Utilization review nurse jobs in Los Angeles, CA - 346 jobs

PRN Healthcare is seeking a travel nurse RN ICU - Intensive Care Unit for a travel nursing job in Long Beach, 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 PRN Healthcare 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. Posted job title: RN ICU About PRN Healthcare Our story starts with a 21-year-old CNA named Pete Hietpas. Pete was diligently working in eastern Wisconsin with a variety of staffing agencies, but something was missing. He loved caring for his patients, but felt that staffing agencies were exchanging compassion for competitiveness. He was determined to change that. As a result, he started Nurses PRN in 1995 to become a model for the healthcare staffing industry - being competitive in the marketplace, yet still maintaining a compassionate heart. Over the years Nurses PRN grew and evolved as a nationwide healthcare staffing company, and therefore wanted to be more inclusive to all valued healthcare professionals: nurses, allied health, locum tenens, CNAs, and more. This lead to the introduction of PRN Healthcare, which is inclusive of Nurses PRN and all of our other healthcare divisions. Our mission to create authentic, meaningful relationships with our healthcare professionals helps us set them up for success in their dream assignment, whether that be a travel contract, local contract, or per diem shift. This is all driven by the simple idea that better care for our healthcare workers, leads to better patient care - and this is all supported by a dedicated internal staff. Our company culture is strongly backed by faith-based values and activities, to remind us that our success provides us the opportunity to serve and give back to our communities. This is the spirit of caregiving. This is PRN Healthcare. Benefits Weekly pay Guaranteed Hours Continuing Education 401k retirement plan Referral bonus Employee assistance programs Company provided housing options Medical benefits Dental benefits Vision benefits Life insurance

Advantis Medical 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 Duration: 13 weeks 36 hours per week Shift: 12 hours, days Employment Type: Travel Advantis Medical, the #1 rated travel nurse agency, is currently seeking an experienced Missing Registered Nurse (RN) for an exciting new travel job in Upland, CA 91786. This rewarding travel job offers a contract duration of 11 weeks. With us, you'll enjoy a superior pay and benefits package starting on day 1, along with our personalized service where we set the gold standard in clinician care. As a Joint-Commission-certified agency, we promise a seamless and stress-free experience. As a Missing travel nurse, you will provide compassionate and high-quality care to patients ensuring their well-being and recovery. Job Details Facility: San Antonio Regional Hospital Location: Upland, CA 91786 Contract Length: 11 Weeks Shift: TBD Start Date: ASAP Qualifications 2 years of Missing staff experience or equivalent BSN Degree or Associate of Science in Nursing Current nursing license A valid State Issued Driver's License or State ID If you are an experienced Missing Registered Nurse (RN) with a passion for providing exceptional patient care, just let us know you're interested. We'll get you started on your next travel nurse adventure in Upland, CA 91786. Advantis Medical Job ID #650588. 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 Advantis Medical Advantis Medical Staffing is ranked #1 by travel clinicians because of our relentless focus on matching our travel clinicians with their next dream assignment. We accomplish this by making significant investments in technology and have married it with an exceptional human experience from our recruiter and support teams. You're going places. We can help. Benefits Weekly pay Holiday Pay Guaranteed Hours 401k retirement plan Referral bonus Employee assistance programs Medical benefits Dental benefits Vision benefits

This position is for a travel Registered Nurse specializing in long-term and acute rehabilitation care, providing nursing services to patients with temporary or permanent disabilities. The role requires expertise in patient assessment and delivering age-appropriate care during 12-hour night shifts over a 13-week travel assignment in Northridge, California. Employment includes benefits such as medical, dental, vision, weekly pay, and continuing education opportunities. Care Career is seeking a travel nurse RN Long Term Care for a travel nursing job in Northridge, California. Job Description & Requirements Specialty: Long Term Care Discipline: RN Start Date: Duration: 13 weeks 36 hours per week Shift: 12 hours, nights Employment Type: Travel A Rehabilitation and Skilled Nurse Registered Nurse (RN) administers nursing care to patients in an efficient, safe, and courteous manner to those who suffer from a temporary or permanent disability. The nurse must be able to demonstrate the knowledge and skills necessary to provide care appropriate to the age of the patients served on his or her assigned unit. The individual must demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patient's status and interpret the appropriate information needed to identify each patient's requirements relative to his or her age specific needs, and to provide the care as needed. 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 Rehab 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, registered nurse, rehabilitation nurse, long term care, acute care, RN, night shift nursing, patient care, nursing skills, healthcare staffing

