Physical Therapist - OtherWe are seeking a versatile and skilled Physical Therapist to join our team. In this role, you will provide specialized physical therapy services tailored to unique patient populations or settings, helping individuals improve mobility, manage pain, and regain independence.Key Responsibilities:Evaluate patients to determine their physical therapy needs and create individualized treatment plans.Implement therapeutic exercises, manual therapy techniques, and other interventions to address patients' specific conditions.Educate patients and caregivers on exercises, lifestyle changes, and techniques to promote recovery and prevent future injuries.Collaborate with other healthcare professionals to ensure comprehensive patient care.Document patient progress and adjust treatment plans as necessary to achieve optimal outcomes.Adapt therapy approaches based on the unique requirements of the setting or patient population.Work Environment:Provide care in diverse settings such as home health, schools, community programs, or specialized facilities.Work in a dynamic environment requiring adaptability and innovative problem-solving skills.Collaborate with multidisciplinary teams to deliver holistic care tailored to individual needs.Benefits:Competitive salary and comprehensive benefits package.Opportunities for professional growth through specialized training and certifications.A supportive work environment focused on collaboration and innovation in patient care.*This information is based on the Bureau of Labor Statistics (BLS). Actual job responsibilities may vary by location.*

Your Role The Behavioral Health Utilization Management team performs prospective utilization review for our members and correctly applies the guidelines for nationally recognized levels of care. They collaborate directly with the Member, Member's Family, and Interdisciplinary Care Team to achieve consensus and promote positive Member health outcomes through the assessment, planning, implementation, and evaluation of the Member’s Care Plan. The Licensed Clinician, Senior will report to the Manager, Behavioral Health Utilization Management. In this role you will be working with both the Utilization and Care Management teams, who provide utilization management, telephonic triage and care management assistance to members requesting access to Applied Behavioral Analysis (ABA) benefit. This role has a primary function of utilization management for our members seeking Behavioral Health Treatment (BHT).Your Work In this role, you will: Perform prospective utilization reviews and first level determination for members using BSC evidenced based guidelines, policies and/or nationally recognized clinal criteriaReview Functional Behavioral Assessments (FBA) and Board Certified Behavior Analyst (BCBA) Assessments submitted by providers for adherence to BACB “best practice” guidelinesGather clinical information and apply the appropriate clinical criteria/guideline, policy, and clinical judgment to render coverage determination/recommendation; prepare and present cases to Medical Director (MD) for medical director oversight and necessitydeterminationDevelop and review member centered documentation and correspondence reflecting determinations in compliance with regulatory and accreditation standards and identify potential quality of care issues, service or treatment delays and intervenes or as clinically appropriateAct as a liaison with caregivers, providers, and the health care community to provide information to regarding community treatment resources, mental health managed care programs, company policies and procedures, and medical necessity criteriaSupport team through consistent and successful caseload management and workload to achieve team goals, regulatory timelines, and accreditation standardsRecognize the members right to self-determination as it relates to the ethical principle of autonomy, including the members/family's right to make informed choices that may not promote the best outcomes, as determined by the healthcare teamYour Knowledge and Experience Master’s degree in psychology or a related fieldPossesses an active BCBA certificationAt least 5 years of experience as a BCBA • Expert knowledge of Applied Behavior Analysis and Autism Spectrum DisordersConsiderable knowledge of Managed Care and the different lines of businessDemonstrated ability to deliver training to varied audiences and conduct effective meetingsExperience in a managed health care environment with regards to BHT servicesAbility to identify problems and works towards problem resolution independently, seeking guidance as neededAbility to represent the health plan in a professional and knowledgeable fashionAbility to express ideas clearly in both written and oral communicationsAbility to develop, organize, analyze, and implement processes and proceduresProficiency with Microsoft applications including Word, Excel, Outlook, and TeamsEffective interpersonal skills

This is a PRN positionCompetitive pay based upon years of experience and applicable certifications, with competitive shift differential!Your Calling, Close to Home and HeartAre you in pursuit of a career that's more than a job, one that aligns with your heart and community We believe in the power of creating positive change within local communities through exceptional Occupational Therapy services, empowering individuals toward independence and an improved quality of life. Envision the opportunity to profoundly impact patients' lives, providing vital care and support, and contributing to inspiring outcomes. If this resonates, you're in the right place. As an Occupational Therapist, your role thrives on recognizing the significance of small victories in driving substantial change. Utilize your specialized skills to deliver top-tier, compassionate, and personalized care to our rehabilitation patients. Embrace a supportive team environment infused with motivation and joy in their work, granting access to cutting-edge technology. Start a rewarding career with comprehensive benefits, ensuring your peace of mind and professional growth from day one. Welcome to a fulfilling career journey where your care brings lasting impact and personal fulfillment.A Glimpse into Our WorldWhether you're laying the foundation of your career or a seasoned Occupational Therapist in search of a nurturing environment to call home, we are confident you'll feel the difference the moment you join our team. Being at Encompass Health means being a part of a growing national inpatient rehabilitation leader. We take pride in our career growth opportunities and the collaborative spirit of our team members, united for the greater good of our patients. Our recognitions, including being named one of the "World's Most Admired Companies" and receiving the Fortune 100 Best Companies to Work For® Award, make us immensely proud.Benefits That Begin With YouOur benefits are designed to support your well-being and start on day one:Affordable medical, dental, and vision plans for both full-time and part-time employees and their families.Generous paid time off that accrues over time.Tuition reimbursement and continuous education opportunities for your professional growth.Company-matching 401(k) and employee stock purchase plans, securing your financial future.Flexible spending and health savings accounts tailored to your unique needs.A vibrant community of individuals who are passionate about what they do.Be the Occupational Therapist You've Always Aspired to BeYour impactful journey involves:Providing direct care to patients in need of occupational therapy.Guiding patients by supervising care and treatments, leading patient assessments, creating personalized care plans, and targeting and resolving patient concerns.Building meaningful relationships with patients by dedicating time to understand their physical, mental, and emotional needs for a successful recovery.Celebrating patient victories along the way. QualificationsCurrent licensure or certification required by state regulations.CPR certification.Master's Degree preferred, or Bachelor's Degree plus sufficient experience in the field.The Encompass Health WayWe proudly set the standard in care by leading with empathy, doing what's right, focusing on the positive, and standing stronger together. Encompass Health is a trusted leader in post-acute care with over 150 nationwide locations and a team of 36,000 exceptional individuals and growing!At Encompass Health, we celebrate and welcome diversity in our inclusive culture. We provide equal employment opportunities regardless of race, ethnicity, gender, sexual orientation, gender identity or expression, religion, national origin, color, creed, age, mental or physical disability, or any other protected classification.We're looking forward to meeting you, and we truly mean that. Join our family, and let's make a positive impact together!

If you are interested please apply online and send your resume to POSITION SUMMARY The Clinical Staff Nurse is a skilled and experienced professional Registered Nurse (RN) responsible for excellence in the clinical practice of nursing and the management of patient care. Reporting to the Clinical Unit Supervisor of Telemetry, the Clinical Staff Nurse has 12 hour accountability for organizing, planning, directing, coordinating, and providing high quality, individualized patient/family centered care based on the Watson Model of Care for a defined group of patients, including the identification and demonstration of abilities to meet special needs and considerations of Age and Population Specific awareness. This position requires the full understanding and active participation in fulfilling the Mission of Martin Luther King, Jr. Community Hospital. It is expected that the employee will demonstrate behavior consistent with the Core Values. The employee shall support Martin Luther King, Jr. Community Hospital's strategic plan and the goals and direction of the quality and performance improvement process activities. RESPONSIBILITIES The nurse demonstrates the use of nursing process as a problem solving model; utilizing their knowledge and experience to anticipate and plan to meet patient and family needs.Nursing assessment is focused to target areas most productive for a given patient population or situation. Recognizes subtle changes in clinical situation; evaluates and appropriately alters the plan of care. Is accountable for prioritizing and organizing patient care and ensuring follow through with planned care.Demonstrates the knowledge and skills necessary to provide care appropriate to the age and needs of the patients served on the assigned unit. Consistently applies current literature/research findings and critical thinking skills to make sound clinical decisions.Demonstrates the Hospital's Patient Satisfaction effort when interacting with patients, families, and co-workers.The nurse develops and maintains a therapeutic nurse/patient relationship throughout the health care continuum. Respect for patient's rights is an integral part of the nurse/patient relationship as reflected in our values and mission. Conducts hourly rounding on patients.The nurse communicates utilizing the SBAR in all hand-off situations.Performs documentation of patient care including: assessment, interdisciplinary plan of care (IPOC), implementation, evaluation, and the Watson Model of Care following unit specific and hospital documentation policies and procedures.Anticipates variables affecting patient comfort and alters physical and psychosocial interventions accordingly, using a variety of modalities. Assists patient/family to maximize sense of control and actively participate in his/her recovery.Demonstrates commitment to meeting the learning needs of patients and families. Utilizes appropriate resources to meet those needs and achieve positive patient outcomes.Works with Care Mangers during the patient's stay and takes a proactive role in coordinating interdisciplinary discharge planning for a specific patient population.Reviews all orders on patients and communicates changes in patient condition with physician and other team members. Contacts the physician promptly with significant changes in patient's condition, collaborates professionally for required orders and follows-up with revised care.Evaluates the effectiveness of nursing interventions and documents outcomes in the IPOC.Utilizes patient classification system according to standardsDemonstrates ability to plan, supervise, instruct and evaluate ancillary nursing personnel, floats, orienteers and registry staff. Ensures that an evaluation is completed each shift for registry/floats.Upholds professional appearance and demonstrates such through adherence to dress code. Wears hospital I.D. badge and promotes the standard of proper identification for peers and staff.Maintains a safe and clean environment that complies with regulatory standards including Patient Safety Goals.Participates in the implementation of the unit specific Quality and Performance Improvement Plan, completes monitoring forms and reports findings to the Clinical Unit Supervisor and Nurse Manager. POSITION REQUIREMENTS A. Education Bachelor in Nursing degree preferred.Associate in Nursing, Nursing Diploma, or equivalent.Internal Candidates that have successfully completed the MLKCH Versant Nurse Residency Program will be consideredB. Qualifications/ExperienceMinimum of one year of clinical nursing experience.Minimum of 12 months of Med/Surg/Telemetry or Critical Care nursing experience preferred with regard to regulatory guidelines and standard of practice and/or at the discretion of the Manager/ Director.Current California Nursing licenseBasic EKG CompetenceCertification in Progressive Critical Care Nursing preferred.Certification in Medical / Surgical Nursing preferred.C. Special Skills/Knowledge Bilingual skills preferred (Spanish)Basic computer skillsDysrrythmia Course certificate preferred. Electronic Medical Record experience preferredCurrent Basic Life Support (BLS)Current Advance Cardiac Life Support (ACLS)Crisis Prevention Institute (CPI) Blue Card within 90 Days of hire or requirement notification.MLKCH Video

