Nursing Jobs in Santa Monica, CA

Right at Home Westside

Experienced Male Caregiver Needed (15-hour/live-in)

We are seeking a compassionate and dedicated Caregiver to provide essential support and assistance to individuals in their own homes. The ideal candidate will have a genuine passion for helping others, particularly the elderly and those with disabilities, ensuring their comfort, safety, and well-being. Benefits Here’s Why Caregivers Like Working for Right at Home: Earn competitive pay Flexible scheduling Health Insurance Plans Bonuses for employee referrals PAID training and development Caregiver Recognition & Rewards Programs Access to Leadership Paid mileage Bi-Weekly Pay Mobile clock in /out Make a difference and give back to those who need your most. Responsibilities and Duties In this role, you will have the chance to perform personal care activities that assist the client with activities of daily living, which include (but are not limited to): Assisting with transferring/moving client from place to place throughout their home Performing housekeeping activities which include (but are not limited to): vacuuming, dusting, sweeping or mopping floors, doing dishes, changing bed linens, doing laundry and cleaning the bathroom Preparing meals and snacks according to instructions Accompanying client on errands or medical appointments Bathing/Showering/Dressing/Shaving Medication reminders Assisting with prescribed range of motion exercises Dementia care Companionship activities such as reading, music, puzzles, etc. Qualifications and Skills: High school graduate or G.E.D. certificate preferred. Must be able to lift/move 50 lbs without assistance Ability to read, write, speak and understand English as needed for the job Possess a valid driver’s license and current automobile insurance Pass a background check Home Care Aide Proof of a negative tuberculosis (TB) test. Right at Home is an equal opportunity employer that celebrates, supports and promotes diversity and inclusion. We will consider all qualified applicants without regard to race, color, religion, sex, national origin, disability, protected veteran status, sexual orientation or gender identity, or any other legally protected basis, in accordance with applicable law.
Prime Healthcare

Registered Nurse (RN) - Renal Dialysis

Overview St. Francis Medical Center is one of the leading comprehensive healthcare institutions in Los Angeles. St. Francis provides vital healthcare services for the 700,000 adults and 300,000 children in our community who count on the hospital for high quality and compassionate medical care. St. Francis is recognized for its full range of diagnostic and treatment services in specialties including Cardiovascular, Surgical, Orthopedics, Obstetrics, Pediatrics, Behavioral Health, and Emergency and Trauma Care. In addition, the hospital offers a broad array of education and outreach programs that advance community health. St. Francis Medical Center is a Comprehensive Stroke Center, STEMI Receiving Center, ED Approved for Pediatrics, Geriatric ED, Level III Neonatal ICU, and Level II Trauma Center. Please visit www.stfrancismedicalcenter.com for more information. Join an award-winning team of dedicated professionals committed to compassion, quality, and service! Responsibilities The Registered Nurse in Hemodialysis is responsible for the delivery of safe patient care utilizing the nursing process of assessment, planning, implementation and evaluation. Provides direct patient care within the scope of practice. The Registered Nurse also directs and guides patient/family teaching and activities of other nursing personnel while maintaining standards of care in the Hemodialysis Unit. The Registered Nurse is directly responsible and accountable for the care given to his/her assigned patients; They will communicate with the physician about changes in the patient’s clinical condition including hemodynamics, results of diagnostic studies and abnormal results and symptomatology. Is able to respond quickly and accurately to changes in condition and/or response to Dialysis treatment. Maintains patient privacy and confidentiality. Qualifications Education and Work Experience Current and valid state RN License. Current BLS (AHA) certificate required upon hire and maintain current. ACLS certificate within 1 year and maintain current. One year as a staff RN in acute care hemodialysis unit preferred. Bachelor of Science in Nursing (BSN) preferred. Pay Transparency St. Francis Medical Center offers competitive compensation and a comprehensive benefits package that provides employees the flexibility to tailor benefits according to their individual needs. Our Total Rewards package includes, but is not limited to, paid time off, a 401K retirement plan, medical, dental, and vision coverage, tuition reimbursement, and many more voluntary benefit options. Benefits may vary based on collective bargaining agreement requirements and/or the employment status, i.e. full-time or part-time. The current compensation range for this role is $45.83 to $61.61. 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
L.A. Care Health Plan

Lead Customer Solution Center Appeals and Grievances RN

Salary Range: $102,183.00 (Min.) - $132,838.00 (Mid.) - $163,492.00 (Max.) Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation’s largest publicly operated health plan. Serving more than 2 million members, we make sure our members get the right care at the right place at the right time. Mission: L.A. Care’s mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose. Job Summary The Lead Customer Solution Center Appeals and Grievances RN is responsible for assisting with the development of a successful and cohesive Appeals and Grievance (A&G) clinical unit. This position is responsible for the quality review of complex and/or escalated clinical A&G cases for all line of business (LOB). The Lead will assist in identifying areas of improvement in increasing positive audit outcomes and improved Customer Service to L.A. Care’s (LAC) membership. This position will ensure the effective investigation and resolution of clinical grievances, appeals, complaints, and complex issues in alignment with L.A. Care policy and procedures along with all relevant regulatory guidelines. Leads and works closely with assigned team daily. This position will mentor, coach, and may provide feedback to management on performance of staff. Ensure team effectiveness and project completion. Duties Review and process complex and/or escalated clinical A&G cases. Analyze the patient medical records, clinical documentation, and insurance policies to determine medical necessity. Prepares and reviews A&G files for submission to providers and internal departments. Work with other departments to ensure all aspects of a case are appropriately managed. Conduct targeted and random clinical case audits to ensure that all regulatory and departmental guidelines, policies, procedures, and standards are met. Work closely with the leadership team to create and/or modify Desk Level Procedures and recommends enhancements to process and procedures. Assist the Clinical Supervisors in identifying deviations in performance and process changes are implemented to redirect performance to acceptable levels. Recommend and implement resolutions, new processes, and/or process improvement. Provides accurate and timely written statistical reports that includes historical and/or current data to aid in projecting or evaluating compliance status. Identify and analyze trends in appeals and grievances to find the root cause of denials. Duties Continued Check, verifies and ensure that all clinical A&G cases are processed accurately and within established timelines to meet or exceed member satisfaction goals and regulatory (CMS, DMHC, DHCS, NCQA), Health and Safety Code and company compliance. Maintains documentation of all communications in the A&G system to ensure thorough tracking of case status. Leads the work of assigned staff; regularly assigns and checks the work of others, providing guidance, training, and feedback on performance to department management. Work closely with management to review performance and quality standards on an ongoing basis. As well as motivational programs needed to achieve regulatory standards. Acts as a back-up to the Supervisor in leading meetings and handling escalations as required. Perform other duties as assigned. Education Required Associate's Degree in Nursing for Registered Nurses Education Preferred Bachelor's Degree in Nursing for Registered Nurses Experience Required: At least 8 years of clinical appeals and grievances experience in a managed care, utilization management and/or case management setting, At least 2 years in Medicare/ Medicaid in a managed care/ health plan environment. At least 1 year of leading a process, program, or staff experience. Preferred: Clinical acute experience. Skills Required: Extensive knowledge of healthcare regulations and managed care guidelines Demonstrated ability to provide recommendations towards resolution. Strong critical thinking and problem-solving abilities to assess complex clinical cases and evaluate medical necessity. Ability to communication, conflict resolution, and motivational skills. Ability to work independently and closely with a team in a collaborative and interactive environment. Ability to adjust to changing circumstances within the team. Good verbal and written communication skills. Preferred: Strong project management skills with the ability to manage multiple training initiatives simultaneously. Licenses/Certifications Required Licensed Registered Nurse (RN) - Active, current and unrestricted California License and/or Physician Assistant (PA) - California License Required Licenses/Certifications Preferred Required Training Physical Requirements Light Additional Information This position requires work after hours, on weekends, holidays, a hybrid remote schedule, and occasional flexibility in hours/shift in critical situations and work on-call. This position requires handling various caseloads and flexibility to adapt to changing priorities, which may include but not limited to redistributed work assignments, team projects, and other priorities as assigned. Salary Range Disclaimer: The expected pay range is based on many factors such as geography, experience, education, and the market. The range is subject to change. L.A. Care offers a wide range of benefits including Paid Time Off (PTO) Tuition Reimbursement Retirement Plans Medical, Dental and Vision Wellness Program Volunteer Time Off (VTO)
Anchor Health

