RN Jobs in Azusa, CA

Prime Healthcare

House Supervisor (RN) - Nursing Administration

Overview Chino Valley Medical Center is a 112-bed community hospital established in 1972 and centrally located in Southern California’s Chino Valley. A nine-time recipient of the Healthgrades Patient Safety Excellence Award (2014-2022), Chino Valley Medical Center has been recognized nationally for its quality, including as among the 100 Great Community Hospitals by Becker’s Hospital Review in 2018 and as among the 100 Top Hospitals by IBM Watson Health. Chino Valley Medical Center is committed to serving the community’s health care needs with top-rated emergency care as well as senior services, orthopedics, surgical services and more. Learn more at www.cvmc.com. Join an award-winning team of dedicated professionals committed to our core values of quality, compassion and community ! Why Prime Healthcare? Chino Valley 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. Chino Valley 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. Chino Valley Medical Center is nationally recognized, locally preferred, and community focused. Responsibilities The House Supervisor is a Registered Nurse who assumes administrative responsibility for the management of all department service functions on his/her shift. Makes frequent rounds throughout facility to monitor the delivery of care, oversee the quality of services and direct patient care activities as needed. Directly supervises, provides support to and communicates with all staff house-wide. In the absence of the Hospital Administrative staff, the administrative scope and responsibility is extended to all services within the hospital. Ensures efficient operations and patient flow throughout the hospital. Performs direct patient care, only as needed, within the scope of practice and competence. Ensures all temporary agency personnel are deployed and oriented in compliance with hospital policy. Assist medical staff with scheduling after hour procedures and calling in stand-by call staff members. Enhances the patient/family experience through supportive interactions and explanations of hospital policies as needed. Qualifications EDUCATION, EXPERIENCE, TRAINING 1. Current and valid license as a Registered Nurse.2. Current BLS (AHA) certificate upon hire and maintain current.3. ACLS (AHA) certificate 30 days upon hire and maintain current.4. PALS (AHA) certificate preferred. 5. One (1) year prior experience as a Supervisor preferred.6. Minimum of three (3) years acute care nursing experience 7. Bachelor of Science in Nursing (BSN). Pay Transparency Chino Valley Medical Center offers competitive compensation and a comprehensive benefits package that provides employees the flexibility to tailor benefits according to their individual needs. Our Total Rewards package includes, but is not limited to, paid time off, a 401K retirement plan, medical, dental, and vision coverage, tuition reimbursement, and many more voluntary benefit options. A reasonable compensation estimate for this role, which includes estimated wages, benefits, and other forms of compensation, is $49.05 to $66.01. 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
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
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.
Prime Healthcare

Registered Nurse (RN) - Med/Surg

Overview Join an award-winning team of dedicated professionals committed to our core values of quality, compassion and community! La Palma Intercommunity Hospital, a member of Prime Healthcare, offers incredible opportunities to expand your horizons and be part of a community dedicated to making a difference. Founded in 1972, La Palma Intercommunity Hospital is a 141-bed acute-care community hospital and the only hospital in La Palma. Our highly qualified team is committed to providing outstanding service in a safe, comfortable, and caring environment. Patients treated at La Palma Intercommunity Hospital benefit from the expertise of a large hospital system in a smaller, more personal setting. For more information visit www.lapalmaintercommunityhospital.com. Responsibilities The Registered Nurse is responsible for the delivery of safe patient care utilizing the nursing process of assessment, planning, implementation and evaluation. Provides direct patient care within the scope of practice. The Registered Nurse also directs and guides patient/family teaching and activities of other nursing personnel while maintaining standards of care in the Med/Surg/Telemetry Unit. The Registered Nurse is directly responsible and accountable for the care given to their assigned patients. They communicate with the physician about changes in the patient’s clinical condition including cardiac monitoring, results of diagnostic studies and symptomatology. Is able to respond quickly and accurately to changes in condition and/or response to treatment. Qualifications EDUCATION, EXPERIENCE, TRAINING 1. Current and valid state RN License.2. Current BLS certificate upon hire and maintain current.3. Current ACLS certificate 30 days upon hire and maintain current.4. Basic Arrythmia Interpretation within 30 days of hire.5. Previous Acute Care hospital experience preferred.6. Ventilator Management experience preferred.7. Bachelor of Science in Nursing (BSN) preferred Pay Transparency La Palma Intercommunity Hospital offers competitive compensation and a comprehensive benefits package that provides employees the flexibility to tailor benefits according to their individual needs. Our Total Rewards package includes, but is not limited to, paid time off, a 401K retirement plan, medical, dental, and vision coverage, tuition reimbursement, and many more voluntary benefit options. A reasonable compensation estimate for this role, which includes estimated wages, benefits, and other forms of compensation, is $43.08 to $57.91. The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire, in which a wide range of factors will be considered, including but not limited to, skillset, years of applicable experience, education, credentials and licensure. Employment Status Full Time Shift Days Equal Employment Opportunity Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf Privacy Notice Privacy Notice for California Applicants: https://www.primehealthcare.com/wp-content/uploads/2024/04/Notice-at-Collection-and-Privacy-Policy-for-California-Job-Applicants.pdf
Prime Healthcare

