NP Jobs in Westminster, CA
$149,000 - $156,000 / year
How You'll Make An Impact We are hiring Nurse Practitioners and Physician Assistants with acute care experience in ER, Urgent Care, or Internal Medicine to join our growing team serving the Orange County, CA community. Our field based Advanced Practice Providers are equipped with everything needed to treat common to complex injuries and illnesses in the home through comprehensive health assessments, including diagnosis, treatment, and outcome management, for patients of all ages. Our innovative model allows us to provide definitive care in the home, including point of care laboratory studies, minor procedures, splinting, wound care, suturing, IV fluid and medication administration. We provide whole person care by facilitating timely follow up and care coordination. The ideal candidate will possess exceptional clinical skills, strong communication abilities and a commitment to compassionate care. The DispatchHealth mission and model allow our providers to deliver high-quality and high-value care with exceptional patient satisfaction. What You'll Do Salary range: $149,000 - $156,000/year If you elect to work additional shifts, you will receive extra shift pay (in addition to your salary) Flexible Shifts: 10-hour shifts (8:00am - 6:00pm or 10:00am - 8:00pm) Work-Life Balance: You’ll be required to work 3-4 shifts per week , this would include the requirement of every other weekend (Saturday and Sunday). If you elect to work additional shifts, you will receive extra shift pay (in addition to your salary). Holiday Schedule: You are expected to work three (3) holidays annually. 1:1 patient ratio , see 4-7 patients per shift. Competitive Pay & Benefits: Enjoy a competitive salary , comprehensive benefits package , and quarterly and annual bonuses as incentives. Our benefits package includes license renewal assistance. Career Growth: We provide on-site training and growth opportunities to help you advance your career. Solo Requirement: You will drive to the patient’s place of residence in a DispatchHealth branded “Rover” and will independently deliver care. Treat patients as a mobile unit and driving in a company vehicle to the place of service. Perform comprehensive health assessments and diagnose and treat mild to complex illnesses. Provide therapeutic interventions, such as splinting, suturing, wound care and minor procedures. Use critical thinking skills and follow evidence-based standards of practice. Accurately and thoroughly document your patient encounter and ensure accuracy. Analyze test data to diagnose, treat and arrange appropriate follow up for the patient to ensure continuity of care. Educate patients and families on how to treat their illness or condition and manage their health and well-being. Effectively navigate difficult conversations related to end-of-life issues and goals of care. Communicate effectively and clearly with patients, family, the medical power of attorney, primary care provider and all individuals involved in the patient’s care. Identify and proactively solve problems. Adhere to clinical and safety standards, protocols, and performance metrics. Provide care with compassion, empathy, and cultural competency. Maintain positive relationships with clinical partners and remote teams. Attend training sessions and clinical team meetings. Maintain professional etiquette and serve as ambassadors for DispatchHealth. Additional duties as assigned. What You Need Education, Licensing, and Experience Minimum of two years of experience as an APP in the Emergency Department, Urgent Care, Internal Medicine, Hospital, Family Practice, Cardiac, Pulmonary or other relevant areas Graduate with an advanced degree from an accredited institution are preferred Current unrestricted state license as a Nurse Practitioner or Physician Assistant Nationally board certified, current Current BLS / ACLS certification Prescriptive authority DEA in states where required Valid driver’s license with clean driving record Skills/Abilities Flexibility to work evenings, weekends, and holidays Ability to drive and sit in a car for long periods of time Ability to drive during the day and at night Ability to climb three flights of stairs while carrying equipment Ability to push, pull, and lift 50 pounds Ability to visually interpret test results Ability to hear with or without accommodation Ability to provide patient care in non-traditional or smaller spaces with limited room for movement Physical Demands While performing the duties of this job, employee is regularly required to sit, stand, walk, reach with hands and arms, and to talk and hear. Employee may be occasionally required to climb or balance, stoop, kneel, or crouch. Employee must occasionally lift, push and/or move up to 50 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus. Work Environment This position is considered field based, requiring travel within the metro area for all shifts with possible travel to practice locations in other states where properly licensed. The above describes the general content of and requirements for the performance of this position. It is not intended to be an all-inclusive statement of the duties, responsibilities, and requirements of the position. Position Type: : Full Time Work Place Type: : On-site Category: : Nurse Practitioners & Physician Assistants 
$275,000 - $325,000 / year
