Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Clinical Policy RN II - Impactful Health Policy

L.A. Care Health Plan

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, collaborating with internal and external partners to ensure compliant care. Responsibilities include developing policy content, maintaining coding for authorization matrices, and presenting findings to stakeholders to #J-18808-Ljbffr L.A. Care Health Plan

Vacancy posted 4 days ago
Similar jobs that could be interesting for youBased on the Clinical Policy RN II - Impactful Health Policy in Los Angeles, CA vacancy
  • 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... 
    Policy

    Working Nurse

    Los Angeles, CA
    3 days ago
  • $88.85k

     ...Established in 1997, L.A. Care Health Plan is an independent...  ...Summary The Delegation Oversight Clinical Auditor RN II is responsible for ensuring...  ...maintenance of required policies/procedures/workflows/...  ...regulations, or other changes impacting UM in order to put processes... 
    Policy

    L.A. Care Health Plan

    Los Angeles, CA
    4 days ago
  • $102.18k

     ...Clinical Policy Clinical Coder RN II Job Category: Clinical Department: Utilization Management Location:...  ...Max.) Established in 1997, L.A. Care Health Plan is an independent public agency...  ...rules. Assess the downstream claims impact of new or revised clinical policies... 
    Policy
    Full time

    LOS Angeles Care Health Plan

    Los Angeles, CA
    1 day ago
  • $88.85k

     ...(Max.) Established in 1997, L.A. Care Health Plan is an independent public agency created...  ...achieve that purpose. Job Summary The Clinical Policy Nurse RN II is responsible for analytical research...  ...and accreditation requirements that impact claims, Utilization Management (UM)... 
    Policy
    Local area

    L.A. Care Health Plan

    Los Angeles, CA
    4 days ago
  • Working Nurse in Los Angeles is seeking a Clinical Policy Clinical Coder RN II who will analyze, interpret, and operationalize medical and utilization management policies to ensure accurate coding and appropriate authorization requirements. You will translate policy requirements... 
    Policy

    Working Nurse

    Los Angeles, CA
    3 days ago
  • $45.05 - $72.08 per hour

    Registered Nurse II, Oncology - The Angeles Clinic & Research Institute / 10HR Full-time...  ..., the LGBTQ, and Justice Impacted individuals. Company Name:...  ...by following approved policies and procedures. Applying appropriate...  ...Certifications Valid CA RN license required. Basic... 
    Policy
    Full time
    Shift work

    Dev

    Maywood, CA
    4 days ago
  •  ...region's only: Level II Trauma Center...  ...HOW YOU'LL MAKE AN IMPACT Your Role: Responsible for clinical and personnel management...  ...role models for other health care team members; supervises directly RN/Clinical Nurses NAC,...  ...conduct standards, policies, and procedures. Demonstrates... 
    Policy
    Daily paid
    Flexible hours
    Rotating shift

    University of Southern California

    Glendale, CA
    9 hours ago
  • $58.98 - $78.67 per hour

     ...Registered Nurse (RN), you will be a pivotal...  ...care that truly impacts our patients' well-...  ...to achieve desired health outcomes. Organizes...  ...following established policies, procedures and...  ...results)in a timely and clinically appropriate manner....  ...including a Level II Trauma Center,... 
    Policy

    Dignity Health

    Los Angeles, CA
    4 days ago
  •  ...Licensed Vocational Nurse II (LVN II) The Licensed...  ...the Registered Nurse (RN) or Medical Provider....  ...physicians with minor clinical procedures, performs EKGs...  ...and notify physician/health care professional. Demonstrates...  ...with standards, policies, and safety regulations... 
    Policy
    Full time

    Keck Medicine of USC

    Glendale, CA
    3 days ago
  •  ...Cedars-Sinai Medical Network is seeking a Clinical Nurse II (CN II) to provide competent nursing...  ...diverse situations, guided by approved policies and procedures. Education includes an Associate...  ...'s preferred). A valid California RN license, BLS, and ACLS are required, with... 
    Policy