Registered Nurse (RN) - Emergency Services

Overview Join an award-winning team of dedicated professionals committed to our core values of quality, compassion and community! La Palma Intercommunity Hospital, a member of Prime Healthcare, offers incredible opportunities to expand your horizons and be part of a community dedicated to making a difference. Founded in 1972, La Palma Intercommunity Hospital is a 141-bed acute-care community hospital and the only hospital in La Palma. Our highly qualified team is committed to providing outstanding service in a safe, comfortable, and caring environment. Patients treated at La Palma Intercommunity Hospital benefit from the expertise of a large hospital system in a smaller, more personal setting. For more information visit www.lapalmaintercommunityhospital.com. Responsibilities The Registered Nurse is responsible for the delivery of safe patient care utilizing the nursing process of assessment, planning, implementation and evaluation. Provides direct patient care within the scope of practice. The Registered Nurse also directs and guides patient/family teaching and activities of other nursing personnel while maintaining standards of professional nursing care in Telemetry. The Registered Nurse is directly responsible and accountable for the care given to his/her patients in the Emergency Department. They communicate with the physician about the changes in the patient’s clinical condition including results of the diagnostic studies and symptomatology. Is capable of responding quickly and accurately to changes in the condition and/or response to treatment. Is knowledgeable about EMTALA regulations and reporting of child/adult abuse to appropriate agencies and Hospital Social Worker. Maintains patient privacy and confidentiality. Qualifications EDUCATION, EXPERIENCE, TRAINING 1. Current and valid state RN License.2. Current BLS certificate upon hire and maintain current.3. Current ACLS certificate 30 days upon hire and maintain current. 4. Current PALS certificate and/or ENPC 30 days upon hire and maintain current. 5. Basic Arrythmia Interpretation within 30 days of hire. 6. Minimum of one year experience as a staff nurse RN in an acute care hospital setting; E.R. setting preferred.7. Certified Emergency Nurse (CEN) preferred.8. Bachelor of Science in Nursing (BSN) preferred. Facility Specific Requirements (facility may require items listed below): 1. In Paramedic Base Station ED: MICN within 12 months of hire and maintain current. 2. EDAP certified facilities: Completion of emergency pediatric course 1 and 2 within 6 months of hire.3. Non-OB facilities: NRP certificate 90 days upon hire and maintain current.4. Trauma Nurse Core Course (TNNC) within 12 months of hire required. Pay Transparency La Palma Intercommunity Hospital offers competitive compensation and a comprehensive benefits package that provides employees the flexibility to tailor benefits according to their individual needs. Our Total Rewards package includes, but is not limited to, paid time off, a 401K retirement plan, medical, dental, and vision coverage, tuition reimbursement, and many more voluntary benefit options. A reasonable compensation estimate for this role, which includes estimated wages, benefits, and other forms of compensation, is $45.73 to $61.47. 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 Part Time < 60 Shift Evenings Equal Employment Opportunity Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf Privacy Notice Privacy Notice for California Applicants: https://www.primehealthcare.com/wp-content/uploads/2024/04/Notice-at-Collection-and-Privacy-Policy-for-California-Job-Applicants.pdf
Prime Healthcare

