Registered nurse case manager jobs in Thousand Oaks, CA

Join the dynamic journey at Vynca, where we're passionate about transforming care for individuals with complex needs. We're more than just a team; we're a close-knit community. Our shared commitment to caring for each other and those we serve is what sets us apart. Guided by our unwavering core values: Excellence, Compassion, Curiosity, and Integrity, we forge paths of success together. Join us in this transformative movement where you can contribute to making a profound difference every day. At Vynca, our mission is to provide comprehensive care for more quality days at home. Join us now and receive a $5,000 holiday sign-on bonus when you sign your offer by January 1, 2026 ! The bonus will be paid out in installments, and we're happy to provide full details on request. About the job Internal Title: Clinical Lead Care Manager We're seeking an exceptional Clinical Lead Care Manager (CLCM) to join our team. Under the direction of the ECM Clinical Manager, the CLCM serves as the client's primary point of contact and works with all their providers such as doctors, specialists, pharmacists, social services providers, and others to make sure everyone is in agreement about the client's needs and care. The CLCM manages client cases, coordinates health care benefits, provides education and facilitates member access to care in a timely and cost-effective manner. The CLCM collaborates and communicates with the client's caregivers/family support persons, other providers, and others in the Care Team to promote wellness, recovery, independence, resilience, and member empowerment, while ensuring access to appropriate services and maximizing member benefit. This is a hybrid position that requires traveling throughout the Los Angeles County area up to 5 days per week. This is a critical role and we're looking to fill it as soon as possible. What you'll do Hybrid (in-person and remote) care management duties as described below: Assess member needs in the areas of physical health, mental health, SUD, oral health, palliative care, memory care, trauma-informed care, social supports, housing, and referral and linkage to community-based services and supports Oversees the development of the client care plans and goal settings Offer services where the member resides, seeks care, or finds most easily accessible, including office-based, telehealth, or field-based services Connect clients to other social services and supports that are needed Advocate on behalf of the client with health care professionals (e.g. PCP, etc.) Utilize evidence-based practices, such as Motivational Interviewing, Harm Reduction, and Trauma-Informed Care principles Conduct outreach and engagement activities in order to facilitate linkage to the ECM program and log activity in the Client Relationship Management (CRM) system Evaluate client's progress and update SMART goals Provide mental health promotion Arrange transportation (e.g., ACCESS) Complete all documentation, including outcome measures within the timeframes established by the individual care plans Maintain up-to-date patient health records in the Electronic Medical Record (EMR) system and other business systems Complete monthly reporting to ensure program compliance Attend training as assigned Your experience & qualifications Active LCSW, LMFT, LPCC, or LVN license in California required 1-2 years of experience as a care manager, care navigator, or community health worker supporting vulnerable populations. 2 or more years preferred. Willing and able to work Monday-Friday 8:30am-5:00pm, both in the field and remotely, with flexibility for potential evenings and weekends. Working knowledge of government and community resources related to social determinants of health Excellent oral and written communication skills Positive interpersonal skills required Clean driving record, valid driver's license, and reliable transportation Must have general computer skills and a working knowledge of Google Workspace, MS Office, and the internet Bilingual (English/Spanish) preferred Additional Information The hiring process for this role may consist of applying, followed by a phone screen, online assessment(s), interview(s), an offer, and background/reference checks. Background Screening: A background check, which may include a drug test or other health screenings depending on the role, will be required prior to employment. Scope: This job description is not exhaustive and may include additional activities, duties, and responsibilities not listed herein. Vaccination Requirement: Employees in patient, client, or customer-facing roles must be vaccinated against influenza. Requests for religious or medical accommodations will be considered but may not always be approved. Employment Eligibility: Compliance with federal law requires identity and work eligibility verification using E-Verify upon hire. Equal Opportunity Employer: At Vynca Inc., we embrace diversity and are committed to fostering an inclusive workplace. We value all applicants regardless of race, color, religion, age, national origin, ancestry, ethnicity, gender, gender identity, gender expression, sexual orientation, marital status, veteran status, disability, genetic information, citizenship status, or membership in any other protected group under federal, state, or local law.

Medical Professionals is seeking a dedicated and experienced Nursing Supervisor to join our client's healthcare team in Los Angeles. Under the supervision of the Deputy Chief, the Nursing Supervisor will provide culturally competent medical, services to low-income adult individuals in Los Angeles County. Provides leadership to medical assistants, counselors, phlebotomist, and other non-administrative staff as hired. This is a 40 hour/week 4 month, contract to hire position Compensation: $57.00 - $65.00 per hour Schedule: Monday - Friday, 8am-5pm (40hr/week), fully onsite Location: Los Angeles, CA 90036 The Nursing Supervisor will assure quality and cost-effective care for clinic patients, and will manage a patient's course of treatment, and coordinate care with providers and other clinical support staff to ensure quality patient outcomes are achieved within established time frames with efficient utilization of resources. In addition, the Nursing Supervisor will work closely with the Deputy Chief to design, implement and monitor workflow processes at the designated Clinic. Essential Duties and Responsibilities: Provide clinical support to medical providers before and after adult primary care visits so as to ensure the timely delivery of quality medical care. Interface with other non-administrative staff to ensure patients receive specialty referrals in a timely manner and are able to follow through so as not to interrupt patient care. Administer vaccines to adult patients per clinical guidelines. Provide and appropriately document health education to patients. Participate in quality improvement activities as directed by the Deputy Chief. Triage adult patients who walk in to clinic or call with acute medical concerns. Assist front office staff in making appropriate arrangements for patients who arrive late for appointments or for whom an appointment needs to be rescheduled, by reviewing the medical record and determining how soon and where the patient should be seen. Provide oversight, guidance, and provides leadership to LVN, medical assistants, phlebotomist, and other non-administrative staff as hired. Will perform yearly performance evaluations on supervisees. Will develop staff trainings/in-services for clinical staff Works in collaboration with the Deputy Chief to ensure on-going trainings and educational needs of clinical staff are met. Maintain adequate medical supplies and medications for clinical areas by monitoring supplies and ordering supplies as needed. Ensure that exam rooms are fully stocked and prepared for patient care. Ensures cost effective ordering of supplies. Will provide chronic disease management (CDM) for patients that are referred by providers and develop appropriate care plan. Will delegate to LVN appropriate CDM referrals. OTHER DUTIES MAY BE ASSIGNED TO MEET BUSINESS NEEDS. Requirements: A valid California Registered Nurse (RN) license issued by the California Board of Registered Nursing (BRN). Current Basic Cardiac Life Support (BCLS) and Cardiopulmonary Resuscitation (CPR) certification. Clinical experience as a registered nurse in an ambulatory health care clinic, preferably at a federally qualified health center (FQHC). Experience working in patient-centered care teams preferred. Knowledge and experience working with electronic health records, eClinicalWorks preferred.

RN Nurse Manager for the Operating Room. This position is Full-Time and will oversee the total operations and clinical team members of the Operating Room. Accountable for the delivery of high-quality nursing care and for the administrative management of the nursing unit on a 24-hour basis. Qualifications: Bachelor's Degree in Nursing. California Registered Nurse License upon hire. National Provider BLS - American Heart Association upon hire. NNR for employees in L&D, NICU, Nursery, Postpartum (Postpartum - within 90 days of date of hire; Other - within 180 days of completion of clinical orientation) 5 years' Experience within specialty. 3 years Management experience. Preferred Qualifications: Master's Degree in Nursing.