Event DetailsJoin us for an Interview and Hiring Day! Registered Nurses welcomed!Location:1680 E. 120th Street, Los Angeles, California 90059Date: Tuesday, June 24thTime: 9:00 am to 3:00 pmDirections/Parking: Our main lobby entrance is located at 1680 E 120th Street, Los Angeles, CA 90059. The entrance to the parking lot is on Healthy Way at the north side of our building, behind the large sculpture. Our hospital is easily accessible by public transportation and car.Click RSVPNow to get startedThis event is for experienced Registered Nurses*Nurse Residents please send your resume for consideration for our next cohort opening September 2025, please review our website for dates. Here's why it's great to be a nurse at MLKCHMLK Community Healthcare has a culture of nursing like no other. We have a compelling mission to improve the health of an appreciative and truly deserving community. We support our nurses with tools, training and best-in-class resources. Our fantastic new RN Residency Program launches recent graduates on a path to success. Our staff fellowships for experienced nurses open doors to new fields of expertise and leadership training at the highest level. And we offer competitive pay and unbeatable benefits. The result Inspirational careers and the chance to make a meaningful difference in the lives of the most vulnerable.

Occupational Therapist Join our team as an Occupational Therapist, where you will help individuals regain independence and improve their quality of life through customized therapeutic programs. This role is ideal for professionals passionate about empowering patients to overcome physical, emotional, or developmental challenges. Key Responsibilities: Evaluate patients' conditions and develop individualized treatment plans to address their needs.Plan and implement rehabilitative programs to improve daily living, vocational, and homemaking skills.Utilize therapeutic techniques, adapt environments, and modify tasks to overcome barriers to independence.Collaborate with patients, families, and other healthcare professionals to optimize care outcomes.Educate patients and caregivers on exercises, therapies, and strategies for continued progress outside the clinical setting.Document patient progress and adjust treatment plans as necessary. Work Environment: Work in diverse settings such as hospitals, outpatient clinics, schools, or patients' homes.Engage in a dynamic environment that may require standing for extended periods or assisting clients with mobility challenges. Benefits: Competitive salary with opportunities for professional growth.Comprehensive health, dental, and vision insurance plans.Retirement savings plan with employer contributions.Access to continuing education programs and certifications. Equal Opportunity Employer: We are committed to fostering a diverse and inclusive workplace where all employees feel valued and supported in their professional journey. *This information is based on the Bureau of Labor Statistics (BLS). Actual job responsibilities may vary by location.*

Your Role Reporting to the Sr. Director, Utilization Management, the role of the Director, Medicare & Medi-Cal Utilization Management is critical to the success of Blue Shield of California and the Utilization Management department in realizing its goals and objectives.This individual will play a key role as part of the Utilization Management team in delivering and collaborating on all aspects of utilization management and care coordination for our Medicare and Medi-Cal membership. The Director, Medicare & Medi-Cal Utilization Management role will also provide direction and leadership in compliance to regulatory requirements and key operational metrics.Your Work In this role, you will: Manages and monitors prior authorization and concurrent review to ensure that the patient is getting the right care in a timely and cost-effective way.Leading development of UM strategy by leveraging the use of data/analytics to inform and technology solutions to streamline operational efficiencies while also building a cost-benefit methodology to rationalize decisions on UM reviews to be performed based upon staffing costs, productivity, and projected medical cost savings.Provides analysis and reports of significant utilization trends, patterns, and resource allocation.Partners with physicians and others to develop improved utilization of effective and appropriate services.Establishing and measuring productivity metrics to support workforce planning methodology and rationalization of services required to perform UM reviews.Reviewing and reporting out on Utilization Review (UR) trending for Medicare and Medi-Cal membership.Ensuring alignment of the authorization strategy with clinical policy, payment integrity, and network development strategies to optimize quality and cost of care.Responsible for managing strategic projects and supporting operations initiatives.Leading operational implementation of transformation changes (organizational management, process implementation, technology adoption).Responsible for operational teams' performance, resource management, continuous improvement, and training.Responsible for operational audit readiness, ensuring adequate processes and internal audit measures in place and maintained quarterly.Ensuring all operational processes are meeting regulatory and accreditation requirements.Fosters a culture of process excellence, BSC leadership principles, and a great place to work environment.Occasional business travel required.Your Knowledge and Experience Requires current CA RN LicenseBachelor’s of Science in Nursing or advanced degree preferredMaster’s degree or equivalent experience preferredMinimum of 10 years of Utilization Management or relevant experience, including 6 years of management experienceMinimum of 5 years of progressive leadership in Utilization Management operationsHealth plan or similar health care organization structure experience requiredSuccessful track record in driving organizational change managementExcellent relationship and consensus-building skills required

If you are interested please apply online and send your resume to . POSITION SUMMARY The Clinical Staff Nurse is a skilled and experienced professional Registered Nurse (RN) responsible for excellence in the clinical practice of nursing and the management of patient care. Reporting to the Clinical Unit Supervisor of Telemetry, the Clinical Staff Nurse has 12 hour accountability for organizing, planning, directing, coordinating, and providing high quality, individualized patient/family centered care based on the Watson Model of Care for a defined group of patients, including the identification and demonstration of abilities to meet special needs and considerations of Age and Population Specific awareness. This position requires the full understanding and active participation in fulfilling the Mission of Martin Luther King, Jr. Community Hospital. It is expected that the employee will demonstrate behavior consistent with the Core Values. The employee shall support Martin Luther King, Jr. Community Hospital's strategic plan and the goals and direction of the quality and performance improvement process activities. RESPONSIBILITIES The nurse demonstrates the use of nursing process as a problem solving model; utilizing their knowledge and experience to anticipate and plan to meet patient and family needs.Nursing assessment is focused to target areas most productive for a given patient population or situation. Recognizes subtle changes in clinical situation; evaluates and appropriately alters the plan of care. Is accountable for prioritizing and organizing patient care and ensuring follow through with planned care.Demonstrates the knowledge and skills necessary to provide care appropriate to the age and needs of the patients served on the assigned unit. Consistently applies current literature/research findings and critical thinking skills to make sound clinical decisions.Demonstrates the Hospital's Patient Satisfaction effort when interacting with patients, families, and co-workers.The nurse develops and maintains a therapeutic nurse/patient relationship throughout the health care continuum. Respect for patient's rights is an integral part of the nurse/patient relationship as reflected in our values and mission. Conducts hourly rounding on patients.The nurse communicates utilizing the SBAR in all hand-off situations.Performs documentation of patient care including: assessment, interdisciplinary plan of care (IPOC), implementation, evaluation, and the Watson Model of Care following unit specific and hospital documentation policies and procedures.Anticipates variables affecting patient comfort and alters physical and psychosocial interventions accordingly, using a variety of modalities. Assists patient/family to maximize sense of control and actively participate in his/her recovery.Demonstrates commitment to meeting the learning needs of patients and families. Utilizes appropriate resources to meet those needs and achieve positive patient outcomes.Works with Care Mangers during the patient's stay and takes a proactive role in coordinating interdisciplinary discharge planning for a specific patient population.Reviews all orders on patients and communicates changes in patient condition with physician and other team members. Contacts the physician promptly with significant changes in patient's condition, collaborates professionally for required orders and follows-up with revised care.Evaluates the effectiveness of nursing interventions and documents outcomes in the IPOC.Utilizes patient classification system according to standardsDemonstrates ability to plan, supervise, instruct and evaluate ancillary nursing personnel, floats, orienteers and registry staff. Ensures that an evaluation is completed each shift for registry/floats.Upholds professional appearance and demonstrates such through adherence to dress code. Wears hospital I.D. badge and promotes the standard of proper identification for peers and staff.Maintains a safe and clean environment that complies with regulatory standards including Patient Safety Goals.Participates in the implementation of the unit specific Quality and Performance Improvement Plan, completes monitoring forms and reports findings to the Clinical Unit Supervisor and Nurse Manager. POSITION REQUIREMENTS A. Education Bachelor in Nursing degree preferred.Associate in Nursing, Nursing Diploma, or equivalent.Internal Candidates that have successfully completed the MLKCH Versant Nurse Residency Program will be consideredB. Qualifications/ExperienceMinimum of one year of clinical nursing experience.Minimum of 12 months of Med/Surg/Telemetry or Critical Care nursing experience preferred with regard to regulatory guidelines and standard of practice and/or at the discretion of the Manager/ Director.Current California Nursing licenseBasic EKG CompetenceCertification in Progressive Critical Care Nursing preferred.Certification in Medical / Surgical Nursing preferred.C. Special Skills/Knowledge Bilingual skills preferred (Spanish)Basic computer skillsDysrrythmia Course certificate preferred. Electronic Medical Record experience preferredCurrent Basic Life Support (BLS)Current Advance Cardiac Life Support (ACLS)Crisis Prevention Institute (CPI) Blue Card within 90 Days of hire or requirement notification.MLKCH Video

