Utilization review nurse jobs in Cerritos, CA - 396 jobs

This travel nursing position seeks a Registered Nurse specializing in Labor and Delivery to provide care for women during labor and postpartum in Glendale, California. The role involves working 12-hour night shifts over a 13-week travel assignment, supporting both physical and emotional needs of mothers and collaborating with physicians for safe deliveries. Benefits include weekly pay, medical, dental, vision coverage, and continuing education opportunities. Care Career is seeking a travel nurse RN Labor and Delivery for a travel nursing job in Glendale, California. Job Description & Requirements Specialty: Labor and Delivery Discipline: RN Start Date: Duration: 13 weeks 36 hours per week Shift: 12 hours, nights Employment Type: Travel Labor and Delivery Registered Nurses (RN) play an important role for expecting and new mothers. They care for women when they are in labor or right after they give birth. A Labor and Delivery Nurse provide additional support, be it emotional or physical, for those who experience complications in labor. They also work with doctors to ensure a safe delivery. Labor and Delivery Room nurses work in hospitals, community health centers, physicians' offices and adult education centers, providing one-on-one education to pregnant women and new mothers, to promote health and bonding for both mother and child. Care Career Job ID #. Pay package is based on 12 hour shifts and 36.0 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: RN Labor and Delivery 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 Keywords: travel nurse, labor and delivery nurse, postpartum nurse, RN, registered nurse, maternity care, night shifts, nursing jobs, healthcare staffing, patient care

This position is for a travel Registered Nurse specializing in Labor and Delivery, based in Glendale, California, with a 13-week assignment and 12-hour night shifts. The role offers competitive pay, tax-free stipends, and comprehensive support from Olaro, a healthcare staffing company. Olaro provides flexible assignments to help nurses gain diverse clinical experiences and achieve work-life balance while supporting their career growth. Olaro is seeking a travel nurse RN Labor and Delivery for a travel nursing job in Glendale, California. Job Description & Requirements Specialty: Labor and Delivery Discipline: RN Start Date: Duration: 13 weeks 36 hours per week Shift: 12 hours, nights Employment Type: Travel PHP Job ID #455797. Pay package is based on 12 hour shifts and 36 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: RN L&D About Olaro Olaro Company Description Olaro is a trusted partner in healthcare staffing, connecting nurses and allied health professionals with opportunities nationwide. For over 35 years, we've helped clinicians expand their horizons by matching them with assignments that fit their lifestyle, career goals, and personal ambitions. At Olaro, we value your expertise and support your growth at every step. We offer competitive pay, comprehensive benefits, and access to diverse clinical experiences that build your skills and open doors to new possibilities. With 24/7 support, streamlined onboarding, and a team committed to your success, you'll always have a proven guide by your side. Whether you want to explore new locations, broaden your clinical experience, or achieve better work-life balance, Olaro provides the flexibility and support to help you thrive. Join us, and let's shape the future of healthcare together. Keywords: travel nurse, labor and delivery nurse, RN, postpartum nurse, travel nursing job, clinical experience, healthcare staffing, nursing assignment, night shifts, Glendale nursing job

This position is for a travel Labor and Delivery Registered Nurse (RN) in Glendale, California, working 36 hours per week on 12-hour night shifts for a 13-week assignment. The role requires 1-2 years of experience in labor and delivery nursing and offers travel nurse benefits including insurance and retirement plans. The job emphasizes gaining diverse professional experiences through travel nursing with personalized support from GetMed Staffing, Inc. GetMed Staffing, Inc. is seeking a travel nurse RN Labor and Delivery for a travel nursing job in Glendale, California. Job Description & Requirements Specialty: Labor and Delivery Discipline: RN Start Date: Duration: 13 weeks 36 hours per week Shift: 12 hours, nights Employment Type: Travel GetMed Staffing is searching for a strong L&D RN to assist our traveler-friendly client. A minimum of 1-2 years of experience is required. Traveling with GetMed Staffing offers the unique opportunity to gain diverse experiences, both personally and professionally. Gain experience that matters. GetMed Staffing, Inc. Job ID #. Pay package is based on 12 hour shifts and 36.0 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: RN:L&D,19:00:00-07:00:00 About GetMed Staffing, Inc. We are a diversity owned company, specializing in healthcare recruiting services. We truly understand how important a healthcare travelers' relationship is with their recruiter, as well as our relationship is with our healthcare facilities. We recognize that the needs of our healthcare travelers can vary, and therefore we provide the personalized touch necessary to ensure a successful travel assignment each and every time. Our healthcare facilities and clients benefit from us putting our healthcare travelers first. GetMed Staffing is excited to be a leader within the industry by focusing on providing healthcare travelers with more choices and possibilities as they plan for their next healthcare travel assignment. Benefits Life insurance Medical benefits Dental benefits Vision benefits 401k retirement plan Keywords: travel nurse, labor and delivery nurse, postpartum nurse, registered nurse, RN nursing jobs, travel nursing, night shift nurse, healthcare travel assignments, GetMed Staffing, nurse benefits