Registered Nurse (RN) - Emergency Services

Overview Join an award-winning team of dedicated professionals committed to our core values of quality, compassion and community! La Palma Intercommunity Hospital, a member of Prime Healthcare, offers incredible opportunities to expand your horizons and be part of a community dedicated to making a difference. Founded in 1972, La Palma Intercommunity Hospital is a 141-bed acute-care community hospital and the only hospital in La Palma. Our highly qualified team is committed to providing outstanding service in a safe, comfortable, and caring environment. Patients treated at La Palma Intercommunity Hospital benefit from the expertise of a large hospital system in a smaller, more personal setting. For more information visit www.lapalmaintercommunityhospital.com. Responsibilities The Registered Nurse is responsible for the delivery of safe patient care utilizing the nursing process of assessment, planning, implementation and evaluation. Provides direct patient care within the scope of practice. The Registered Nurse also directs and guides patient/family teaching and activities of other nursing personnel while maintaining standards of professional nursing care in Telemetry. The Registered Nurse is directly responsible and accountable for the care given to his/her patients in the Emergency Department. They communicate with the physician about the changes in the patient’s clinical condition including results of the diagnostic studies and symptomatology. Is capable of responding quickly and accurately to changes in the condition and/or response to treatment. Is knowledgeable about EMTALA regulations and reporting of child/adult abuse to appropriate agencies and Hospital Social Worker. Maintains patient privacy and confidentiality. Qualifications EDUCATION, EXPERIENCE, TRAINING 1. Current and valid state RN License.2. Current BLS certificate upon hire and maintain current.3. Current ACLS certificate 30 days upon hire and maintain current. 4. Current PALS certificate and/or ENPC 30 days upon hire and maintain current. 5. Basic Arrythmia Interpretation within 30 days of hire. 6. Minimum of one year experience as a staff nurse RN in an acute care hospital setting; E.R. setting preferred.7. Certified Emergency Nurse (CEN) preferred.8. Bachelor of Science in Nursing (BSN) preferred. Facility Specific Requirements (facility may require items listed below): 1. In Paramedic Base Station ED: MICN within 12 months of hire and maintain current. 2. EDAP certified facilities: Completion of emergency pediatric course 1 and 2 within 6 months of hire.3. Non-OB facilities: NRP certificate 90 days upon hire and maintain current.4. Trauma Nurse Core Course (TNNC) within 12 months of hire required. Pay Transparency La Palma Intercommunity Hospital offers competitive compensation and a reasonable compensation estimate for this role is $52.98. The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire, in which a wide range of factors will be considered, including but not limited to, skillset, years of applicable experience, education, credentials and licensure. Employment Status Per Diem Shift 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
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

