preferred). Experience in HEDIS and HCC Environmental Job Requirements and Working Conditions This is a full-time, hybrid position, where you will be expected to travel to patient homes M-F 8 A - 5 P and also work from home. Our patient population is located primarily throughout the Antelope Valley. The total compensation target pay range for this role is between $145K - 170K annually. This pay range represents our national target range for this role. Total compensation will be evaluated based on experience, certifications, and skillsets. Astrana Health is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based on race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. All employment is decided based on qualifications, merit, and business need. If you require assistance in applying for open positions due to a disability, please email us at humanresourcesdept@astranahealth.com to request an accommodation. Additional Information: The job description does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the job change. $150,000 - $170,000 / year
Home Care Nurse Practitioner - San Francisco Department: Providers Employment Type: Full Time Location: 333 S. Garfield Ave. #A Alhambra, CA 91801 Reporting To: George Christides Compensation: $150,000 - $170,000 / year Description We are seeking a highly skilled and compassionate Home Care Nurse Practitioner (NP) to join our healthcare team. The ideal candidate will have expertise in managing patients with complex medical conditions in a home care setting, ensuring high-quality care for individuals who are considered high-risk due to chronic illnesses, multiple comorbidities, and complex healthcare needs. The Nurse Practitioner will work collaboratively with other healthcare professionals to deliver patient-centered care that focuses on keeping patients healthy at home throughout the San Francisco area, enhancing patient outcomes, and improving quality of life for homebound and complex patients. A significant component of the role will be providing supportive/palliative care to appropriate patients, ensuring symptom management and holistic support for those with serious illnesses. This position offers an exciting opportunity for a Nurse Practitioner to make a significant impact on the lives of patients with complex needs, providing care in the comfort of their own homes. If you are a dedicated, compassionate, and highly skilled healthcare professional, particularly with an interest in palliative care, we encourage you to apply. Our Values: Put Patients First Empower Entrepreneurial Provider and Care Teams Operate with Integrity & Excellence Be Innovative Work As One Team What You'll Do Patient Care & Assessment: Conduct comprehensive health assessments, physical examinations, and diagnostic evaluations for patients in their homes. Complete transitions of care post-discharge. Develop individualized care plans for high-risk patients, considering their medical history, comorbidities, and functional status. Prescribe and manage medications, including managing complex drug regimens for chronic conditions such as heart failure, diabetes, COPD, and more. Perform health screenings and provide preventive care to help minimize hospitalizations and emergency room visits. Palliative Care Management: Assess patients for eligibility and appropriateness for palliative care, focusing on symptom management and quality of life for individuals with serious or life-limiting conditions. Provide compassionate palliative care to improve comfort, alleviate pain, and address psychological, emotional, and spiritual needs for patients and their families. Collaborate with the palliative care team to develop care plans that align with the patient's goals, preferences, and values. Educate patients and families on palliative care options, including advanced care planning, pain and symptom management, and end-of-life care. Monitor and adjust palliative interventions based on patient needs, ensuring a holistic approach to care that includes physical, emotional, and social well-being. Collaboration & Coordination: Collaborate with interdisciplinary teams, including physicians, social workers, care coordinators, and family caregivers, to provide holistic patient care. Ensure effective communication and care coordination between the home care team and any specialists involved in the patient’s care. Serve as a primary point of contact for patients and their families, providing education, support, and guidance as needed. Chronic Disease Management: Monitor and manage high-risk conditions in collaboration with the patient's care team, with a focus on chronic disease management and health promotion. Educate patients and families on disease management, symptom control, medication adherence, and lifestyle modifications. Review patient records regularly and update care plans to adjust to changing conditions or new diagnoses. Clinical Documentation & Reporting: Accurately document all patient interactions, assessments, treatments, and progress in the Electronic Health Record (EHR) system. Maintain confidentiality and comply with all relevant healthcare regulations and standards (e.g., HIPAA). Participate in team rounds on patient progress, interventions, and outcomes. Patient Advocacy & Support: Advocate for patients’ rights and ensure that they receive the best possible care and services in the home setting. Address any concerns or challenges that arise in the home care environment, ensuring patient safety and satisfaction. Support patients and families with end-of-life planning, palliative care needs, and grief counseling when appropriate. Qualifications Current, unrestricted Nurse Practitioner license in CA and Furnishing License Certification as an Adult-Gerontology Nurse Practitioner (AGNP) or Family Nurse Practitioner (FNP), with additional certifications or experience in relevant specialties (e.g., palliative care, wound care, gerontology) preferred. Strong understanding of home health care protocols, chronic disease management, palliative care, and geriatric care. Ability and willingness to travel to patient homes. Ability to independently assess and manage patients in home settings with minimal supervision. Excellent communication and interpersonal skills, with the ability to work collaboratively in a multidisciplinary team. Ability to use electronic health records (EHR) systems and other clinical tools proficiently. Knowledge of state and federal regulations governing home care services. Strong critical thinking, problem-solving, and decision-making skills. Ability to work with patients from various cultural backgrounds, ability to utilize translational services. You’ll be great for this role if you have: Minimum of 3-5 years of experience in a clinical nursing role, with a focus on high-risk, complex patients (home care and palliative care experience preferred). Experience in HEDIS and HCC Profiency in Chinese Environmental Job Requirements and Working Conditions This is a full-time, hybrid position, where you will be expected to travel to patient homes M-F 8 A - 5 P and also work from home. Our patient population is located primarily throughout San Francisco, CA. The total compensation target pay range for this role is between $145000 - 170000 annually. This pay range represents our national target range for this role. Total compensation will be evaluated based on experience, certifications, and skillsets. Astrana Health is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based on race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. All employment is decided based on qualifications, merit, and business need. If you require assistance in applying for open positions due to a disability, please email us at humanresourcesdept@astranahealth.com to request an accommodation. Additional Information: The job description does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the job change. 