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
- 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
$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$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...PolicyFull time$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)...PolicyLocal area- 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
$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...PolicyFull timeShift work- ...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...PolicyDaily paidFlexible hoursRotating shift
$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- ...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...PolicyFull time
- ...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
- ...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....PolicyFull timeRelocation package
$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...PolicyWeekly payImmediate startShift workNight shift- ...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...PolicyDay shift
$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...PolicyHourly payFull timeWork experience placementLocal areaImmediate start- ...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...PolicyHourly payWork at officeImmediate startFlexible hours
$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...PolicyFull timeNight shift$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...PolicyPart timeLocal areaRemote workFlexible hoursWeekend work- ...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...
$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...PolicyFull timeShift work- 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
- ...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...PolicyFull timeWork at office
$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$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...PolicyFull timeWork at office$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...PolicyFull timeWork experience placementWork at officeLocal area- ...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...PolicyTemporary work
$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...PolicyFull time- 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...PolicyHourly payWork at office
$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...PolicyShift work$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...PolicyTemporary workWork experience placementInternshipWork at officeHome officeFlexible hours1 day per week- 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
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