Registered Nurse (RN) - ICU

Overview Join an award-winning team of dedicated professionals committed to our core values of quality, compassion and community! West Anaheim 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. Founded in 1964, West Anaheim Medical Center is a 219-bed acute-care hospital dedicated to providing the community with high-quality, compassionate healthcare. Key services include general medical and surgical inpatient care and treatment, emergency services, surgical services, behavioral health, comprehensive heart center, and diagnostic imaging. For more information visit www.westanaheimmedctr.com. Responsibilities The Registered Nurse is responsible for the delivery of safe patient care utilizing the nursing process of assessment, planning, implementation and evaluation. Provides direct patient care within the scope of practice. The Registered Nurse also directs and guides patient/family teaching and activities of other nursing personnel while maintaining standards of care in the ICU. The Registered Nurse is directly responsible and accountable for the care given to his/her assigned patients. They communicate with the physician about changes in the patient’s clinical condition including hemodynamic monitoring, results of diagnostic studies and abnormal results and symptomatology. Is able to respond quickly and accurately to changes in condition and/or response to treatment. Maintains patient privacy and confidentiality. Qualifications EDUCATION, EXPERIENCE, TRAINING 1. Current and valid state RN License.2. Current BLS certificate upon hire and maintain current.3. Completion of Critical Care Course preferred. 4. Basic Arrythmia Interpretation within 30 days of hire.5. Current ACLS certificate 30 days upon hire and maintain current. 6. Minimum of one year as a staff RN in acute care hospital, critical care preferred.7. Critical Care RN (CCRN) Certification preferred. 8. Bachelor of Science in Nursing (BSN) preferred. Pay Transparency West Anaheim 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 $51.57 to $69.32. The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire, in which a wide range of factors will be considered, including but not limited to, skillset, years of applicable experience, education, credentials and licensure. Employment Status Full Time Shift Days Equal Employment Opportunity Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf Privacy Notice Privacy Notice for California Applicants: https://www.primehealthcare.com/wp-content/uploads/2024/04/Notice-at-Collection-and-Privacy-Policy-for-California-Job-Applicants.pdf
Prime Healthcare

Registered Nurse (RN) - ICU

Overview Join an award-winning team of dedicated professionals committed to our core values of quality, compassion and community! West Anaheim 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. Founded in 1964, West Anaheim Medical Center is a 219-bed acute-care hospital dedicated to providing the community with high-quality, compassionate healthcare. Key services include general medical and surgical inpatient care and treatment, emergency services, surgical services, behavioral health, comprehensive heart center, and diagnostic imaging. For more information visit www.westanaheimmedctr.com. Responsibilities The Registered Nurse is responsible for the delivery of safe patient care utilizing the nursing process of assessment, planning, implementation and evaluation. Provides direct patient care within the scope of practice. The Registered Nurse also directs and guides patient/family teaching and activities of other nursing personnel while maintaining standards of care in the ICU. The Registered Nurse is directly responsible and accountable for the care given to his/her assigned patients. They communicate with the physician about changes in the patient’s clinical condition including hemodynamic monitoring, results of diagnostic studies and abnormal results and symptomatology. Is able to respond quickly and accurately to changes in condition and/or response to treatment. Maintains patient privacy and confidentiality. Qualifications EDUCATION, EXPERIENCE, TRAINING 1. Current and valid state RN License.2. Current BLS certificate upon hire and maintain current.3. Completion of Critical Care Course preferred. 4. Basic Arrythmia Interpretation within 30 days of hire.5. Current ACLS certificate 30 days upon hire and maintain current. 6. Minimum of one year as a staff RN in acute care hospital, critical care preferred.7. Critical Care RN (CCRN) Certification preferred. 8. Bachelor of Science in Nursing (BSN) preferred. Pay Transparency West Anaheim 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 $51.57 to $69.32. 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

