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Full Time
8/7/2025
Fullerton, CA 92833
(11.1 miles)
Overview: WHY COOLSYS At CoolSys, we offer more than just a jobwe provide stability, growth, and industry-leading benefits for our employees. As a large company serving diverse customers, we invest in our team with:Competitive Compensation: Competitive pay fromPay from $40.00- $60.00/hourOngoing Education & Training: Access to state-of-the-art facilities and paid online training.Comprehensive Benefits: Medical, Dental, Vision, and Prescription coverage, paid vacation/holidays, and a 401(K) match with 100% immediate vesting.Year-Round, Diverse Work: Stay engaged with consistent, interesting projects throughout the year, working across various industries and systems to keep learning and growing.Extra Perks: Quarterly bonus plan, tuition reimbursement, employee discounts on vehicles, hotels, theme parks, pet insurance, and more.Join us and advance your career while working with top-tier clients in the HVAC and refrigeration industry! Responsibilities: JOB SUMMARYThis position is responsible to lead, train and mentor the project crew, prioritize and delegate responsibilities, communicate with the trades people on the job site, and track project schedule to ensure projects are completed efficiently, accurately and on-time.ESSENTIAL DUTIES AND RESPONSIBILITIES:Serves as Lead Technical resource on assigned projects.Reports on job status and performance.Controls job costs.Develops and maintains productive relationships with peers, customers, GCs and subcontractors.Ensures use of PPE and the application of safe behavior, including vehicle safety, by all employees.Ensures compliance of Installation policies and procedures, including project tracking, safety, time and attendance, etc.May oversee 3rd party resources.Directs and oversees the work of other Apprentices and Journeyman assigned to specific projects. Qualifications: JOB REQUIREMENTS:High school diploma, GED, or completion of trade program or technical school. College degree is a plus.5+ years of experience in commercial building construction or other related industry/trade,Knowledge of construction principles and practices, including efficient use of labor hours.Ability to organize tasks.Ability to use good judgment in making work assignments.Ability to give clear instructions and guidance, as needed.Ability to maintain project labor hours within acceptable limits and request change orders as needed.Ability to ensure safe work practices and ensure compliance with Safety policies.Ability to understand and follow all company policies and procedures and all applicable State and Federal laws.Ability to work with minimal supervision.Track record of punctuality and dependability.Ability to use computer tools including E-Mail, Word, Project Planning Software (Projectmates), etc.Ability to manage time, delegate assignments and follow through to ensure good results Join Us: Today, there are 26 different companies that make up the CoolSys family of brands.Our valued employees are at the heart of our continued growth and success. We invite you to be part of that growth!Connect with usonFacebookandTwitter.Coolsysis an EEO/AA Employer. All qualified individuals - Including all ages, colors, disability, ethnicity, family or marital status, gender identity or expression, language, national origin, physical and mental ability, political affiliation, race, religion, sexual orientation, socio-economic status, veteran status, and other characteristicsare encouraged to apply. Pre-employment background screening (criminal andMVR for driving positions) anddrug testing are required for all positions.Coolsyswill consider qualified applicants with criminal histories in a manner consistent with federal law, state law, or local ordinance.Journeyman-HVAC, Journeyman-EMS, EMS, Installer, Install, Installation, Service Tech, HVAC, refrigeration, HVAC-R, HVAC/R, diagnostic, commercial, service, mechanical, mechanic, AC, field service, chiller, specialist, HVACR, Electrical, pipefitter
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Full Time
8/1/2025
Corona, CA 92882
(10.4 miles)
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!
Full Time
8/1/2025
Corona, CA 92882
(10.4 miles)
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!
Full Time
8/1/2025
Corona, CA 92882
(10.4 miles)
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!
Full Time
8/1/2025
Corona, CA 92882
(10.4 miles)
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!
