18 rn jobs found

Comagine Health seeks an experienced Supervisor, Clinical Review to oversee clinical staff performing utilization reviews. The role requires active RN licensure and Alabama residency, guiding reviewers to assess medical necessity and ensure adherence to established criteria. The position emphasizes leadership, training, and collaboration with care teams, with a focus on regulatory compliance and quality improvement in a healthcare setting. #J-18808-Ljbffr

Founded in 1977 as the Senior Care Action Network, SCAN began with a simple but radical idea: that older adults deserve to stay healthy and independent. That belief was championed by a group of community activists we still honor today as the “12 Angry Seniors.” Their mission continues to guide everything we do. Today, SCAN is a nonprofit health organization serving more than 500,000 people across Arizona, California, Nevada, New Mexico, Texas, and Washington, with over $8 billion in annual revenue. With nearly five decades of experience, we have built a distinctive, values-driven platform dedicated to improving care for older adults. Our work spans Medicare Advantage, fully integrated care models, primary care, care for the most medically and socially complex populations, and next-generation care delivery models. Across all of this, we are united by a shared commitment: combining compassion with discipline, innovation with stewardship, and growth with integrity. At SCAN, we believe...

SCAN Job OpportunityFounded in 1977 as the Senior Care Action Network, SCAN began with a simple but radical idea: that older adults deserve to stay healthy and independent. That belief was championed by a group of community activists we still honor today as the "12 Angry Seniors." Their mission continues to guide everything we do.Today, SCAN is a nonprofit health organization serving more than 500,000 people across Arizona, California, Nevada, New Mexico, Texas, and Washington, with over $8 billion in annual revenue. With nearly five decades of experience, we have built a distinctive, values-driven platform dedicated to improving care for older adults.Our work spans Medicare Advantage, fully integrated care models, primary care, care for the most medically and socially complex populations, and next-generation care delivery models. Across all of this, we are united by a shared commitment: combining compassion with discipline, innovation with stewardship, and growth with integrity.At...

SCAN Job Opportunity Founded in 1977 as the Senior Care Action Network, SCAN began with a simple but radical idea: that older adults deserve to stay healthy and independent. That belief was championed by a group of community activists we still honor today as the "12 Angry Seniors." Their mission continues to guide everything we do. Today, SCAN is a nonprofit health organization serving more than 500,000 people across Arizona, California, Nevada, New Mexico, Texas, and Washington, with over $8 billion in annual revenue. With nearly five decades of experience, we have built a distinctive, values-driven platform dedicated to improving care for older adults. Our work spans Medicare Advantage, fully integrated care models, primary care, care for the most medically and socially complex populations, and next-generation care delivery models. Across all of this, we are united by a shared commitment: combining compassion with discipline, innovation with stewardship, and growth with...

RN Medical Practice Supervisor Family Medicine ResidencyPIH Health is seeking a dedicated and skilled RN Medical Practice Supervisor to join our Family Medicine Residency team at the PIH Health Washington Medical Office Building (WASH). This full-time, regular/at-will position is an integral part of our healthcare network that serves the Los Angeles County, Orange County, and San Gabriel Valley region. As an RN Medical Practice Supervisor, you will play a pivotal role in supervising department operations and staff to ensure office efficiency and optimal workflow. You will perform various procedures associated with routine patient encounters and work closely with department leadership to troubleshoot and resolve issues. Your role is crucial in maintaining positive relationships with patients, practitioners, management, and staff. PIH Health is a nonprofit, fully integrated network that includes hospitals, outpatient medical office buildings, a multispecialty medical group, and home...

SCAN, a nonprofit health organization founded in 1977 and serving multiple states, seeks a Nursing Operations Leader to oversee Medical Management staff, ensure regulatory compliance, and drive performance improvements. The role emphasizes coaching, education, and adherence to CMS/DMHC/DHCS/NCQA standards. The position offers a mostly remote work model with monthly travel to SCAN's Long Beach headquarters ( relocation to Cerritos in 2027 ) and an annual bonus program, wellness benefits, generous #J-18808-Ljbffr

Founded in 1977 as the Senior Care Action Network, SCAN began with a simple but radical idea: that older adults deserve to stay healthy and independent. That belief was championed by a group of community activists we still honor today as the “12 Angry Seniors.” Their mission continues to guide everything we do. Today, SCAN is a nonprofit health organization serving more than 500,000 people across Arizona, California, Nevada, New Mexico, Texas, and Washington, with over $8 billion in annual revenue. With nearly five decades of experience, we have built a distinctive, values-driven platform dedicated to improving care for older adults. Our work spans Medicare Advantage, fully integrated care models, primary care, care for the most medically and socially complex populations, and next-generation care delivery models. Across all of this, we are united by a shared commitment: combining compassion with discipline, innovation with stewardship, and growth with integrity. At SCAN, we...