Extra attention to detail Exceptional outcomes This is a PRN position BE THE CONNECTION.Your role as a certified occupational therapy assistant (COTA) lets you be the connection between dedication to detail and patient outcomes that exceed expectations. Use your passion for rehabilitation to ensure that patients receive care that sets the standard as you treat patients with compassion and empathy. Enhance the impact of your abilities with national post-acute care leader Encompass Health. What Makes Encompass Health Careers Different-and Better:Working at Encompass Health means being part of something special: A team that is passionate about making an impact on patients' lives each day. Unlike the typical hospital setting, Encompass Health offers you the unique opportunity to walk alongside patients on their road to recovery from stroke, spinal cord injuries, neurological disorders, joint replacements, multiple trauma and cardiac/pulmonary conditions. As you help patients achieve goals and regain independence, you can form significant relationships with them and celebrate the successes they experience along the way.Our culture of compassion and collaboration is founded on more than just the care we provide our patients; it is expressed in the values we live. We encourage and empower each employee to keep learning and growing by providing the resources to deliver a better way to care. At Encompass Health, you'll find something decidedly different and more satisfying: A career that is challenging, inspiring and rewarding. Maximize your talent and join a team that is committed to setting the standard for better healthcare with this engaging opportunity: CERTIFIED OCCUPATIONAL THERAPY ASSISTANT (COTA)Here is your opportunity to channel the full extent of your knowledge, skills, ambition, and experience on a daily basis. Inspire our patients to progress each day as you:• Provide occupational therapy treatment and patient care according to hospital, state and federal regulations and professional guidelines.• Perform occupational therapy treatment tasks as delegated and supervised by occupational therapists.• Maintain open and ongoing communication with hospital departments to ensure that patient, staff and hospital needs are met. Credentials:• Current state licensure or certification or state practice act, whichever is applicable, required.• CPR certification preferred, unless otherwise required by hospital policy.• Successful completion of an associate's degree from an accredited occupational therapy assistant program preferred.• Effective communication skills for working with patients, families and caregivers required.• Demonstrated competency in occupational treatment essential. Enjoy competitive compensation and benefits that start on day one, including: • Benefits that begin when you do.• Affordable medical, dental and vision plans provided to meet the needs of full and part-time employees and their families.• Generous paid time off that increases with tenure.• Tuition reimbursement and continuing education opportunities.• Company-matching 401(k) and employee stock-purchase plans.• Flexible spending and health savings accounts. About Us:Helping patients regain hope and independence, Encompass Health is a national leader in post-acute care. We operate rehabilitation hospitals and offer home health and hospice care in 36 states as well as Puerto Rico. Following the Encompass Way, we are driven by our core values: We proudly set the standard, lead with empathy, do what's right, focus on the positive, and remain stronger together. Realize the powerful difference you can make. Take this opportunity to join our team.To learn more about us, please visit us online at encompasshealth.com Connect with us:Equal Opportunity Employer QualificationsCompensation: $45.00 an hour

Event DetailsJoin us for an Interview and Hiring Day! Registered Nurses welcomed!Location:1680 E. 120th Street, Los Angeles, California 90059Date: Tuesday, June 24thTime: 9:00 am to 3:00 pmDirections/Parking: Our main lobby entrance is located at 1680 E 120th Street, Los Angeles, CA 90059. The entrance to the parking lot is on Healthy Way at the north side of our building, behind the large sculpture. Our hospital is easily accessible by public transportation and car.Click RSVPNow to get startedThis event is for experienced Registered Nurses*Nurse Residents please send your resume for consideration for our next cohort opening September 2025, please review our website for dates. Here's why it's great to be a nurse at MLKCHMLK Community Healthcare has a culture of nursing like no other. We have a compelling mission to improve the health of an appreciative and truly deserving community. We support our nurses with tools, training and best-in-class resources. Our fantastic new RN Residency Program launches recent graduates on a path to success. Our staff fellowships for experienced nurses open doors to new fields of expertise and leadership training at the highest level. And we offer competitive pay and unbeatable benefits. The result Inspirational careers and the chance to make a meaningful difference in the lives of the most vulnerable.

Physical Therapist Assistant (PTA) We are seeking a dedicated Physical Therapist Assistant (PTA) to support licensed physical therapists in providing therapeutic care. In this role, you will help patients improve mobility, strength, and overall functionality through tailored treatment plans. Key Responsibilities: Assist physical therapists in implementing treatment plans designed to meet individual patient needs.Guide patients through therapeutic exercises and activities aimed at improving mobility and strength.Monitor patient progress during therapy sessions and document findings for review by the supervising therapist.Educate patients and families on exercises or techniques to continue therapy at home.Maintain a clean and organized treatment area and ensure equipment is properly maintained. Work Environment: The role is based in various settings such as hospitals, outpatient clinics, or rehabilitation facilities.This position requires physical stamina as it involves assisting patients with mobility exercises throughout the day. Benefits: A competitive salary with opportunities for career growth within physical therapy settings.A comprehensive benefits package including health insurance, retirement savings plans, and paid time off.Access to continuing education programs to maintain certification and enhance skills as a PTA. Equal Opportunity Employer: Your commitment to improving patient outcomes is valued here. We strive to create an inclusive environment where all employees can thrive professionally while delivering exceptional care to our patients during their recovery journeys. *This information is based on the Bureau of Labor Statistics (BLS). Actual job responsibilities may vary by location.*

Your Role The Behavioral Health Utilization Management team performs prospective & concurrent utilization reviews and first level determinations for members using BSC evidenced based guidelines, policies, and nationally recognized clinal criteria across multiple lines of business. The Behavioral Health Utilization Management Clinician, Experienced, will report to the Manager of Behavioral Health Utilization Management (BH UM). In this role you will conduct clinical review of mental health and substance use authorization requests at various levels of care for medical necessity, coding accuracy, medical policy compliance and contract compliance.Your WorkIn this role, you will:Perform prospective & concurrent utilization reviews and first level determination approvals for members admitted to facilities using BSC evidenced based guidelines, policies and nationally recognized clinal criteria across lines of business or for a specific line of business such as Medicare as neededGather clinical information and apply the appropriate clinical criteria/guideline, policy, procedure and clinical judgment to render coverage determination/recommendation along the continuum of care facilitates including effective discharge planning at levels of care appropriate for the members needs and acuity; prepare and present cases to Medical Director (MD) for medical director oversight and necessity determinationProvide information to facilities and providers regarding community treatment resources, mental health care management programs, company policies and procedures, and medical necessity criteriaWork with multidisciplinary teams to support members using an integrated team-based approach including Interdisciplinary Team Meetings and case consultations with Medical Director and/or Licensed ManagerRecognize the members right to self-determination as it relates to the ethical principle of autonomy, including the members/family's right to make informed choices that may not promote the best outcomes, as determined by the healthcare teamSupport team through consistent and successful caseload management and workload to achieve team goals, regulatory timelines, and accreditation standardsYour Knowledge and ExperienceCurrent unrestricted CA license (LCSW, LMFT, LPCC, PhD/PsyD or RN with Behavioral Health experience) requiredAdvanced degree commensurate with field is preferredRequires at least three (3) years of prior experience in healthcare related fieldOne (1) year conducting Behavioral Health Utilization Management for a health insurance plan or managed care environment preferredStrong understanding of Behavioral Health Utilization Management including ability to apply and interpret admission and continued stay criteria of multiple standardized clinical criteria sets including but not limited to MCG guidelines, nonprofit association guidelines, and various Medicare guidelinesFamiliarity with medical terminology, diagnostic terms, and treatment modalities including ability to comprehend psychiatric evaluations, clinical notes, and lab resultsProficient with Microsoft Excel, Outlook, Word, Power Point, and the ability to learn and utilize multiple systems/databasesExcellent analytical, communication skills, written skills, time management, and organizational skillsPossess outstanding interpersonal, organizational, and communication skills, positive attitude, and high level of initiativeAbility to identify problems and works towards problem resolution independently, seeking guidance as needed

Extra attention to detail Exceptional outcomes This is a PRN position BE THE CONNECTION.Your role as a certified occupational therapy assistant (COTA) lets you be the connection between dedication to detail and patient outcomes that exceed expectations. Use your passion for rehabilitation to ensure that patients receive care that sets the standard as you treat patients with compassion and empathy. Enhance the impact of your abilities with national post-acute care leader Encompass Health. What Makes Encompass Health Careers Different-and Better:Working at Encompass Health means being part of something special: A team that is passionate about making an impact on patients' lives each day. Unlike the typical hospital setting, Encompass Health offers you the unique opportunity to walk alongside patients on their road to recovery from stroke, spinal cord injuries, neurological disorders, joint replacements, multiple trauma and cardiac/pulmonary conditions. As you help patients achieve goals and regain independence, you can form significant relationships with them and celebrate the successes they experience along the way.Our culture of compassion and collaboration is founded on more than just the care we provide our patients; it is expressed in the values we live. We encourage and empower each employee to keep learning and growing by providing the resources to deliver a better way to care. At Encompass Health, you'll find something decidedly different and more satisfying: A career that is challenging, inspiring and rewarding. Maximize your talent and join a team that is committed to setting the standard for better healthcare with this engaging opportunity: CERTIFIED OCCUPATIONAL THERAPY ASSISTANT (COTA)Here is your opportunity to channel the full extent of your knowledge, skills, ambition, and experience on a daily basis. Inspire our patients to progress each day as you:• Provide occupational therapy treatment and patient care according to hospital, state and federal regulations and professional guidelines.• Perform occupational therapy treatment tasks as delegated and supervised by occupational therapists.• Maintain open and ongoing communication with hospital departments to ensure that patient, staff and hospital needs are met. Credentials:• Current state licensure or certification or state practice act, whichever is applicable, required.• CPR certification preferred, unless otherwise required by hospital policy.• Successful completion of an associate's degree from an accredited occupational therapy assistant program preferred.• Effective communication skills for working with patients, families and caregivers required.• Demonstrated competency in occupational treatment essential. Enjoy competitive compensation and benefits that start on day one, including: • Benefits that begin when you do.• Affordable medical, dental and vision plans provided to meet the needs of full and part-time employees and their families.• Generous paid time off that increases with tenure.• Tuition reimbursement and continuing education opportunities.• Company-matching 401(k) and employee stock-purchase plans.• Flexible spending and health savings accounts. About Us:Helping patients regain hope and independence, Encompass Health is a national leader in post-acute care. We operate rehabilitation hospitals and offer home health and hospice care in 36 states as well as Puerto Rico. Following the Encompass Way, we are driven by our core values: We proudly set the standard, lead with empathy, do what's right, focus on the positive, and remain stronger together. Realize the powerful difference you can make. Take this opportunity to join our team.To learn more about us, please visit us online at encompasshealth.com Connect with us:Equal Opportunity Employer QualificationsCompensation: $45.00 an hour