Full Time
8/1/2025
Lynwood, CA 90262
(24.8 miles)
We. Are. OneStaff. Medical. An independently-owned, nationally-recognized and amazingly awesome staffing firm ready to work for you! A work ethic forged in the Midwest, we are here to stand by your side and help you find your dream assignment anywhere in this great country. We want the same like-minded, awesome candidates to travel with us. Be bold. Enjoy work again. Let us help. THE POSITION: Intensive care unit (ICU) staff RNs provide care for patients with life-threatening medical conditions. These nurses work in the critical care unit of a hospital or healthcare facility and look after patients who have experienced invasive surgery, accidents, trauma or organ failure. *Weekly amount stated in the job postings is scaled based on estimated hourly wages and potential stipends available for the location of the assignment. Hourly wages are based on various factors including but not limited to: experience, demand, availability, location, etc. Please contact one of our amazing OneStaff Recruiting Specialists for more details. **Equal Opportunity Employer** BENEFITS: Insurance We provide group benefits for Health, Dental, Vision, Life, Short Term Disability, Long Term Disability, Accident, Critical Illness, and Identity Theft Protection. 401K You are eligible to enroll 1st of the month following hire date. We match 100% of your first 3% of deferrals and an additional 50% of the next 2% you contribute. Employee Assistance Program Free to all employees who’d like information on personal issues: Education, Dependent Care, Care Giving, Legal, Financial, Lifestyle & Fitness Management, Working Smarter.
Full Time
8/6/2025
Lakewood, CA 90715
(17.9 miles)
POSITION SUMMARY The Licensed Psychiatric Technician (LPT), under the supervision of the Registered Nurse (RN), provides safe, efficient, timely, and high-quality care. Under RN supervision, the LPT is responsible for the observation of patient/family needs and provides supportive care and emotional support to the patient/family in times of crisis to maximize patient comfort and enhance quality of life. This position requires 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. ESSENTIAL DUTIES AND RESPONSIBILITIES In collaboration with the RN, accepts and processed physician orders. Under direction of the RN, provides continuous bedside clinical observations, prescribed care, physical and emotional support to patients as directed in plan of care. Reports changes in patient condition and family needs as needed. Provides psychoeducational group support, contributes to, and supports the therapeutic milieu, and ensures the safety and well-being of the patient population. Participates as a team member of the clinical interdisciplinary team to ensure appropriate care, support, and resources to patients. Demonstrates effective crisis intervention skills as indicated. Promotes healthy expressions of patient's thoughts and feelings. Assists in explanation and documents after care instructions to patients tailored to their individual needs.Maintains adequate levels of supplies and functioning of equipment and demonstrates accountability of all equipment.Demonstrates the ability to work independently with minimal supervision. Shows initiative and good judgment.Assist in providing discharge instructions and follow up appointments for the patient.Performs other duties as assigned.#LI-AJ1POSITION REQUIREMENTS A. EducationHighschool Diploma required.Successful completion of a California Licensed Psychiatric Technician program. Associates degree preferred.B. Qualifications/ExperienceMinimum of 6 months to 1 year of experience as a Licensed Psychiatric Technician in acute adult outpatient or inpatient psychiatric unit, background and knowledge of psychiatric and illnesses and treatment. Must complete annual Workplace Violence Prevention Program/Certificate, per hospital policy, during initial training/orientation but not to exceed 30 days from hire/transfer. Current Basic Life Support (BLS)Current California State Licensed Psychiatric Technician license.C. Special Skills/KnowledgeBilingual skills preferred (Spanish)Basic computer skillsElectronic Medical Record experience preferredMLKCH Video
Full Time
8/6/2025
Lakewood, CA 90715
(17.9 miles)
If interested, please apply and submit your resume to POSITION SUMMARY The RN Certified Diabetes Care and Education Specialist has experience in diabetes care and education. The RN will contribute to developing, reviewing, and revising all diabetes education material. The RN promotes self-management to achieve individualized behavioral and treatment goals that reduce risk and optimize health outcomes. The RN has the responsibility to provide diabetes education to both the patient, their family and/or caregivers and Martin Luther King Jr., Community Healthcare (MLKCH) clinical staff. This role supports Martin Luther King Jr., Medical Group (MLKMG) ambulatory clinics by providing and/or reviewing current clinical diabetes educational material to ensure all teaching material is congruent across the MLKCH service lines. The RN will be a member of MLKCH Diabetes Care Committee and take an active role in reviewing hospital wide policy and procedures relating to diabetes education and glycemic control. The RN provides the Diabetes Care Committee with the most current American Diabetes Association's clinical best practice guidelines and Standards of Medical Care to ensure MLKCH remains updated on diabetes care and education. It is expected that the employee will demonstrate behavior consistent with the Core Values. The employee shall support Martin Luther King, Jr. Community Healthcare's strategic plan and the goals and direction of the quality and performance improvement process activities. ESSENTIAL DUTIES AND RESPONSIBILITIES Matrixed work relationship to the Clinical Manager Pharmacy and takes clinical