RN Case Manager

***SIGN ON BONUS*** Are you looking for a work place where you can make a genuine difference? Company Culture that feels supportive, genuine and appreciative of all? Anchor Health is committed to the communities of which we serve, the patients and families we have the honor of caring for and the EMPLOYEES who have chosen us as their work family. Anchor Health is a unique organization that offers enhanced hospice services throughout San Mateo County. We are currently seeking an experienced hospice RN Case Manager to join our team. Duties of Hospice Registered Nurse Include: Completes an initial, comprehensive and ongoing comprehensive assessment of patient and family to determine hospice needs. Provides a complete physical assessment and history of current and previous illness. Conducts home visits and assesses/evaluates patient's status. Initiates the plan of care and makes necessary revisions as patient status and needs change. Develops a care plan that establishes goals, based on nursing diagnosis and incorporates palliative nursing actions. Includes the patient and the family in the planning process. Administers medications and treatments as prescribed by the physician. Attends and participates in Interdisciplinary Group Meetings. Completes, maintains and submits accurate and relevant clinical notes regarding patient's condition and care given. Supervises ancillary personnel and delegates responsibilities when required. Qualifications: Graduate of accredited school of nursing Current RN license in California Current CPR Certificate Registered nurses shall have a minimum of (a) one year of experience as a professional nurse within the last three years OR (b) have a baccalaureate degree in nursing from a program accredited by the National League for Nursing and current RN license. Minimum of two years experience, at least one of which is in the area of public, home care, or hospice nursing. Must have a valid CA driver license and an automobile that is insured in accordance with the requirements of state of California and is in good working order. Excellent observation, verbal and written communication skills and nursing skills per competency checklist. Job Types: Full-time, Part-time, Per diem
Belmont Village Calabasas

Caregiver Assisted Living

ABOUT THE ROLE Full Time 2nd Shift PM (2:30pm to 11:00pm) As a Belmont Village Caregiver , you will provide hands-on care to a group of seniors living within our Assisted Living and Memory Care community. The ideal candidate is reliable, takes pride in their work, and demonstrates empathy. They excel in a fast-paced, physically active position, collaborate effectively, and embrace a growth mindset, prioritizing exceptional hospitality and helping seniors to thrive as they age. While a C.N.A license is not required to be a Caregiver at Belmont Village, we welcome applicants with a Certified Nursing Assistant license or relevant caregiving experience. YOUR TYPICAL RESPONSIBILITIES Provide assistance with Activities of Daily Living to an assigned group of senior residents living in our Assisted Living and Memory Care community Promote socialization and inspire participation in community activities while prioritizing resident safety and well-being Document and maintain accurate records of daily care and services provided and promptly report any observed changes to supervisors Uphold high standards of care, safety, cleanliness and regulatory compliance Provide hands-on assistance with toileting, hygiene and incontinence care as needed Make hospitality, customer service, and resident satisfaction your top priorities in every interaction QUALIFICATIONS Must be at least 18 years of age High School diploma or equivalent Must be able to communicate clearly in verbal and written English Experience as a primary caregiver or relevant training as a care provider Professional, pleasant and team oriented attitude Consistent and reliable attendance is essential for all Belmont Village employees to ensure the successful operation of the community Please note that the above Responsibilities and Qualifications provide a general overview of the primary duties for this role and the basic qualifications. This is not intended to be a comprehensive list of all responsibilities, duties and skills required. BELMONT VILLAGE PERKS Career Growth & Training programs led by Belmont Village subject matter experts BV Cares direct employee support program for severe and unexpected hardships Exclusive discounts and offers from leading retailers and brands Complimentary unlimited continuing education courses Celebration of Employee Milestones & Achievements Referral bonus opportunities ABOUT THE COMPANY Belmont Village Senior Living owns, manages, and operates luxury senior living communities across the United States and in Mexico City, Mexico. Our diverse teams are composed of servant leaders who thrive in hands-on, fast-paced, and physically active roles. Our most successful team members are deeply committed to serving seniors and align closely with our core values: Trust, Respect, Teamwork, Dignity, Integrity, Ownership, and Learning. With a strong strategic development plan in place, Belmont Village is proud to provide a wide range of opportunities for internal growth and career advancement. BENEFITS AVAILABLE Belmont Village Senior Living offers full-time employees medical, dental, vision, mental health, and prescription benefits along with Paid Time Off, 401(k) savings with employer match, short-term disability, long-term disability, and life insurance. EOE Belmont Village Senior Living is proud to be an Equal Opportunity Employer. INDNUR
Autumn Hills Healthcare Center

STAFF DEVELOPMENT COORDINATOR ( REGISTERED NURSE )

$52 - $55 / hour
FUNCTION Provides, plans coordinates or manages orientation and in-service education for facility employees. QUALIFICATIONS The requirements listed below are representative of the knowledge, skill and/or ability required. Minimum Qualifications: • Freedom from illegal use of drugs • Freedom from use of and effects of use of drugs and alcohol in the workplace. • Anyone found guilty by a court of law of abusing, neglecting, or mistreating individuals in health care related setting are ineligible for employment in the position. Education and/or Experience: Prefer a registered nurse with management or supervisor experience in long term care or geriatric nursing. Minimum of licensed practical or vocational nurse with experience in long term care of geriatric nursing. Certificates, Licensees, Registrations: Current state license to practice as a nurse. Current CPR certification and additional certification in nursing specialty desired. LANGUAGE SKILLS Ability to read analyze and interprets general business periodicals, professional journals, technical procedures or government regulations. Ability to write reports, business correspondence, nursing/patient progress notes and nursing procedures. Ability to effectively present information and respond to questions from department heads, customers (patients, family members, physicians, etc.) and the general public. Computer skills preferred. MATHEMATICAL SKILLS Ability to add and, subtract, multiply and divide in all units of measure, using whole numbers, common fractions and decimals. Ability to compute rate, ratio and percent and to draw interpret bar graphs. REASONING ABILITY Ability to solve practical problems and deal with a variety of concrete variables. Ability to interpret a variety of instructions furnished in written, oral, diagram or schedule form. ESSENTIAL FUNCTIONS AND RESPONSIBILITIES To perform this job successfully, an individual must be able to perform each key function satisfactory. Reasonable accommodations may be made to enable individuals with disabilities to perform the key functions. Care and Services: • Responsible for facility education programs, including orientation and ongoing services. • Designs, plans and provides education programs on all shifts and for all departments. • Participate in staff evaluation process by providing attendance records and observation of employees’ performance. • Provide general facility information to all new employees and ongoing in-service education. • Maintains currently education records of classes and content of in-service conducted, attendance and performance of facility employees. • Plans and provides annual schedule of planed education programs. • Creates lesson plans containing objectives, course content, method of instruction and method of evaluation. • Applies adult learning principles. • If provided by the facility, conducts and maintains the nurse aide training program. • In charge of the facility in absence of high ranking management. • Accepts only those nursing assignments that are commensurate with one’s own educational preparation, experience, knowledge and ability and obtains instruction and supervision as necessary when implementing nursing procedures and practices. Resident Rights Promotes and protects resident’s rights, assists patients to make informed decision, treat patients with dignity and respect, protect patients’ personal belongings, report suspected abused or neglect, avoids the need for physical restraint in accordance with current professional standards and, supports independence expression, choice and decision-making consistent with applicable law and regulation. Leadership Demonstrates willingness to try new tasks; generates new ideas for change; evaluates and recognized priorities, selects effective team members, challenges others to learn, keeps current and integrates new information, communicates and models organization values, foster high performance, recognizes need for and provides adequate resources. Process Improvement Applies process improvement methods and techniques and identifies processes for improvement in daily work. Environment of Care Demonstrates understanding of fire and emergency procedures; participates in fire and disaster drills; demonstrates understanding of safety and security procedures; applies safety and security precautions; demonstrates understanding of hazardous materials plan; demonstrates proper use of equipment. Infection Control Applies hand washing principles during daily work; demonstrates understanding of isolation precautions; recognizes signs and symptoms of infection and complies with the employee health program; demonstrates understanding of the process for identifying and handling infectious waste; maintain personal hygiene; complies with OSHA standards in the workplace; and demonstrates understanding of cross-contamination. Information Management Enters or records data timely and accurately; protects confidentiality of resident information, protects data against loss or destruction, logs on the system using own passwords, logs off the system when leaving the work station, reports suspected violation of security/confidentiality issues, reviews identifies trends and delete passwords of employees no longer needing access to software programs. Monitors and oversees facility’s efforts to comply with company policies, procedures and state and federal law. INTERPERSONAL SKILLS Demonstrates active listening techniques, gains support through directive relationships, treats others with dignity and respect, seeks feedback, sets clear standards for performance, evaluate job performance and provides effective feedback, establishes system to measure effectiveness, efficiency and service and creates and maintains reporting mechanisms. CONTINUING EDUCATION The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individual with disabilities to perform the essential functions. While performing the duties of this job, the employee is frequently required to stand, walk, use hands or fingers, reach with hands and arms, talk or hear. The employee is occasionally required to sit, climb or balance and stoop or kneel. The employee on occasion will assist to lift and/or transfer patients weighing between 100 to 250 pounds. Specific vision abilities required by this job include close vision, distant vision and peripheral vision PHYSICAL DEMANDS The physical demands describes here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is frequently required to stand, walk, use hands or fingers, reach with hands and arms, talk or hear. The employee is occasionally required to sit, climb or balance and stoop or kneel. The employee on occasion will assist to lift and/or transfer Residents weighing between 100 to 250 pounds. Specific vision abilities required by this job include close vision, distance vision and peripheral vision. WORK ENVIRONMENT The work environment characteristics describes here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is occasionally exposed to blood or other body fluids, fumes or airborne particles and toxic or caustic chemicals. The noise level in the work environment is usually moderate. OTHER REQUIREMENTS Participates in (or conducts) company-sponsored training to safeguard against improper use and disclosure of resident’s protected health information. Monitors and oversees facility’s efforts to comply with company policies, procedures and state and federal law. By his / her signature below, employee agrees to adhere to and oversee communication of privacy guidelines relative to the confidentiality of residents' protected health information. JOB DESCRIPTION REVIEW I understand this job description, its requirements and that I am expected to complete all duties as assigned. I understand the job duties may be altered from time to time. SALARY RANGE: $52.00 to $55.00 PER HOUR DEPENDING ON EXPERIENCE
Epic Healthcare