This position is for a travel registered nurse specializing in Labor and Delivery and Postpartum care, based in Glendale, California for a 13-week assignment. The role requires experience with C-section procedures, fetal monitoring, and care for high-risk pregnancies in an acute care hospital setting, working 12-hour night shifts. Benefits include medical insurance from day one, housing allowance, 401(k) plan, and support throughout the assignment from American Traveler. American Traveler is seeking a travel nurse RN Labor and Delivery for a travel nursing job in Glendale, California. & Requirements Specialty: Labor and Delivery Discipline: RN Start Date: Duration: 13 weeks 36 hours per week Shift: 12 hours, nights Employment Type: Travel Job Description American Traveler is seeking an experienced RN for a Labor & Delivery position with C-section experience and current CA RN license required. Responsibilities Position is in an acute care hospital setting on the Labor & Delivery and Postpartum unit Unit includes 10 L&D beds, 2 ORs in L&D, 2 triage beds, and 18 postpartum beds Patient population includes antepartum, postpartum, full-term and high-risk pregnancies, with deliveries down to 23 weeks gestation Staff supports about 130 births per month Patient ratios: 1:1 close to delivery, 1:2 other times, and 1:4 couplets on postpartum C-section scrub, recovery, and circulating experience required 12-hour night shifts with every other weekend required Float to postpartum or mother-baby as needed, L&D to postpartum only No on-call responsibilities Cerner EMR is used, experience preferred Obix fetal monitoring system is used Care for patients throughout labor, delivery, and immediate postpartum period, including some high-risk and antepartum cases Must be able to manage fetal monitoring and support surgical births Charge nurse shared between L&D and postpartum units 12-hour shift schedule with expectation to work one major and one minor holiday during assignment Floor-specific orientation provided Scrubs are provided for staff First to float as needed within scope RT and pharmacy available 24/7 Returning candidates must not have been employed by CommonSpirit, CHI, or Dignity facilities within the previous year Requirements Active California RN license required at time of consideration Minimum 2 years of prior L&D experience required Current certifications: BLS, ACLS, NRP, and Advanced Fetal Monitoring (AWHONN AFM or equivalent) C-section scrub, recovery, and circulating skills required Recent L&D travel experience preferred Two professional references: one supervisor from within the last 12 months and one peer or supervisor from within the last 3 years Copy of valid driver's license required for consideration Benefits High Pay and Bonuses Medical, Dental and Vision Insurance with Day 1 Options 401(k) Plan Weekly Payroll Deposit Free Online CEUs Generous Housing Allowance Travel and Licensure Reimbursements Non-taxed Per Diem and Subsidy Traveler Rewards and Discounts American Traveler Job ID #P. 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: Travel RN - Labor & Delivery About American Traveler With over 25 years of experience, American Traveler has established a reputation for outstanding customer service. Our team ensures a smooth, worry-free experience for those starting on or expanding their travel nursing and allied careers. With thousands of travel nursing and allied jobs nationwide, our attentive and approachable recruiters find positions that align perfectly with your career aspirations and personal requirements. American Traveler offers exceptional benefits, including premium medical, dental, vision and life insurance beginning day one of your assignment, generous 401(k) match, substantial housing stipends, and more. Additionally, with 24/7 support and access to our in-house clinicians, you are assured confidence and comfort throughout your assignment. With our team behind you, you can relax and enjoy a rewarding travel career. Keywords: travel nurse, labor and delivery nurse, postpartum nurse, RN, C-section experience, fetal monitoring, acute care nursing, travel nursing jobs, California RN license, labor and delivery travel nurse

