Clinical Policy Nurse II: Policy, Compliance & Impact
Working Nurse
Working Nurse seeks a Clinical Policy Nurse RN II in Los Angeles to lead regulatory policy analysis and policy development for healthcare services. The role focuses on improving outcomes while maintaining compliance with Medi-Cal and Medicare requirements. The ideal candidate has 5+ years of clinical nursing, strong regulatory experience, and the ability to translate policy into actionable operations across departments. #J-18808-Ljbffr Working Nurse
Vacancy posted 4 days ago
Similar jobs that could be interesting for youBased on the Clinical Policy Nurse II: Policy, Compliance & Impact in Los Angeles, CA vacancy
$40 - $45 per hour
Clinical Practice Nurse II (Panorama City) PART-TIME Join to apply for the Clinical Practice Nurse II... ...continuous learning. Guides regulatory compliance by using advanced knowledge of state,... ...plans. Implements and develops policies, procedures, protocols, and educational...PolicyFull timePart timeRelocation packageNight shift- ...Clinical Nurse II, Procedural The Clinical Nurse II, Procedural provides individualized and... ...within the state of California and Center policies and procedures. Functions... ...the benefit of patients. Cedars-Sinai impacts the future of healthcare by developing...PolicyDay shift
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RN Job Clinical Policy Nurse RN II Shift: Full Time Pay Range: $88,854.00 (Min.) - $115,509.00 (Mid.... ...and accreditation requirements that impact claims, Utilization Management (UM) department... .... Experience in regulatory compliance for a health plan. Preferred Experience...PolicyFull timeShift work$88.85k
...Clinical Policy Nurse RN II Job Category: Clinical Department: Utilization Management Location... ...and accreditation requirements that impact claims, Utilization Management (UM) department... ...plans to assess effectiveness, compliance, and impact on patient outcomes....PolicyFull timeLocal area- The Cedars-Sinai Medical Network is seeking a Clinical Nurse II (CN II) to provide competent nursing care in an ambulatory setting. The CNII... ...patient care across diverse situations, guided by approved policies and procedures. Education includes an Associate Degree in...Policy
- ...needs in several clinical areas to ensure appropriate... ...Collaborates with Nursing Clinical Practice... ...care and are in compliance with the Nursing... ...; ensures all policies and procedures are... ...Removes obstacles that impact performance;... ...UM Nurse Manager II, Hospital LOCATION...PolicyTemporary workWork at officeLocal area
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...Delegation Oversight Clinical Auditor RN II Job Category: Clinical Department: Compliance Location: Los Angeles... ...maintenance of required policies/procedures/workflows/... ..., or other changes impacting UM in order to put... ...Associate's Degree in Nursing Education Preferred Bachelor...PolicyFull time- ...Senior Clinical Practice Nurse I - Adult Inpatient Exp Provides expert consultation... .... Facilitates regulatory compliance by using in-depth knowledge... ..., develops, and revises policies, procedures, protocols, and... ...with a focus on long-term impact. Provides expert guidance...PolicyTemporary work
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...alert: Job Category: Clinical Location: Los... ...Admissions Liaison RN II is primarily... ...expertise and the nursing process to triage... ...knowledge of medical policies, clinical guidelines... ...for health plan compliance with UM or CM. Licenses... ...Financial Impact: Management of all...PolicyFull timeAll shiftsShift workNight shiftAfternoon shift- ...philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. Ensure quality... ...maintaining cost-effective clinical operations in accordance with... ...requirements and programs. As the Charge Nurse, manages the daily decisions...PolicyFull timeTemporary workShift work
$87.03k - $138.97k
MANAGER II OPERATIONSWHAT IS THE OPPORTUNITY?City National Bank... ...Operations Manager will follow policies and procedures within company... ...function as liaison with Technology, Compliance, Risk, Sales and Trading... ...of budget, schedule and impact.Identifies, recommends and implements...PolicyRemote work- L.A. Care Health Plan is seeking a Clinical Policy Nurse II to lead analytical research and policy assessment affecting claims and Utilization Management. The role analyzes clinical, financial, and regulatory data to identify opportunities for improvement and cost containment...Policy
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OPERATIONS MANAGER II - TREASURY MANAGEMENT ACCOUNT ANALYSIS... ...Account Analysis department, compliance-related activities, and serves... ...regulatory requirements and CNB policy and procedure with specific... ...and finance-related projects impacting the department; reviews...PolicyRemote work$141.83k - $263.41k
GROUP PRODUCT MGR II, Small BusinessWHAT IS THE OPPORTUNITY?The... ...pricing, regulatory compliance, and robust risk mitigation.... ...to identify opportunities for impactful solutions.Banker Adoption & Client... ...AML, etc.) and CNB’s internal policies.Stay ahead of regulatory changes...PolicyRemote work$62k - $88k