This position is located in the Health Administration Service (HAS), Health Information Management ( HIM) section at the VA Greater Los Angeles Healthcare System. MRTs (Auditor) are skilled in classifying medical data from patient health records in the hospital setting, and/or physician-based settings, group practices, multi-specialty clinics, and specialty centers. Basic Requirements a. Citizenship . Citizen of the United States. (Non-citizens may be appointed when it is not possible to recruit qualified citizens in accordance with chapter 3, section A, paragraph 3g, this part.) b. Experience and Education (1) Experience. One year of creditable experience that indicates knowledge of medical terminology, anatomy, physiology, pathophysiology, medical coding, and the structure and format of a health records. OR, (2) Education. An associate's degree from an accredited college or university recognized by the U.S. Department of Education with a major field of study in health information...

SCAN Job OpportunityFounded in 1977 as the Senior Care Action Network, SCAN began with a simple but radical idea: that older adults deserve to stay healthy and independent. That belief was championed by a group of community activists we still honor today as the "12 Angry Seniors." Their mission continues to guide everything we do.Today, SCAN is a nonprofit health organization serving more than 500,000 people across Arizona, California, Nevada, New Mexico, Texas, and Washington, with over $8 billion in annual revenue. With nearly five decades of experience, we have built a distinctive, values-driven platform dedicated to improving care for older adults.Our work spans Medicare Advantage, fully integrated care models, primary care, care for the most medically and socially complex populations, and next-generation care delivery models. Across all of this, we are united by a shared commitment: combining compassion with discipline, innovation with stewardship, and growth with integrity.At...

This position is located in the Health Administration Service (HAS), Health Information Management ( HIM) section at the VA Greater Los Angeles Healthcare System. MRTs (Auditor) are skilled in classifying medical data from patient health records in the hospital setting, and/or physician-based settings, group practices, multi-specialty clinics, and specialty centers. Basic Requirements Citizenship. Citizen of the United States. (Non-citizens may be appointed when it is not possible to recruit qualified citizens in accordance with chapter 3, section A, paragraph 3g, this part.) Experience and Education (1) Experience. One year of creditable experience that indicates knowledge of medical terminology, anatomy, physiology, pathophysiology, medical coding, and the structure and format of a health records. OR, (2) Education. An associate's degree from an accredited college or university recognized by the U.S. Department of Education with a major field of study in health information...

SCAN Health Plan is seeking a regulated and detail-oriented Registered Nurse to lead audits for the Department of Health Care Services. You will review DHCS guidelines, perform Facility Site Reviews and Medical Record Reviews, and train providers on compliance and corrective action plans. This role covers remote/field work across assigned territories and requires driving. Ideal candidates hold a CA RN license with 2+ years clinical experience, auditing background preferred, and the ability to #J-18808-Ljbffr

Associate Director, Medical Communications (VLX) Location: Foster City Mission Mirum Pharmaceuticals is a biopharmaceutical company dedicated to transforming the treatment of rare diseases. We are passionate about advancing scientific discoveries to become important medicines for rare disease patients. We are collaborative, creative, and experienced professionals and we’re looking to augment our team with other individuals who embody our values: care, be real, get it done, and have fun, seriously. Position Summary The Associate Director/Director, Medical Communications for the volixibat Portfolio Global Medical Affairs Team (GMAT) is a critical team role with a high level of accountability, reporting to the GMAT Lead. This role will focus on developing and executing GMAT materials and initiatives, including development, approval, and roll-out of Field Medical Materials; creation of content for and execution of Medical Advisory Boards; and creation of content for and execution of...