Registered Nurse (RN) - ICU

Overview Join an award-winning team of dedicated professionals committed to our core values of quality, compassion and community! West Anaheim 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. Founded in 1964, West Anaheim Medical Center is a 219-bed acute-care hospital dedicated to providing the community with high-quality, compassionate healthcare. Key services include general medical and surgical inpatient care and treatment, emergency services, surgical services, behavioral health, comprehensive heart center, and diagnostic imaging. For more information visit www.westanaheimmedctr.com. Responsibilities The Registered Nurse is responsible for the delivery of safe patient care utilizing the nursing process of assessment, planning, implementation and evaluation. Provides direct patient care within the scope of practice. The Registered Nurse also directs and guides patient/family teaching and activities of other nursing personnel while maintaining standards of care in the ICU. The Registered Nurse is directly responsible and accountable for the care given to his/her assigned patients. They communicate with the physician about changes in the patient’s clinical condition including hemodynamic monitoring, results of diagnostic studies and abnormal results and symptomatology. Is able to respond quickly and accurately to changes in condition and/or response to treatment. Maintains patient privacy and confidentiality. Qualifications EDUCATION, EXPERIENCE, TRAINING 1. Current and valid state RN License.2. Current BLS certificate upon hire and maintain current.3. Completion of Critical Care Course preferred. 4. Basic Arrythmia Interpretation within 30 days of hire.5. Current ACLS certificate 30 days upon hire and maintain current. 6. Minimum of one year as a staff RN in acute care hospital, critical care preferred.7. Critical Care RN (CCRN) Certification preferred. 8. Bachelor of Science in Nursing (BSN) preferred. Pay Transparency West Anaheim 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 $51.57 to $69.32. The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire, in which a wide range of factors will be considered, including but not limited to, skillset, years of applicable experience, education, credentials and licensure. Employment Status Full Time Shift Days Equal Employment Opportunity Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf Privacy Notice Privacy Notice for California Applicants: https://www.primehealthcare.com/wp-content/uploads/2024/04/Notice-at-Collection-and-Privacy-Policy-for-California-Job-Applicants.pdf
AHMC Healthcare

RN-Critical Care, 8-Hour, OR (PT, Days) Monterey Park Hospital

Overview Monterey Park Hospital, a 101-acute care facility located in the San Gabriel Valley of Los Angeles County, is seeking a Registered Nurse for our OR . This is a part-time, 8-hour day shift position reporting to the Director of Perioperative Services. Responsibilities The OR RN uses specialized knowledge and skills in the care of patients and families undergoing invasive OR procedures. The OR RN uses the nursing process to assess, plan, diagnose and evaluate patient care while managing and administering moderate sedation. The OR RN is responsible for providing a safe, efficient, and caring environment, one in which the OR team can function and in which the outcome for the patient is as positive as possible. He/she manages and oversees equipment, instrumentation and supplies of this specialty service, provides patient education and support to the other OR staff. The OR RN will also have responsibilities in providing care and support in our GI lab. The OR RN is knowledgeable in pharmacology and physiological systems, meets and exceeds the CDPH, The Joint Commission and other regulatory requirements. Qualifications BSN preferred. One-year acute care hospital experience in OR/GI Lab preferred. Current CA RN license required. Current BLS (AHA) required. ACLS and PALS (AHA) required within 2 months of employment. For new hires with no Operating Room experience, Periop 101 training is preferred.
AHMC Healthcare

RN-Critical Care, 8-Hour, OR (FT, Variable) Monterey Park Hospital

Overview Monterey Park Hospital, a 101-acute care facility located in the San Gabriel Valley of Los Angeles County, is seeking a Registered Nurse for our OR . This is a full-time, 8-hour day shift position reporting to the Director of Perioperative Services. Responsibilities The OR RN uses specialized knowledge and skills in the care of patients and families undergoing invasive OR procedures. The OR RN uses the nursing process to assess, plan, diagnose and evaluate patient care while managing and administering moderate sedation. The OR RN is responsible for providing a safe, efficient, and caring environment, one in which the OR team can function and in which the outcome for the patient is as positive as possible. He/she manages and oversees equipment, instrumentation and supplies of this specialty service, provides patient education and support to the other OR staff. The OR RN will also have responsibilities in providing care and support in our GI lab. The OR RN is knowledgeable in pharmacology and physiological systems, meets and exceeds the CDPH, The Joint Commission and other regulatory requirements. Qualifications BSN preferred. One-year acute care hospital experience in OR/GI Lab preferred. Current CA RN license required. Current BLS (AHA) required. ACLS and PALS (AHA) required within 2 months of employment. For new hires with no Operating Room experience, Periop 101 training is preferred.
AHMC Healthcare