Event DetailsJoin us for an Interview and Hiring Day! Registered Nurses welcomed!Location:1680 E. 120th Street, Los Angeles, California 90059Date: Tuesday, June 24thTime: 9:00 am to 3:00 pmDirections/Parking: Our main lobby entrance is located at 1680 E 120th Street, Los Angeles, CA 90059. The entrance to the parking lot is on Healthy Way at the north side of our building, behind the large sculpture. Our hospital is easily accessible by public transportation and car.Click RSVPNow to get startedThis event is for experienced Registered Nurses*Nurse Residents please send your resume for consideration for our next cohort opening September 2025, please review our website for dates. Here's why it's great to be a nurse at MLKCHMLK Community Healthcare has a culture of nursing like no other. We have a compelling mission to improve the health of an appreciative and truly deserving community. We support our nurses with tools, training and best-in-class resources. Our fantastic new RN Residency Program launches recent graduates on a path to success. Our staff fellowships for experienced nurses open doors to new fields of expertise and leadership training at the highest level. And we offer competitive pay and unbeatable benefits. The result Inspirational careers and the chance to make a meaningful difference in the lives of the most vulnerable.

Physical Therapist Assistant - RehabWe are seeking a dedicated Physical Therapist Assistant to join our rehabilitation team. In this role, you will support physical therapists in providing treatments that help patients improve mobility, relieve pain, and regain independence.Key Responsibilities:Assist physical therapists in implementing treatment plans tailored to patients' needs.Instruct patients in exercises designed to improve strength, balance, or coordination under supervision.Monitor patients during therapy sessions and report progress or challenges to the supervising therapist.Maintain accurate documentation of treatments provided and patient responses.Ensure therapy equipment is clean, organized, and ready for use during sessions.Work Environment:Work in rehabilitation centers, hospitals, or outpatient clinics under the supervision of licensed physical therapists.A collaborative environment focused on achieving optimal patient outcomes through teamwork.Benefits:Competitive salary and comprehensive benefits package.Opportunities for professional growth through training and certifications.A supportive workplace culture that values collaboration and innovation in patient care delivery.*This information is based on the Bureau of Labor Statistics (BLS). Actual job responsibilities may vary by location.*

Your Role The Care management team is looking for a leader with Medi-Cal experience who can help design and lead our Medi-Cal line of business. The Senior Manager of Care Management, Medi-Cal will report to the Director of Care Management in the Population Health Department.. In this role you will be will serve as the professional leader of registered nurses within Blue Shield care management who is a good collaborator, experienced in people leadership, and will serve as a mentor and advisor to senior leadership. The selected candidate will also function as the subject matter expert on professional nursing/ care management for Medi-Cal regulations- who will represent care management in initiatives, client presentations, act as a liaison between other business units within Blue Shield to bolster care management knowledge on community resources, best practices, and promote holistic and integrated approach to medical care management..Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow – personally, professionally, and financially. We are looking for leaders that are energized by creative and critical thinking,buildingand sustaining high-performing teams, getting results the right way, and fostering continuous learning.Your WorkYour WorkIn this role, you will:Establish operational objectives for department or functional area andparticipatesand leads other managers to establish group objectivesBe responsible for team, department or functional area results in terms of planning, cost and methods in collaboration with DirectorParticipate in the development and implementation of the annual budget under the direction of DirectorEnsure workflow procedures and guidelines are clearly documented and communicatedInterpret or initiate changes in guidelines/policies/proceduresProvides leadership to ensure best utilization of resources in obtaining organizational goals, regulatory compliance, adhering to corporate policies through oversight of daily operations, assessment of adequacy of staffing, and adherence to standard of social workersEnhancement or creation of care management processes in compliance with regulatory requirementsMaintenance and operationalizing of the Model of Care (MOC) for Medi-Cal SPD members, Cal-AIM, and other contracts with DHCS and CMS in close collaboration with and guidance from Director of Care ManagementResponsible for ensuring that the care management department readiness for internal and external regulatory and accreditation auditsPrimary involvement with committees, projects, initiatives, professional associations, and other service providers to promote appropriate and cost-effective care delivery for the populationFocused on services and programs to increase quality of life and health of all membersMacro level collaboration and involvement with committees, projects, initiatives, community leaders, county social service personnel, professional associations, and other service providers to promote appropriate and cost-effective care delivery for the populationDemonstrates a passion for leading positive change by enhancement and sustainment of an innovative care management program that advocates for patient safety by keeping informed of mandates, regulations, and best practice innovationsEnhancement and development of client health education, Advance Healthcare Planning and End of Life counseling and support and promotes participation in staff, patient, and community educationPromotion of best practice in impacting social determinants of health and homelessnessRepresent Blue Shield care management in Blue Shield sponsored community events and fairsRegular collaboration with other Blue Shield managers in care management and other business unitsMaintain daily measurement standards and outcomes for staffAn active participant in practice transformationYour Knowledge and ExperienceRequires a bachelor's degree or equivalent experienceRequires a current CA RN LicenseCertified Case Manager (CCM) Certification or is in process of completing certification when eligible based on CCM application requirementsRequires at least 10 years of prior relevant experience including 4 years of management experience gained as a team leader, supervisor, or project/program managerRequires health insurance/managed care experience (Commercial, Medicare, and Medi-Cal).Requires excellent communication, presentation, and procedure-writing skillsLean methodology desiredAdvanced degree preferred

Extra attention to detail Exceptional outcomes This is a PRN position BE THE CONNECTION.Your role as a certified occupational therapy assistant (COTA) lets you be the connection between dedication to detail and patient outcomes that exceed expectations. Use your passion for rehabilitation to ensure that patients receive care that sets the standard as you treat patients with compassion and empathy. Enhance the impact of your abilities with national post-acute care leader Encompass Health. What Makes Encompass Health Careers Different-and Better:Working at Encompass Health means being part of something special: A team that is passionate about making an impact on patients' lives each day. Unlike the typical hospital setting, Encompass Health offers you the unique opportunity to walk alongside patients on their road to recovery from stroke, spinal cord injuries, neurological disorders, joint replacements, multiple trauma and cardiac/pulmonary conditions. As you help patients achieve goals and regain independence, you can form significant relationships with them and celebrate the successes they experience along the way.Our culture of compassion and collaboration is founded on more than just the care we provide our patients; it is expressed in the values we live. We encourage and empower each employee to keep learning and growing by providing the resources to deliver a better way to care. At Encompass Health, you'll find something decidedly different and more satisfying: A career that is challenging, inspiring and rewarding. Maximize your talent and join a team that is committed to setting the standard for better healthcare with this engaging opportunity: CERTIFIED OCCUPATIONAL THERAPY ASSISTANT (COTA)Here is your opportunity to channel the full extent of your knowledge, skills, ambition, and experience on a daily basis. Inspire our patients to progress each day as you:• Provide occupational therapy treatment and patient care according to hospital, state and federal regulations and professional guidelines.• Perform occupational therapy treatment tasks as delegated and supervised by occupational therapists.• Maintain open and ongoing communication with hospital departments to ensure that patient, staff and hospital needs are met. Credentials:• Current state licensure or certification or state practice act, whichever is applicable, required.• CPR certification preferred, unless otherwise required by hospital policy.• Successful completion of an associate's degree from an accredited occupational therapy assistant program preferred.• Effective communication skills for working with patients, families and caregivers required.• Demonstrated competency in occupational treatment essential. Enjoy competitive compensation and benefits that start on day one, including: • Benefits that begin when you do.• Affordable medical, dental and vision plans provided to meet the needs of full and part-time employees and their families.• Generous paid time off that increases with tenure.• Tuition reimbursement and continuing education opportunities.• Company-matching 401(k) and employee stock-purchase plans.• Flexible spending and health savings accounts. About Us:Helping patients regain hope and independence, Encompass Health is a national leader in post-acute care. We operate rehabilitation hospitals and offer home health and hospice care in 36 states as well as Puerto Rico. Following the Encompass Way, we are driven by our core values: We proudly set the standard, lead with empathy, do what's right, focus on the positive, and remain stronger together. Realize the powerful difference you can make. Take this opportunity to join our team.To learn more about us, please visit us online at encompasshealth.com Connect with us:Equal Opportunity Employer QualificationsCompensation: $45.00 an hour

Event DetailsJoin us for an Interview and Hiring Day! Registered Nurses welcomed!Location:1680 E. 120th Street, Los Angeles, California 90059Date: Tuesday, June 24thTime: 9:00 am to 3:00 pmDirections/Parking: Our main lobby entrance is located at 1680 E 120th Street, Los Angeles, CA 90059. The entrance to the parking lot is on Healthy Way at the north side of our building, behind the large sculpture. Our hospital is easily accessible by public transportation and car.Click RSVPNow to get startedThis event is for experienced Registered Nurses*Nurse Residents please send your resume for consideration for our next cohort opening September 2025, please review our website for dates. Here's why it's great to be a nurse at MLKCHMLK Community Healthcare has a culture of nursing like no other. We have a compelling mission to improve the health of an appreciative and truly deserving community. We support our nurses with tools, training and best-in-class resources. Our fantastic new RN Residency Program launches recent graduates on a path to success. Our staff fellowships for experienced nurses open doors to new fields of expertise and leadership training at the highest level. And we offer competitive pay and unbeatable benefits. The result Inspirational careers and the chance to make a meaningful difference in the lives of the most vulnerable.