The Nurse Clinical Supervisor, UM Denial Compliance oversees the denial process within the utilization management (UM) department, ensuring that all denials are handled efficiently, accurately, and in full compliance with regulatory, accreditation, and health plan requirements. The role involves both leadership and compliance management functions. Key Responsibilities Supervise licensed and non-licensed denial unit staff, including work assignments, evaluations, and discipline. Collaborate with medical directors, physician reviewers, and other UM/PA teams to coordinate denial decisions. Maintain compliance with privacy and regulatory standards. Prepare and manage departmental reports, audits, and work plans. Conduct internal quality audits for the denial process. Develop and deliver staff education and training related to compliant denial correspondence. Monitor daily operations-such as productivity, turnaround times, and staffing. Stay current on state and federal regulations and implement necessary process adjustments. Lead process improvement and compliance initiatives aligned with company objectives. Serve as a resource for clinical and technical guidance across teams. Expected Pay RN Supervisor: Up to $120,000 annually. LVN Supervisor: Up to $106,000 annually. Salary depends on experience, licensure, skills, and market factors. We offer great benefits to our full-time employees: Health and wellness: Employer-paid medical, dental, and pharmacy coverage Vision, FSAs, EAP, and Behavioral Health services. Retirement and savings: 401(k) and income protection. Professional development: Tuition reimbursement, license renewal/CEU reimbursement. Work-life balance: Vacation, sick time, paid holidays, company celebrations, and a business-casual environment. Company Culture The organization emphasizes growth, teamwork, and advancement, offering a fast-paced but supportive environment where employee success contributes directly to company success. The Employer will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of the LA City Fair Chance Initiative for Hiring Ordinance.

RN - Emergency Department positions in our Multi-Specialty, Level II Trauma Center at Providence Holy Cross Medical Center in Mission Hills, CA (Los Angeles County). Positions available are full-time and will work 12-hour Night shifts. The Emergency Department (ED) is a Multi-Specialty, Level II Trauma Center, Comprehensive Stroke Center, STEMI Receiving Center, Paramedic Base Station, and Emergency Department Approved for Pediatrics (EDAP). Our Emergency Department received the ENA (Emergency Nurses Association) prestigious Lantern Award for excellence in emergency care. The award highlights their unwavering commitment to providing safe and compassionate care to our patients. Providence Holy Cross Medical Center, a Magnet Designated hospital in Mission Hills, is a top-tier healthcare provider, recognized by U.S. News & World Report as one of the LA Metro areas Best Regional Hospitals for 10 types of care, including stroke, heart attack, hip fracture, kidney failure, and stroke care. Our hospital's outstanding clinical quality has earned us the prestigious America's 50 Best Hospitals Award and the Patient Safety Excellence Award from Healthgrades.com, placing us in the top 1% nationwide for consistently delivering superior patient outcomes. Join our esteemed team and be part of a facility dedicated to excellence in patient care and safety. Providence nurses are not simply valued - they're invaluable. You will thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best nurses, we must empower them. Learn why nurses choose to work at Providence by visiting our Nursing Institute page. Join our team at Providence Holy Cross Medical Center. As a Providence caregiver, you'll apply your specialized training to deliver world-class health with human connection and make a difference every day through your extraordinary care. Required Qualifications: Graduation from an accredited nursing program. California Registered Nurse License upon hire. National Provider BLS - American Heart Association upon hire. National Provider ACLS - American Heart Association upon hire. National Provider PALS - American Heart Association upon hire. California Fire and Life Safety Card - National Organization within 30 days of hire One year (1) Nursing experience. Preferred Qualification: 1+ years experience working as an Emergency Department RN in an acute care setting. National Certification in area of specialty upon hire. Why Join Providence? Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities. About Providence At Providence, our strength lies in Our Promise of “Know me, care for me, ease my way.” Working at our family of organizations means that regardless of your role, we'll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable. The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits. Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act." About the Team The Sisters of Providence and Sisters of St. Joseph of Orange have deep roots in California, bringing health care and education to communities from the redwood forests to the beach shores of Orange county - and everywhere in between. In Southern California, Providence provides care throughout Los Angeles County, Orange County, High Desert and beyond. Our award-winning and comprehensive medical centers are known for outstanding programs in cancer, cardiology, neurosciences, orthopedics, women's services, emergency and trauma care, pediatrics and neonatal intensive care. Our not-for-profit network provides a full spectrum of care with leading-edge diagnostics and treatment, outpatient health centers, physician groups and clinics, numerous outreach programs, and hospice and home care, and even our own Providence High School. Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement. Requsition ID: 395693 Company: Providence Jobs Job Category: Nursing-Patient Facing Job Function: Nursing Job Schedule: Full time Job Shift: Multiple shifts available Career Track: Nursing Department: 7003 PHCMC EMERGENCY Address: CA Mission Hills 15031 Rinaldi St Work Location: Providence Holy Cross Medical Ctr-Mission Hills Workplace Type: On-site Pay Range: $53.25 - $82.68 The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. PandoLogic. Category:Healthcare, Keywords:Emergency Room Nurse, Location:Santa Clarita, CA-91350

Care Career is seeking a travel nurse RN Case Management for a travel nursing job in Los Angeles, California. Job Description & Requirements Specialty: Case Management Discipline: RN Duration: 13 weeks 40 hours per week Shift: 8 hours, days Employment Type: Travel Case managers work to facilitate patient care by assessing patient needs, evaluating treatment options, creating treatment plans, coordinating care, and gauging progress. The overall goal for case managers is to improve clinical outcomes, increase patient satisfaction, and promote cost-effectiveness. Care Career Job ID #34994102. Pay package is based on 8 hour shifts and 40.0 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: RN Case Manager About Care Career Care Career brings together a portfolio of leading healthcare staffing organizations, each delivering specialized talent solutions across the industry. Wherever you want to go, We Make It Happen. With travel nursing jobs across the country, you can discover the possibilities that create the lifestyle and financial position that you have dreamed of. Care Career is a modern, transparent staffing firm creating the ultimate community of US. Benefits Referral bonus Weekly pay Medical benefits Continuing Education Dental benefits Vision benefits