LVN Resident Care Coordinator (RCC)

Now Hiring: Resident Care Coordinator 6am-2:30pm shift Chatsworth Commons Senior Living is a pillar in assisted living in Chatsworth, CA . We approach every day with one goal: To improve the lives we touch through high-quality healthcare and extraordinary compassion. Chatsworth Commons Senior Living 20801 Devonshire St, Chatsworth, CA 91311 Why work for us? Caring and compassionate environment Opportunity for growth, success and longevity Come join employees who have become family! Supportive Management team Benefits: Beautiful work environment Competitive Wages and Benefit Package Flexible Schedule Paid Time Off Overtime Pay This position involves various essential responsibilities and activities, including: Upholds company values, ethics, and policies Promotes teamwork and a respectful environment Ensures resident dignity, rights, and quality care Supports hiring, onboarding, and training of care staff Assists with care plans, medication management, and documentation Communicates with stakeholders and coordinates appointments Provides in-the-moment staff training and process improvements Monitors resident health and updates care plans as needed Maintains compliance with regulations and safety standards Manages staffing schedules and daily care operations Requirements and Qualifications: Must have an active LVN License in California. High school diploma or equivalent with prior care experience in assisted living or skilled nursing, along with valid First Aid and CPR Certification. Strong organizational and time management skills. Proficiency in Microsoft Office Programs. Demonstrated abilities in customer service, interpersonal communication, and teamwork. Skillful and professional interaction with coworkers, residents, family members, agencies, and the public. Understanding and consistent adherence to relevant regulations, policies, and procedures. Successful completion of background check, health exams, and other pre-employment criteria. Sufficient English language proficiency (reading, writing, speaking) for effective job performance. Chatsworth Commons Senior Living is an equal opportunity employer and makes employment decisions on the basis of merit. Qualified applicants are considered for employment without regard to race, religion, sex or gender, sexual orientation, gender identity or expression, pregnancy, marital status, national origin, citizenship, veteran status, ancestry, age, physical or mental disability, genetic information, or any other consideration made unlawful by applicable laws. Chatsworth Commons Senior Living will consider qualified applicants with criminal histories in a manner consistent with state, federal, or local law.
Epic Healthcare

LVN Resident Care Coordinator (RCC)

Now Hiring: Resident Care Coordinator 6am-2:30pm shift Chatsworth Commons Senior Living is a pillar in assisted living in Chatsworth, CA . We approach every day with one goal: To improve the lives we touch through high-quality healthcare and extraordinary compassion. Chatsworth Commons Senior Living 20801 Devonshire St, Chatsworth, CA 91311 Why work for us? Caring and compassionate environment Opportunity for growth, success and longevity Come join employees who have become family! Supportive Management team Benefits: Beautiful work environment Competitive Wages and Benefit Package Flexible Schedule Paid Time Off Overtime Pay This position involves various essential responsibilities and activities, including: Upholds company values, ethics, and policies Promotes teamwork and a respectful environment Ensures resident dignity, rights, and quality care Supports hiring, onboarding, and training of care staff Assists with care plans, medication management, and documentation Communicates with stakeholders and coordinates appointments Provides in-the-moment staff training and process improvements Monitors resident health and updates care plans as needed Maintains compliance with regulations and safety standards Manages staffing schedules and daily care operations Requirements and Qualifications: Must have an active LVN License in California. High school diploma or equivalent with prior care experience in assisted living or skilled nursing, along with valid First Aid and CPR Certification. Strong organizational and time management skills. Proficiency in Microsoft Office Programs. Demonstrated abilities in customer service, interpersonal communication, and teamwork. Skillful and professional interaction with coworkers, residents, family members, agencies, and the public. Understanding and consistent adherence to relevant regulations, policies, and procedures. Successful completion of background check, health exams, and other pre-employment criteria. Sufficient English language proficiency (reading, writing, speaking) for effective job performance. Chatsworth Commons Senior Living is an equal opportunity employer and makes employment decisions on the basis of merit. Qualified applicants are considered for employment without regard to race, religion, sex or gender, sexual orientation, gender identity or expression, pregnancy, marital status, national origin, citizenship, veteran status, ancestry, age, physical or mental disability, genetic information, or any other consideration made unlawful by applicable laws. Chatsworth Commons Senior Living will consider qualified applicants with criminal histories in a manner consistent with state, federal, or local law.
Anchor Health

RN Admission Nurse

Description Are you looking for a work place where you can make a genuine difference? Company Culture that feels supportive, genuine and appreciative of all? Anchor Health is committed to the communities of which we serve, the patients and families we have the honor of caring for and the EMPLOYEES who have chosen us as their work family. The registered nurse plans, organizes and directs hospice care services specific to each patient/family which includes instruction and evaluation in the home. The professional nurse is accountable to the Director of Patient Care Services for implementing the patient plan of care and communicating each patient needs to the Interdisciplinary team. The professional nurse is also responsible for communication and collaboration with community physicians as well as family members regarding individual patient care. Anchor Health offers competitive salaries, great benefits and a compassionate work environment. PRIMARY FUNCTION The Admissions Registered Nurse is an Interdisciplinary Team member whose primary responsibility is to present ANCHOR HEALTH services and philosophy to patients and families in a manner that results in the admission of appropriate patients. JOB RESPONSIBILITIES FOR THE ADMISSIONS REGISTERED NURSE 1. Admissions Registered Nurse participates in the information gathering, analysis, education, and form completion aspects of the admissions process 2. Admissions Registered Nurse evaluates patients for hospice appropriateness, e.g. medical records review as requested. 3. Admissions Registered Nurse Obtains agreement for admission of referred patients and families who meet admission criteria. 4. Admissions Registered Nurse analyzes data collected by the admission staff or ANCHOR HEALTH clinicians to facilitate/obtain admission orders 5. Admissions Registered Nurse builds effective referral source relationships to support the high quality and responsiveness expectations associated with ANCHOR HEALTH. 6. Admissions Registered Nurse maintains clinical and professional competence. 7. Admissions Registered Nurse takes the initiative in developing effective relationships internally with the appropriate admissions and patient care resource persons. 8. Admissions Registered Nurse utilizes interpersonal skills to help appropriately educate and address any questions the patient and/or patients’ family has concerning hospice and palliative care. 9. Other duties and responsibilities as assigned JOB REQUIREMENTS FOR THE ADMISSIONS REGISTERED NURSE 1. Admissions Registered Nurse has knowledge of the principles of the intake, admission, and transition to care process with the ability to further develop skills in these competency areas. 2. Admissions Registered Nurse has the ability to communicate effectively with patients and families, physicians, referral sources and colleagues. 3. Admissions Registered Nurse has the knowledge of clinical manifestations of diseases and ability to develop ANCHOR HEALTH specific clinical knowledge. 4. Admissions Registered Nurse has the ability to use the ANCHOR HEALTH information system and mobile technology platforms. 5. Admissions Registered Nurse has reliable means of transportation. ESSENTIAL FUNCTIONS/PHYSICAL DEMANDS The physical demands of the Admissions Registered Nurse are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of the Admissions Registered Nurse, the employee is regularly required to: 1. Assist in lifting and transferring patients, as required. 2. Lift objects in excess of 20 pounds 3. Stand or walk in excess of one hour per day The Admissions Registered Nurse will be required to sit and stoop, kneel, and crouch. DIRECTION RECEIVED The Admissions Registered Nurse reports to the Admissions Manager designated in the location. In the event the location does not have an Admissions Manager, the Admissions Registered Nurse will receive direction from the Patient Care Administrator or program designee QUALIFICATIONS FOR THE ADMISSIONS REGISTERED NURSE 1. Graduate of a National League of Nursing accredited school of nursing. 2. Current licensure in State of CA and CPR certification. 3. Registered nurses shall have a minimum of one (1) year of experience as a professional nurse within the last three (3) years; OR have a baccalaureate degree in nursing from a program accredited by the National League of Nursing and a current RN license. Minimum of two (2) years’ experience, at least one of which is in the area of public health, home care, or hospice nursing is preferred. 4. Excellent observation, verbal and written communication skills, problem solving skills, basic math skills; nursing skills per competency checklist. Admissions Registered Nurse is expected to have strong presentation skills. 5. Prolonged or considerable walking or standing. Able to lift, position and/or transfer patients. Able to lift supplies and equipment. Considerable reaching, stooping bending, kneeling and/or crouching. 6. Must be a licensed driver with an automobile that is insured in accordance with state/or organization requirements and is in good working order. Benefits Include: Competitive compensation Health, dental, vision, life and disability insurance Life insurance 401(k) plan with numerous investment options and generous company match Paid Time Off Many of our positions offer the opportunity to work day or night shifts, weekdays or weekends.
Promed Staffing Resources