Medical Director - Utilization Management Department: HS - UM Employment Type: Full Time Location: 1600 Corporate Center Dr., Monterey Park, CA 91754 Reporting To: Dr. Dinesh Kumar Compensation: $275,000 - $325,000 / year Description As Medical Director - Utilization (UM) at Astrana Health, you will provide clinical oversight and strategic leadership through our utilization review operations to ensure members receive high-quality, medically appropriate, and cost-effective care. This is a critical, cross-functional role that bridges clinical expertise with operational execution across value-based care, capitated models, and delegated risk structures. You’ll work closely with teams in Care Management, Quality Improvement, Pharmacy, Behavioral Health, and Compliance to drive aligned decision-making that supports both optimal patient outcomes and efficient healthcare resource use. In this role, you’ll apply evidence-based criteria to utilization decisions, mentor clinical review teams, and support compliance with all applicable regulatory and contractual obligations. This position is ideal for a clinically grounded physician who thrives in a data-informed, team-based environment and is passionate about transforming how care is delivered in a risk-bearing, population health-focused ecosystem. Our Values: Put Patients First Empower Entrepreneurial Provider and Care Teams Operate with Integrity & Excellence Be Innovative Work As One Team What You'll Do Prior Authorization Management Review and issue timely determinations for prior authorization requests, ensuring medical necessity, regulatory compliance, and alignment with evidence-based clinical guidelines. Collaborate with care management and operational teams to streamline and enhance prior authorization workflows for efficiency and provider satisfaction. Provide clinical leadership in the development, implementation, and regular updating of authorization criteria and policies based on the latest medical standards. Promote transparency by clearly documenting and communicating authorization decisions to providers and members, including rationale and guidance for alternative treatment options when applicable. Utilization Management Provide oversight for the daily activities of the UM program, ensuring services are delivered appropriately and in accordance with clinical best practices. Analyze utilization data to identify trends, high-cost drivers, and opportunities for care optimization and cost containment. Participate in the clinical review of complex or high-cost cases, offering recommendations rooted in medical necessity and member-centered care. Collaborate with interdisciplinary clinical teams to ensure the appropriate use of healthcare resources without compromising quality. Quality Assurance and Improvement Ensure all UM activities meet applicable federal, state, and accreditation standards (e.g., CMS, NCQA). Lead and contribute to quality improvement initiatives focused on enhancing the effectiveness, accuracy, and consistency of the prior authorization and UM processes. Conduct audits and peer reviews to validate adherence to guidelines and evaluate the quality of medical decision-making. Provider and Member Communication Serve as the primary clinical contact for complex medical necessity determinations and escalated provider appeals. Build strong working relationships with providers by offering education and clarity around the prior authorization process and criteria. Support member care continuity by suggesting medically appropriate alternatives when requested services are denied. Regulatory Compliance and Accreditation Ensure full compliance with all applicable UM regulatory and accreditation standards, including NCQA and CMS requirements. Maintain up-to-date knowledge of evolving healthcare laws, policies, and industry standards affecting prior authorization and UM processes. Lead internal efforts to prepare for and maintain UM-related accreditation, including audits, documentation, and process improvement. Data Analysis and Reporting Monitor and analyze prior authorization and UM metrics (e.g., denial rates, turnaround times, appeal volumes) to identify performance gaps and track progress. Use data-driven insights to inform strategic decisions, improve process efficiency, and support cost management goals. Provide regular updates and reporting to senior leadership on program performance, cost impact, compliance status, and quality indicators. Qualifications Medical Degree (MD or DO) from an accredited institution; active and unrestricted medical license in CA. Board certification (preferred) in a relevant specialty (e.g., Internal Medicine, Family Medicine, or equivalent). Minimum 5+ years of clinical practice experience. At least 3 years of experience in utilization management or medical management within a health plan, IPA/MSO, or risk-bearing organization. Deep knowledge of managed care, value-based care, capitation, and CMS/Medi-Cal guidelines. Proficient in applying MCG, InterQual, or equivalent criteria. Strong understanding of state and federal regulations (e.g., CMS, DMHC, NCQA). Excellent communication skills, including the ability to engage providers in meaningful, respectful clinical dialogue. Highly collaborative mindset with a commitment to improving healthcare equity, quality, and cost-effectiveness. Environmental Job Requirements and Working Conditions This position operates on a hybrid schedule out of our Monterey Park office, located at 1600 Corporate Center Drive. We are seeking candidate who reside in Southern California who are able to go in-office for orientation, meetings, etc. The national target base salary range for this role is: $275,000 - $325,000. Actual compensation will be determined based on geographic location (current or future), experience, or other job-related factors. Astrana Health is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based on race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. All employment is decided based on qualifications, merit, and business need. If you require assistance in applying for open positions due to a disability, please email us at humanresourcesdept@astranahealth.com to request an accommodation. Additional Information: The job description does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the job change. 