Lucid Staffing Solutions is seeking a travel nurse RN Case Management for a travel nursing job in Valencia, California. Job Description & Requirements Specialty: Case Management Discipline: RN Duration: 13 weeks Shift: 12 hours, days Employment Type: Travel We're looking for a Travel Registered Nurse (RN) ready to make a meaningful impact while enjoying top-tier pay, and a support system that truly understands your journey. Location: Valencia, California Shift: Custom Shift Day At Lucid Staffing Solutions, we were founded by healthcare travelers who know first hand the challenges you face. That's why we provide a stress-free, transparent, and honest approach to travel healthcare. Why Choose Lucid? High Pay & Flexible Packages - You'll always know what you're earning and why. Weekly Direct Deposits - Every Friday without fail. Housing & Meals Stipends - Structured up to the maximum GSA.gov limits whenever possible. Stress-Free Compliance - We handle health screens and immunizations; just show up! Travel Reimbursement - $500 upfront for every assignment. Referral Bonuses - $500 per referral, $750 after 5 referrals. Insurance Options - Choose from 4 health plans plus dental, vision, and worker's compensation. 401(k) Match - 4% match to secure your future. Vested after only 6 months. License & Certification Reimbursement - We cover everything you need to stay compliant. Professional Liability Insurance - Always have peace of mind. At Lucid, we believe in honesty, transparency, and providing all the tools you need to succeed. No hidden fees or surprises-just clear communication and unmatched support. What we are looking for: Actively working as Registered Nurse (RN) Licensed in California or compact licensure. Minimum of 1-2 years of recent experience in Case Management Ability to adapt quickly to new environments and maintain high patient care standards. Join a team built on understanding and integrity. We're here to make your travel career as rewarding as possible. Apply now to become part of the Lucid Traveler Team! Lucid Staffing Solutions Job ID #17478981. Pay package is based on 12 hour shifts and 0.0 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: Registered Nurse (RN):Case Management,00:00:00-08:00:00 About Lucid Staffing Solutions Clinician Owned & Operated At Lucid Staffing Solutions, we do things differently-because we've been in your shoes. Founded by actual healthcare professionals, Lucid was built to fix the issues we experienced as travelers. We know what makes a great assignment: competitive pay, seamless onboarding, honest recruiters, and most importantly-working with a team that truly sees and supports you. Our entire team is made up of former clinicians who understand the demands of the job and what travelers truly need to succeed. We offer some of the highest paying allied health and nursing contracts across the country, along with some amazing benefits & perks. Whether you're chasing freedom, flexible schedules, bigger paychecks, or your next adventure, Lucid helps you get there-with real support, real respect, and real healthcare experts. Benefits Dental benefits Medical benefits Vision benefits

Large and traveler friendly facility in Southern California is needing help in their Case Manager Team. Must have at least 2 year of experience, and are certified BLS and CA license are needed! Call Ventura Medstaff today for more details at ************.

About TRIUNE Health Group TRIUNE Health Group is a nationally recognized managed healthcare company with over 35 years of experience. As a mission-driven, second-generation family-owned business, we are dedicated to improving lives by reducing the impact of injuries, enhancing health and wellness, and lowering healthcare and workers' compensation costs. At TRIUNE, we believe that every team member is essential to our success. We foster a supportive and collaborative environment where employees are valued, empowered, and provided with the tools they need to thrive-both professionally and personally. Why Join TRIUNE Health Group as a Nurse Case Manager? Be part of a well-established, family-owned company that prioritizes people over profits. Experience our culture of People Helping People , where every team member is treated with dignity and respect. Enjoy the stability, support, and resources needed to succeed while maintaining a healthy work-life balance. Perks & Benefits: Generous Time Off: 20 days of vacation plus 8.5 paid holidays Retirement Savings: 401(k) match to help you plan for the future Comprehensive Insurance: Medical, dental, and vision coverage Disability Coverage: Short-Term (STD) and Long-Term Disability (LTD) insurance Employee Support: Employee Assistance and Referral Program Work-from-Home Essentials: Home office equipment, including a laptop and desktop monitor Travel Perks: Mileage and travel reimbursement TRIUNE Health Group is an equal opportunity employer and a values-driven organization. Compensation is competitive and commensurate with experience. I. Summary of Position: The Nurse Case Manager coordinates resources and creates flexible, cost-effective options for catastrophically or chronically ill or injured individuals to facilitate quality, individualized, holistic treatment goals, including timely return to work when appropriate. II. Essential Duties and Responsibilities: Provide medical case management to individuals through coordination with the patient, physicians, other health care providers, the employer, and the referral source. Utilize the steps of Case Management to provide assessment, planning, implementation, evaluation, and outcome of an individual's progress. Evaluate individual treatment plans for appropriateness, medical necessity, and cost-effectiveness. Facilitate care, such as negotiating and coordinating the delivery of durable medical equipment and home health services, ensuring clear communication. Assess rehabilitation facilities for appropriateness of care, facilitate transportation, and coordinate architectural assessments of patients' homes when required. Communicate medical information clearly and compassionately to patients and families. Stay current with medical terminology and the federal and state laws related to health care, Workers' Compensation, ADA, HIPAA, FMLA, STD, LTD, SSDI, and SSA. Utilize technology (computer, cell phone, fax, and scanning machine) to prepare organized, timely reports while complying with safety rules and regulations in conjunction with HIPAA. Research medical and community resources for individuals with catastrophic or chronic diagnoses, such as but not limited to AIDS, cancer, spinal cord injuries, diabetes, head injuries, back injuries, hand injuries, and burns, ensuring accessibility for individuals. Possess a valid driver's license with the ability to travel 90% of the time. Perform other duties as assigned. III. Job Qualifications: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Skills and Abilities: Proven leadership skills. Excellent verbal and written communication skills, including the ability to interact effectively with patients, customers, and fellow employees via phone, email, in-person, and formal presentations. Methodical in accomplishing job-related goals. Strong analytical and organizational skills, including the ability to multitask with attention to detail. In-depth knowledge of multi-software packages, notably Microsoft Office Suite (Word, Excel, PowerPoint, Outlook) and the Internet. Maintain a friendly, professional attitude at all times. Exercise initiative and be solution-oriented, while keeping management up-to-date on current situations or opportunities. Dependability and adaptability. Education and Experience: Graduate of an accredited school of nursing. Current RN licensure in the state of operation. Fluency in English (speaking, reading, and writing). Three or more years of recent clinical experience, preferably in trauma, psychology, emergency, orthopedics, rehabilitation, occupational health, and neurology. CCM preferred. Certificates, Licenses, Registrations: While not mandatory, individuals with one or a combination of the following certifications are preferred: COHN, COHN-S, and CDMS. IV. Physical Demands: 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 individuals with disabilities to perform the essential functions. The base salary range/hourly rate listed is dependent on job-related, non-discriminatory factors such as experience, education, and skills. This position is also eligible for incentive compensation awards. You may be eligible for the following competitive benefits: medical, dental, vision, life, accident & disability, short and long-term disability, paid holidays, paid time off and 401 (k). bination of the following certifications is preferred: COHN, COHN-S, CCM, and CDMS.