This position is for a travel registered nurse specializing in Intensive Care Unit (ICU) care located in San Bernardino, California, requiring at least two years of recent ICU experience and relevant certifications such as AHA BLS and ACLS. The role involves working 12-hour night shifts for a 13-week duration, providing critical care to patients while supporting healthcare facility staffing needs. Cure Healthcare Staffing offers flexible travel assignments with a focus on quality patient care and compliance with Joint Commission standards. Cure Healthcare Staffing is seeking a travel nurse RN ICU - Intensive Care Unit for a travel nursing job in San Bernardino, California. Job Description & Requirements Specialty: ICU - Intensive Care Unit Discipline: RN Start Date: Duration: 13 weeks 36 hours per week Shift: 12 hours, nights Employment Type: Travel Cure Healthcare is seeking a RN - ICU - Intensive Care Unit for positions in San Bernardino, California. Current California license and AHA BLS and ACLS required and additional certifications related to this specialty. To qualify for this travel assignment, the candidate's primary residence must be located at least 50 miles from the facility address. This shift is 3x12 Nights. Required: 2 years of recent experience in ICU - Intensive Care Unit. Please inquire for specific job details and confirm shift required by facility. Cure Healthcare Staffing Job ID #. Pay package is based on 12 hour shifts and 36.0 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: RN:ICU - Intensive Care Unit,18:00:00-06:00:00 About Cure Healthcare Staffing Phone Number: Main: Website: With 20+ years of healthcare staffing experience, Cure is helping nurses and allied health professionals rediscover their love of patient care while providing healthcare facilities with the flexible staffing solutions they need.We talk to nurses and techs every day who feel overwhelmed. By empowering them with flexibility and ownership of their career, we can keep more qualified healthcare professionals in direct patient care.Patient care should always come first. That's why we went through the process to become accredited by the Joint Commission. We only accept staff that meet the Joint Commission quality criteria so we can ensure that short-term staff assignments contribute to quality care rather than detract from it. Keywords: ICU travel nurse, registered nurse ICU, intensive care unit nurse, travel nursing job, nursing jobs California, AHA BLS ACLS certified nurse, critical care nurse, travel nurse RN, night shift nurse, healthcare staffing

This travel nursing position is for a registered nurse specializing in labor and delivery, working 36 hours per week on 12-hour night shifts in San Bernardino, CA. The assignment lasts 13 weeks with benefits including weekly pay, holiday pay, 401k, medical coverage, and reimbursement for mileage and licensing. The role involves providing specialized maternity care while traveling to meet staffing needs in healthcare facilities. Source Medical Staffing is seeking a travel nurse RN Labor and Delivery for a travel nursing job in San Bernardino, California. Job Description & Requirements Specialty: Labor and Delivery Discipline: RN Start Date: Duration: 13 weeks 36 hours per week Shift: 12 hours, nights Employment Type: Travel Source Medical Staffing Job ID #. Pay package is based on 12 hour shifts and 36 hours per week (subject to confirmation) with tax-free stipend amount to be determined. About Source Medical Staffing We come to work every day...to make a difference... to solve a problem... to work for you. Making a difference matters. We believe we can add value to healthcare staffing. In fact, we're obsessively compassionate about it. Medical facilities need staff; we want to be part of the solution. Medical professionals have goals; we want to help them reach their goals. Think of us as an extension of your team or your lifeline while on contract; use our experience to produce results everyone is proud of. Benefits Weekly pay Guaranteed Hours Holiday Pay 401k retirement plan Mileage reimbursement Referral bonus Medical benefits Dental benefits Vision benefits License and certification reimbursement Life insurance Keywords: travel nurse, labor and delivery nurse, registered nurse, RN labor and delivery, travel nursing job, medical staffing, nursing assignment, healthcare job, San Bernardino nursing, clinical nursing