Physical Therapist - RehabWe are seeking a dedicated Physical Therapist to join our rehabilitation team. In this role, you will help patients recover from injuries or illnesses by improving their movement, reducing pain, and restoring functionality through personalized therapy programs.Key Responsibilities:Evaluate patients to assess their physical conditions and develop individualized treatment plans.Implement therapeutic exercises, manual therapy techniques, and specialized equipment to aid recovery.Educate patients and caregivers on techniques to improve mobility and prevent future injuries.Collaborate with other healthcare professionals to ensure comprehensive care for patients.Monitor patient progress and adjust treatment plans as necessary to achieve optimal outcomes.Document patient evaluations, treatments, and progress in compliance with healthcare regulations.Work Environment:Work in rehabilitation centers, hospitals, outpatient clinics, or private practices specializing in physical therapy.Engage in a dynamic, hands-on environment that requires physical activity and patient interaction.Benefits:Competitive salary and comprehensive benefits package.Opportunities for professional growth through training and certifications.A supportive work environment focused on collaboration and innovation in patient care delivery.*This information is based on the Bureau of Labor Statistics (BLS). Actual job responsibilities may vary by location.*

Your Role The Behavioral Health (BH) Utilization Management (UM) team performs prospective, concurrent, retrospective utilization reviews and first level determinations for members using BSC evidenced based guidelines, policies, and nationally recognized clinical criteria across multiple lines of business. The Behavioral Health Utilization Management, Consultant (Lead), will report to the Manager of Behavioral Health Utilization Management (BH UM). In this role you will support the clinicians with daily operations, provide coaching, and serve as the subject matter expert for the BH UM team as they conduct clinical reviews of mental health and substance use authorization requests at various levels of care for medical necessity.Your WorkIn this role, you will:Facilitate communication between leadership, Medical Directors, and non-clinical leads to address line staff questions and issues; escalate matters to management with recommendations or consultation as neededLead onboarding/training of incoming staff, provide proactive and guided support through the onboarding processMaintain and gain knowledge of behavioral health utilization management through team and departmental expansion as neededAct as subject matter expert to review and evaluate the effectiveness of operational workflows to identify problems and develop improvements, modifications, and enhancementsDevelop and evaluate tools and materials that enhance operating efficiency, accuracy, and technical skill levels of unit staffAssist with audit readiness in collaboration with internal BSC partnersPerform advanced or complicated prior authorization and concurrent utilization reviews and first level determinations for members using non-profit association guidelines ensure discharge (DC) planning at levels of care appropriate for the members needs and acuity; prepare and present cases to Medical Director (MD) for oversight and necessity determinationIdentify process and control improvement opportunities and provide recommendations that help improve the effectiveness, efficiency and/or economic value of a control or processProvide guidance, coaching and training on internal behavioral health utilization management processes to other employees across the company as appropriateLead, manage, and execute other special projects and team initiatives as assignedLead team huddles/meetings to support processes and collaboration of team membersSupport team through consistent and successful caseload management and workload to achieve team goals, regulatory timelines, and accreditation standardsYour Knowledge and ExperienceCurrent unrestricted CA license (LCSW, LMFT, LPCC, PhD/PsyD or RN with Behavioral Health experience) requiredAdvanced degree commensurate with field is preferredRequires at least seven (7) years of prior experience in healthcare related fieldExperience operating in a lead role or equivalent leadership training is preferredFive (5) years conducting Behavioral Health Utilization Management for a health insurance plan or managed care environment preferredDeep knowledge of Behavioral Health Utilization Management including ability to apply and interpret admission and continued stay clinical against nonprofit association guidelinesFamiliarity with medical terminology, diagnostic terms, and treatment modalities including ability to comprehend psychiatric evaluations, clinical notes, and lab resultsProficient with Microsoft Excel, Outlook, Word, Power Point, and the ability to learn and utilize multiple systems/databasesExcellent analytical, communication skills, written skills, time management, and organizational skillsPossess outstanding interpersonal, organizational, and communication skills, positive attitude, and high level of initiativeAbility to identify problems and works towards problem resolution independently, seeking guidance as needed

Extra attention to detail Exceptional outcomes This is a PRN position BE THE CONNECTION.Your role as a certified occupational therapy assistant (COTA) lets you be the connection between dedication to detail and patient outcomes that exceed expectations. Use your passion for rehabilitation to ensure that patients receive care that sets the standard as you treat patients with compassion and empathy. Enhance the impact of your abilities with national post-acute care leader Encompass Health. What Makes Encompass Health Careers Different-and Better:Working at Encompass Health means being part of something special: A team that is passionate about making an impact on patients' lives each day. Unlike the typical hospital setting, Encompass Health offers you the unique opportunity to walk alongside patients on their road to recovery from stroke, spinal cord injuries, neurological disorders, joint replacements, multiple trauma and cardiac/pulmonary conditions. As you help patients achieve goals and regain independence, you can form significant relationships with them and celebrate the successes they experience along the way.Our culture of compassion and collaboration is founded on more than just the care we provide our patients; it is expressed in the values we live. We encourage and empower each employee to keep learning and growing by providing the resources to deliver a better way to care. At Encompass Health, you'll find something decidedly different and more satisfying: A career that is challenging, inspiring and rewarding. Maximize your talent and join a team that is committed to setting the standard for better healthcare with this engaging opportunity: CERTIFIED OCCUPATIONAL THERAPY ASSISTANT (COTA)Here is your opportunity to channel the full extent of your knowledge, skills, ambition, and experience on a daily basis. Inspire our patients to progress each day as you:• Provide occupational therapy treatment and patient care according to hospital, state and federal regulations and professional guidelines.• Perform occupational therapy treatment tasks as delegated and supervised by occupational therapists.• Maintain open and ongoing communication with hospital departments to ensure that patient, staff and hospital needs are met. Credentials:• Current state licensure or certification or state practice act, whichever is applicable, required.• CPR certification preferred, unless otherwise required by hospital policy.• Successful completion of an associate's degree from an accredited occupational therapy assistant program preferred.• Effective communication skills for working with patients, families and caregivers required.• Demonstrated competency in occupational treatment essential. Enjoy competitive compensation and benefits that start on day one, including: • Benefits that begin when you do.• Affordable medical, dental and vision plans provided to meet the needs of full and part-time employees and their families.• Generous paid time off that increases with tenure.• Tuition reimbursement and continuing education opportunities.• Company-matching 401(k) and employee stock-purchase plans.• Flexible spending and health savings accounts. About Us:Helping patients regain hope and independence, Encompass Health is a national leader in post-acute care. We operate rehabilitation hospitals and offer home health and hospice care in 36 states as well as Puerto Rico. Following the Encompass Way, we are driven by our core values: We proudly set the standard, lead with empathy, do what's right, focus on the positive, and remain stronger together. Realize the powerful difference you can make. Take this opportunity to join our team.To learn more about us, please visit us online at encompasshealth.com Connect with us:Equal Opportunity Employer QualificationsCompensation: $45.00 an hour

Event DetailsJoin us for an Interview and Hiring Day! Registered Nurses welcomed!Location:1680 E. 120th Street, Los Angeles, California 90059Date: Tuesday, June 24thTime: 9:00 am to 3:00 pmDirections/Parking: Our main lobby entrance is located at 1680 E 120th Street, Los Angeles, CA 90059. The entrance to the parking lot is on Healthy Way at the north side of our building, behind the large sculpture. Our hospital is easily accessible by public transportation and car.Click RSVPNow to get startedThis event is for experienced Registered Nurses*Nurse Residents please send your resume for consideration for our next cohort opening September 2025, please review our website for dates. Here's why it's great to be a nurse at MLKCHMLK Community Healthcare has a culture of nursing like no other. We have a compelling mission to improve the health of an appreciative and truly deserving community. We support our nurses with tools, training and best-in-class resources. Our fantastic new RN Residency Program launches recent graduates on a path to success. Our staff fellowships for experienced nurses open doors to new fields of expertise and leadership training at the highest level. And we offer competitive pay and unbeatable benefits. The result Inspirational careers and the chance to make a meaningful difference in the lives of the most vulnerable.

Radiology Technologist - Interventional RadiologyWe are seeking a highly skilled Radiology Technologist specializing in Interventional Radiology to join our team. In this role, you will assist in minimally invasive procedures by using advanced imaging technology to guide interventions, ensuring accurate and effective patient care.Key Responsibilities:Prepare patients for interventional radiology procedures by explaining the process and positioning them appropriately.Operate fluoroscopy and other imaging equipment to provide real-time guidance during procedures.Assist physicians in performing diagnostic and therapeutic interventions, such as angiograms, stent placements, or biopsies.Maintain a sterile environment and adhere to infection control protocols during procedures.Monitor patients' vital signs and ensure their safety and comfort throughout the procedure.Document procedures accurately and maintain detailed patient records.Perform routine maintenance and quality checks on imaging equipment to ensure optimal performance.Work Environment:Work in hospitals or specialized interventional radiology suites equipped with advanced imaging technology.Collaborate closely with physicians, nurses, and other healthcare professionals in a fast-paced environment.Be prepared for on-call responsibilities to assist with urgent or emergency procedures.Benefits:Competitive salary and comprehensive benefits package.Opportunities for professional growth through specialized training and certifications.A supportive work environment that values innovation and teamwork in patient care delivery.*This information is based on the Bureau of Labor Statistics (BLS). Actual job responsibilities may vary by location.*