Travel LPN for Texas (FREE HOUSING)

Great opportunity! Join ProMed Staffing as a Full-Time Travel LPN on a 9/10/13-Week Assignment. Discover a fulfilling career with these competitive benefits: Tax-free stipends Relocation reimbursement Bonuses for referred partners/friends Free online training Assistance with transferring your nursing license Housing provided All positions are at nursing home facilities, with multiple locations available for you to choose from. Find the location that's best for you! You must have an active LPN license and reliable transportation. Prior experience as a travel LPN is preferred, but not required. Earn top pay!!
Anchor Health

Director of Nursing

Director of Nursing (Hospice) Job Type: Full-time | Work Setting: In-person Schedule: Monday to Friday Pay: Competitive salary, based on experience About Anchor Health Anchor Health has proudly served Northern California communities for years, offering compassionate and high-quality hospice and pediatric care. Our mission is to support not only our patients and families but also the dedicated professionals who make our work possible. Position Overview We are seeking a compassionate and experienced Director of Nursing to lead our hospice clinical operations. This key leadership role is ideal for a Registered Nurse with strong hospice or palliative care experience and a heart for end-of-life care. The DPCS ensures exceptional care quality, regulatory compliance, and team coordination while supporting patients, families, and staff in a meaningful way. Key Responsibilities Clinical Leadership: Direct the delivery of hospice services in compliance with state, federal, and internal standards. Team Management: Recruit, train, supervise, and mentor clinical staff including RNs, LVNs, social workers, and home health aides. Care Coordination: Guide the interdisciplinary team in developing and executing personalized care plans. Regulatory Compliance: Ensure adherence to Medicare/Medicaid requirements and accreditation standards; manage audits and documentation. Quality Improvement: Drive initiatives to enhance patient outcomes and care quality. Budget Oversight: Manage clinical budgets and monitor resource utilization effectively. Family Support: Serve as a compassionate liaison for patients’ families, offering clear communication and emotional support. Cross-Department Collaboration: Partner with social services, spiritual care, and admin teams to provide holistic care. After-Hours Protocol: Develop and maintain readiness protocols for emergencies and after-hours needs. Qualifications Education: BSN required; MSN or advanced degree preferred. Licensure: Active Registered Nurse (RN) license in the state of California (required) . Experience: Minimum of 2 years in hospice or palliative care leadership. Key Skills Strong clinical leadership and staff development abilities Deep knowledge of hospice regulations and standards Excellent communication with patients, families, and interdisciplinary teams Strategic thinker with a collaborative, empathetic approach Physical & Travel Requirements Must be able to travel to patient homes, nursing facilities, and hospitals. Comfortable working in varied patient care settings. Benefits Medical: Health, dental, and vision insurance Financial: 401(k) retirement plan Time Off: Paid time off (PTO) Supportive, mission-driven team environment Medical Specialty Geriatrics Hospice & Palliative Care If you're a passionate leader looking to make a meaningful difference in end-of-life care, we invite you to apply and join the Anchor Health family.
Anchor Health

Director of Nursing

Director of Nursing (Hospice) Job Type: Full-time | Work Setting: In-person Schedule: Monday to Friday Pay: Competitive salary, based on experience About Anchor Health Anchor Health has proudly served Northern California communities for years, offering compassionate and high-quality hospice and pediatric care. Our mission is to support not only our patients and families but also the dedicated professionals who make our work possible. Position Overview We are seeking a compassionate and experienced Director of Nursing to lead our hospice clinical operations. This key leadership role is ideal for a Registered Nurse with strong hospice or palliative care experience and a heart for end-of-life care. The DPCS ensures exceptional care quality, regulatory compliance, and team coordination while supporting patients, families, and staff in a meaningful way. Key Responsibilities Clinical Leadership: Direct the delivery of hospice services in compliance with state, federal, and internal standards. Team Management: Recruit, train, supervise, and mentor clinical staff including RNs, LVNs, social workers, and home health aides. Care Coordination: Guide the interdisciplinary team in developing and executing personalized care plans. Regulatory Compliance: Ensure adherence to Medicare/Medicaid requirements and accreditation standards; manage audits and documentation. Quality Improvement: Drive initiatives to enhance patient outcomes and care quality. Budget Oversight: Manage clinical budgets and monitor resource utilization effectively. Family Support: Serve as a compassionate liaison for patients’ families, offering clear communication and emotional support. Cross-Department Collaboration: Partner with social services, spiritual care, and admin teams to provide holistic care. After-Hours Protocol: Develop and maintain readiness protocols for emergencies and after-hours needs. Qualifications Education: BSN required; MSN or advanced degree preferred. Licensure: Active Registered Nurse (RN) license in the state of California (required) . Experience: Minimum of 2 years in hospice or palliative care leadership. Key Skills Strong clinical leadership and staff development abilities Deep knowledge of hospice regulations and standards Excellent communication with patients, families, and interdisciplinary teams Strategic thinker with a collaborative, empathetic approach Physical & Travel Requirements Must be able to travel to patient homes, nursing facilities, and hospitals. Comfortable working in varied patient care settings. Benefits Medical: Health, dental, and vision insurance Financial: 401(k) retirement plan Time Off: Paid time off (PTO) Supportive, mission-driven team environment Medical Specialty Geriatrics Hospice & Palliative Care If you're a passionate leader looking to make a meaningful difference in end-of-life care, we invite you to apply and join the Anchor Health family.
Anchor Health

Director of Nursing

Director of Nursing (Hospice) Job Type: Full-time | Work Setting: In-person Schedule: Monday to Friday Pay: Competitive salary, based on experience About Anchor Health Anchor Health has proudly served Northern California communities for years, offering compassionate and high-quality hospice and pediatric care. Our mission is to support not only our patients and families but also the dedicated professionals who make our work possible. Position Overview We are seeking a compassionate and experienced Director of Nursing to lead our hospice clinical operations. This key leadership role is ideal for a Registered Nurse with strong hospice or palliative care experience and a heart for end-of-life care. The DPCS ensures exceptional care quality, regulatory compliance, and team coordination while supporting patients, families, and staff in a meaningful way. Key Responsibilities Clinical Leadership: Direct the delivery of hospice services in compliance with state, federal, and internal standards. Team Management: Recruit, train, supervise, and mentor clinical staff including RNs, LVNs, social workers, and home health aides. Care Coordination: Guide the interdisciplinary team in developing and executing personalized care plans. Regulatory Compliance: Ensure adherence to Medicare/Medicaid requirements and accreditation standards; manage audits and documentation. Quality Improvement: Drive initiatives to enhance patient outcomes and care quality. Budget Oversight: Manage clinical budgets and monitor resource utilization effectively. Family Support: Serve as a compassionate liaison for patients’ families, offering clear communication and emotional support. Cross-Department Collaboration: Partner with social services, spiritual care, and admin teams to provide holistic care. After-Hours Protocol: Develop and maintain readiness protocols for emergencies and after-hours needs. Qualifications Education: BSN required; MSN or advanced degree preferred. Licensure: Active Registered Nurse (RN) license in the state of California (required) . Experience: Minimum of 2 years in hospice or palliative care leadership. Key Skills Strong clinical leadership and staff development abilities Deep knowledge of hospice regulations and standards Excellent communication with patients, families, and interdisciplinary teams Strategic thinker with a collaborative, empathetic approach Physical & Travel Requirements Must be able to travel to patient homes, nursing facilities, and hospitals. Comfortable working in varied patient care settings. Benefits Medical: Health, dental, and vision insurance Financial: 401(k) retirement plan Time Off: Paid time off (PTO) Supportive, mission-driven team environment Medical Specialty Geriatrics Hospice & Palliative Care If you're a passionate leader looking to make a meaningful difference in end-of-life care, we invite you to apply and join the Anchor Health family.
Select Medical

Registered Nurse (RN) - FT Days - $7,500 Sign on

$55.67 - $75.63 / hour
Overview California Rehabilitation Institute *A Joint Venture with Cedars, UCLA, and Select Medical* Century City - Los Angeles, CA Registered Nurse (RN) / Full Time – Day Shift 7:00am -7:30pm Pay Rate $55.67 - 75.63 **$7,500 Sign on Bonus** Competitive shift differentials for weekends Why work for California Rehab? We are committed to your growth and success! Clinical Ladder Program (varies per location) Tuition Reimbursement Student Debt Benefit Program Extensive and thorough orientation program Team oriented environment Health, Dental, and Vision insurance; Life insurance; Prescription coverage Paid Time Off (PTO) and Extended Illness Days (EID) A 401(k) retirement plan with company match Short and Long Term Disability Personal and Family Medical Leave Here, you will provide advanced treatment and comprehensive care to best address the medical, physical, emotional and vocational challenges for individuals with brain injuries, spinal cord injuries, neurological disorders, orthopedic issues, amputation, and multiples traumas. Responsibilities On each shift, you will partner with a Nursing Assistant partner and handle a manageable case load. Together, you will help our patients achieve outlined goals and milestones on their individual patient care plan. Receiving admissions and/or transfers. Initial and ongoing systematic patient assessment. Timely and accurate documentation using EPIC Interpreting assessment/diagnostic data including labs and telemetry. Ensuring medical orders are transcribed and processed accurately. Promoting continuous quality improvement. Instructing and counseling patients/families. Qualifications Minimum requirements: Valid State RN License is required. BLS is required at hire. Preferred qualifications that will make you successful: BSN or enrollment in a BSN program is preferred. Clinical experience is preferred. *Post offer employment testing (POETs) are completed as part of the onboarding process and are to be completed before an employee's first day of work.* Additional Data Equal Opportunity Employer, including Disabled/Veterans .
L.A. Care Health Plan