Ethos Medical Staffing is seeking a travel nurse RN ICU - Intensive Care Unit for a travel nursing job in Upland, California. Job Description & Requirements Specialty: ICU - Intensive Care Unit Discipline: RN Start Date: ASAP Duration: 12 weeks 36 hours per week Shift: 12 hours, nights Employment Type: Travel The Intensive Care / Coronary Care Registered Nurse is a professional nurse who coordinates the delivery of nursing care for critically ill, post-operative, ventilator, post cardiac arrest, post heart cath, hemodynamic stabilization and other critically ill patients in the units. The Registered Nurse responds to code and emergent situations as a team member within the hospital. The Registered Nurse participates in-patient and family teaching, provides leadership by working cooperatively with ancillary and other patient team personnel in maintaining standards of professional nursing practice in the intensive care / coronary care setting. Ethos Medical Staffing Job ID #. Pay package is based on 12 hour shifts and 36.0 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: RN ICU About Ethos Medical Staffing Nurse Owned and Operated. Ethos Medical Staffing is Truly Focused on Caring for Those Who Care for Our Communities. Benefits Benefits start day 1 Weekly pay 401k retirement plan Guaranteed Hours Mileage reimbursement Medical benefits Dental benefits License and certification reimbursement Referral bonus

JOBID: PHS-4905 RN Labor and Delivery Per Diem/Nights Job Type: Long Term Assignment Start date : 11/24/2025 - 11/24/2026 SHIFT: 19:00 - 07:30 Pay: $65-$70 per hour 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 Birthplace. Is able to respond quickly and accurately to changes in condition and/or response to treatment. Provides for a safe environment for patients and visitors. Utilizes the chain of command when necessary to ensure patient well-being and appropriateness of care to newborns and mothers during the antepartum and postpartum periods. Labor & Delivery RN - Nights Per diem Qualifications 1. Current and valid state RN License 2. BLS 3. ACLS 4. NRP or PALS 5. Fetal monitoring 6. COVID vaccination/boosters preferred Precision Scans is an equal-opportunity employer, committed to cultural diversity. Precision Scans will provide equal consideration for employment to all qualified applicants without regard to their race, religion, ancestry, national origin, sex, sexual orientation, age, disability, marital status, domestic partner status, or medical condition.

**Virtual:** This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. _Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law._ **Work schedule:** Monday - Friday 9:30am - 6pm local time, **with rotating weekends.** **(Saturday 8am-12pm CST, with a comp day during the week)** The **Nurse Reviewer I** will be responsible for conducting preauthorization, out of network and appropriateness of treatment reviews for diagnostic imaging services by utilizing appropriate policies, clinical and department guidelines. + Collaborates with healthcare providers, and members to promote the most appropriate, highest quality and effective use of diagnostic imaging to ensure quality member outcomes, and to optimize member benefits. + Works on reviews that are routine having limited or no previous medical review experience requiring guidance by more senior colleagues and/or management. + Partners with more senior colleagues to complete non-routine reviews. + Through work experience and mentoring learns to conduct medical necessity clinical screenings of preauthorization request to assess assessing the medical necessity of diagnostic imaging procedures, out of network services, and appropriateness of treatment. **How you will make an impact:** + Conducts initial medical necessity clinical screening and determines if initial clinical information presented meets medical necessity criteria or requires additional medical necessity review. + Conducts initial medical necessity review of exception preauthorization requests for services requested outside of the client health plan network. + Notifies ordering physician or rendering service provider office of the preauthorization determination decision. + Follows-up to obtain additional clinical information. + Ensures proper documentation, provider communication, and telephone service per department standards and performance metrics. **Minimum Requirements:** + Requires AS in nursing and minimum of 3 years of clinical nursing experience in an ambulatory or hospital setting or minimum of 1 year of prior utilization management, medical management and/or quality management, and/or call center experience; or any combination of education and experience, which would provide an equivalent background. + Current unrestricted RN license in applicable state(s) required. **Preferred Skills, Capabilities, and Experiences :** + Familiarity with Utilization Management Guidelines, ICD-9 and CPT-4 coding, and managed health care including HMO, PPO and POS plans strongly preferred. + BA/BS degree preferred. + Previous utilization and/or quality management and/or call center experience preferred. + RN Compact License is strongly preferred; CA RN License is also preferred. + Experience in cardiology/radiology is preferred but not required. For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $36.27 to $56.77 Locations: California. In addition to your salary, Elevance Health offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws. * The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