Location: Foster City, California, United StatesSalary: $200,000 to $230,000Company: Mirum PharmaceuticalsPosted: Associate Director, Medical Communications (VLX)Location: Foster CityMissionMirum Pharmaceuticals is a biopharmaceutical company dedicated to transforming the treatment of rare diseases. We are passionate about advancing scientific discoveries to become important medicines for rare disease patients. We are collaborative, creative, and experienced professionals and we’re looking to augment our team with other individuals who embody our values: care, be real, get it done, and have fun, seriously.Position SummaryThe Associate Director/Director, Medical Communications for the volixibat Portfolio Global Medical Affairs Team (GMAT) is a critical team role with a high level of accountability, reporting to the GMAT Lead. This role will focus on developing and executing GMAT materials and initiatives, including development, approval, and roll-out of Field Medical Materials;...

ESSENTIAL JOB FUNCTIONS AND CORE RESPONSIBILITIES Accountable for performance improvement activities through orientation, education, quality control and planning. Accountable to the Director for overall work performance. Assists the Director with the operations of assigned areas (budget, regulatory compliance, and resource utilization). Demonstrates clinical performance in the department, acting as a clinical resource. Demonstrates excellent communication skills and ability to consistently meet customer service standards. Displays a professional commitment to the organization, supporting the unit team and promoting unity and teamwork interdepartmentally through positive working relationships. Ensures that the clinical aspects of patient care services are met (staffing, workflow, resources availability). Identifies and provides for staff development. Manages human resources effectively (interview, hire, counsel, evaluation, assist with terminations, decrease vacancies and...

Supervisor The Supervisor works under the direction of the Associate Administrator of Advance Practice Providers, Department's Administration, and Medical Directors to provide both clinical services as well as leadership and managerial services. The Supervisor will facilitate safe and efficient operational flow of the dedicated patient population. The Supervisor is responsible for the application of the advance practice provider processes, supervision of clinical practice, education, leadership, and patient care management. This position will function as a part of inter‑professional teams by communicating, planning, and implementing care directly with other healthcare professionals, including but not limited to physicians, pharmacists, office support staff, and clinical nurse specialists and nurse practitioners. The Supervisor administrative duties include but are not limited to supervising NP's, PA's as assigned. Depending on location, may be supervising union employees. They will...

MISSION Mirum Pharmaceuticals is a biopharmaceutical company dedicated to transforming the treatment of rare diseases. We are passionate about advancing scientific discoveries to become important medicines for rare disease patients. We are collaborative, creative, and experienced professionals and we’re looking to augment our team with other individuals who embody our values: care, be real, get it done, and have fun, seriously. MISSION Mirum Pharmaceuticals is a biopharmaceutical company dedicated to transforming the treatment of rare diseases. We are passionate about advancing scientific discoveries to become important medicines for rare disease patients. We are collaborative, creative, and experienced professionals and we’re looking to augment our team with other individuals who embody our values: care, be real, get it done, and have fun, seriously. Position Summary Mirum Pharmaceutical is seeking an Associate Director of Medical Safety Science (Safety Scientist). The ideal...

Coder III Coder III is responsible conducting clinically based concurrent and retrospective reviews of inpatient medical records. This review is to evaluate that the clinical documentation is reflective of quality of care outcomes and reimbursement compliance for acute care services provided. The CDS will work closely with the medical staff to facilitate appropriate clinical documentation of patient care. The CDS/Coder III abstracts and codes the diagnostic and procedural information for Inpatient Services and Surgery medical records utilizing the current version of International Classifications of Diseases in accordance with regulatory agencies and hospital specific guidelines. The CDS/Coder III enters the coded data and other abstracted data from the medical record into the electronic information system. This position assumes primary responsibility for clarifying ambiguous documentation, DRG optimization with the primary role in assisting medical staff members with improving...

Providence St. Joseph Hospital in Orange, CA, is hiring a Supervisor Nursing - Medical Surgical for a full-time Day shift. The role involves supervising nursing care on the unit, coordinating patient care, and maintaining Magnet-level excellence. The position requires a Bachelor's in Nursing, CA RN license, BLS, and 2 years of acute hospital experience. Master’s in Nursing and leadership experience are preferred. #J-18808-Ljbffr