NP/PA Aesthetic Injector- Medical Aesthetics Practice 📍 Beverly Hills, CA | 💼 Full-Time / Part-Time 💵 Compensation : $60-$75/hour 💵 Performance-Based Incentives | Premier Beverly Hills Practice Dr. John Diaz, MD is a premier medical aesthetics practice dedicated to helping clients look and feel their best through innovative, safe, and results-driven treatments. We pride ourselves on delivering exceptional patient care, personalized treatment plans, and a luxury experience in a professional and welcoming environment. Position Overview We are seeking a skilled and passionate Injector (Nurse Practitioner or Physician Assistant) to join our growing team. The ideal candidate has a strong background in aesthetics, a natural eye for beauty and balance, and a commitment to patient safety. You will perform injectable treatments including neuromodulators, dermal fillers, and other advanced procedures while ensuring the highest standard of patient satisfaction. Key Responsibilities Conduct patient consultations, assess client needs, and develop personalized treatment plans Administer injectable treatments (neuromodulators, dermal fillers, PRP, etc.) with precision and care Educate clients on treatment options, post-care instructions, and long-term maintenance Build and maintain strong client relationships to encourage loyalty and referrals Maintain accurate patient documentation in compliance with medical and regulatory guidelines Stay current on the latest trends, techniques, and safety protocols in aesthetics Collaborate with the clinical team to provide a seamless, luxury patient experience Qualifications Active and unrestricted NP or PA license in California Minimum 2+ years of experience in aesthetics (injectables required) Demonstrated proficiency with neuromodulators and dermal fillers Exceptional communication and interpersonal skills Strong aesthetic judgment and attention to detail Commitment to patient safety, education, and satisfaction Preferred Skills Experience with additional services such as PDO threads, PRP, Kybella, lasers, etc. Consultation and sales experience in a medspa or aesthetic practice Continuous learner mindset and passion for advancing aesthetic skills Why Join Us? Competitive base pay plus performance-based incentives Opportunities for advanced training and professional growth Employee discounts on treatments and products Work alongside a renowned physician in a luxury, patient-focused environment Supportive, collaborative, and high-performing team culture 👉 If you are a talented Injector (NP or PA) passionate about aesthetics and ready to elevate your career in Beverly Hills' premier medical aesthetics practice, we want to hear from you. Apply today to join Dr. Diaz's team and help deliver exceptional patient care and results! #J-18808-Ljbffr

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

A Travel Wound Care Nurse (RN) providing specialized Med Surg nursing care on a per diem basis in Lynwood, California. This role involves working 40 hours per week with 8-hour day shifts over a 52-week assignment, supporting hospitals and clinics with wound care expertise. The position offers competitive pay, benefits, and is facilitated by Summit Medical Staffing, a veteran and employee-owned healthcare staffing company. Summit Medical Staffing Nursing is seeking a travel nurse RN Med Surg for a travel nursing job in Lynwood, California. Job Description & Requirements Specialty: Med Surg Discipline: RN Start Date: Duration: 52 weeks 40 hours per week Shift: 8 hours, days Employment Type: Travel Summit Medical Staffing Nursing Job ID #. Pay package is based on 8 hour shifts and 40 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: Wound Care RN - Per Diem (Days) About Summit Medical Staffing Nursing Summit Medical Staffing was founded in 2014 and is based in Fremont, Nebraska. Summit is a Veteran and Employee-owned company that provides staffing resources to Healthcare providers, hospitals and clinics, nationwide. Located in the Midwest, Summit strives to provide a dedicated and attentive approach to medical staffing services for the employer and the employee. Our philosophy to connect, educate, consult and advocate resonates within the entire Summit team. Our travelers make us special; our focus and commitment to them makes us unique. For more information, visit www.summitmedstaff.com. Benefits Medical benefits Dental benefits Vision benefits Referral bonus Employee assistance programs Weekly pay License and certification reimbursement Keywords: travel nurse, wound care, Med Surg, registered nurse, per diem nursing, healthcare staffing, patient care, clinical nursing, shift work, medical benefits