Job DescriptionBenefits: 401(k) Competitive salary Dental insurance Health insurance Paid time off Signing bonus Training & development Vision insurance Outpatient Case Management West Los Angeles VAMC 11301 Wilshire Blvd Los Angeles, CA. 90073 There are five new RN vacancies at the West Los Angeles VA Medical Center. Service Line | Unit | Position Title | Tour | Qualified Contractor | Vendor HOSPITAL OPERATIONS | INPATIENT | RN | 0630-1500 | Vacant | Open HOSPITAL OPERATIONS | INPATIENT | RN | 0630-1500 | Vacant | Open HOSPITAL OPERATIONS | INPATIENT | RN | 0630-1500 | Vacant | Open HOSPITAL OPERATIONS | OUTPATIENT | RN | 0730-1600 | Vacant | Open HOSPITAL OPERATIONS | OUTPATIENT | RN | 0730-1600 | Vacant | Open Benefits/Perks Competitive Compensation Great Work Environment Career Advancement Opportunities Job Summary We are seeking a Utilization Management Nurse to join our team! As a Utilization Management Nurse on the team, you will be responsible for reviewing patient files and treatment methods with an eye for efficiency and effectiveness. Your role will be to ensure we are running at optimal efficiency, and that all patients under our care are receiving the necessary treatments and procedures. The ideal candidate has deep experience in a similar medical setting, has a bachelor's or higher in Nursing, and has a certification in either Case Management or Utilization Management. Responsibilities Review patient files and treatment information for efficiency Monitor the activity of staff to ensure effective patient treatment Advocate for quality patient care to prevent complications Review discharge information for outgoing patients Work closely with clinical staff to provide excellent patient care Prepare reports on patient management and cost assessments Dimensions of Nursing Practice PRACTICE: Knowledge of professional nursing practice and the ability to apply the nursing process (assessment, diagnosis, outcome identification, planning, implementation, and evaluation) with close supervision. Expectations: 1. Completes orientation according to expected standards. 2. Works with close supervision, is responsible and accountable for individual nursing practice and seeks direction from others as needed. 3. Manages workload as assigned, organizes, and completes own assignments in an efficient and appropriate manner. 4. Participates in the development, implementation, and evaluation of interdisciplinary care. 5. For Inpatient RNs, performs unit based inpatient case management duties, with the ability to perform RN case management assessments, discharge planning, formulating safe plans of care and anticipating patient care needs. VETERAN/PATIENT DRIVEN CARE: Knowledge of Veteran/patient driven care, patient experience, satisfaction, and safety. Expectations: 1. Establishes a therapeutic relationship, allowing the patient to attain, maintain or regain optimal function through assessment and treatment. 2. Engages patients, families, and other caregivers to incorporate knowledge, values, and beliefs into care planning without judgement or discrimination. 3. Knowledgeable of ethical issues related to professional nursing practice and follow established policies of the practice setting, VA, and ANA Code of Ethics for Nurses. 4. Aware of high reliability principles to deliver consistent care and improve patient outcomes. LEADERSHIP: Communicates, collaborates, and utilizes leadership principles to perform as an effective member of the interprofessional team. Expectations: 1. Demonstrates positive, effective communication skills and professional behaviors that promote cooperation and teamwork with internal and external customers. PROFESSIONAL DEVELOPMENT: Incorporates educational resources/opportunities and self-evaluation for professional growth. Expectations: 1. Participates in unit based educational activities and continuing education requirements. 2. Responsible for maintaining competency to continue personal and professional growth. EVIDENCE-BASED PRACTICE/RESEARCH: Awareness of evidence-based practice/research to improve quality of care and resource utilization. Expectations: 1. Applies evidence-based practice/research to patient care. 2. Participates in unit-based activities to improve and deliver cost effective patient care. 3. Demonstrates knowledge of specific unit level performance improvement activities. 4. Incorporates patient preferences into shared care delivery decisions. Customer Services Requirements: The incumbent meets the needs of the Veteran and as appropriate the Veterans family, caregiver and/or significant other, the Veterans representative, visitors to VA facilities, all VA staff and other customers while supporting VA missions. The incumbent consistently communicates and treats the Veteran and as appropriate the Veterans family, caregiver and/or significant other, the Veteran representatives, visitors to VA facilities, all VA staff, and other customers in a courteous, tactful, and respectful manner. The incumbent provides the Veterans family, caregiver and/or significant other, the Veterans representative, visitors to VA facilities, all VA staff, and other customers with consistent information according to establish policies and procedures. The incumbent handles conflict and problems in dealing with any consumer group appropriately and in a constructive manner. Age, Development, and Cultural Needs of Patients Requirement: The primary age of Veterans treated is in their middle years (ages 40 to 50) or at the geriatric level (ages 60 or older). There are occasionally younger patients between the ages of 25 to 40 years of age that require care. The position requires the incumbent to possess or develop an understanding of the particular needs of these types of patients. Sensitivity to the special needs of all patients in respect to age, developmental requirements, and culturally related factors must be consistently achieved. Computer Security Requirement: The incumbent protects printed and electronic files containing sensitive data in accordance with the provisions of the Privacy Act of 1974 and other applicable laws, Federal regulations, VA statutes and policy, and VHA policy. The incumbent protects the data from unauthorized release or from loss, alteration, or unauthorized deletion. Follows applicable regulations and instructions regarding access to computerized files, release of access codes, etc., as set out in the computer access agreement that the incumbent signs. Reports all known information security incidents or violations to the supervisor and/or the Information Security Officer immediately. Reports all known privacy incidents or violations to the Privacy Officer immediately. Compliance is measured by supervisory observation and periodic random monitoring by the Information Security Officer or Office of Information Technology staff. Major violations such as loss of or unauthorized release, alteration, or deletion of sensitive data are unacceptable. Other Significant Information: This position potentially requires flexibility in schedule and assignments. For RN Inpatient Case Management staff, there may be rotation to 0830-1700 from the initial 0630-1500 (Monday Friday) Qualifications: BSN and/or MSN preferred. Minimum of 5 years of successful nursing practice, encompassing education, administration, leadership, and Quality Management Performance Improvement (QM/PI) experience preferred. Basic computer literacy proficiency with the use of Microsoft Office programs or comparable word processing, spreadsheet and graphic software and the ability to learn new programs specific to the VA preferred. Ability to work variable and flexible tours to meet program demands. Demonstrated ability to accurately implement policies, regulations, standards of care and standards of practice preferred. Demonstrated ability to review patient clinical records. Proven ability to facilitate group problem solving preferred. Proven ability to utilize sound judgment in making patient transfer decisions preferred. Ability to lead and effectively direct staff within program unit/team/group preferred. Excellent organizational, communication, writing, and time management skills preferred. Excellent interpersonal skills and the ability to work independently as well as collaboratively with multiple service lines and disciplines preferred.