RN Nurse Manager of our Operating Room at Providence Little Company of Mary Medical Center in San Pedro, CA. This leadership position is Full-Time and will work 8-hour Day shifts. Accountable for the delivery of high quality nursing care and for the administrative management of multiple nursing units and/or FTE's over 80 on a 24 hour basis. Fulfills all duties and responsibilities associated with the unit manager position. Demonstrates proficiency in delivering care to assigned age specific patient population (e.g., infants, adolescents, adults, geriatrics, pediatrics), and participates in related continuing education. Providence Little Company of Mary Medical Center San Pedro, awarded the Joint Commission's Gold Seal of Approval and the American Heart Association/American Stroke Association's Gold Plus Achievement Award, is recognized for its exceptional stroke care. Additionally, our Rehab Center is nationally ranked by UDSMR and accredited by CARF for outstanding rehabilitation programs. Providence caregivers are not simply valued - they're invaluable. Join our team at Providence Little Company Of Mary San Pedro Hospital and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them. Required Qualifications: Bachelor's Degree or Bachelor's in progress. California Registered Nurse License upon hire. National Provider BLS - American Heart Association upon hire. 3 years - Recent clinical experience. Why Join Providence? Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities. About Providence At Providence, our strength lies in Our Promise of “Know me, care for me, ease my way.” Working at our family of organizations means that regardless of your role, we'll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable. Posted are the minimum and the maximum wage rates on the wage range for this position. The successful candidate's placement on the wage range for this position will be determined based upon relevant job experience and other applicable factors. These amounts are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits. Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act. About the Team The Sisters of Providence and Sisters of St. Joseph of Orange have deep roots in California, bringing health care and education to communities from the redwood forests to the beach shores of Orange county - and everywhere in between. In Southern California, Providence provides care throughout Los Angeles County, Orange County, High Desert and beyond. Our award-winning and comprehensive medical centers are known for outstanding programs in cancer, cardiology, neurosciences, orthopedics, women's services, emergency and trauma care, pediatrics and neonatal intensive care. Our not-for-profit network provides a full spectrum of care with leading-edge diagnostics and treatment, outpatient health centers, physician groups and clinics, numerous outreach programs, and hospice and home care, and even our own Providence High School. Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement. Requsition ID: 392563 Company: Providence Jobs Job Category: Nursing-Patient Facing Job Function: Nursing Job Schedule: Full time Job Shift: Day Career Track: Leadership Department: 7017 LCMSP OP SURGERY Address: CA San Pedro 1300 W 7th St Work Location: Providence Little Co of Mary Medical Ctr-San Pedro Workplace Type: On-site Pay Range: $73.44 - $115.94 The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. By applying, you consent to your information being transmitted by HourlyJobsNearMe to the Employer, as data controller, through the Employer's data processor SonicJobs. 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All's Well Healthcare Services - Travel is seeking a travel nurse RN NICU - Neonatal Intensive Care for a travel nursing job in Los Angeles, California. Job Description & Requirements Specialty: NICU - Neonatal Intensive Care Discipline: RN Duration: 13 weeks Employment Type: Travel Travel Registered Nurse (RN) - NICU Location: Los Angeles, CA Start Date: ASAP Shift: 3x12s Nights Contract Length: 13 weeks Pay: $2,380 Weekly Position Overview We're seeking an experienced NICU Registered Nurse for a high-quality travel assignment. The ideal clinician has strong NICU experience, excellent critical-thinking skills, and the ability to provide compassionate care in a fast-paced environment. Responsibilities Deliver specialized care for premature and critically ill newborns. Manage ventilators, drips, and advanced neonatal equipment. Assess, plan, and implement individualized patient care plans. Collaborate with neonatologists, respiratory therapists, and the NICU team. Educate and support families during the infant's care journey. Maintain accurate and timely charting. Requirements Active RN license (state-specific or compact). 2+ years of recent NICU experience (Level III or IV preferred) Current BLS and NRP certifications (PALS if required by facility). Previous travel experience preferred but not required. Perks & Benefits Competitive weekly pay Uniform Allowance Tax-free stipends (Must live 50 miles away from the facility) Quick credentialing & responsive recruiter support Medical, dental, vision options Equal Opportunity Employer / Disabled / Protected Veterans The Know Your Rights poster is available here: /> The pay transparency policy is available here: /> For temporary assignments lasting 13 weeks or longer, the Company is pleased to offer major medical, dental, vision, 401k and any statutory sick pay where required. We are committed to working with and providing reasonable accommodations to individuals with disabilities. If you need a reasonable accommodation for any part of the employment process, please contact your staffing representative who will reach out to our HR team. ALL's WELL participates in the E-Verify program in certain locations as required by law. Learn more about the E-Verify program. We also consider for employment qualified applicants regardless of criminal histories, consistent with legal requirements, including, if applicable, the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance. Pursuant to applicable state and municipal Fair Chance Laws and Ordinances, we will consider for employment-qualified applicants with arrest and conviction records, including, if applicable, the San Francisco Fair Chance Ordinance. For Los Angeles, CA applicants: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act. #4023 Alls Well Travel Job ID #1769028. Posted job title: RN NICU About All's Well Healthcare Services - Travel At All's Well, we connect patient care with expert healthcare professionals. Empowering healthcare organizations with the solutions that impact families and the communities they serve is our mission. We believe that every community deserves to be physically and mentally healthy. Our passion is to create teams that contribute to this purpose by being advocates for the healthcare professionals of those communities. Guiding Principles and Core Values: #BEWELL Being Present Matters. We actively listen to each other - our healthcare professionals and customers. We invest the time to understand everyone's needs to create the best partnerships with healthcare systems, physician practices and hospitals. Education Matters. We are disciplined in bringing forward new thought and solutions that guide the healthcare industry and grow our company. Continuous knowledge secures sustainability that provides solid careers for our employees, stability for our healthcare professionals and reliability to our customers. Wellness Matters. Wellness in our bodies and in our relationships matter. We conduct our business with integrity and DO the right things. We ARE trustworthy partners to our healthcare professionals and the health systems that need them. We stand behind our solutions and people. We value a wellness state in business as in body. Engagement Matters. We hold ourselves accountable to perform with the utmost of professionalism, attention to detail, and highest standard of service. We hit our targets and do what we say we will do. We don't just respond to needs; we innovate to plan for outcomes. Loyalty Matters. People are at the center of our systems. All decisions we make are in the best interest of our employees, co-workers, communities, candidates, and customers. Living Well Matters! When we add it all up, we welcome personal responsibility for all relationships with our employees, co-workers, HEALTHCARE professionals and customers. Courtesy, dignity and respect EQUAL high-performance results. We share the same goals, whether at work or not: to live well!

MediPro is seeking a travel nurse RN Risk Manager for a travel nursing job in Los Angeles, California. Job Description & Requirements Specialty: Risk Manager Discipline: RN Duration: 26 weeks 40 hours per week Shift: 8 hours Employment Type: Travel CPPS or CPHRM cert Minimum of 2 years of experience working in acute care settings in Risk Management and/or Patient Safety Department. At least 1 of the 2 years in a California hospital. MediPro Job ID #343-245984. Pay package is based on 8 hour shifts and 40 hours per week (subject to confirmation) with tax-free stipend amount to be determined. About MediPro It's time someone took care of you. Get concierge level service and access our database of hot jobs you'll absolutely love! We are here to take care of you! TravelPer DiemPermanent PlacementLocum Local MediPro is a leading healthcare talent firm that provides top tier clinicians to medical facilities and practices nationwide. We focus on Travel Nursing, Advanced Practice, Allied Services, Surgical Services, and Case Management. MediPro focuses on custom solutions based on each client's unique needs ranging across per diem, master-booking, travel assignments, perm placement and temp-to-perm.