Your Role Reporting to the Chief Medical Officer, the Senior Medical Director, Clinical Strategy will define the vision and priorities for Blue Shield of California’s strategy to deliver best in class clinical outcomes for our members while working to ensure that health care is affordable. In this role you will be accountable for working in partnership with other leaders to deliver best in class clinical programs and align our value-based care models to meet our clinical strategy objectives. Your WorkIn this role, you will:Develop a clinical strategy framework and guiding principles, grounded in data on population health outcomes and cost, to deliver Best in Class clinical outcomes for Blue Shield of California membersDefine the organization’s overall clinical strategy, as relates to priorities, partnerships, and key measures of success to improve member experience, population health and affordability, inclusive of primary care and specialty careCo-chair the Clinical Program Review and Governance Committee with the Chief Medical Officer to ensure that all clinical programs are delivering expected clinical and cost of care outcomes for our membersWork with teams performing vendor management to ensure that contracts include appropriate metrics to ensure programs are meeting operational targets to achieve clinical objectivesCollaborate with the Health Economics team to develop the methodology to evaluate the effectiveness and lead a process to ensure robust evaluation of all clinical programsCollaborate with business leaders to ensure that the clinical strategy and clinical programs are meeting business, client, and member needsCreate an environment of accountability and continuous quality improvement to ensure that all clinical programs continue to meet and exceed objectives necessary to deliver best in class clinical outcomes for Blue Shield of California membersCommunicate internally and externally the vision and strategy to transform healthcare to deliver Best in Class clinical outcomes for Blue Shield of California membersYour Knowledge and ExperienceMinimum of 2 years of previous medical leadership experienceMinimum of 5 years of direct patient care experience post residencyMinimum 4 years experience in observational study design and execution and/or clinical program evaluationMedical degree (M.D./D.O.)Maintain active, unrestricted California State Medical License required; Maintain active, unrestricted Medical License in all additional assigned states requiredMaintain Board Certification in one of ABMS, ABOS, or AOA recognized specialty requiredOutstanding verbal and written communication skillsAbility to lead through influence in a matrixed organizationMasters or PhD in Health Services Research, Epidemiology, Biostatistics or similar field preferredExperience in a health plan or managed care organization is preferred

Event DetailsJoin us for an Interview and Hiring Day! Registered Nurses welcomed!Location:1680 E. 120th Street, Los Angeles, California 90059Date: Tuesday, June 24thTime: 9:00 am to 3:00 pmDirections/Parking: Our main lobby entrance is located at 1680 E 120th Street, Los Angeles, CA 90059. The entrance to the parking lot is on Healthy Way at the north side of our building, behind the large sculpture. Our hospital is easily accessible by public transportation and car.Click RSVPNow to get startedThis event is for experienced Registered Nurses*Nurse Residents please send your resume for consideration for our next cohort opening September 2025, please review our website for dates. Here's why it's great to be a nurse at MLKCHMLK Community Healthcare has a culture of nursing like no other. We have a compelling mission to improve the health of an appreciative and truly deserving community. We support our nurses with tools, training and best-in-class resources. Our fantastic new RN Residency Program launches recent graduates on a path to success. Our staff fellowships for experienced nurses open doors to new fields of expertise and leadership training at the highest level. And we offer competitive pay and unbeatable benefits. The result Inspirational careers and the chance to make a meaningful difference in the lives of the most vulnerable.

Speech-Language Pathologist - OtherWe are seeking a versatile Speech-Language Pathologist to join our team. In this role, you will assess and treat individuals with diverse communication and swallowing disorders in various settings, helping them improve their quality of life.Key Responsibilities:Evaluate patients to identify speech, language, or swallowing difficulties.Develop and implement individualized treatment plans tailored to specific needs.Provide therapy focused on articulation, fluency, voice quality, and cognitive-communication skills.Educate patients and families on strategies to support communication and swallowing improvements.Collaborate with other healthcare professionals to ensure comprehensive care.Document patient progress and adjust therapy plans as needed for optimal outcomes.Work Environment:Work in varied environments such as private practices, hospitals, or community health programs.Engage in a dynamic setting requiring adaptability and innovative problem-solving skills.Benefits:Competitive salary and comprehensive benefits package.Opportunities for professional growth through training and certifications.A supportive work environment focused on collaboration and innovation in patient care.*This information is based on the Bureau of Labor Statistics (BLS). Actual job responsibilities may vary by location.*

Your Role The Behavioral Health Teamis responsible the coordination of care and assistance in finding providers for members in need. The Clinical Services Coordinator (CSC), Intermediate will report to the Supervisor, Operations -Behavioral Health . In this role you will be for supporting clinical staff day-to-day operations.Your Work In this role, you will: Work in a production-based environment with defined production and quality metrics.Process Faxed /Web Portal /Phoned in Authorization or Hospital Admission Notification Requests, Utilization Management (UM)/Case Management (CM) requests and/or calls left on voicemail.The CSC will oversee designated queues and workstreams, with standardized reports to detect and address member needs.Assists in coordinating care for specific high risk/high-cost patient population, including referrals to community resources, facilitation of medical services, referral to ancillary providers, etc.Provide support to Case Management and/or Utilization Management team on member eligibility, benefits, and provider networksData entry including authorization forms, high risk member information, verbal HIPPA authorizations information for case creation.Serves as an initial point of contact for providers and/or members in the behavioral health management process by telephone or correspondence.Assists with system letters, requests for information and data entry.Provides administrative/clerical support to Behavioral Health management.Your Knowledge and Experience Requires a high school diploma or equivalentRequires at least 3 years of prior relevant experienceDesired certification and/or training as a patient advocate, health coach, care navigator or other relevant health plan experience2-year work experience with managed health care utilization or case management department or a similar medical management department at a different payor, facility, or provider/group.Ability to work in a high-paced production environment with occasional overtime needed (including weekends) to ensure regulatory turnaround standards are met.Knowledge of clinical workflow to assist BH Care Managers with case creation, research/issue resolution and other UM related functions, as necessary.

Physical Therapist Assistant Career Opportunity Join a Team That Puts Your Passion for Care FirstAre you on the lookout for a fulfilling career that not only feels like home but also allows you to make a meaningful impact close to your heart Join us as a Physical Therapist Assistant and contribute to the remarkable progress and inspiring outcomes of our patients. Embrace the opportunity to deliver high- quality, compassionate, and personalized care, celebrating the small successes that lead to significant achievements in rehabilitation. Our well-equipped physical therapy gyms, driven team members, and supportive environment create an atmosphere where you can thrive. A Glimpse into Our WorldAt Encompass Health, you'll experience the difference the moment you become a part of our team. Being associated with us means aligning with a rapidly growing national inpatient rehabilitation leader. We take pride in the growth opportunities we offer and how our team unites for the greater good of our patients. Our achievements include being named one of the "World's Most Admired Companies" and receiving the Fortune 100 Best Companies to Work For® Award, among other accolades, which is nothing short of amazing. Starting Perks and BenefitsAt Encompass Health, we are committed to creating a supportive, inclusive, and caring environment where you can thrive. From day one, you will have access to:Affordable medical, dental, and vision plans for both full-time and part-time employees and their families.Generous paid time off that accrues over time.Opportunities for tuition reimbursement and continuous education.Company-matching 401(k) and employee stock purchase plans.Flexible spending and health savings accounts.A vibrant community of individuals passionate about the work they do!Be the Physical Therapist Assistant you always wanted to beChannel your expertise, ambition, and experience into making a difference every day:Provide top-notch physical therapy treatment in compliance with regulations and professional guidelines.Execute delegated physical therapy assistant tasks under supervision, supporting patients' progress.Maintain transparent communication across hospital departments to meet patient and staff needs effectively.QualificationsState licensure or certification required.CPR certification preferred (as per hospital policy).Completion of an accredited physical therapy program preferred.Demonstrated competence in physical therapy treatment.Strong communication skills for patient, family, and caregiver interactions. The Encompass Health WayWe proudly set the standard in care by leading with empathy, doing what's right, focusing on the positive, and standing stronger together. Encompass Health is a trusted leader in post-acute care with over 150 nationwide locations and a team of 36,000 exceptional individuals and growing!At Encompass Health, we celebrate and welcome diversity in our inclusive culture. We provide equal employment opportunities regardless of race, ethnicity, gender, sexual orientation, gender identity or expression, religion, national origin, color, creed, age, mental or physical disability, or any other protected classification.We're eager to meet you, and we truly mean that. Join our family and let's make a difference together!

Event DetailsJoin us for an Interview and Hiring Day! Registered Nurses welcomed!Location:1680 E. 120th Street, Los Angeles, California 90059Date: Tuesday, June 24thTime: 9:00 am to 3:00 pmDirections/Parking: Our main lobby entrance is located at 1680 E 120th Street, Los Angeles, CA 90059. The entrance to the parking lot is on Healthy Way at the north side of our building, behind the large sculpture. Our hospital is easily accessible by public transportation and car.Click RSVPNow to get startedThis event is for experienced Registered Nurses*Nurse Residents please send your resume for consideration for our next cohort opening September 2025, please review our website for dates. Here's why it's great to be a nurse at MLKCHMLK Community Healthcare has a culture of nursing like no other. We have a compelling mission to improve the health of an appreciative and truly deserving community. We support our nurses with tools, training and best-in-class resources. Our fantastic new RN Residency Program launches recent graduates on a path to success. Our staff fellowships for experienced nurses open doors to new fields of expertise and leadership training at the highest level. And we offer competitive pay and unbeatable benefits. The result Inspirational careers and the chance to make a meaningful difference in the lives of the most vulnerable.