Formulary Strategy & Utilization Review Pharmacist Shape the drug benefit landscape-analyze and optimize medication use. Key Responsibilities: Review prescribing trends and propose cost-saving alternatives. Maintain evidence-based formularies across multiple payers. Conduct retrospective DUR and prepare stakeholder reports. Qualifications: PharmD with managed care, DUR, or pharmacy benefit experience. Strong Excel/data analytics background preferred. Understanding of clinical guidelines and P&T processes. Why Join Us? Join a top-tier managed care team Hybrid flexibility Strategic and data-driven focus

DescriptionAstrana Health is looking for a CA-licensed Utilization Review Nurse to assist our Health Services Department. In this position, you will utilize your clinical judgement to approve or deny outpatient medical services for patients based on Medical Necessity Criteria, respective to various Health Plans. This position requires open availability between Monday through Sunday, 8 A - 8 P. You would be scheduled for 5 shifts per week. This is a hybrid position where you will work at-home and in our Monterey Park office on a weekly basis. We are open to nurses without prior UM experience! Our Values: Put Patients First Empower Entrepreneurial Provider and Care Teams Operate with Integrity & Excellence Be Innovative Work As One Team What You'll Do Complete prior authorization/retrospective review of elective inpatient admissions, outpatient procedures, post-homecare services, and durable medical equipment Refer cases to Medical Directors as needed/appropriate Maintain knowledge of state and federal regulations and accreditation standards Comply with internal policies and procedures Perform any other job duties as requested Qualifications Active and unrestricted LVN CA license. Experience with Microsoft applications such as Word, Excel, and Outlook You'll be Great for this Role If: Two (2) years of health plan, IPA or MSO experience Strong interpersonal skills Ability to collaborate with co-workers, senior leadership, and other management Experience educating and training staff Environmental Job Requirements and Working Conditions This is a hybrid position, where you will work at home and in-office on a weekly basis. Typical business hours are Monday - Friday from 8:30 AM to 5 PM, however, this position requires open availability between 8 AM - 8 PM PST, M-Su. Your schedule will be compromised of 5 shifts per week. Nurses rotate weekend and holiday coverage. Overtime is required in this position. The national target pay range for this role is $30.00 - $34.00 per hour. Actual compensation will be determined based on geographic location (current or future), experience, and other job-related factors. Astrana Health is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based on race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. All employment is decided based on qualifications, merit, and business need. If you require assistance in applying for open positions due to a disability, please email us at ************************************ to request an accommodation. Additional Information:The job description does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the job change.