Catastrophic Nurse Case Manager - Full-time Required Qualifications: Registered nurse BSN preferred CCM or equivalent certification Three years or more of related experience and/or training or an equivalent combination of education and experience Job Description Identify, assess, plan, coordinate, implement, monitor, and evaluate options and services for individuals requiring case management services Provide quality, cost-effective outcomes for the client through collaboration and communication with the client, the family, the physician, and other members of the healthcare team Process the case utilizing the client's outcome management model and tools Obtain written authorization for case management services as well as release of information Assess the client/family to identify their strengths and resources; problems; psychosocial, financial, and medical history; current status; diagnosis; prognosis; functional status; goals; current treatment plan; and needs Develop a plan of care with client's model through interdisciplinary collaboration, which identifies realistic short- and long-term goals Identify, secure, and coordinate the services and resources to implement the plan Monitor services being provided for continued appropriateness and report to client and insurance carrier Evaluate the client's progress, the plan, and the appropriateness of the services provided, with modifications as necessary Provide ongoing instruction to the client and family regarding the injury/disease process, treatment options, and present care Promote the client's/family's self-advocacy skills to achieve maximum self-sufficiency Have knowledge of the benefit package as well as all available funding sources and systems of care and coordinate with the payer for authorization of payment Provide in-depth reporting of outcomes encompassing clinical, functional, financial, and customer satisfaction areas Demonstrate effective, accurate, and timely verbal and written communication in all work situations Identify and disclose all situations that might result in exposure to legal liability and/or are indicative of poor quality care negatively affecting the client Frequently travel to patient appointments Perform other related duties as assigned in accordance with the necessary job function Benefits: Tremendous Career Growth Opportunities! Senior management and leadership are very well respected by the team! Great work environment with a family-like work culture! Medical, Dental and Vision + 401k + Tuition Assistance + Disability

Job Description Voted one of the best companies to work for by Modern Healthcare Magazine: Renew Health Consulting Services is an award winning family company providing healthcare services including skilled nursing, assisted living and senior living communities. We believe that seniors are extraordinary people. Their lives are filled with achievements, contributions and wisdom. They have raised families, served their communities and country, lived history and ultimately set the stage for us. We are honored to provide their care, as they make the transition to the golden years, and when it becomes more challenging to care for one's self. From a short-term rehabilitation stay to long term nursing care, each of our clinical programs are designed to reduce hospitalizations so our patients can focus on achieving their individual care plan goals whether it's returning home or staying with us for their long term care needs Our commitment to superior quality of life is evident when you visit our family of centers. At our care center you will meet compassionate and professional team members who understand that finding the right skilled nursing setting and long-term care option could be difficult and confusing and are wanting to make a difference by providing the utmost care to genuinely help our patients and the community around them. If this sounds like a great fit for you, we would love to have you join our wonderful team! Compensation & Benefits: As a growing and essential company, we have many opportunities for growth and development within the medical industry and are committed to providing the resources and training you need. Pay is market competitive and negotiable based on your experience. Full-time employees will be eligible for a variety of comprehensive medical, dental, and vision insurance plans. Full-time employees will be eligible for Tuition Assistance. 401K. Travel Allowance The anticipated pay range for candidates who will work in California is $150K to $180K annually . The offered pay to a successful candidate will be dependent on several factors that may include but are not limited to years of experience within the job, years of experience within the required industry, education, etc. We are looking for full-time RN MDS Consultant Responsibilities: Responsible for visiting facilities in the assigned Region(s) on a regular basis and ensuring the accurate and timely submission of patient assessments, care planning, and billing processes that comply with the Patient-Driven Payment Model (PDPM). Conduct comprehensive assessments of patient's clinical needs and identify potential PDPM coding opportunities. Collaborate with interdisciplinary teams to develop patient-centered care plans that optimize clinical outcomes and maximize reimbursement under PDPM. Analyses and organizes PDPM and case mix data to ensure appropriate utilization of resources. Review medical documentation to ensure completeness, accuracy, and compliance with CMS regulations. Monitor and analyze PDPM-related data, including patient outcomes, revenue, and compliance metrics, and provide regular reports to senior leadership. Coordinate with MDS to ensure accurate completion of all MDS assessments and any supporting assessments or clinical documentation. Ongoing QA of medical records for the presence of supporting documentation for all items coded on the MDS. Provide education and training to staff on PDPM and related topics, including coding, documentation, and care planning Serve as a subject matter expert on PDPM to internal and external stakeholders, including regulatory bodies, payers, and auditors. Participate in quality improvement initiatives to enhance patient care and optimize reimbursement under PDPM. Maintain up-to-date knowledge of PDPM regulations and industry best practices and share this information with the facility and management. Qualifications: Bachelor's degree in nursing or related clinical field Active RN license or relevant clinical licensure. Experience with MDS completion preferred. Minimum of 3-5 years of clinical experience in a healthcare setting. Experience with Federal Medicare Skilling and Long term care billing. In-depth knowledge of the PDPM reimbursement system and CMS regulations. Submit your application and join our award-winning team! We are an equal opportunity employer and we are committed to Equal Employment Opportunity regardless of race, color, national origin, gender, sexual orientation, age, religion, veteran status, disability, history of disability or perceived disability, and per the Fair Chance Ordinance will consider qualified applications with criminal histories in a manner consistent with the ordinance. INDHP