Registered Nurse (RN) Manager, Appeals and Grievances General Operations (Clinical)

Salary Range: $117,509.00 (Min.) - $152,762.00 (Mid.) - $188,015.00 (Max.) ** Please note the following details for this role before applying: The candidate selected for this role MUST have recent experience with healthcare/managed care grievances The candidate selected for this role must live in California or be willing to relocate 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 Manager, Appeals & Grievances (A&G) & General Operations (Clinical) is responsible for the daily oversight of clinical appeals and grievances functions within the Appeals & Grievances Department to ensure clinical grievances, complaints, appeals and complex issues are investigated and resolved using regulatory guidance across all lines of business. Provides direct supervision to the A&G clinical team and the unit that supports them in order to assure operational effectiveness which includes the implementation and adherence to L.A. Care's Policies & Procedures that meet Centers for Medicare and Medicaid Services (CMS), the California Department of Health Care Services (DHCS), the California Department of Managed Health Care (DMHC), the Managed Risk Medical Insurance Board (MRMIB), National Committee for Quality Assurance (NCQA) and other rules/ regulations/ standards. The Manager is responsible for establishing and monitoring processes to oversee and coordinate the identification, documentation, reporting, investigation and resolution of all member appeals and grievances in a timely and culturally-appropriate manner. Coordinates, tracks, and resolves internal and external appeal and grievance complaints for L.A. Care Plan Partners, including identifying opportunities for improvement. This position will be a role model for integrity and will establish and maintain effective professional work relationships, working collaboratively with all levels of management and business owners to help guide the discipline of planning, organizing, securing, managing, leading, and controlling resources to achieve specific goals. Manages all aspects of running an efficient team, including hiring, supervising, coaching, training, disciplining, and motivating direct-reports. Duties Manage and oversee the handling of clinical grievances and appeals, for L.A. Care and Plan Partner members. Establishes and oversees processes and all relevant member correspondence for accuracy, clarity, and cultural appropriateness and sensitivity. Review and monitor procedures for identifying quality of care issues and work collaboratively with cross-functional departments to appropriately address and resolve member grievances. Serve as the Key Contact for State Fair Hearings, internal and external audits, DMHC and DHCS inquiries. Review and monitor procedures for identifying quality of care issues and work collaboratively with cross-functional departments to appropriately address and resolve member and provider grievances. Responsible for timely daily operations in the A&G Clinical Services Unit and other general operations units. Ensures timely appeal and grievance reporting to regulatory agencies, internal Regulatory Affairs and Compliance Department, internal Quality Oversight Committee, etc. Collaborates with cross-functional departments to ensure the use of appropriate appeal and grievance issue codes, timely resolution, and refers to community partners as appropriate. Lead, participate and provide representation of the A&G Team at Internal and External meetings/workgroups and acts as the point person for A&G Programs especially the Clinical Programs. Develop and execute on strategic opportunities to improve the overall appeals & grievance process. Create a best in clinical appeals process that is efficient and effective in managing member appeals. Work cross functionally and collaboratively within Appeals and Grievances with key internal partners to build a high functioning, results oriented environment and organization. Duties Continued Partner with internal and external stakeholders to build and maintain collaborative relationships and partnerships. Identify areas of connection to leverage and create added value for L.A. Care. Provide input into the development of automation to guide the team to process efficiencies for all lines of business while maintaining compliance and manageable workloads for staff. Responsible for maintaining and updating on an annual basis, or as necessary, appeal and grievance policies and procedures, member correspondence, etc., consistent with regulatory changes. Develop and maintain inventory reports for the appeals process ensuring appropriate productivity, compliance, and inventory management. Identify and implement continuous business process improvement recommendations to leverage organizational added value to the Appeals and Grievances Department. Develop and implement short and long-term strategies to improve team results, reducing administrative expenses. Manage staff, including, but not limited to: monitoring of day to day activities of staff, monitoring of staff performance, mentoring, training, and cross-training of staff, handling of questions or issues, etc. raised by staff, encourage staff to provide recommendations for relevant process and systems enhancements, among others. Supervision of the Clinical Services unit and general operations within Appeals and Grievances. Maintain a team of top talent, providing a culture of teamwork and collaboration. Perform other duties as assigned Education Required Bachelor's Degree in Nursing Education Preferred Experience Required: 6 years of clinical acute care experience with at least 3 years of experience with health care grievance and/or appeals issues, preferably in a managed care or Medicaid Health Plan environment and/or public services or public benefits programs. At least 3 years of management level operations leadership experience. Experience working with firm deadlines, regulators, detail oriented with the ability to interpret and apply regulations Experience building relationships with organizations and business partners. Equivalency: Completion of the L.A. Care Management Certificate Training Program may substitute for the supervisory/management experience requirement. Preferred: Managed care experience. Skills Required: Excellent analytical, problem solving, planning and implementation skills. Demonstrated strong writing and communication skills. Demonstrates excellent leadership, communication, and negotiation skills with the ability to interact and influence all levels of the organization including executive management and key decision -makers. Demonstrates professional judgement, and critical thinking, to promote the delivery of quality, cost-effective care. Time management and priority setting skills. Excellent understanding of NCQA, DMHC, DOI, DHCS, and CMS regulatory requirements. Knowledge of Coordination of Care, Medicare and Medi-Cal regulations, prior authorization, level of care and length of stay criteria sets. Able to work effectively with various internal departments/service areas, L.A. Care's plan partners, participating provider groups, and other external agencies. Able to operate PC-based software programs including proficiency in Word, Excel and PowerPoint presentations. Excellent verbal, written communication and presentation skills. 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)
Prime Healthcare

Certified Nurse Assistant, CNA- Physical Rehab (4W)

Overview Centinela Hospital Medical Center has been serving the communities of Inglewood and the wider Los Angeles area for nearly 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 emergency department and primary stroke center, orthopedic care, advanced cardiac services, critical care services, robotics surgery program, inpatient and outpatient rehab programs, labor and delivery, and more. Join an award-winning team of dedicated professionals committed to our core values of quality, compassion and community! Why Prime Healthcare? Centinela Hospital Medical Center; a member of Prime Healthcare, offers incredible opportunities to expand your horizons and be part of a community dedicated to making a difference. Celebrating Our Centinela Hospital Heroes Centinela has earned hundreds of national awards and recognitions, including "100 Top Hospital" recognition from Fortune/Merative and straight 'A's (2018-2022) for hospital safety from The Leapfrog Group. For more information, visit www.centinelamed.com. 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 401K retirement plan Outstanding Medical Dental Vision Coverage Tuition Reimbursement Many more Voluntary Benefit Options! Benefits may vary based on collective bargaining agreement requirements and/or the employment status, i.e. full-time or part-time. Responsibilities Assists with activities of daily living, provides basic nursing care to acute rehabilitation patients and assists in maintenance of a safe environment under the direction and supervision of the Registered nurse in charge of the team and / or unit. Qualifications EDUCATION, EXPERIENCE, TRAINING Certification for nursing assistant required Ability to read, write, speak and understand English. Knowledge of Medical Terminology. Previous experience in an acute care hospital or physician’s office. Current BCLS required. 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. Benefits may vary based on collective bargaining agreement requirements and/or the employment status, i.e. full-time or part-time. The current compensation range for this role is $25.70 to $25.70. 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
Adventist Health

