- Paid Time Off (PTO)
- Tuition Reimbursement
- Retirement Plans
- Medical, Dental and Vision
- Wellness Program
- Volunteer Time Off (VTO)
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Trainee Nursing Specialist
Found in: Orion Innovations US - 6 days ago
Redwood Ventures Valley Center, CA, United States Freelance"Right in the middle of life", the DOMICIL Group ensures the well-being of our residents at over 45 locations with over 5,500 dedicated colleagues in Valley Center, CA. · We are a family-owned and operated company and believe that trust is built through actions, not promises. Tha ...
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Clinical Nurse Specialist RN, NICU, FT, SIGN ON BONUS
Found in: SonicJobs Direct Apply US - 2 days ago
Kaiser Los Angeles, United States Full timeJob Summary: Sign On Bonus 10% of annual salary offered to eligible external hires. · The Clinical Nurse Specialist role at Kaiser Permanente Southern California Region is a clinical manager who partners with the operational manager to ensure that nursing staff delivers safe and ...
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Clinical Nurse Specialist RN, FT/Oncology Sign On Bonus
Found in: SonicJobs Direct Apply US - 6 days ago
Kaiser Los Angeles, United States Full time· Job Summary: · The Clinical Nurse Specialist role at Kaiser Permanente Southern California Region is a clinical manager who partners with the operational manager to ensure that nursing staff delivers safe and effective care. The role is built around the five role subcomponents ...
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Nursing specialist
Found in: Orion Innovations US - 6 days ago
Golden Gate Group South Gate, CA, United States FreelanceWe are looking for motivated nursing professionals (m/f/d) to care for our critically ill children in South Gate, CA. Our team of "Wichtel" (elves) is dedicated to providing intensive care for children with heart and soul. With a comprehensive range of services and great commitme ...
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Nursing specialist
Found in: Orion Innovations US - 6 days ago
Orion Innovations Baldwin Park, CA, United States Freelance"Right in the heart of life," the DOMICIL Group ensures the well-being of our residents at over 45 locations with over 5,500 dedicated colleagues in Baldwin Park, CA. · We are a family-owned and operated company and believe that trust is built through actions, not promises. That' ...
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Nursing specialist Gfb/mini job
Found in: Orion Innovations US - 6 days ago
Skyline Solutions South Gate, CA, United States Freelance"Right in the middle of life", the DOMICIL Group ensures the well-being of our residents at over 45 locations with over 5,500 dedicated colleagues in South Gate, CA. · We are a family-owned and operated company and believe that trust is built through actions, not promises. That's ...
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clinical nurse specialist
Found in: Careerbuilder One Red US C2 - 3 days ago
UCLA Health Los Angeles AFB, CA , USA, United StatesGeneral Information · Press space or enter keys to toggle section visibility · Work Location: Los Angeles, USA · Onsite or Remote · Fully On-Site · Work Schedule · 8am-5pm · Posted Date · 01/22/2024 · Salary Range: $ Annually · Employment Type · 2 - Staff: Career · Duration · Ind ...
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Nursing Workforce Specialist
Found in: Indeed US C2 - 1 day ago
Children's Hospital Los Angeles Los Angeles, CA, United StatesLocation/Org Data : Introduction: · NATIONAL LEADERS IN PEDIATRIC CARE · Ranked among the top 10 pediatric hospitals in the nation, Children's Hospital Los Angeles (CHLA) provides the best care for kids in California. · Here world-class experts in medicine, education and research ...
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clinical nurse specialist
Found in: Careerbuilder One Red US C2 - 3 days ago
Childrens Hospital Los Angeles Los Angeles AFB, CA , USA, United StatesNATIONAL LEADERS IN PEDIATRIC CARE · Ranked among the top 10 pediatric hospitals in the nation, Children's Hospital Los Angeles (CHLA) provides the best care for kids in California. · Here world-class experts in medicine, education and research work together to deliver family-cen ...