TYPE OF RECRUITMENT OPEN COMPETITIVE JOB OPPORTUNITY EXAM NUMBER Y5701F THIS ANNOUNCEMENT IS A REPOSTING TO UPDATE THE ESSENTIAL JOB FUNCTION TO EXAMPLES OF DUTIES AND UPDATE THE EXAMINATION CONTENT INFORMATION. FILING START DATE 8/10/2020 at 9:00 A.M. (PT) This examination will remain open until the needs of the service are met and is subject to closure without prior notice. DEFINITION: Consults with administrative, medical, and nursing personnel in hospitals, skilled nursing facilities, and related health facilities to assist them in achieving compliance with State and Federal nursing regulations, and with the professional staff of the County Health Facilities Inspection Division in evaluating nursing services provided by licensed health care facilities. ABOUT LOS ANGELES COUNTY DEPARTMENT OF HEALTH SERVICES The Los Angeles County Department of Health Services (DHS) is the second-largest municipal health system in the nation. Through its unified system of 23 health centers and four hospitals, as well as its expanded network of community partner clinics, DHS annually provides direct care to over 500,000 patients, employs more than 23,000 staff, and has an annual budget exceeding $8.4 billion. Through academic affiliations with the University of California, Los Angeles (UCLA), the University of Southern California (USC), and the Charles R. Drew University of Medicine and Science (CDU), DHS hospitals are training sites for physicians completing their Graduate Medical Education in nearly every medical specialty and subspecialty. In addition to its direct clinical services, DHS also runs the Emergency Medical Services (EMS) Agency and the County's 911 emergency response system, as well as Housing for Health and the Office of Diversion and Re-entry, each with a critical role in connecting vulnerable populations, including those released from correctional and institutional settings, to supportive housing. MISSION: Our mission is to enhance the health of our patients and communities by delivering exceptional care.EXAMPLES OF DUTIES: * Conducts audits, special studies, and critical reviews of clinical practices and process, to assess compliance with regulatory and legal mandates. * Collects data necessary for the evaluation of infection prevention and control efforts from various sources including the medical record, laboratory results, etc. * Acts as facility liaison for system wide programs focused on infection prevention and control. * Provides staff support to Infection Control, QI, Patient Safety, and Risk Management related committees. * Conducts surveys to measure clincal practice outcomes, and in consultation with stakeholders formulates solutions to improve outcomes. The survey process includes preparing survey questions, distributing surveys, following up on facility/program responses, and compiling and analyzing summary data. * Functions as a Just Culture expert to provide consultation to facilities in the use and interpretation of the Just Culture model. Provides facility training in Just Culture concepts when requested. * Assists with Risk Management and Patient Safety related functions, including staffing DHS' Risk Management and Patient Safety committees. * Provides professional consultation to health facility administrators and nursing staff in the interpretation of laws, regulations and standards governing licensing, accreditation and certification for Medicare and Medi-Cal and in various acceptable methods of maintaining, improving, or modifying nursing operations. * Plans, develops, and conducts orientation and in-service training sessions for Division staff, conducts and participates in educational programs for health facility administrators, nurses and other health professionals, and develops guidelines and manuals for use in interpreting requirements for nursing care services. * Conducts both internal and external surveys to determine standards of practice which includes preparing survey questions, distributing surveys, following up on facility/program responses, and compiling summary data. * Visits health facilities and evaluates the quality of nursing service and compliance with laws and regulations; Notifies facilities in writing of findings and recommendations for correction of deficiencies, monitoring progress toward implementation of recommendations. * Conducts audits, performs special studies and critical reviews of medical record, such as adverse event investigations, Joint Commission National Patient Safety Goal audits, and risk management audits to confirm compliance with facility enacted corrective actions. * Functions as the chairperson for the Infection Control Committee, Quality Improvement Committee and Emergency Preparedness Subcommittee, which includes assisting department managers and directors to organize, interpret, and present data for committee meetings; Plans agendas and prepares minutes for the monthly Quality Improvement and Infection Control committee meetings. * Assists in departmental improvement projects such as those related to hospital acquired pressure injuries, falls, workplace violence, etc. * Performs reviews and critical analyses of Safety Intelligence (SI) incident reports submitted by facility frontline staff, to assess for appropriateness and thoroughness based on departmental policies. Identifies and notifies DHS Risk Management staff of events that may meet external reporting criteria such as CDPH Adverse Events and/or those that are at high risk for litigation. * Updates and revises program materials, such as the "Patient Safety & Risk Management Handbook". Creates Patient Safety and Risk Management educational materials for facility staff. * Maintains liaison with State and Federal agencies and professional organizations in connection with the development, analysis and interpretation of legislative and regulatory material in the area of nursing and its application to licensed health care facilities. SELECTION REQUIREMENTS: Option I: Five (5) years of experience as a Registered Nurse including two (2) years of experience in an administrative*, Supervisory, or consultative* capacity. OR Option II: A Master's Degree in Nursing from an accredited college or university AND four (4) years of experience as a Registered Nurse including two (2) years of experience in an administrative*, supervisory, or consultative* capacity. LICENSE: A current license to practice as a Registered Nurse issued by the California Board of Registered Nursing. Please ensure the certificates and licenses section of the application is completed. Provide the type of the required license(s), the number(s), the date(s) of issue, the date(s) of expiration and the name(s) of the issuing agency for each license as specified in the Selection Requirements. Applicants claiming experience in a state other than California must provide their Registered Nurse License Number from that state on the application at the time of filing. Applications submitted without the required evidence of licensure will be considered incomplete. Required license(s) and/or certification(s) must be active and unrestricted, or your application will not be accepted. Additionally, in order to receive credit for license(s) and/or certification(s) in relation to any desirable qualifications, the license(s) and/ or certification(s) must be active and unrestricted. Successful applicants for positions that require driving must obtain and present a copy of his/her driving record from the California State Department of Motor Vehicles before final appointment. Applicants should not present a copy of their driving history until asked to do so by the hiring department. The County will make an individualized assessment of whether an applicant's driving history has a direct or adverse relationship with the specific duties of the job. License must not be currently suspended, restricted, or revoked. PHYSICAL CLASS: II - Light: Light physical effort which may include occasional light lifting to a 10-pound limit, and some bending, stooping or squatting. Considerable walking may be involved. SPECIAL REQUIREMENT INFORMATION: * Administrative capacity is defined as performing in an administrative services branch of an organizational unit, including responsibility for the development of procedures and participation in policy formulation. Supervisory capacity is defined as planning, assigning, reviewing the work of staff, and evaluating employee performance. * Consultative capacity is defined as an expert in a specialized field, expressing views, providing opinions, and recommending courses of action to be taken on problems presented by others for resolution. In order to receive credit for any college course work, or any type of college degree, such as master degree, you must include a legible copy of the official diploma or official transcripts which shows the area of specialization with your application at the time of filing or within 15 calendar days of filing. DESIRABLE QUALIFICATIONS: Additional credit will be given to applicants who possess the following desirable qualifications: * Experience working as a Registered Nurse in a Risk Management, Quality Improvement, Patient Safety or Infection Control department. * Experience as a Registered Nurse surveying, investigating, inspecting and evaluating hospitals, skilled nursing facilities and other health facilities, clinics and/or individual providers for conformity with and enforcement of Federal and State licensing and certification requirements relating to the quality of medical care. EXAMINATION CONTENT: This examination will consist of an evaluation of education and experience based upon application information, desirable qualifications, and supplemental questionnaire, weighted at 100%. Candidates must meet the selection requirements and achieve a passing score of 70% or higher on this examination in order to be placed on the eligible register. ELIGIBILITY INFORMATION: Applications will be processed on an "as received" basis and those receiving a passing score will be promulgated to the eligible register in the order of their score group for a period of twelve (12) months following the date of eligibility. No person may compete in this examination more than once every twelve (12) months. AVAILABLE SHIFT: Appointees may be required to work any shift, including evenings, nights, weekends and holidays. VACANCY INFORMATION: The resulting eligible register for this examination will be used to fill vacancies throughout the Department of Health Services as they occur. APPLICATION AND FILING INFORMATION: Applications must be filed online only. Applications submitted by U.S. mail, Fax, or in person will not be accepted. Applications electronically received after 5:00 p.m., PT, on the last day of filing will not be accepted. Apply online by clicking the "APPLY" green button at the top right of this posting. You can also track the status of your application using this website. The acceptance of your application depends on whether you have clearly shown that you meet the SELECTION REQUIREMENTS. Fill out your application and supplemental questionnaire completely to receive full credit for related education and/or experience in the spaces provided so we can evaluate your qualifications for the job. Please do not group your experience, for each position held, give the name and address of your employer, your position title, beginning and ending dates, number of hours worked per week, and description of work performed. If your application is incomplete, it will be rejected. IMPORTANT NOTES: * Please note that All information supplied by applicants and included in the application materials is subject to VERIFICATION. We may reject your application at any point during the examination and hiring process, including after an appointment is made. * FALSIFICATION of any information may result in DISQUALIFICATION. * Utilizing VERBIAGE from Class Specification and/or Selection Requirements serving as your description of duties WILL NOT be sufficient to demonstrate that you meet the requirements. Comments such as "SEE RESUME" or "SEE APPLICATION" will not be considered as a response; in doing so, your application will be REJECTED. * It is recommended that you provide your work experience using statements that provide the following three elements: ACTION you took, the CONTEXT in which you took that action, and the BENEFIT that was realized from your action. Include specific reference to the impact you made in the positions you have held. NOTE: If you are unable to attach documents to your application, you must email the documents to the Exam Analyst, Sylvia Jaimez at ************************ within 15 calendar days of filing online. Please ensure to reference your attachment(s) by including your full name, examination number and examination title in the subject of your email. SOCIAL SECURITY NUMBER LANGUAGE: Please include your Social Security Number for record control purposes. Federal law requires that all employees have a Social Security Number. COMPUTER AND INTERNET ACCESS AT PUBLIC LIBRARIES: For candidates who may not have regular access to a computer or the internet, applications can be completed on computers at public libraries throughout Los Angeles County. NO SHARING USER ID AND PASSWORD: All applicants must file their applications online using their own user ID and password. Using a family member or friend's user ID and password may erase a candidate's original application record. FAIR CHANCE INITIATIVE The County of Los Angeles is a Fair Chance employer. Except for a very limited number of positions, you will not be asked to provide information about a conviction history unless you receive a contingent offer of employment. The County will make an individual assessment of whether your conviction history has a direct or adverse relationship with the specific duties of the job, and consider potential mitigating factors, including, but not limited to, evidence and extent of rehabilitation, recency of the offense(s), and age at the time of the offense(s). If asked to provide information about a conviction history, any convictions or court records which are exempted by a valid court order do not have to be disclosed. ADA COORDINATOR: ************** CALIFORNIA RELAY SERVICES PHONE: ************** DEPARTMENT CONTACT: Sylvia Jaimez, Exam Analyst Telephone Number: ************** Email Address: ************************