Radiology Technologist - Nuclear Medicine TechWe are seeking a highly skilled Nuclear Medicine Technologist to join our radiology team. In this role, you will prepare and administer radioactive drugs for imaging or therapeutic purposes while ensuring patient safety throughout the process.Key Responsibilities:Prepare radioactive drugs (radiopharmaceuticals) and administer them to patients via injection, inhalation, or oral methods.Operate advanced imaging equipment to capture images of radioactive material within the body for diagnostic purposes.Monitor patients during procedures for any adverse reactions or complications.Ensure compliance with radiation safety protocols to protect patients, staff, and yourself from unnecessary exposure.Collaborate with physicians to analyze imaging results for accurate diagnoses or treatment plans.Maintain detailed records of procedures performed and ensure proper disposal of radioactive materials according to regulations.Work Environment:Work in hospitals, diagnostic imaging centers, or research facilities equipped with nuclear medicine technology.A dynamic environment requiring attention to detail, technical expertise, and adherence to safety standards.Benefits:A competitive salary with comprehensive benefits options available.*This information is based on the Bureau of Labor Statistics (BLS). Actual job responsibilities may vary by location.*

Your Role The Medical Management team ensures that Blue Shield is on the cutting edge of medical, medication, and payment policy to accelerate the emergence of a value-based health care system in California. The Sr. Medical Director, Medical Policy will report to the Chief Medical Officer. In this role you will be accountable for ensuring that all medical, medication, and payment policy initiatives are in aligned with the scientific evidence and professional guidelines. You will lead a team that delivers medical policy that adapts to new clinical innovations and supports medical payment operations, and training for staff in the accurate application of medical, medication, and payment policy, pricing, and coding. In addition to chairing the BSC Pharmacy & Therapeutics, Medical and Payment Policy Committees, you will provide clinical leadership for all evidence-based medicine functions and partner closely with leaders of other business functions to develop strategies to ensure that Blue Shield members are receiving appropriate quality care.Your WorkIn this role, you will:Provide clinical thought leadership for the design and implementation of clinical policy innovation initiatives such as Coverage with Evidence Development, and the development of robust and efficient approaches to developing policies for emerging classes of technology like molecular diagnostics and mobile/digital personal health devicesChair the Medical Policy and Pharmacy and Therapeutics CommitteesProvide clinical leadership and medical consultation for the Blue Shield of California (BSC) medication management process, including working closely with the Pharmacy Services team to promote safe, effective, and cost-efficientProvide medical expertise in daily clinical rounds for drug authorization case reviewChair the Payment Policy Committee and provide clinical leadership for the BSC Payment Policy committee, overseeing and advising about payment policies and tactical approaches to ensure accurate coding of servicesConsult with BSC legal team to support fraud and abuse investigations, provider arbitrations, regulatory inquiries and issues, and litigation related to clinical policy, coding, or pricing issuesAct as BSC’s representative to the Blue Cross Blue Shield Association (BCBSA) Technology Assessment process and the Medical Policy PanelParticipate on the California Technology Assessment Forum and other related activitiesPartner with Network Management and Provider Partnership teams by providing subject matter expertise for contract and benefits coding decisions, including mandated benefits, provider contract language, provider DOFRs (division of financial responsibilities), and providing clinical perspective to resolve issues with BSC providers related to clinical policy, coding, and billing.Provide subject matter expertise for pricing of new, zero-dollar, and other exceptional claimsPresent at IPA/MG and Provider education seminars regarding medical, medication and payment policy Your Knowledge and ExperienceMinimum of 2 years of previous medical leadership experienceMinimum of 5 years of direct patient care experience post residencyMinimum of 8 years of experience developing evidence-based guidelines, medical policies or performing systematic reviews of the medical literatureMedical degree (M.D./D.O.) required. Master’s degree in epidemiology, health services or related degree is preferredCompleted residency preferably in adult based primary care specialty (e.g. Internal Medicine, Family Practice)Maintain active, unrestricted California State Medical License required; Maintain active, unrestricted Medical License in all additional assigned states requiredMaintain Board Certification in one of ABMS, ABOS, or AOA recognized specialty required (preferably Internal Medicine or Family Practice)Has mastery level knowledge and skills within a specific technical or professional discipline with broad understanding of other areas within the job functionOutstanding verbal and written communication skillsAbility to lead through influence in a matrixed organizationExperience performing utilization management reviews is preferredExperience in a health plan or managed care organization is preferred#LI-JS3

This is a full-time, 12-hour shift position on the night shift, 7p-7:30a. Every other weekend work is required. At this time we are recruting for start dates the last week of April. Salary range is $50p/h to $65p/h DOERegistered Nurse Career Opportunity Encompass Health: Where Nursing Meets Heart, Home, and HealingAre you seeking a nursing career deeply rooted in purpose, close to your heart and home Encompass Health offers a transformative journey where your expertise as a Registered Nurse becomes an integral part of patients' recoveries. Picture the impact of providing individualized, compassionate care that guides patients along their path to healing. With us, small victories lead to monumental impacts as you use your specialized skills to offer top-tier, personalized support. Understand your patients deeply, assist in their rehabilitation goals, and thrive in an environment equipped with cutting-edge technology.Welcome to a place where nursing becomes a profound contribution to both community and personal fulfillment. A Glimpse into Our WorldAt Encompass Health, you'll experience the difference the moment you become a part of our team. Being at Encompass Health means aligning with a rapidly growing national inpatient rehabilitation leader. We take pride in the growth opportunities we offer and how our team unites for the greater good of our patients. Our achievements include being named one of the "World's Most Admired Companies" and receiving the Fortune 100 Best Companies to Work For® Award, among other accolades, which is nothing short of amazing. Starting Perks and BenefitsOur benefits are designed to support your well-being and start on day one:Supervise care and treatments, lead patient assessments, tailor care plans, and address patient concerns to provide exceptional care.Build meaningful relationships with patients and their families, understanding their unique needs to facilitate their recovery.Collaborate and communicate effectively with various departments to ensure coordinated care and provide direct patient care when needed.Serve as a resource for fellow staff, supporting them with complex patient needs and inquiries.Celebrate victories and milestones achieved by our patients.Realize Your Vision as a Registered NurseSupervise care and treatments, lead patient assessments, tailor care plans, and address patient concerns to provide exceptional care.Build meaningful relationships with patients and their families, understanding their unique needs to facilitate their recovery.Collaborate and communicate effectively with various departments to ensure coordinated care and provide direct patient care when needed.Serve as a resource for fellow staff, supporting them with complex patient needs and inquiries.Celebrate victories and milestones achieved by our patients. QualificationsValid CA RN licensures as required by state regulations.CPR certification required (American Heart Association approved)One year of experience in a rehabilitation hospital setting is preferred. The Encompass Health WayWe proudly set the standard in care by leading with empathy, doing what's right, focusing on the positive, and standing stronger together. Encompass Health is a trusted leader in post-acute care with over 150 nationwide locations and a team of 36,000 exceptional individuals and growing!At Encompass Health, we celebrate and welcome diversity in our inclusive culture. We provide equal employment opportunities regardless of race, ethnicity, gender, sexual orientation, gender identity or expression, religion, national origin, color, creed, age, mental or physical disability, or any other protected classification.We're eager to meet you, and we genuinely mean that. Join us on this remarkable journey!

Event DetailsJoin us for an Interview and Hiring Day! Registered Nurses welcomed!Location:1680 E. 120th Street, Los Angeles, California 90059Date: Tuesday, June 24thTime: 9:00 am to 3:00 pmDirections/Parking: Our main lobby entrance is located at 1680 E 120th Street, Los Angeles, CA 90059. The entrance to the parking lot is on Healthy Way at the north side of our building, behind the large sculpture. Our hospital is easily accessible by public transportation and car.Click RSVPNow to get startedThis event is for experienced Registered Nurses*Nurse Residents please send your resume for consideration for our next cohort opening September 2025, please review our website for dates. Here's why it's great to be a nurse at MLKCHMLK Community Healthcare has a culture of nursing like no other. We have a compelling mission to improve the health of an appreciative and truly deserving community. We support our nurses with tools, training and best-in-class resources. Our fantastic new RN Residency Program launches recent graduates on a path to success. Our staff fellowships for experienced nurses open doors to new fields of expertise and leadership training at the highest level. And we offer competitive pay and unbeatable benefits. The result Inspirational careers and the chance to make a meaningful difference in the lives of the most vulnerable.

Surgical Technologist – Pediatric Cardiovascular Operating Room (PEDS CVOR) Join our team as a specialized Surgical Technologist in the Pediatric Cardiovascular Operating Room (PEDS CVOR), where you will support pediatric heart surgeries by preparing the operating room, maintaining sterile fields, and assisting surgeons and nurses throughout procedures. Key Responsibilities: Prepare the pediatric cardiovascular operating room by setting up and sterilizing instruments and equipment specific to pediatric heart surgery.Assist surgeons during pediatric cardiovascular procedures by passing instruments, maintaining sterile technique, and anticipating surgical needs.Monitor and document patient information throughout procedures, ensuring accuracy and safety.Support the surgical team in patient positioning, prepping, and post-operative care.Maintain and restock supplies, and ensure all equipment is functioning properly for pediatric cardiovascular cases. Work Environment: The role is based in hospital pediatric cardiovascular operating rooms or surgical centers.This position requires attention to detail, adaptability, and the ability to work with children and families in high-stress surgical situations. Benefits: A competitive salary with opportunities for career advancement within pediatric or cardiovascular surgical specialties.A comprehensive benefits package including health insurance, retirement savings plans, and paid time off.Support for continuing education programs to maintain certification and enhance expertise in pediatric cardiovascular surgical technology. Equal Opportunity Employer: Your commitment to supporting pediatric cardiovascular surgical care is valued here. We strive to create an inclusive environment where all employees can thrive professionally while contributing meaningfully to patient outcomes. *This information is based on the Bureau of Labor Statistics (BLS). Actual job responsibilities may vary by location.*