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Clinical Nurse Specialist RN Critical Care FT
Found in: SonicJobs Direct Apply US - 1 day ago
Kaiser Alhambra, United States Full time· Job Summary: Sign On Bonus 10% of annual salary offered to eligible external hires. · The Clinical Nurse Specialist role at Kaiser Permanente Southern California Region is a clinical manager who partners with the operational manager to ensure that nursing staff delivers safe ...
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Nurse Professional Development Specialist
Found in: Indeed US C2 - 4 days ago
Children's Hospital Los Angeles Los Angeles, United States Full timeLocation/Org Data : Introduction: · NATIONAL LEADERS IN PEDIATRIC CARE · Ranked among the top 10 pediatric hospitals in the nation, Children's Hospital Los Angeles (CHLA) provides the best care for kids in California. · Here world-class experts in medicine, education and research ...
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reg nurse ii specialist
Found in: Careerbuilder One Red US C2 - 3 days ago
Childrens Hospital Los Angeles Los Angeles AFB, CA , USA, United StatesNATIONAL LEADERS IN PEDIATRIC CARE · Ranked among the top 10 pediatric hospitals in the nation, Children's Hospital Los Angeles (CHLA) provides the best care for kids in California. · Here world-class experts in medicine, education and research work together to deliver family-cen ...
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nurse professional development specialist
Found in: Careerbuilder One Red US C2 - 3 days ago
Childrens Hospital Los Angeles Los Angeles AFB, CA , USA, United StatesNATIONAL LEADERS IN PEDIATRIC CARE · Ranked among the top 10 pediatric hospitals in the nation, Children's Hospital Los Angeles (CHLA) provides the best care for kids in California. · Here world-class experts in medicine, education and research work together to deliver family-cen ...
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Nurse Professional Development Specialist
Found in: Careerbuilder One Red US C2 - 3 days ago
Children's Hospital Los Angeles Los Angeles, CA, US, United StatesLocation/Org Data : Introduction: · NATIONAL LEADERS IN PEDIATRIC CARE · Ranked among the top 10 pediatric hospitals in the nation, Children's Hospital Los Angeles (CHLA) provides the best care for kids in California. · Here world-class experts in medicine, education and research ...
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Nursing Workforce Specialist
Found in: Joblookup US C2 - 1 day ago
Children's Hospital Los Angeles Los Angeles, United StatesLocation/Org Data : Introduction: · Find out exactly what skills, experience, and qualifications you will need to succeed in this role before applying below. · NATIONAL LEADERS IN PEDIATRIC CARE · Ranked among the top 10 pediatric hospitals in the nation, Children's Hospital Los ...
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Nursing Specialist as Permanent Night Shift
Found in: Orion Innovations US - 6 days ago
BlueWave Solutions Westside, CA, United States FreelanceIn the district of Zwickau, the Zwickau City Mission and the Westsachsen Diakoniewerk are diakonic organizations with over 1,600 employees working in the areas of care, inclusion for people with disabilities, and social services in numerous facilities. It is intended to merge all ...
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Clinical Nurse Specialist or Nursing Professional Development Practitioner
Found in: Talent US C2 - 1 day ago
Cedars-Sinai Los Angeles, United States Full timeAre you ready to be a leader? Do you inspire? · A true leader strives to inspire—and at Cedars-Sinai, that's exactly what our Clinical Nurse Specialists (CNS) and Nursing Professional Development Practitioners (NPD) do They have a strong combination of clinical skills, managemen ...
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Level V Sr RN-Clinic Y1
Found in: SonicJobs Direct Apply US - 3 days ago
Kaiser Los Angeles, United States Full timeSign-On Bonus Eligible: $10,000.00 · Job Summary: · Functions as a Lead of the healthcare team, coordinates departmental operations that ensure quality patient care in a safe, healing environment that is patient and family centered. Demonstrates responsibility and accountability ...