Prior Authorization Temp Nurse Case Manager, RN Northridge, CA 4-Month Contract Assignment Quick On-Boarding/Placement Process Career Stepping Stone from Bedside Nursing to Case Management (acute care experience and working knowledge of pre-auth process required) Description The role of the Prior Authorization Nurse Case Manager (PACM) is to promote the quality and cost effectiveness of medical care by applying clinical acumen and the appropriate application of policies and guidelines to prior authorization specialty referral requests. The PACM will review for appropriate care and setting, and following guidelines/policies, will approve services when indicated. If not indicated, PACM will forward requests to the appropriate physician or medical director with recommendations for other determinations, ensuring that the member is receiving the appropriate quality care in a preferred setting, while making sure regulatory guidelines are followed. 1. Understand, promote and review with the principles of medical management to facilitate the right care at the right time in the right setting. 2. Communicate effectively and interact with providers, staff and health plans daily regarding medical management and referral authorization issues. 3. Maintain a working relationship with PACM colleagues, the pre-auth coordinator team, high-risk nurse case managers, inpatient nurse case managers, medical directors, and network management. 4. Research alternative care plans and when necessary, assist in the routing of members to the most appropriate care/setting, in order to provide right care/right setting. 5. When necessary, act as liaison between the case managers, UM coordinators, contracted providers (PCPs/specialists/ancillary), and the members/families. 6. Perform case reviews base on key screening outpatient indicators, and evaluate the PCP submitted plan of care for its completeness of documentation, consistency of treatment with medical groups clinical practice guidelines, adherence to standard evidence-based or consensus guidelines, and health plan and CMS guidelines and/or medical policies. 7. Maintain regulatory Turnaround Time Standards per regulatory guidelines. 8. Document accurately and completely all necessary information in authorization notes. 9. Understand all applicable capitation contracts and how they apply to review duties. 10. For those PACMs involved in DME, understand the contracts, and need to review rental vs. purchase approvals, and continued use so that equipment is picked up when needed. 11. When appropriate, coordinate and review for medical necessity and appropriate utilization any ancillary professional services, i.e. (home health, infusion, PT, OT, ST, etc.). 12. Demonstrates the ability to follow through with requests, sharing of critical information, and getting back to individuals in a timely manner. 13. Participates in “service recovery” through follow-up with an upset patient or provider, gathering information, and demonstrating empathy. 14. Identifies network needs and report to management for potential contracting opportunities. Qualifications 1.Graduate from an accredited Registered Nursing Program 2.Current California RN License 3.Minimum of 1 year acute experience 4.Knowledge of Managed Care preferred. 5.Knowledge of NCQA, CMS, HSAG, and health plan requirements related to utilization management. 6.Knowledgeable with the pre-authorization process and workflow, with prior authorization experience preferred. 7.Knowledgeable in computers and MS Office programs (i.e., Word, Excel, Outlook, Access and Power Point). 8.Ability to deal with responsibility with confidential matters 9.Ability to work in a multi-tasking, fast-paced, high-stress environment. Compensation $38-$42/Hr Negotiable based on experience

LanceSoft is seeking a travel nurse RN Care Manager for a travel nursing job in Los Angeles, California. Job Description & Requirements Specialty: Care Manager Discipline: RN Duration: 13 weeks 40 hours per week Shift: 10 hours, days Employment Type: Travel Shift: Day 4x10-Hour (07:00 - 17:30) Description: LOCATION: UCLA Health Ronald Reagan UCLA Medical Center Department of Care Coordination (Surgery and Transplant Services). 757 Westwood Plaza, STE B788 Los Angeles, CA 90095 REQUIRED: -BSN -Active CA RN license -AHA BLS -Peds experience Shift: Days 4x10s 7am-17:30-some holidays and weekends may be needed Additional details: No scrubs are required. Business casual dress attire. HCRR JG PJ 3115631 About LanceSoft Established in 2000, LanceSoft is a Certified MBE and Woman-Owned organization. Lancesoft Inc. is one of the highest rated companies in the industry. We have been recognized as one of the Largest Staffing firms and ranked in the top 50 fastest Growing Healthcare Staffing firms in 2022. Lancesoft offers short- and long-term contracts, permanent placements, and travel opportunities to credentialed and experienced professionals throughout the United States. We pride ourselves on having industry leading benefits. We understand the importance of partnering with an expert who values your needs, which is why we're 100% committed to finding you an assignment that best matches your career and lifestyle goals. Our team of experienced career specialists takes the time to understand your needs and match you with the right job Lancesoft has been chosen by Staffing Industry Analysts as one of the Best Staffing Firms to Work for.LanceSoft specializes in providing Registered Nurses, Nurse Practitioners, LPNs/LVNs, Social Workers, Medical Assistants, and Certified Nursing Assistants to work in Acute Care Centers, Skilled Nursing Facilities, Long-Term Care centers, Rehab Facilities, Behavioral Health Centers, Drug & Alcohol Facilities, Home Health & Community Health, Urgent Care Clinics, and many other provider-based facilities. Benefits Weekly pay Medical benefits