Voca Healthcare is seeking a travel nurse RN Wound Care for a travel nursing job in Newport Beach, California. Job Description & Requirements Specialty: Wound Care Discipline: RN 40 hours per week Shift: 8 hours, days Employment Type: Travel Benefits available on 1st of the month after start: Holiday pay Weekly pay Retention bonus 401k retirement plan Medical benefits Dental benefits Vision benefits Referral bonus Are you an experienced Wound Care RN looking for your next exciting travel assignment, or are you ready to start your travel healthcare career? At Voca, we offer an unmatched experience for healthcare professionals with a travel-first culture that prioritizes your needs and supports your career growth. We understand that every traveler is unique, which is why we provide personalized support from our experienced team of recruiters who are dedicated to matching you with the right assignments. Join Voca today, where you will enjoy a rewarding career and a full suite of benefits designed to ensure your success and well-being. As a Wound Care RN with Voca, you'll have the opportunity to work in dynamic healthcare settings, gaining valuable experience while receiving competitive compensation and support every step of the way. Qualifications: -Minimum of 2 years of recent experience as a Wound Care RN preferred, but we are open to exceptional candidates with a strong passion. Valid certification and/or licensure in the state of practice, if applicable. -Demonstrated ability to maintain a high level of professionalism and composure, especially during stressful and fast-paced moments in the healthcare setting. -Valid Driver's License and the ability to travel between assignment locations. -Ability to pass a background check and drug screen to meet healthcare industry standards. Why Choose Voca? -Comprehensive Benefits Package: We offer Health, Dental, and Vision Insurance to ensure that you and your loved ones are well taken care of. -Life and Disability Insurance for added peace of mind. -401(k) options to help you save for your future with employer matching. -Certification and Licensure Reimbursement to support your professional development. -Generous Referral Bonus Program - earn rewards for referring your qualified peers to join the Voca team. -Weekly Direct Deposit ensures timely access to your earnings. At Voca, You Are Our Priority: -Travel-First Culture: We understand that travel assignments offer unique challenges, so we ensure a flexible and supportive work environment that focuses on your success. -Personalized Support: Work with a dedicated recruiter who will be your advocate throughout your journey, helping you navigate each assignment and providing personalized guidance to ensure your goals are met. -Strong Relationships: Voca's culture fosters long-term relationships with our travelers. -We care about your career, your needs, and your future. Whether you're a seasoned Wound Care RN or ready to take the next step in your travel healthcare career, Voca is the perfect place for you to grow, learn, and thrive. Apply today to connect with one of our talented recruiters and begin your next adventure! Apply Now to get started on your next travel assignment with Voca - where your career and well-being come first! Voca Healthcare Job ID #17568540. 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:Wound Care,08:00:00-16:00:00 About Voca Healthcare As a Voca Traveler, you will gain new clinical skills, visit amazing places and meet awesome healthcare professionals. As a travel health professional, your experience and dedication to patient care is in high demand throughout the United States. Whether you are a veteran traveler looking for your next opportunity, or you are looking to travel for the first time, Voca is here to support you. Voca's experienced and dedicated travel team works in concert with you every step of the way. Our long-standing partnerships with some of the most respected and recognized healthcare organizations in the country allow us to identify career opportunities to help you increase your knowledge and experience while working with some of the best physicians and healthcare professionals in the world. At Voca, we strongly believe a better career results in a happier you. We are here to help you find a position that is professionally and personally rewarding. Benefits Holiday Pay 401k retirement plan Medical benefits Dental benefits Vision benefits Retention bonus Guaranteed Hours

Location: 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. Alternate locations may be considered if candidates reside within a commuting distance from an office. 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 through Friday, 9:30 AM - 6:00 PM CST or PST (Local Time) A proud member of the Elevance Health family of companies, Carelon Medical Benefits Management, formerly AIM Specialty Health, is a benefit-management leader in Illinois. Our platform delivers significant cost-of-care savings across an expanding set of clinical domains, including radiology, cardiology and oncology. The Nurse Reviewer I is 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 requests to assess 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. * Ensure 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. * A current unrestricted RN license in applicable state(s) required. Preferred Experience, Skills, and Capabilities: * 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. For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $33.12 to $ 54.41. Locations: California; Illinois; Nevada 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.