Position: Accounts Payable Specialist II Location: US (Remote) Reports to:... ...rooted in creativity, collaboration, and impact. We take pride in cultivating a... ...expense reimbursements while maintaining compliance with company policies. You have hands-on experience with modern...PolicyRemote workGrabJobs
Glendale, CA4 days ago- ...part of the Office of Ethics, Compliance, and Audit Services, plays a vital... ...the quality, efficiency, and impact of our engagements. Our... ...excellence? UCLA is seeking an Auditor II to join our collaborative... ...8:00 a.m. to 5:00 p.m. Union/Policy Covered 99-Policy Covered Complete...PolicyWork at office
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Cedars-Sinai
Beverly Hills, CA6 days ago $72k - $85k
...Operations Manager (Operations Manager II) The Operations Manager II... ..., 401K and a generous PTO policy. As an Operations Manager (... ...opportunity to make a significant impact within DHL Supply Chain and... ...measures to consistently uphold compliance with health and safety...PolicyContract workCasual workShift work- ...Are you ready to bring your clinical competencies to a world-class... ...in this role? The Clinical Nurse II, Oncology is a Registered Nurse... ...care by following approved policies and procedures. Utilizing appropriate... ...of patients. Cedars-Sinai impacts the future of healthcare by...PolicyWork experience placement
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Registered Nurse II, Oncology - The Angeles Clinic & Research Institute / 10HR Full-time. This position is open... ...Elderly, the LGBTQ, and Justice Impacted individuals. Company Name: CEDARS‑SINAI... ...of care by following approved policies and procedures. Applying appropriate...PolicyFull timeShift work$77.27k
...Summary The Delegation Oversight Compliance Auditor II ensures delegates are compliant with all... ...developments and assesses their impact on the organization. Participates... ...development, review, and updating of policies, procedures, guidelines compliance work...PolicyFull timeWork at officeL.A. Care Health Plan
Los Angeles, CA6 days ago$71.22k - $121.08k
...Research Grant Specialist II (RGS II) as we explore Academic... ...to make an individual impact and receive recognition... ...financial reporting. Ensures compliance with all internal policies, federal and local agency... ...May negotiate budgets for clinical trials. May assist with research...PolicyWork at officeLocal area- ...Job Title Clinical Nurse II (CN II) Job Description Cedars-Sinai is #1 in California and... ...standards of care by following approved policies and procedures. Duties and... ...the benefit of patients. Cedars-Sinai impacts the future of healthcare by developing...PolicyFull timeRelocation packageShift work
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...collaborative healthcare team where your clinical expertise will make a meaningful impact on patient care, this is the... ..., troubleshooting, and compliance monitoring. Review CPAP compliance... ...federal, state, and organizational policies and clinical practice standards....PolicyPrivate practiceImmediate startLos Angeles Center for Ear Nose Throat and Allergy
Los Angeles, CA26 days ago- ...Job Description: Manager of Clinical Utilization Management - Denial... ...Management - Denial Compliance. This role is pivotal in ensuring... ...ensure alignment with company policies and influence process improvements... ...an accredited Registered Nursing Program; RN preferred.2. Minimum...PolicyPermanent employmentFull timeTemporary workRemote workFlexible hours
Vivo HealthStaff
Burbank, CA12 days ago - ...coordination, billing, and compliance workflows Today, our... ...daily across skilled-nursing, home-health, and home... ...use of Circadia into clinical workflows. Data into... ...lodging covered per policy. How Success is Measured... .... Adoption & impact: Demonstrated workflow...Policy
- ...coordination, billing, and compliance workflows Today, our... ...daily across skilled‑nursing, home‑health, and home... ...use of Circadia into clinical workflows. Data into... ...lodging covered per policy. Performance Metrics... ...encounter. Adoption & impact: Demonstrated workflow...PolicyDaily paid
$120k - $160k
...coordination, billing, and compliance workflows Today, our... ...daily across skilled-nursing, home-health, and home... ..., and partner with clinical ops/product teams. How... .... Adoption & impact: Demonstrated workflow... ...Competitive time off with pay policies including vacation,...PolicyFull timeWork at officeRemote work2 days per week3 days per week$35.88 - $61 per hour
...Under general guidance of the Registered Nurse, the Surgical Tech II applies, demonstrates, and possesses... ...Adheres to all safety standards and policies (such as surgical, specimen... ...academic medical center, hundreds of clinical trials are currently taking place at...PolicyHourly payFull timeWork experience placementInternshipLocal areaKeck Medicine of USC
Los Angeles, CA6 days ago
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