    CEDARS-SINAI

    Los Angeles, CA
    1 day ago
  •  ...that recognizes hospitals and health systems nationwide that have...  ...you be doing in this role? A Clinical Nurse II (CN II) is a proficient clinician...  ...care by following approved policies and procedures. Duties and...  ...and Certification California RN state license required.... 
    Policy
    Full time
    Relocation package

    Cedars-Sinai

    Beverly Hills, CA
    4 days ago
  • $1,910 per month

     ...Nursing Profession RN Specialty Outpatient Clinic Job ID 3689883...  ...), and assessing current health status. Triage...  ...Adhere to all clinic policies and procedures, including...  ...employee: 1.Health Insurance Impact: The overall compensation... 
    Policy
    Weekly pay
    Immediate start
    Shift work
    Night shift

    Cedar Sinai TACRI Imaging

    Los Angeles, CA
    1 day ago
  •  ...Clinical Nurse II, Procedural The Clinical Nurse II, Procedural...  ...California and Center policies and procedures....  ...and Certifications: RN State License - Upon Hire...  .... Cedars-Sinai impacts the future of healthcare...  ...educating tomorrow's health professionals. Additionally... 
    Policy
    Day shift

    Cedars Sinai

    Beverly Hills, CA
    4 days ago
  • $45.76 - $98.8 per hour

     ...Perioperative nurse addresses the impact of the surgical experience on...  ...as needed. Adheres to policy for instruments/sponges/sharps...  ...accordance with administrative and clinical policies, regulations and...  ...procedures. Req Registered Nurse - RN (CA Board of Registered... 
    Policy
    Hourly pay
    Full time
    Work experience placement
    Local area
    Immediate start

    Keck Medicine of USC

    Los Angeles, CA
    2 days ago
  •  ...Assistant Clinical Supervisor II – Turn Your Master’s Studies Into Leadership Impact Location: Commerce, CA, Company: 360 Behavioral Health Perks That Make a Difference ~ Competitive hourly...  ...reporting, and company policies. Participate in team meetings... 
    Policy
    Hourly pay
    Work at office
    Immediate start
    Flexible hours

    360 Behavioral Health

    Commerce, CA
    2 days ago
  • $88.85k

     ...Utilization Management Admissions Liaison RN II Job Category: Clinical Department: Utilization Management...  ...Max.) Established in 1997, L.A. Care Health Plan is an independent public agency...  ..., detailed knowledge of medical policies, clinical guidelines and benefit plans... 
    Policy
    Full time
    Night shift

    LOS Angeles Care Health Plan

    Los Angeles, CA
    9 hours ago
  • $46.6 - $77.67 per hour

     ...Clinical Transition Educator With the nation's largest...  ...career. Option Care Health, Inc. is the largest...  ..., innovative, and more impactful. Our organization requires...  ...Registered Nurse (RN) license required. Minimum...  ...Health subscribes to a policy of equal employment... 
    Policy
    Part time
    Local area
    Remote work
    Flexible hours
    Weekend work

    Option Care Health

    Los Angeles, CA
    3 days ago
  •  ...to provide high-quality patient-centered care in an outpatient clinic. This role involves delivering comprehensive nursing care, ensuring...  ...you're passionate about nursing and want to make a significant impact in patient lives, consider applying for this rewarding... 

    TEEMA Solutions Group

    Huntington Park, CA
    1 day ago
  • $100.3k - $160.4k

    RN, Clinical Operations Supervisor - Urgent Care Jobs for Humanity is partnering...  ..., the LGBTQ, and Justice Impacted individuals. This position is...  ...staff in the delivery of health care by performing...  ...revision of standard operating policies and procedures in collaboration... 
    Policy
    Full time
    Shift work

    Dev

    Culver City, CA
    10 hours ago
  • Clinical Research Associate II job at Ellison Institute, LLC. Los Angeles, CA. Job Title...  ...to continually enhance health, reimagine and redefine cancer...  ...laboratories, a health policy think‑tank, and community outreach...  ...to the success of high‑impact research. Collaborate with... 
    Policy