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

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. Job Level: Non-Management Non-Exempt Workshift: Job Family: MED > Licensed Nurse 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 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

This position is for a travel Labor and Delivery Registered Nurse (RN) in Glendale, California, offering 12-hour night shifts for a 13-week duration. The role involves providing specialized nursing care during labor, delivery, and postpartum periods, supported by a healthcare staffing company emphasizing compassionate care and professional growth. Benefits include competitive weekly pay, health insurance, retirement plans, and housing options. PRN Healthcare 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 PRN Healthcare 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. Posted job title: RN L&D About PRN Healthcare Our story starts with a 21-year-old CNA named Pete Hietpas. Pete was diligently working in eastern Wisconsin with a variety of staffing agencies, but something was missing. He loved caring for his patients, but felt that staffing agencies were exchanging compassion for competitiveness. He was determined to change that. As a result, he started Nurses PRN in 1995 to become a model for the healthcare staffing industry - being competitive in the marketplace, yet still maintaining a compassionate heart. Over the years Nurses PRN grew and evolved as a nationwide healthcare staffing company, and therefore wanted to be more inclusive to all valued healthcare professionals: nurses, allied health, locum tenens, CNAs, and more. This lead to the introduction of PRN Healthcare, which is inclusive of Nurses PRN and all of our other healthcare divisions. Our mission to create authentic, meaningful relationships with our healthcare professionals helps us set them up for success in their dream assignment, whether that be a travel contract, local contract, or per diem shift. This is all driven by the simple idea that better care for our healthcare workers, leads to better patient care - and this is all supported by a dedicated internal staff. Our company culture is strongly backed by faith-based values and activities, to remind us that our success provides us the opportunity to serve and give back to our communities. This is the spirit of caregiving. This is PRN Healthcare. Benefits Weekly pay Guaranteed Hours Continuing Education 401k retirement plan Referral bonus Employee assistance programs Company provided housing options Medical benefits Dental benefits Vision benefits Life insurance Keywords: Travel Nurse, Labor and Delivery RN, Postpartum Nurse, Registered Nurse, Travel Nursing, Healthcare Staffing, Nursing Jobs, California Nursing Jobs, 12-Hour Shifts, PRN Nursing

This position is for a travel nurse specializing in wound care, responsible for assessing and treating patients with complex wounds, ostomies, or continence conditions. The nurse works 40 hours per week on 10-hour day shifts for a 13-week assignment in Oxnard, California. The role involves collaborating with healthcare teams to ensure personalized treatment plans are implemented to prevent infections or further injury. Care Career is seeking a travel nurse RN Wound Care for a travel nursing job in Oxnard, California. Job Description & Requirements Specialty: Wound Care Discipline: RN Start Date: Duration: 13 weeks 40 hours per week Shift: 10 hours, days Employment Type: Travel Wound care nurses specialize in assessing and treating patients with complex wounds, ostomies, or continence conditions. They work closely with members of patient care teams to ensure that personalized treatment plans are followed correctly in order to prevent future infection or injury. 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 Wound Care 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, wound care, registered nurse, RN, patient care, clinical nursing, healthcare staffing, wound treatment, ostomy care, travel nursing jobs

Location: 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. Alternate locations may be considered if candidates reside within a commuting distance from an office. 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. Must be located in the state of California Schedule: 9:30am-6:00pm PST, ability to work weekends if necessary. New Grads are encouraged to apply! 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: * 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, PO and POS plans strongly preferred. * BA/BS degree preferred. * Previous utilization and/or quality management and/or call center experience preferred. * Knowledge in Microsoft office. For candidates working in person or remotely in the below location(s), the salary* range for this specific position is $31.54/hr - $56.77/hr 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.

The Nurse Reviewer is 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 the medical necessity of diagnostic imaging procedures, out of network services, and appropriateness of treatment. Schedule: This position is full time and must include every weekend Location: Virtual - This role enables associates to work virtually full-time, with the exception of required in-person training sessions (when indicated), 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 accommodation is granted as required by law. 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-10 and coding, and managed health care including HMO, PO and POS plans strongly preferred. • BA/BS degree preferred. • Previous utilization and/or quality management and/or call center experience preferred. For candidates working in person or virtually in the below locations, the salary* range for this specific position is $31.54 - $47.31 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. Job Level: Non-Management Non-Exempt Workshift: Job Family: MED > Licensed Nurse 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.

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

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

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