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 JOB CODE: Renew

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: ************************

This position is for a registered nurse specializing in Neonatal Intensive Care Unit (NICU) on a local contract basis in West Hollywood, CA. The role involves working 12-hour night shifts for 13 weeks, providing specialized neonatal care in a hospital setting. The contract offers competitive pay, comprehensive benefits, and support services to ensure a comfortable travel nursing experience. Host Healthcare is seeking a local contract nurse RN NICU - Neonatal Intensive Care for a local contract nursing job in West Hollywood, California. Job Description & Requirements Specialty: NICU - Neonatal Intensive Care Discipline: RN Start Date: Duration: 13 weeks 36 hours per week Shift: 12 hours, nights Employment Type: Local Contract Host Healthcare Job ID #La1fVJ000007djqrYAA. Pay package is based on 12 hour shifts and 36 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: RN - NICU About Host Healthcare At Host Healthcare, we provide a truly comfortable experience as you explore your travel nursing, therapy, or allied career. We make your travel healthcare journey easy by taking care of all the details, so you don't have to. We are on a mission to help others live better and we do this by helping the healers of the world be as comfortable as possible. With access to tens of thousands of travel nursing, therapy, and allied jobs in all 50 states, our responsive and friendly recruiters find your dream position based on what's important to you. During your assignment, get access to premium benefits, including Day 1 medical that continues up to 30 days between assignments, 401K matching, travel reimbursements, dedicated housing support, and more. We also offer 24/7 support from our team and access to our on-staff clinicians so you can feel comfortable and confident throughout your entire assignment. Travel comfortably with Host Healthcare. Benefits Referral bonus School loan reimbursement Vision benefits Wellness and fitness programs Company provided housing options License and certification reimbursement Life insurance Medical benefits Mileage reimbursement Pet insurance Discount program Employee assistance programs Guaranteed Hours Health savings account Holiday Pay 401k retirement plan Continuing Education Dental benefits Keywords: NICU nurse, neonatal intensive care, travel nurse, registered nurse, contract nursing, night shift nurse, healthcare travel jobs, West Hollywood nursing, nursing benefits, critical care nurse

This position is for a Travel Registered Nurse specializing in Post Anesthesia Care Unit (PACU) to work a 13-week assignment in San Bernardino, California. The role requires a current California nursing license, BLS and ACLS certifications, and at least two years of recent PACU experience. The travel assignment offers 10-hour day shifts, with a competitive weekly pay package and stipends, supporting healthcare facilities with flexible, quality staffing solutions. Cure Healthcare Staffing is seeking a travel nurse RN PACU - Post Anesthesia Care for a travel nursing job in San Bernardino, California. Job Description & Requirements Specialty: PACU - Post Anesthesia Care Discipline: RN Start Date: Duration: 13 weeks 40 hours per week Shift: 10 hours, days Employment Type: Travel Cure Healthcare is seeking a RN - PACU - Post Anesthetic Care for positions in San Bernardino, California. Current California license and AHA BLS and ACLS required and additional certifications related to this specialty. To qualify for this travel assignment, the candidate's primary residence must be located at least 50 miles from the facility address. This shift is 4x10 Days. Required: 2 years of recent experience in PACU - Post Anesthetic Care. Please inquire for specific job details and confirm shift required by facility. Cure Healthcare Staffing Job ID #. Pay package is based on 10 hour shifts and 40.0 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: RN:PACU - Post Anesthetic Care,07:30:00-17:30:00 About Cure Healthcare Staffing Phone Number: Main: Website: With 20+ years of healthcare staffing experience, Cure is helping nurses and allied health professionals rediscover their love of patient care while providing healthcare facilities with the flexible staffing solutions they need.We talk to nurses and techs every day who feel overwhelmed. By empowering them with flexibility and ownership of their career, we can keep more qualified healthcare professionals in direct patient care.Patient care should always come first. That's why we went through the process to become accredited by the Joint Commission. We only accept staff that meet the Joint Commission quality criteria so we can ensure that short-term staff assignments contribute to quality care rather than detract from it. Keywords: travel nurse, PACU nurse, post anesthesia care, registered nurse, RN, California nursing job, travel nursing, BLS certification, ACLS certification, healthcare staffing