RN, Navigator, Cancer, Full Time, Day Shift-8 Hr, Cancer Center, Glendale

Job Description Nestled between Burbank and Pasadena, Adventist Health Glendale is one of the area's leading healthcare providers. We are comprised of a 515-bed hospital, two urgent cares, home care services, comprehensive cardiology care and a vast scope of services located in the San Fernando Valley. We are committed to the development and empowerment of our nurses and have received Magnet designation from the American Nurses Credentialing Center. Glendale is known for its urban living, with easy access to dining, entertainment, shopping, amusement parks and outdoor recreation. Adventist Health Glendale is proud to be part of the thriving, diverse community since 1905. Job Summary Acts as a patient advocate. Guides patients through the oncology care system, establishing contact with newly diagnosed cancer patients and/or family member, or caregiver. Understands the clinical care options for patients and directs them to healthcare services within the organization, at outside facilities and within the community for timely treatment and survivorship. Actively identifies and addresses population and patient specific barriers to care that might keep the patient from receiving timely and appropriate treatment. Connects patients with resources, healthcare and support services in their communities. Supports the physician and interdisciplinary team in facilitating patient care with the underlying objective of enhancing the quality of clinical outcomes and patient satisfaction. Implements day-to-day care management interventions for identified clinic patients. Job Requirements Education and Work Experience: Bachelor's Degree in Nursing (BSN): Preferred Oncology nursing experience: Preferred Experience in healthcare screening or cancer control activities: Preferred Licenses/Certifications Registered Nurse (RN) licensure in the state of practice: Required Cardiopulmonary Resuscitation (CPR) or Basic Life Support (BLS OR HS-BLS OR RQIBLS) certification: Preferred Oncology Certified Nurse (OCN): Preferred Essential Functions Assists patient and family in identifying and accessing appropriate institutional and community resources. Implements appropriate care intervention and follow-up to ensure patients receive timely care, preventing delays and access to appropriate services and follow up instructions from managing physicians. Interacts with other hospital departments in fulfilling the needs of the patients. Makes initial and ongoing assessments of patient needs (clinical, emotional and social) and makes appropriate recommendations or referrals for care. Facilitates the timely completion and confidential reporting of diagnostic testing results to patients and families with interpretation, as well as to ordering clinicians through active tracking of ordered tests. Collaborates with the team of patient, family, and healthcare providers in providing patient care in a safe, healing, humane, and caring environment. Provides learning opportunities for patients/family members and team members. Directly provides health information to patients, families, and treatment team. Documents coordinator and patient interactions in electronic or hardcopy chart in a manner consistent with hospital standards. Creates reports from patient data such as volumes and outcomes. Monitors, analyzes, and reports to clinic governing body clinical and operational key indicators and identifies opportunities for performance improvement Assists research nurses and oncologists with accruing eligible patients to clinical trials. Performs duties relevant to clinical trials including obtaining informed consent and patient instruction regarding study design and purpose. Assesses and documents clinical trial patient’s physiological and psychological condition as required by research protocol. Complies with clinical trial protocols regarding data collection and coordination of direct clinical care. Performs other job-related duties as assigned. Organizational Requirements Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply. Adventist Health participates in E-Verify. Visit https://adventisthealth.org/careers/everify/ for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein. About Us Adventist Health is a faith-based, nonprofit, integrated health system serving more than 100 communities on the West Coast and Hawaii with over 440 sites of care, including 27 acute care facilities. Founded on Adventist heritage and values, Adventist Health provides care in hospitals, clinics, home care, and hospice agencies in both rural and urban communities. Our compassionate and talented team of more than 38,000 includes employees, physicians, Medical Staff, and volunteers driven in pursuit of one mission: living God's love by inspiring health, wholeness and hope. Show more Show less
Prime Healthcare

Certified Nurse Assistant, CNA - Med/Surg (8E)

Overview Centinela Hospital Medical Center has been serving the communities of Inglewood and the wider Los Angeles area for nearly 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 emergency department and primary stroke center, orthopedic care, advanced cardiac services, critical care services, robotics surgery program, inpatient and outpatient rehab programs, labor and delivery, and more. Join an award-winning team of dedicated professionals committed to our core values of quality, compassion and community! Why Prime Healthcare? Centinela Hospital Medical Center; a member of Prime Healthcare, offers incredible opportunities to expand your horizons and be part of a community dedicated to making a difference. Celebrating Our Centinela Hospital Heroes Centinela has earned hundreds of national awards and recognitions, including "100 Top Hospital" recognition from Fortune/Merative and straight 'A's (2018-2022) for hospital safety from The Leapfrog Group. For more information, visit www.centinelamed.com. 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 401K retirement plan Outstanding Medical Dental Vision Coverage Tuition Reimbursement Many more Voluntary Benefit Options! Benefits may vary based on collective bargaining agreement requirements and/or the employment status, i.e. full-time or part-time. Responsibilities Assists with activities of daily living, provides basic nursing care to non critical patients and assists in maintenance of a safe environment under the direction and supervision of the Registered nurse in charge of the team and / or unit. Qualifications EDUCATION, EXPERIENCE, TRAINING Certification for Certified Nursing Attendant required. Ability to read, write, speak and understand English. Knowledge of Medical Terminology, preferred. Previous experience in an acute care hospital or physician’s office. BCLS upon hire. 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. Benefits may vary based on collective bargaining agreement requirements and/or the employment status, i.e. full-time or part-time. The current compensation range for this role is $25.70 to $25.70. The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire, in which a wide range of factors will be considered, including but not limited to, skillset, years of applicable experience, education, credentials and licensure. Employment Status Full Time Shift Nights Equal Employment Opportunity Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf Privacy Notice Privacy Notice for California Applicants: https://www.primehealthcare.com/wp-content/uploads/2024/04/Notice-at-Collection-and-Privacy-Policy-for-California-Job-Applicants.pdf
Prime Healthcare

Certified Nurse Assistant, CNA - Physical Rehab (4W)

Overview Centinela Hospital Medical Center has been serving the communities of Inglewood and the wider Los Angeles area for nearly 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 emergency department and primary stroke center, orthopedic care, advanced cardiac services, critical care services, robotics surgery program, inpatient and outpatient rehab programs, labor and delivery, and more. Join an award-winning team of dedicated professionals committed to our core values of quality, compassion and community! Why Prime Healthcare? Centinela Hospital Medical Center; a member of Prime Healthcare, offers incredible opportunities to expand your horizons and be part of a community dedicated to making a difference. Celebrating Our Centinela Hospital Heroes Centinela has earned hundreds of national awards and recognitions, including "100 Top Hospital" recognition from Fortune/Merative and straight 'A's (2018-2022) for hospital safety from The Leapfrog Group. For more information, visit www.centinelamed.com. 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 401K retirement plan Outstanding Medical Dental Vision Coverage Tuition Reimbursement Many more Voluntary Benefit Options! Benefits may vary based on collective bargaining agreement requirements and/or the employment status, i.e. full-time or part-time. Responsibilities Assists with activities of daily living, provides basic nursing care to acute rehabilitation patients and assists in maintenance of a safe environment under the direction and supervision of the Registered nurse in charge of the team and / or unit. Qualifications EDUCATION, EXPERIENCE, TRAINING Certification for nursing assistant required Ability to read, write, speak and understand English. Knowledge of Medical Terminology. Previous experience in an acute care hospital or physician’s office. Current BCLS required. 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. Benefits may vary based on collective bargaining agreement requirements and/or the employment status, i.e. full-time or part-time. The current compensation range for this role is $25.70 to $25.70. The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire, in which a wide range of factors will be considered, including but not limited to, skillset, years of applicable experience, education, credentials and licensure. Employment Status Full Time Shift Nights Equal Employment Opportunity Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf Privacy Notice Privacy Notice for California Applicants: https://www.primehealthcare.com/wp-content/uploads/2024/04/Notice-at-Collection-and-Privacy-Policy-for-California-Job-Applicants.pdf
Adventist Health

Registered Nurse (RN) Step Down Unit, Full time, Night Shift

Job Description Nestled between Burbank and Pasadena, Adventist Health Glendale is one of the area's leading healthcare providers. We are comprised of a 515-bed hospital, two urgent cares, home care services, comprehensive cardiology care and a vast scope of services located in the San Fernando Valley. We are committed to the development and empowerment of our nurses and have received Magnet designation from the American Nurses Credentialing Center. Glendale is known for its urban living, with easy access to dining, entertainment, shopping, amusement parks and outdoor recreation. Adventist Health Glendale is proud to be part of the thriving, diverse community since 1905. Job Summary Delivers coordinated nursing care for a patient or an assigned group of patients according to established standards of care and the nursing process. Supervises and directs the activities of various levels of assigned nursing staff, and coordinates care with other disciplines while utilizing critical thinking, professional and supervisory discretion, and independent judgment. Job Requirements Education and Work Experience: Bachelor's Degree in Nursing (BSN): Preferred Acute care facility experience: Preferred Licenses/Certifications Registered Nurse (RN) licensure in the state of practice: Required Cardiopulmonary Resuscitation (CPR) or Basic Life Support (BLS OR HS-BLS OR RQIBLS) certification: Required Department Specific License/Certifications Advanced Cardiac Life Support (ACLS) or Advanced Cardiac Life Support (ACLS) or RQIACLS: Required NIH Stroke Scale (NIHSS): Required Essential Functions Collects relevant data pertinent to the patient’s health or situation. Analyzes the assessment data in determining diagnosis and care issues. Develops a plan that prescribes interventions to attain outcomes. Implements the plan, coordinates care delivery, and employs strategies to promote health and a safe environment. Evaluates progress toward attaining outcomes. Identifies outcomes for the patient or the patient’s situation. Collaborates with the team of patient, family, and healthcare providers in providing patient care in a safe, healing, humane, and caring environment. Provides learning opportunities for patients/family members and team members. Directly provides health information to patients, families, and treatment team. Participates in discharge planning in order to provide continuity of care. Delegates appropriately and coordinates duties of healthcare team members. Performs other job-related duties as assigned. Organizational Requirements Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply. Adventist Health participates in E-Verify. Visit https://adventisthealth.org/careers/everify/ for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein. About Us Adventist Health is a faith-based, nonprofit, integrated health system serving more than 100 communities on the West Coast and Hawaii with over 440 sites of care, including 27 acute care facilities. Founded on Adventist heritage and values, Adventist Health provides care in hospitals, clinics, home care, and hospice agencies in both rural and urban communities. Our compassionate and talented team of more than 38,000 includes employees, physicians, Medical Staff, and volunteers driven in pursuit of one mission: living God's love by inspiring health, wholeness and hope. Show more Show less
Adventist Health