Your Role The Medical Director, National Accounts position is dedicated to supporting the promotion of growth and increased market share of the National Accounts and the Administrative Services Only (ASO) business. This includes strategic clinical and healthcare cost management guidance for the existing Blue Shield of CA book of business. This position will report directly to the VP, CMO, Commercial Markets. This position provides clinical direction to the sales team and sales processes and interacts directly with employers and consultants. This role will be at the center of driving strategy for how to reduce cost of care, while providing client advisory services, increasing engagement, and improving the quality of care & population health for our employers’ membership.Your Work In this role, you will: Lead client and producer facing activities including finalist presentations and account services meetings, broker and consultant meetings, meetings with Mercer, WTW, Aon, etc. Actively participate in and guide the preparations and the actual client meetings. Other activities include interpreting clinical data for employers at regular or pre-determined intervals, reviewing cost/spending trends, making recommendations on improving member engagement and population health. You will work diligently both internally and externally to develop, refine, and expertly communicate the BSC Clinical Value Proposition.Work collaboratively with other Healthcare Solutions and BSC staff to quickly resolve client service issues, with particular emphasis on clinical issues. Be available to talk with key account members about their issues and the solutions.Act as a strategic thought-partner for key clients (e.g. UC, Stanford, CalPERS) who want best-in-class medical, health and wellness programs.Responsible for the planning, development, and leading the delivery of Healthcare Solutions related materials to clients, producers and business associations that describe and explain the operational details and value of Healthcare Solutions capabilities, services and programs. Includes working with the Health Data Reporting teams to analyze data trends and develop external customer reports.Support other ASO Line of Business activities such as: business planning, business development, and designing and implementing innovations to address market needs.Your Knowledge and Experience Medical Degree (M.D./D.O.)Completed residency preferably in adult based primary care specialty (e.g. internal medicine, family practice)Active, unrestricted California State Medical LicenseMinimum 10 years managed care experience requiredAt least five years clinical experience requiredExperience with California managed care marketplace is requiredPrevious experience in national, complex account management support is requiredExperience supporting Administrative Services Only (ASO) lines of business is preferredPrevious experience in a similar sales role preferredPrior experience as a people manager preferredExcellent verbal and written communication skills, including ability to speak comfortably and extemporaneously to diverse audiencesAbility to explain program, clinical, operational, and quantitative information in a business-like, clear, coherent, and comprehensible wayStrong quantitative and analytic skills working with claims, operational, and clinical data and reportsExcellent interpersonal communication skills, including active listening, self-management and awareness, emotional intelligence, and ability to flex interpersonal style situationalDemonstrated ability to model a collaborative approach with internal and external stakeholdersStrong negotiation and creative problem-solving skillsStrong skills with Microsoft Office Suite, including PowerPoint, Excel, Word and Outlook

Event DetailsJoin us for an Interview and Hiring Day! Registered Nurses welcomed!Location:1680 E. 120th Street, Los Angeles, California 90059Date: Tuesday, June 24thTime: 9:00 am to 3:00 pmDirections/Parking: Our main lobby entrance is located at 1680 E 120th Street, Los Angeles, CA 90059. The entrance to the parking lot is on Healthy Way at the north side of our building, behind the large sculpture. Our hospital is easily accessible by public transportation and car.Click RSVPNow to get startedThis event is for experienced Registered Nurses*Nurse Residents please send your resume for consideration for our next cohort opening September 2025, please review our website for dates. Here's why it's great to be a nurse at MLKCHMLK Community Healthcare has a culture of nursing like no other. We have a compelling mission to improve the health of an appreciative and truly deserving community. We support our nurses with tools, training and best-in-class resources. Our fantastic new RN Residency Program launches recent graduates on a path to success. Our staff fellowships for experienced nurses open doors to new fields of expertise and leadership training at the highest level. And we offer competitive pay and unbeatable benefits. The result Inspirational careers and the chance to make a meaningful difference in the lives of the most vulnerable.

Pediatric Echo Tech/Cardiac Sonographer Join our team as a skilled Pediatric Echo Tech/Cardiac Sonographer, where you will play a vital role in diagnosing heart conditions in children through advanced imaging techniques. This position is ideal for professionals passionate about providing specialized cardiac care for pediatric patients. Key Responsibilities: Perform echocardiographic studies on pediatric patients to assess heart structures and functions using 2D and 3D imaging techniques.Collaborate with cardiologists to analyze diagnostic images and provide detailed reports of findings for treatment planning.Sanitize and prepare imaging equipment between appointments to ensure patient safety and optimal image quality.Educate patients and families about the procedures and address any questions or concerns regarding their care.Maintain accurate records of echocardiographic studies while adhering to regulatory standards and safety protocols. Work Environment: The role is based in hospitals or specialized pediatric cardiology clinics equipped with advanced echocardiographic technology.This position requires attention to detail and compassion when working with children in sensitive healthcare situations. Benefits: A competitive salary with opportunities for advancement within pediatric cardiac sonography specialties.A comprehensive benefits package including health insurance, retirement savings plans, and paid time off.Support for continuing education programs to maintain certifications and expand expertise in pediatric echocardiography techniques. Equal Opportunity Employer: Your dedication to improving outcomes for children with heart conditions is valued here. We strive to create an inclusive environment where all employees can excel professionally while contributing meaningfully to pediatric cardiac care excellence. *This information is based on the Bureau of Labor Statistics (BLS). Actual job responsibilities may vary by location.*

Your Role The Care Managementteam will serve to support the mission of the department, which is to provide support to patients in maintaining health and wellness in the outpatient setting. The Case Management – Nurse, Senior will report to the Manager of Care Management. In this role you will play a pivotal role in assessing member needs, providing clinical education, as well as care coordinationwith providers, medical groups, and community resources. You will be responsible for managing and coordinating patient care, ensuring that our members receive the highest quality of care and services. Care Managers perform care management (CM) activities demonstrating clinical judgement and independent analysis, collaborating with members and those involved with members’ care including clinical nurses and treating physicians.Your Work In this role, you will: Determine appropriateness of referral for CM services, mental health, and social servicesAssess members health behaviors, cultural influences and clients belief/value system. Evaluate all information related to current/proposed treatment plan and in accordance with clinical practice guidelines to identify potential barriersResearch and design treatment/care plans to promote quality of care, cost effective health care services based on medical necessity complying with contract for each appropriate plan type. Adjust plans or create contingency plans as necessaryIdentify appropriate programs and services that align with member needs and preferencesInitiate timely Individualized Care Plans (ICP) based on Health Risk Assessment (HRA) completion, participation in and documentation of Interdisciplinary meetings (ICT), assisting in transitions of care across all agesProvide Referrals to Quality Management (QM), Disease Management (DM) and Appeals and Grievance department (AGD)Conduct member care review with medical groups or individual providers for continuity of care, out of area/out of network and investigational/experimental casesResearch opportunities for improvement in assessment methodology and actively promote continuous improvement. Anticipate potential barriers while establishing realistic goals to ensure success for the member, providers, and BSCDetermine realistic goals and objectives and provide appropriate alternatives. Actively soliciting client’s involvementRecognize need for contingency plans throughout the healthcare processProvide education and support to members and their families regarding health conditions, treatment options, and community resourcesFollow up with members as appropriate to ensure they have successfully connected with recommended programs and servicesYour Knowledge and Experience Requires a current and valid CA RN License or valid RN license(s) from other state(s). Preferred licensure from a compact state. If assigned to another state, must maintain an active, unrestricted RN license in assigned state(s) or the ability to obtain required RN license (in addition to primary state license) within 90 days of hireBachelor of Science in Nursing or advanced degree preferredCertified Case Manager (CCM) Certification or is in process of completing certification when eligible based on CCM application requirementsRequires 5 years experience in nursing, healthcare, or related field A minimum of 3 years managed care experience in inpatient, outpatient, or managed care environment preferredHealth insurance/managed care experience preferredTransitions of care experience preferredStrong knowledge of healthcare delivery systems, managed care principles, and care coordinationExcellent communication skills

Event DetailsJoin us for an Interview and Hiring Day! Registered Nurses welcomed!Location:1680 E. 120th Street, Los Angeles, California 90059Date: Tuesday, June 24thTime: 9:00 am to 3:00 pmDirections/Parking: Our main lobby entrance is located at 1680 E 120th Street, Los Angeles, CA 90059. The entrance to the parking lot is on Healthy Way at the north side of our building, behind the large sculpture. Our hospital is easily accessible by public transportation and car.Click RSVPNow to get startedThis event is for experienced Registered Nurses*Nurse Residents please send your resume for consideration for our next cohort opening September 2025, please review our website for dates. Here's why it's great to be a nurse at MLKCHMLK Community Healthcare has a culture of nursing like no other. We have a compelling mission to improve the health of an appreciative and truly deserving community. We support our nurses with tools, training and best-in-class resources. Our fantastic new RN Residency Program launches recent graduates on a path to success. Our staff fellowships for experienced nurses open doors to new fields of expertise and leadership training at the highest level. And we offer competitive pay and unbeatable benefits. The result Inspirational careers and the chance to make a meaningful difference in the lives of the most vulnerable.

Surgical Tech - CVORWe are seeking a skilled Surgical Technologist specializing in Cardiovascular Operating Room (CVOR) procedures. In this role, you will assist surgeons during complex cardiovascular surgeries by preparing the operating room, managing instruments, and maintaining a sterile environment to ensure successful outcomes.Key Responsibilities:Prepare the operating room by ensuring all necessary instruments and equipment are sterilized and ready for use during cardiovascular procedures.Assist surgeons during operations by passing instruments, holding retractors, or handling specimens for lab analysis.Maintain a sterile field throughout the surgery by adhering to strict infection control protocols.Monitor inventory levels of surgical supplies and ensure timely restocking as needed for upcoming procedures.Collaborate with the surgical team to anticipate needs during procedures and respond effectively to any emergencies or complications that arise.Assist with patient positioning, draping, and preparation before surgery begins.Document procedures accurately and ensure proper handling of surgical instruments post-operation for cleaning and sterilization.Work Environment:Work in hospitals or specialized cardiovascular operating rooms equipped with advanced surgical technology.Collaborate closely with surgeons, nurses, anesthesiologists, and other surgical team members in high-pressure environments where precision is critical.Benefits:A competitive salary with comprehensive benefits options available.A focus on professional growth through training opportunities and certifications support programs specific to cardiovascular surgery expertise development pathways!*This information is based on the Bureau of Labor Statistics (BLS). Actual job responsibilities may vary by location.*