    Itlearn360

    Los Angeles, CA
    4 days ago
  •  ...process, supervision of clinical practice, education,...  ...collaboration with other health care team members, consulting...  ...being the resource for RN, LVN, and support staff...  ...and department policies and procedures, quality...  ...of Justice for Schedule II-V controlled substances... 
    Policy
    Full time
    Work at office

    University of Southern California (USC)

    Los Angeles, CA
    3 days ago
  • $49.57 - $73.73 per hour

     ...Job Summary and Responsibilities* As a Clinic Registered Nurse (RN), you will be a central figure in our...  ..., provide vital preventative health education, and expertly coordinate care...  ...supplies (including following established policies, procedures and protocols governing... 
    Policy

    CommonSpirit Health

    Glendale, CA
    5 days ago
  • $167.96k - $274.73k

     ...process, supervision of clinical practice, education,...  ...collaboratively with other health‑care team members,...  ...being the resource for RN, LVN, and support staff...  ...university and department policies and procedures, quality...  ...Certificate for Schedule II‑V controlled substances... 
    Policy
    Full time
    Work at office

    University of Southern California

    Glendale, CA
    4 days ago
  • $167.96k - $274.73k

     ...process, supervision of clinical practice, education,...  ...collaboration with other health care team members, consulting...  ...being the resource for RN, LVN, and support staff...  ...and department policies and procedures, quality...  ...of Justice for Schedule II-V controlled substances... 
    Policy
    Full time
    Work experience placement
    Work at office
    Local area

    Keck Medicine of USC

    Los Angeles, CA
    4 days ago
  •  ...implement plans. Implements and develops policies, procedures, protocols, and educational...  ...Support Drives Results Facilitation Skills Health Care Industry Influencing Others...  ...Functional) Business Acumen Change Management Clinical Quality Expertise Compliance Management... 
    Policy
    Temporary work

    Kaiser Permanente

    Los Angeles, CA
    4 days ago
  • $88.85k

     ...Utilization Management Nurse Specialist RN II Job Category: Clinical Department: Utilization Management...  ...Max.) Established in 1997, L.A. Care Health Plan is an independent public agency...  ...defined by the most current department policy. Facilitate/review requests for... 
    Policy
    Full time

    LOS Angeles Care Health Plan

    Los Angeles, CA
    4 days ago
  • Job Title: Clinical Associate II Hourly Rate: DOE, $28.00-$37.00 along with bonus...  ...to continually enhance health, reimagine and redefine cancer...  ...laboratories, a health policy think-tank, and community outreach...  ...Why Join Us Mission-Driven Impact: Join a collaborative... 
    Policy
    Hourly pay
    Work at office

    Ellison Medical Institute

    Los Angeles, CA
    4 days ago
  • $56.99 - $76.01 per hour

     ...Registered Nurse (RN), you will be a pivotal...  ...care that truly impacts our patients' well-...  ...and educating. Clinical/Technical Skills: Utilizes...  ...according to policies and procedures. Proficient...  ...to social justice health equity and prepared...  ...including a Level II trauma center, the... 
    Policy
    Shift work

    Dignity Health

    Los Angeles, CA
    2 days ago
  • $95k - $110k

    Licensed Clinical Social Worker II-Clinical Supervisor Braille Institute of America, Inc., 741 N Vermont...  ...of others, finding fulfillment in the impact we create. We believe in fostering a...  ...to department staff on key projects, policies, and daily operations May maintain a small... 
    Policy
    Temporary work
    Work experience placement
    Internship
    Work at office
    Home office
    Flexible hours
    1 day per week

    Braille-Institute-of-America

    Los Angeles, CA
    4 days ago
  • UCLA Health seeks a compassionate Clinical Social Worker II or III to provide comprehensive psychosocial assessment, intervention, and referrals within a multidisciplinary...  ...thorough documentation and compliance with policies. Preference for post-master's experience in... 
    Policy

    University of California - Los Angeles Health

    Los Angeles, CA
    4 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Clinical Policy RN II - Impactful Health Policy. Be the first to apply!