Field LVN (Home Health)

Job Description Our home health and hospice agencies are located throughout California, Hawaii, Oregon and Washington. They serve the entire community and offer personalized in-home care, and many have been recipients of Home Care Elite awards. So whether you're looking for the buzz of a large city, the tranquility of nearby mountain bike trails or something in between, we encourage you to explore our organization. Job Summary Performs procedures which require specialized training for general nursing care and related services for assigned patients, under the direction of a Registered Nurse (RN) or Medical Doctor (MD), in accordance with established policy. Participates in the planning for and provision of patient care. Uses knowledge of asepsis in performance of treatments, such as sterile dressings, irritations and cauterizations. Provides functional direction to ancillary personnel. On call duties will be assigned based on location and agency operational needs. If assigned by agency leadership, incumbent is required to perform on call duties. Job Requirements Education and Work Experience: High School Education/GED or equivalent: Preferred Bachelor’s Degree or equivalent combination of education/related experience: Preferred Licenses/Certifications Licensed Vocational Nurse (LVN) licensure in the state of practice: Required Basic Life Support (BLS OR HS-BLS OR RQIBLS) Health Care Provider certification: Required Arrhythmia certification: Preferred Valid Driver’s License (DL) and must be at least 21 years of age or older: Preferred Licensed Vocational Nurse/Licensed Practical Nurse (LVN/LPN) or Registered Nurse (RN) or Nurse Practitioner (NP): Required Essential Functions Provides care for assigned patients, under the supervision of an Registered Nurse (RN) according to established standard and nursing process. Performs routine visits based on departmental specific policy and procedures. Assists in the development of a prioritized interdisciplinary plan of care on each patient. Implements and coordinates plan of care utilizing appropriate organizational skills and reporting mechanisms. Implements individual teaching plans, including Patient Teaching Protocols and discharge Plans, based on mutual goal setting and with emphasis on patient decision making. Performs assigned clinical procedures (i.e. phlebotomy, injections, drug screens, etc.) Administers medications. Orders/restocks supplies as assigned, according to established par levels. Maintains neatness/cleanliness in assigned areas. Performs other job-related duties as assigned. Organizational Requirements Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply. Adventist Health participates in E-Verify. Visit https://adventisthealth.org/careers/everify/ for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein. About Us Adventist Health is a faith-based, nonprofit, integrated health system serving more than 100 communities on the West Coast and Hawaii with over 440 sites of care, including 27 acute care facilities. Founded on Adventist heritage and values, Adventist Health provides care in hospitals, clinics, home care, and hospice agencies in both rural and urban communities. Our compassionate and talented team of more than 38,000 includes employees, physicians, Medical Staff, and volunteers driven in pursuit of one mission: living God's love by inspiring health, wholeness and hope. Show more Show less
Roper St. Francis Healthcare

Registered Nurse (RN) - Labor And Delivery And Postpartum - Mobile Resource Pool

Thank you for considering a career at Roper St. Francis Healthcare! Scheduled Weekly Hours: 36 Work Shift: Evenings/Nights (United States of America) Shift Hours: 7:00pm - 7:30am including rotating weekends. This position will float between Berkeley Hospital (Summerville) and Bon Secours St. Francis Hospital (West Ashley). Job Summary: To provide nursing care for patients following established standards and practices in accordance with the South Carolina Nurse Practice Act. To apply professional nursing theory and practice to assess, plan, implement and evaluate patient care. The RN MRP - Facility Based position is required to work in assigned Facility; work every other weekend; provide holiday coverage as defined in assigned rotating MRP Holiday Package. Minimum Qualifications: Education: Graduate of an accredited school or college of nursing. BSN preferred or required within five (5) years of hire date. Current RN Teammates transferring to another RN position in the same Service Line/Specialty will not be required to complete BSN within five (5) years of transfer date. Effective July 1, 2022, current RN Teammates transferring to another RN position in a different Service Line/Specialty will be required to complete BSN within five (5) years of transfer date. Experience: 1 year of recent inpatient Labor and Delivery nursing experience required. Manager prefers 2 years Labor and Delivery RN experience or 1-2 years Nursery RN experience. Licensure/Certification: Currently licensed as a Registered Nurse in the state of South Carolina or holds a current compact/multi-state license as a Registered Nurse in a recognized NCSBN Compact State and is not a permanent resident of SC. Must have a current American Heart Association BLS for Healthcare Provider Card. Primary Source Verification : Yes. http://www.llr.state.sc.us/ or compact RN state licensing board. Knowledge/Skills: Knowledge of the professional nursing theory and practice to give and evaluate patient care. Knowledge of organizational policies and procedures to administer patient care. Knowledge of common safety hazards and precautions to establish a safe work environment. Skill in applying and modifying the principles, methods and techniques of professional nursing to provide on-going patient care. Skill in identifying problems and recommending solutions. Skill in preparing and maintaining records and writing reports. Skill in establishing and maintaining effective working relationships with patients, hospital, medical staff and the public. Ability to analyze situations and apply critical thinking. Ability to communicate clearly. Ability to react calmly and effectively in emergency situations. Other: Contacts: Constant interaction with internal and external customers to include (but not limited to) patients, families, physicians, employees, and visitors. Roper St. Francis Healthcare is an equal opportunity employer. As a Roper St. Francis Healthcare teammate, 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, and short- and long-term disability Tuition assistance, professional development and continuing education support Benefits may vary based on the market and employment status. Department: SS Nursing - Workforce - WIC Mobile Resource Pool - St Francis Hospital 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, all 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 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@RSFH.com .
L.A. Care Health Plan

Payment Integrity Nurse Coder RN III

Salary Range: $102,183.00 (Min.) - $132,838.00 (Mid.) - $163,492.00 (Max.) Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation’s largest publicly operated health plan. Serving more than 2 million members, we make sure our members get the right care at the right place at the right time. Mission: L.A. Care’s mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose. Job Summary The Payment Integrity Nurse Coder RN III is responsible for investigating, reviewing, and providing clinical and/or coding expertise/judgement in the application of medical and reimbursement policies within the claim adjudication process through medical record review for Payment Integrity and Utilization Management projects. The position serves as a subject matter expert (SME), performing medical records reviews to include quality audits as well as validation of accuracy and completeness of all coding elements. The position is also responsible for guidance related to Payment Integrity initiatives to include concept and cost avoidance development. This position trains and mentors Payment Integrity Nurse Coder, RN staff. Acts as a Subject Matter Expert, serves as a resource and mentor for other staff. Duties Performs Quality Audits to include validation of accuracy and completeness of ICD, Rev Code, CPT, HCPCs, APR, DRG, POA, and all relevant coding elements. Audits can include inpatient, outpatient, and professional claims. Serves cross functionally with Utilization Management, Medical Directors, and other internal teams to assist in identification of overpayments as well as other projects. Serves as SME for all Payment Integrity functions to include both Retrospective Data Mining as well as Pre-Payment Cost Avoidance. Identifies trends and patterns with overall program and individual provider coding practices. Responsible for training and mentoring Payment Integrity Nurse Coder, RN staff. Supports the creation and execution of strategies that determine impact of opportunity and recover overpayments as well as prospective internal controls preventing future overpayments of each applicable pipeline opportunity. Works with both internal and external groups to define and develop cost avoidance measures to ensure continued success. Identifies and defines Payment Integrity issues and reviews and analyzes evidence, utilizes data for the purpose of verifying errors and identifying systemic errors, works as an active team member during scheduled engagements and work collaboratively to achieve the goals of the team, and provides feedback to the team lead on any issues identified during research or claims review. Applies subject expertise in evaluating business operations and processes. Identifies areas where technical solutions would improve business performance. Consults across business operations, providing mentorship, and contributing specialized knowledge. Ensures that the facts and details are correct so that the project’s/program's deliverable meets the needs of the department, organization and legislation's policies, standards, and best practices. Provides training, recommends process improvements, and mentors junior level staff, department interns, etc. as needed. Performs other duties as assigned. Duties Continued Education Required Associate's Degree in Nursing Education Preferred Bachelor's Degree in Nursing Experience Required: At least 8 years of clinical RN experience. At least 3 years of experience in utilization management or clinical coding. Investigation and/or auditing experience. Skills Required: Knowledge in CPT, HCPCS, ICD-9, ICD-10, Medicare, and Medicaid rules and regulations. Knowledge of healthcare reimbursement concepts, health insurance business, industry terminology, and regulatory guidelines. Working knowledge of claims coding and medical terminology. Solid understanding of standard claims processing systems and claims data analysis. Strong project leadership and management skills required; ability to prioritize, plan, and handle multiple tasks/demands simultaneously. Excellent interpersonal, verbal, and written communication skills required with excellent analytical and problem-solving skills. Detail oriented and ability to thrive in fast-paced work environment. Must be collaborative and have the ability to establish credibility quickly with all levels of management across multiple functional areas and be able to present findings across all departments. Must be familiar with coordinating benefits between health plan payers. Advanced knowledge of Microsoft Office suite, including Word, Excel and PowerPoint. Licenses/Certifications Required Registered Nurse (RN) - Active, current and unrestricted California License Certified Professional Coder (CPC) designation by the American Academy of Professional Coders and/or Certified Coding Specialist (CCS) designation by the American Health Information Management Association (AHIMA). 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)
Adventist Health