This position is for a travel Registered Nurse specializing in Post Anesthesia Care Unit (PACU) nursing, providing immediate postoperative care to patients recovering from anesthesia. The role involves monitoring vital signs, managing airways, surgical wound care, and using life support equipment during the recovery period. The job is a 13-week travel assignment in San Bernardino, California, with benefits including weekly pay and medical coverage. Care Career is seeking a travel nurse RN PACU - Post Anesthesia Care for a travel nursing job in San Bernardino, California. Job Description & Requirements Specialty: PACU - Post Anesthesia Care Discipline: RN Start Date: Duration: 13 weeks 40 hours per week Shift: 10 hours, days Employment Type: Travel PACU nursing involves the care of patients who are recovering from surgery, particularly when the application of anesthesia is involved. Once the patient sufficiently recovers from the effects of the anesthesia, he/she is typically transferred to the appropriate ward or discharged from the hospital. PACU nurses are typically responsible for providing patient care during the immediate postoperative recovery period. He/she typically have training in basic life support measures, airway management, acute surgical wound care, catheter procedures and the special requirements associated with anesthesia. PACU nurses may also be trained in the use of cardiac life support equipment. Care Career Job ID #. Pay package is based on 10 hour shifts and 40.0 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: RN PACU 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 Keywords: travel nurse, PACU nurse, post anesthesia care, registered nurse, postoperative care, patient recovery, RN travel job, acute surgical care, life support, California nursing job

This position is for a travel ICU Registered Nurse (RN) in San Bernardino, CA, working 36 hours per week across 12-hour night shifts for a 13-week assignment. The role offers a competitive pay package and tax-free stipend, with support from Olaro, a healthcare staffing company specializing in nursing placements nationwide. The job emphasizes flexibility, clinical growth, and ongoing support throughout the assignment. Olaro is seeking a travel nurse RN ICU - Intensive Care Unit for a travel nursing job in San Bernardino, California. Job Description & Requirements Specialty: ICU - Intensive Care Unit Discipline: RN Start Date: Duration: 13 weeks 36 hours per week Shift: 12 hours, nights Employment Type: Travel PHP Job ID #447869. Pay package is based on 12 hour shifts and 36 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: RN ICU About Olaro Olaro Company Description Olaro is a trusted partner in healthcare staffing, connecting nurses and allied health professionals with opportunities nationwide. For over 35 years, we've helped clinicians expand their horizons by matching them with assignments that fit their lifestyle, career goals, and personal ambitions. At Olaro, we value your expertise and support your growth at every step. We offer competitive pay, comprehensive benefits, and access to diverse clinical experiences that build your skills and open doors to new possibilities. With 24/7 support, streamlined onboarding, and a team committed to your success, you'll always have a proven guide by your side. Whether you want to explore new locations, broaden your clinical experience, or achieve better work-life balance, Olaro provides the flexibility and support to help you thrive. Join us, and let's shape the future of healthcare together. Keywords: travel nurse, ICU nurse, registered nurse, intensive care unit, healthcare staffing, San Bernardino nursing, travel nursing jobs, nursing assignments, critical care nurse, nurse shifts

Formulary Strategy & Utilization Review Pharmacist Shape the drug benefit landscape-analyze and optimize medication use. Key Responsibilities: Review prescribing trends and propose cost-saving alternatives. Maintain evidence-based formularies across multiple payers. Conduct retrospective DUR and prepare stakeholder reports. Qualifications: PharmD with managed care, DUR, or pharmacy benefit experience. Strong Excel/data analytics background preferred. Understanding of clinical guidelines and P&T processes. Why Join Us? Join a top-tier managed care team Hybrid flexibility Strategic and data-driven focus

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