To be eligible to enlist in the U.S. Navy, candidates must be between the ages of 18-34 The greatest reward for nearly every nurse is the joy of serving others. But in the Navy Nurse Corps, when you work to improve the lives of others, you can vastly improve your ownboth professionally and personally. As a Navy Nurse, you will serve your country by helping not only those in the military who defend it but also their families and people in need around the globe. Excellent scholarship opportunities mean you may graduate from nursing school potentially debt-free, and specialty training opportunities can give you a competitive edge in your field. NURSING CAREERS IN THE NAVY NURSE ANESTHETISTS Administer general and regional anesthesia, monitor patients receiving anesthesia and assist in instructing medical trainees and other Officers. PRIMARY CARE NURSE PRACTITIONERS Provide comprehensive health care and health maintenance for service members and their families. MEDICAL-SURGICAL NURSES Assess, plan and implement direct nursing care of patients on an assigned unit and assume charge nurse responsibilities. PERIOPERATIVE NURSES Plan, implement and evaluate nursing care of surgery patients. CRITICAL CARE NURSES Provide highly skilled, specialized nursing care to critical patientsincluding en route careand train personnel in critical care nursing procedures. MENTAL HEALTH NURSES AND NURSE PRACTITIONERS Provide direct patient care in mental health services, and lead and train other military and civilian personnel. MILITARY-SPECIFIC SPECIALIZATIONS Focus on education and training, manpower systems analysis and nursing research. PAY AND BENEFITS Attend the medical school of your choice and graduate debt-free through our scholarship and loan repayment programs, up to 100% tuition coverage. Competitive salary Free health insurance Free housing A retirement plan 30 days paid vacation per year EDUCATION OPPORTUNITIES Wherever you are in your nursing career, the Navy can help ease your financial burdens and advance your career with generous financial assistance and continuing education programs. Available offers could consist of anything from scholarships to sign-on bonuses to loan repayment assistance. And help could potentially be available whether youre in graduate school or already in practice. High School Students Through a Naval Reserve Officers Training Corps (NROTC) Nurse Option scholarship, the Navy can cover the full costup to $180,000of your nursing education at some of the best colleges and universities in the country. Nursing Students If youre a nursing student opting to serve full-time in the Navy, you could get up to $34,000 to help pay your way through nursing school through the Nurse Candidate Program (NCP). Graduate Students If youre a graduate student enrolled in a postgraduate nursing program in certain nursing specialties and opting to serve part-time as a Reserve Officer, you may qualify for up to $50,000 in nursing school loan repayment assistance. Practicing Nurses If youre a practicing nurse opting to serve part-time as a Reserve Officer, you may qualify for an immediate, one-time sign-on bonus of up to $30,000. And depending on your specialty, you may have the option of choosing between a sign-on bonus, nursing school loan repayment assistance or specialty pay. Speak to a recruiter to learn what you qualify to receive. WORK ENVIRONMENT Nurse Corps Officers may serve at any one of more than 250 Navy and medical facilities around the globe, from Hawaii to Japan, Germany to Guam and Washington, D.C., to Washington state. As a Navy Nurse, you could work at one of the highly acclaimed National Naval Medical Centers in Bethesda, MD, Portsmouth, VA or San Diego, CA. Or you could provide medical support aboard one of two dedicated hospital shipsthe USNS Comfort and USNS Mercy. Additional opportunities are available on surface ships, with aircraft squadrons or even with the Fleet Marine Force. QUALIFICATIONS AND REQUIREMENTS To become a Commissioned Officer in the Nurse Corps, qualifications include: U.S. Citizen between the ages of 18 and 41 Currently licensed and practicing nursing in the U.S. (new graduates must obtain a license within one year of beginning Active Duty service) In good standing (as a student or graduate) with a CCNE-accredited U.S. education program granting a Bachelor of Science degree General qualifications may vary depending upon whether youre currently serving, whether youve served before or whether youve never served before. PART-TIME OPPORTUNITIES There are part-time opportunities as a Reserve Navy Nurse. Serving part-time as a Navy Reserve Nurse, your duties will be carried out during your scheduled drilling and training periods. During monthly drilling, Nurse Corps Officers in the Navy Reserve typically work at a location close to their homes. Take a moment to learn more about the general roles and responsibilities of Navy Reserve Sailors. RequiredPreferredJob Industries Government & Military RequiredPreferredJob Industries Government & Military RequiredPreferredJob Industries Government & Military RequiredPreferredJob Industries Government & Military RequiredPreferredJob Industries Government & Military

RN - Labor and Delivery at Providence Saint John's Health Center in Santa Monica, CA. This position is full-time and will work 12-hour Night shifts. Join our team of clinicians and enjoy excellent an excellent compensation and benefits package. Providence Saint John's Health Center is renowned for innovation and advanced technology. We are on the Magnet journey, and we were just awarded a 5-star rating for quality, safe care from the Centers of Medicare and Medicaid Services (CMS). Providence Saint John's is among the top 10% of hospitals nationwide to have received this 5-star rating in 2023. Providence Saint John's Health Center's fast paced Labor and Delivery unit welcomes more than 2,200 babies into the world each year. We are known throughout Santa Monica for providing top-notch obstetrical care and our unit consists of a level 3 NICU caring for high-risk infants. This dynamic environment provides opportunities from caring for the laboring patient, circulating in the OR, PACU services, and high-risk postpartum and OB triage patients seen for emergent conditions. Providence nurses are not simply valued - they're invaluable. You will thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best nurses, we must empower them. Learn why nurses choose to work at Providence by visiting our Nursing Institute page. Join our team at Saint Johns Health Center. As a Providence caregiver, you'll apply your specialized training to deliver world-class health with human connection and make a difference every day through your extraordinary care. Required qualifications: Graduation from an accredited nursing program. California Registered Nurse License upon hire. National Provider BLS - American Heart Association upon hire. National Provider NRP - American Academy of Pediatrics upon hire. 1 year of Nursing experience. Why Join Providence? Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities. About Providence At Providence, our strength lies in Our Promise of “Know me, care for me, ease my way.” Working at our family of organizations means that regardless of your role, we'll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable. The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits. Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act." About the Team The Sisters of Providence and Sisters of St. Joseph of Orange have deep roots in California, bringing health care and education to communities from the redwood forests to the beach shores of Orange county - and everywhere in between. In Southern California, Providence provides care throughout Los Angeles County, Orange County, High Desert and beyond. Our award-winning and comprehensive medical centers are known for outstanding programs in cancer, cardiology, neurosciences, orthopedics, women's services, emergency and trauma care, pediatrics and neonatal intensive care. Our not-for-profit network provides a full spectrum of care with leading-edge diagnostics and treatment, outpatient health centers, physician groups and clinics, numerous outreach programs, and hospice and home care, and even our own Providence High School. Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement. Requsition ID: 398109 Company: Providence Jobs Job Category: Nursing-Patient Facing Job Function: Nursing Job Schedule: Full time Job Shift: Multiple shifts available Career Track: Nursing Department: 7006 PSJHC L AND D Address: CA Santa Monica 2121 Santa Monica Blvd Work Location: Providence Saint John's Health Ctr-Santa Monica Workplace Type: On-site Pay Range: $54.85 - $87.70 The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. PandoLogic. Category:Healthcare, Keywords:Certified Registered Nurse (RN) - Midwife, Location:Santa Monica, CA-90407