Registered Nurse (RN) Cardiac Telemetry, Full Time, Night Shift

Job Description Nestled between Burbank and Pasadena, Adventist Health Glendale is one of the area's leading healthcare providers. We are comprised of a 515-bed hospital, two urgent cares, home care services, comprehensive cardiology care and a vast scope of services located in the San Fernando Valley. We are committed to the development and empowerment of our nurses and have received Magnet designation from the American Nurses Credentialing Center. Glendale is known for its urban living, with easy access to dining, entertainment, shopping, amusement parks and outdoor recreation. Adventist Health Glendale is proud to be part of the thriving, diverse community since 1905. Job Summary Delivers coordinated nursing care for a patient or an assigned group of patients according to established standards of care and the nursing process. Supervises and directs the activities of various levels of assigned nursing staff, and coordinates care with other disciplines while utilizing critical thinking, professional and supervisory discretion, and independent judgment. Job Requirements Education and Work Experience: Bachelor's Degree in Nursing (BSN): Preferred Acute care facility experience: Preferred Licenses/Certifications Registered Nurse (RN) licensure in the state of practice: Required Cardiopulmonary Resuscitation (CPR) or Basic Life Support (BLS OR HS-BLS OR RQIBLS) certification: Required Department Specific License/Certifications Advanced Cardiac Life Support (ACLS) or Healthstream Advanced Cardiac Life Support (HS-ACLS) or RQIACLS: Required Essential Functions Collects relevant data pertinent to the patient’s health or situation. Analyzes the assessment data in determining diagnosis and care issues. Develops a plan that prescribes interventions to attain outcomes. Implements the plan, coordinates care delivery, and employs strategies to promote health and a safe environment. Evaluates progress toward attaining outcomes. Identifies outcomes for the patient or the patient’s situation. Collaborates with the team of patient, family, and healthcare providers in providing patient care in a safe, healing, humane, and caring environment. Provides learning opportunities for patients/family members and team members. Directly provides health information to patients, families, and treatment team. Participates in discharge planning in order to provide continuity of care. Delegates appropriately and coordinates duties of healthcare team members. Performs other job-related duties as assigned. Organizational Requirements Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply. Adventist Health participates in E-Verify. Visit https://adventisthealth.org/careers/everify/ for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein. About Us Adventist Health is a faith-based, nonprofit, integrated health system serving more than 100 communities on the West Coast and Hawaii with over 440 sites of care, including 27 acute care facilities. Founded on Adventist heritage and values, Adventist Health provides care in hospitals, clinics, home care, and hospice agencies in both rural and urban communities. Our compassionate and talented team of more than 38,000 includes employees, physicians, Medical Staff, and volunteers driven in pursuit of one mission: living God's love by inspiring health, wholeness and hope. Show more Show less
L.A. Care Health Plan

Care Management Specialist II, D-SNP Team (12 month Assignment)

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 Care Management Specialist II utilizes clinical skills and training to perform essential functions of care management for identified and assigned member population according to Health Insurance Portability and Accountability Act (HIPAA) guidelines. Manages a specified caseload across the entire continuum of programmatic levels including those within National Committee for Quality Assurance (NCQA) scope or otherwise Complex/Catastrophic cases, which are those with the severest acuities or care needs and requiring the highest clinical skills and judgement. Management of the caseload assigned by Manager includes: coordinating health care benefits, providing education and facilitating member access to care in a timely and cost-effective manner. Collaborates and communicates with member, family, and interdisciplinary health team to promote wellness and member empowerment, while ensuring access to appropriate services across the healthcare continuum and maximizing member benefit: Serves as clinical advocate for members, active interdisciplinary team member, liaison with other departments and external health care team. Provides direction and assistance to Care Coordinators and to Community Health Workers (CHW) of members needs including the need for special educational mailings, reminder calls, satisfaction surveys, incentives or any additional service needs according to specific program guidelines. Uses claims processing and care management software to look up member information, document contacts, and track member progress. Duties Applies clinical knowledge and experience to evaluate information regarding prospective care management members referred by health risk assessment (HRA), risk stratification, predictive modeling, provider’s utilization review vendors, members, Call Center, claims staff, Health Homes Program (HHP) eligibility or other data sources to determine whether care management intervention is necessary to meet the member's needs. Conducts Care Management services for the most complex and vulnerable members including: engaging in member centric communication which includes the interdisciplinary team, providers and family or authorized representatives; reviewing member claims histories and identifies intervention opportunities through the professional standards of practice; contacting and interviewing members to conduct a baseline assessment, assess self-care ability, assess knowledge and adherence deficits; conducting comprehensive clinical assessments as indicated; developing a member centric plan of care. Maintains assigned care management caseload for with a focus on the most complex, highest-risk members particularly those with advanced chronic conditions, co-occurring mental and/or substance abuse and complex social issues (e.g. homelessness, domestic violence). Collaborates with primary care physician and other treating professionals as appropriate. Authorizes initiation of care management services and specialized program services for members and specific populations, and develops interventions designed to meet member or population desired outcomes. Provides comprehensive education and resources to members about accessing services, in-network use, national guidelines for care, community resources, and self-management skills and strategies. Employs engagement techniques to build relationships with members and their authorized representatives. Encourages participants to participate in their health care decisions and assists member with researching treatment options in order to communicate effectively with providers and to make informed decisions. Notifies Care Coordinators and CHWs of members needs including the need for special educational mailings, reminder calls, satisfaction surveys, incentives or any additional service needs according to specific program guidelines. Performs field assessment and care coordination functions in community settings with members, such as at the L.A. Care Community Resource Centers, medical clinics, and member homes. Duties Continued Meets and assesses members at L.A. Care Community Resource Centers, as needed. Provides effective care management for Individualized Care Plan summary and interventions during the Interdisciplinary Care Team meetings based on department guidelines. Facilitates appropriate use of resources and coordinates necessary services to improve health status and impact the cost of care. Identifies member needs for and refers to appropriate internal and external programs, as appropriate. Encourages member and family empowerment through education and use of reliable resources. Monitors and evaluates member progress: evaluates member response to interventions and refines action plan to produce desired outcomes. Identifies complex care management issues and discusses possible solutions with management. Assesses effectiveness of care plan’s goals and interventions on a regular basis. Uses claims and care management software to document interactions and interventions with members, vendors, and providers. Maintains case information in the member's clinical records to promote care coordination. Provides ongoing direction and support to internal customers regarding Care Management programs, processes, and benefit coverage. Responsible for staying current with best practices, identifying areas for personal growth opportunities and works with management to develop a plan for obtaining the necessary training. Performs other duties as assigned. Education Required Associate's Degree in Nursing for Registered Nurses Master's Degree in Social Work for Licensed Clinical Social Workers Education Preferred Bachelor's Degree in Nursing for Registered Nurses Experience Required: Minimum of 3 years of recent care management experience with responsibilities of managing complex acute or chronic conditions in collaboration with members and interdisciplinary care professionals in a hospital, medical group or managed care setting, such as a health insurance environment and/or experience as care manager in home health or hospice environments. Experience providing care management with complex/catastrophic conditions. Skills Required: Current knowledge of clinical standards of care and disease processes. Critical thinking skill. Excellent customer service skills. Ability to clinically analyze the most complex cases involving highly acute physical health, behavioral health, complex/catastrophic and/or psychosocial issues to determine and implement the most effective member-centered interventions. Ability to triage immediate member health and safety risks. Ability to sensitively manage member or family responses associated with high acuity cases and support effective coping. Strong verbal and written communications skills to consult effectively with interdisciplinary teams, coordinate care with members and their families, and other internal and external stakeholders. Ability to use a personal computer, and knowledge of medical information systems. Knowledge of and ability to comply with HIPAA compliance. Ability to interview, assess and coordinate care. Ability to prioritize caseload. Knowledge of community resources. Knowledge of Medi-Cal and Medicare regulations. Ability to work as a part of a diverse team and gain consensus and resolution of problems. Preferred: Bilingual in one of L.A. Care Health Plan’s threshold languages is highly desirable. English, Spanish, Chinese, Armenian, Arabic, Farsi, Khmer, Korean, Russian, Tagalog, Vietnamese. Licenses/Certifications Required Registered Nurse (RN);current and unrestricted California License OR Licensed Clinical Social Worker; current and unrestricted California License. Licenses/Certifications Preferred Certified Case Manager (CCM) Accredited Case Manager (ACM) Certification Case Management Nurse – Board Certified (CMGT-BC) Required Training Physical Requirements Light Additional Information Required: Travel to offsite locations for work. 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. This position is a limited duration position. The term of this position is a minimum one year and maximum of two years from the start date unless terminated earlier by either party. Limited duration positions are full-time positions and are eligible to receive full benefits. 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)