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licensed vocational nurse-infection prevention specialist
Found in: Careerbuilder One Red US C2 - 3 days ago
AltaMed Commerce, CA , USA, United StatesWork Boldly. Live Brilliantly. · At AltaMed, we don't just serve our communities, we are part of them. We have raised the expectations of what a community clinic can deliver because we think quality care is for everyone. And, we are determined to provide it no matter the challeng ...
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quality management nurse specialist rn ii
Found in: Careerbuilder One Red US C2 - 3 days ago
L.A. Care Health Plan Los Angeles AFB, CA , USA, United StatesSalary Range: $88, Min.) - $115, Mid.) - $142, Max.) · Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation's largest publicly operate ...
quality management nurse specialist rn ii - Los Angeles AFB, CA , USA, United States - L.A. Care Health Plan
Found in: Careerbuilder One Red US C2 - 3 days ago
Description
Salary Range:
$88, Min.) - $115, Mid.) - $142, Max.)
Established in 1997, L.A.
Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents.
We are the nation's largest publicly operated health plan.Serving more than 2 million members in five health plans, we make sure our members get the right care at the right place at the right time.
Mission:
L.A.
Care's mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose.
Job Summary
The Quality Management Nurse Specialist RN II is responsible for overseeing the clinical aspects for quality improvement projects/activities, which may include but are not limited to the clinical review process for potential quality of care and service issues, regulatory compliance with CMS, DMHC, DHCS, and NCQA.
This position is responsible for ensuring program activities are completed in a high quality and timely manner and ensuring compliance with all regulatory guidelines such as Medicaid (Medi-Cal), Medicare, and the Health Exchange, as well as National Committee for Quality Assurance (NCQA) Accreditation.
Leads and/or participates in multi-department/cross-functional committees and work groups which support key initiatives, prepares reports, data, agendas/minutes or other materials for committee presentation and management.
Develops and implements project-related communication including, but not limited to, member/physician mailings, IVR scripts, emails, business plans, graphics, and maintains minutes and agendas.
Creates, maintains and implements training/education and supporting documentation for internal and external clients/customers/members.
Develops and submits regulatory reports at the time and in the manner required by state or federal agencies such as Centers for Medicare and Medicaid Services(CMS).
Perform other duties as assigned.
Duties Continued
Education Required
Associate's Degree in Nursing
Education Preferred
Bachelor's Degree in Nursing
Experience
Required:
At least 5 years of clinical experience as an RN in an acute hospital setting.
Preferred:
Experience with regulatory compliance such as CMS, DMHC, DHCS, and NCQA.
At least 5 years of managed care and/or quality improvement experience as an RN in a managed care/ healthcare setting preferably with Medicare ,Medi-Cal, or other government programs.
Experience in compliance, accreditation, service or quality improvement.
Experience in facilitating workgroups and project management.
Skills
Required:
Must have excellent written and verbal communication and presentation skills.
Ability to manage projects independently and assume responsibility for successful completion.
Ability to develop and maintain strong working relationships with internal and external clients/ customers /members.
Must have excellent analytical skills, working knowledge of statistics and reporting.
Must be detail-oriented and effective critical thinking skills.
Proficient in Microsoft Office (Word, Excel).
Strong interpersonal skills and high level of professionalism.
Ability to work independently and within a team environment.
Preferred:
Knowledge in the community standards of practice, including clinical guidelines.
Licenses/Certifications Required
Registered Nurse (RN) - Active, current and unrestricted California License
Licenses/Certifications Preferred
Certified Professional in Healthcare Quality (CPHQ)
Required Training
Physical Requirements
Light
Additional Information
Preferred:
CPHQ or familiarity with quality improvement methodology such as Lean Six Sigma or Plan-Do-Study-Act.
Salary Range Disclaimer:
The expected pay range is based on many factors such as geography, experience, education, and the market. The range is subject to change.
L.A. Care offers a wide range of benefits including
Nearest Major Market:
Los Angeles
Job Segment:
Nursing, Medicare, Registered Nurse, Medicaid, Healthcare