RN-Critical Care, 8-Hour, OR (PT, Variable) Monterey Park Hospital

Overview Monterey Park Hospital, a 101-acute care facility located in the San Gabriel Valley of Los Angeles County, is seeking a Registered Nurse for our OR . This is a part-time, 8-hour day shift position reporting to the Director of Perioperative Services. Responsibilities The OR RN uses specialized knowledge and skills in the care of patients and families undergoing invasive OR procedures. The OR RN uses the nursing process to assess, plan, diagnose and evaluate patient care while managing and administering moderate sedation. The OR RN is responsible for providing a safe, efficient, and caring environment, one in which the OR team can function and in which the outcome for the patient is as positive as possible. He/she manages and oversees equipment, instrumentation and supplies of this specialty service, provides patient education and support to the other OR staff. The OR RN will also have responsibilities in providing care and support in our GI lab. The OR RN is knowledgeable in pharmacology and physiological systems, meets and exceeds the CDPH, The Joint Commission and other regulatory requirements. Qualifications BSN preferred. One-year acute care hospital experience in OR/GI Lab preferred. Current CA RN license required. Current BLS (AHA) required. ACLS and PALS (AHA) required within 2 months of employment. For new hires with no Operating Room experience, Periop 101 training is preferred.
Prime Healthcare

Registered Nurse (RN) - Recovery Room

Overview Join an award-winning team of dedicated professionals committed to our core values of quality, compassion and community! West Anaheim 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. Founded in 1964, West Anaheim Medical Center is a 219-bed acute-care hospital dedicated to providing the community with high-quality, compassionate healthcare. Key services include general medical and surgical inpatient care and treatment, emergency services, surgical services, behavioral health, comprehensive heart center, and diagnostic imaging. For more information visit www.westanaheimmedctr.com. Responsibilities Staff RN is directly accountable to the OR Charge Nurse and the Director of Surgical Services, and indirectly to the House Supervisor. The Registered Nurse is responsible for the delivery of direct and indirect patient care in the peri-operative setting through the nursing process of assessment, planning, implementation, and evaluation for neonates, pediatrics, adolescents, adults and older adults. The Registered Nurse coordinates the care of the patient with the surgeon and anesthesiologist, directs and guides the OR Technician and other personnel while maintaining standards of professional nursing. Works with other departments to provide a continuum of care and co-workers to provide continuous, quality patient care, efficient patient flow and unit maintenance and organization. Responsible for adherence to regulations, standards and hospital or unit policies and procedures. Responsible for participation in Performance Improvement activities, unit meetings and in-services. Acts as a resource for other personnel as appropriate. Qualifications EDUCATION, EXPERIENCE, TRAINING 1. Current and valid state RN License.2. Current BLS (AHA) certificate upon hire and maintain current.3. Current ACLS (AHA) certificate 30 days upon hire and maintain current.4. Current PALS (AHA) certificate 30 days upon hire and maintain current.5. Minimum of one year previous Perioperative experience or on the job training6. Certified Nurse OR (CNOR) Certification (AORN) preferred7. Bachelor of Science in Nursing (BSN) preferred. Pay Transparency West Anaheim Medical Center offers competitive compensation and a reasonable compensation estimate for this role is $63.42. The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire, in which a wide range of factors will be considered, including but not limited to, skillset, years of applicable experience, education, credentials and licensure. Employment Status Per Diem Shift Variable Equal Employment Opportunity Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf Privacy Notice Privacy Notice for California Applicants: https://www.primehealthcare.com/wp-content/uploads/2024/04/Notice-at-Collection-and-Privacy-Policy-for-California-Job-Applicants.pdf
Prime Healthcare

Registered Nurse (RN) - ICU

Overview Founded in 1982, Garden Grove Hospital Medical Center is a 167-bed community hospital centrally located in beautiful Southern California dedicated to providing our community with high-quality, compassionate healthcare. Garden Grove Hospital Medical Center has received “Top 100 Hospital” in the nation accolades from Truven Health Analytics and is a recipient of the Patient Safety Excellence Award from Healthgrades. Key services include general medical/surgical inpatient care and treatment, critical care, emergency services, orthopedics, maternity care, and wound care. Join an award-winning team of dedicated professionals committed to our core values of quality , compassion and community! Why Prime Healthcare? Garden Grove 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. The facility offers a full spectrum of acute care services for the residents of Garden Grove and the surrounding communities. Located near the corner of Harbor and Garden Grove Boulevards, Garden Grove Hospital is close to the Disneyland Resort, the Anaheim Convention Center, and the many hotels situated in the area. For more information, visit gardengrovehospital.com. Garden Grove 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. This is a Fast-paced work environment in which you can take pride in serving an underserved community. Come Join a Team of Dedicated Healthcare Workers!!! Responsibilities The Registered Nurse is responsible for the delivery of safe patient care utilizing the nursing process of assessment, planning, implementation and evaluation. Provides direct patient care within the scope of practice. The Registered Nurse also directs and guides patient/family teaching and activities of other nursing personnel while maintaining standards of care in the ICU. The Registered Nurse is directly responsible and accountable for the care given to his/her assigned patients. He/She communicates with the physician about changes in the patient's clinical condition including hemodynamic monitoring, results of diagnostic studies and abnormal results and symptomatology. Is able to respond quickly and accurately to changes in condition and/or response to treatment. Maintains patient privacy and confidentiality. Qualifications EDUCATION, EXPERIENCE, TRAINING 1. Current and valid state RN License.2. Current BLS upon hire and maintain current.3. Current ACLS 30 days upon of hire and maintain current.4. Bachelor Degree in Nursing (BSN) preferred. RN-C within 2 years of hire preferred. 5. PALS within 30 days of hire for units that admit pediatric patients. Pay Transparency Garden Grove 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 $52.89 to $66.05. 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 Part Time < 60 Shift Days Equal Employment Opportunity We are an Equal Opportunity Employer and do not discriminate against applicants due to veteran status, disability, race, gender, gender identity, sexual orientation, or other protected characteristics. If you need special accommodation for the application process, please contact Human Resources. 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

Registered Nurse (RN) - Cath Lab

Overview Join an award-winning team of dedicated professionals committed to our core values of quality, compassion and community! West Anaheim 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. Founded in 1964, West Anaheim Medical Center is a 219-bed acute-care hospital dedicated to providing the community with high-quality, compassionate healthcare. Key services include general medical and surgical inpatient care and treatment, emergency services, surgical services, behavioral health, comprehensive heart center, and diagnostic imaging. For more information visit www.westanaheimmedctr.com. Responsibilities Provides direct patient care to adult and geriatric patient populations. Addresses the psychosocial, physical and general aspects of care related to the surgical environment. Communicates with physician continuously and as needed about patient condition. Assists with the maintenance of equipment and inventory. Assesses procedure room or equipment functioning and readiness. Obtains supplies for individual cases and ensures all appropriate needs of the Cardiovascular Laboratory team are met. Monitors physiologic and hemodynamic data, as related to diagnostic and/or therapeutic procedures performed in the cardiovascular lab. Monitors and records patients condition continuously while in the Cardiovascular lab. Participates in performance improvement and continuous quality improvement activities. Qualifications Education and Work Experience Bachelor Degree in Nursing (BSN) preferred. Active state Registered Nursing (RN) License required. Current BCLS (AHA), ACLS certificate upon hire and maintain current required. One (1) year clinical experience in a Cardiovascular Lab doing cardiac work or in a Critical Care area required. Pay Transparency West Anaheim 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 $51.57 to $69.32. The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire, in which a wide range of factors will be considered, including but not limited to, skillset, years of applicable experience, education, credentials and licensure. Employment Status Full Time Shift Days Equal Employment Opportunity Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf Privacy Notice Privacy Notice for California Applicants: https://www.primehealthcare.com/wp-content/uploads/2024/04/Notice-at-Collection-and-Privacy-Policy-for-California-Job-Applicants.pdf
Prime Healthcare

House Supervisor (RN)

Overview Join an award-winning team of dedicated professionals committed to our core values of quality, compassion and community! Garden Grove 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. Founded in 1982, Garden Grove Hospital Medical Center is a 167-bed community hospital centrally located in beautiful Southern California dedicated to providing our community with high-quality, compassionate healthcare. Garden Grove Hospital Medical Center has received “Top 100 Hospital” in the nation accolades from Truven Health Analytics and is a recipient of the Patient Safety Excellence Award from Healthgrades. Key services include general medical/surgical inpatient care and treatment, critical care, emergency services, orthopedics, maternity care, and wound care. The facility offers a full spectrum of acute care services for the residents of Garden Grove and the surrounding communities. Located near the corner of Harbor and Garden Grove Boulevards, Garden Grove Hospital is close to the Disneyland Resort, the Anaheim Convention Center, and the many hotels situated in the area. For more information, visit gardengrovehospital.com. Responsibilities The House Supervisor is a Registered Nurse who assumes administrative responsibility for the management of all department service functions on his/her shift. Makes frequent rounds throughout facility to monitor the delivery of care, oversee the quality of services and direct patient care activities as needed. Directly supervises, provides support to and communicates with all staff house-wide. In the absence of the Hospital Administrative staff, the administrative scope and responsibility is extended to all services within the hospital. Ensures efficient operations and patient flow throughout the hospital. Performs direct patient care, only as needed, within the scope of practice and competence. Ensures all temporary agency personnel are deployed and oriented in compliance with hospital policy. Assist medical staff with scheduling after hour procedures and calling in stand-by call staff members. Enhances the patient/family experience through supportive interactions and explanations of hospital policies as needed. Qualifications EDUCATION, EXPERIENCE, TRAINING 1. Current and valid license as a Registered Nurse.2. Current BLS certificate upon hire and maintain current.3. ACLS certificate 30 days upon hire and maintain current.4. One (1) year prior experience as a Supervisor preferred.5. Minimum of three (3) years acute care nursing experience 6. Bachelor of Science in Nursing (BSN) preferred. Pay Transparency Garden Grove Hospital Medical Center offers competitive compensation and a comprehensive benefits package that provides employees the flexibility to tailor benefits according to their individual needs. Our Total Rewards package includes, but is not limited to, paid time off, a 401K retirement plan, medical, dental, and vision coverage, tuition reimbursement, and many more voluntary benefit options. A reasonable compensation estimate for this role, which includes estimated wages, benefits, and other forms of compensation, is $XX.00 to $XX.00. The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire, in which a wide range of factors will be considered, including but not limited to, skillset, years of applicable experience, education, credentials and licensure. Employment Status Per Diem Shift Variable Equal Employment Opportunity Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf Privacy Notice Privacy Notice for California Applicants: https://www.primehealthcare.com/wp-content/uploads/2024/04/Notice-at-Collection-and-Privacy-Policy-for-California-Job-Applicants.pdf
AHMC Healthcare

RN-Clinical Care 12 Hour *New Grad Welcome*, Telemetry (FT, Nights) Monterey Park Hospital

Overview Monterey Park Hospital, a 101-acute care facility located in the San Gabriel Valley of Los Angeles County, is seeking a Registered Nurse for our Telemetry Unit. This is a full-time, 12-hour night shift position reporting to the Director of Telemetry. Responsibilities The Telemetry RN provides care, treatment, counseling, and health education to the hospitalized patient. The RN is responsible for planning and coordinating care across the continuum. This planning and coordination includes meeting and exceeding compliance with core measures, contributing to a reduction in LOS, active participation with all aspects of quality, safety, and performance improvement activities, collaboration with all the members of the multidisciplinary team in providing outstanding customer service to patients, family members, physicians, and the public. Meets and exceeds CDPH, The Joint Commission (TJC), and other regulatory requirements. Qualifications BSN preferred. New graduates welcome, new graduate program offered, or six months of recent experience in an acute care setting preferred. Current CA RN license required. Current BLS and ACLS (AHA) required. EKG certification required.
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)