direction on standards of care for MLKCH patients with diagnosis of diabetes. Provides evidence based, clinical best practice in diabetes education to persons with diabetes and their family members or caregivers. Participates as a member of interdisciplinary healthcare team to facilitate the continuum of care and education of patients with diabetes. Serves as a consultant/resource to the clinical areas, clinic staff, and departments as it relates to diabetes education. Cultivates positive and collaborative relationships with nursing and clinical leadership teams to ensure that educational needs are being met in the most effective manner possible. Provides leadership through educational activities to bring about changes in clinical practice regarding diabetes care and education. Evaluates diabetes education programs on a regular basis and plans and implements improvements based on this evaluation and feedback from key stakeholders. Monitors and evaluates, as needed, resource utilization, patient outcomes, patient's skills in self-care, and patient's ability and readiness to learn. Ensures correct and timely documentation in the patient's medical record following individual consultation. Counsels and educates individual patients appropriately on diabetes care in conjunction with patient's medical provider (diabetes medications, exercise, diet, sick days, etc.). Participates in root cause analysis on hypoglycemia and hyperglycemia events to identify possible causes and when appropriate, make recommendations to medical staff and/or pharmacy staff to consider diabetes medication adjustments. Utilizes adult learning principles in program planning to select the teaching strategy and method appropriate for the learner and the content including e-learning. Develops and conducts group presentations and related educational programs, and staff in services, as needed. When developing diabetes education for clinical staff, the curriculum incorporates MLKCH clinical Policies and Procedures and recommendations from Quality and Performance Improvement activities. Uses, protects, and discloses MLKCH patients' protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards. POSITION REQUIREMENTS A. Education Associates Degree in Nursing required. Bachelor Degree in Nursing preferred. B. Qualifications/Experience Minimum of two (2) years of clinical nursing experience and a minimum two (2) years diabetes education experience with inpatient and outpatient settings. Current California Nursing license. Certification of Diabetes Care and Education Specialist (CDCES) required within 6 months of hire. Candidates with CDCES exam eligible will be considered and will be required to pass exam within 90 days of start date. Experience with an EHR preferred. C. Special Skills/Knowledge Bilingual skills preferred (Spanish) Basic computer skills Current Basic Cardiac Life Support (BCLS) #LI-MM1MLKCH Video
Full Time
8/6/2025
Lakewood, CA 90715
(17.9 miles)
If interested, please apply and submit your resume to POSITION SUMMARY The RN Utilization Management Lead (RN UM) is an onsite position responsible for overseeing the daily operations of the utilization management team to ensure effective, timely, and compliant review processes for medical necessity, prior authorization, eTARs, denials management, concurrent and retrospective review activities. The Lead collaborates closely with medical directors, care management teams, and other stakeholders to support quality patient care, cost-effective services, and adherence to clinical guidelines and regulatory requirements. The RN Utilization Management Lead (RN UM) coordinates care submission relating to the process of health care utilization from the point of patient admission to discharge. Assignments may also include management of the clinical denials process in collaboration with finance team. Processes will include arrangement and coordination of documentation for inpatient admissions with continued and extended hospital stays, and discharge review that determine medical necessity. The RN UM will complete and coordinate MCG as needed related to Observation patients including contact with insurance for authorization as needed. The RN UM ensures high quality care and efficiency of utilization available through healthcare resources, facilities, and services substantiating health plan reimbursement categories. This role communicates with the interdisciplinary care team to support the UR process and care management criteria. ESSENTIAL DUTIES AND RESPONSIBILITIES Daily coordination of support documents pertaining to the DNFB List of Medi-Cal patients. Ensures completion of patient records and attachments prior to submitting them to Medi-Cal via e-TAR.Assist with tracking submitted e-TARS to ensure deferrals and denials are followed-up within a timely fashion.Reports e-TAR support progress and delays to Manager or Director of care management.Participates in interdisciplinary team and department of revenue meetings to discuss e-TAR work flow, documentation necessity (attachments), process improvement, and submission timeliness.Identifies and reviews observation patients daily; performs concurrent MCG/electronic review for continued stay or conversion to inpatient appropriateness reviews as needed.Contacts insurance for pre-authorization prior to conversion; collaborates with CM RN to obtain order for admission if appropriate. Responsible for documentation of authorization information in CernerCoordinates with UM Care Coordinator to transfer clinical information to payer as needed.Collaborates with interdisciplinary team, participants in team rounds to: (I) facilitate timely care, (2) assures quality of care throughout the hospital stay, and (3) minimizes adverse outcomes.Assists with the initiation of appropriate referrals to the internal interdisciplinary team and outside provider networks (health plans, IPAs, and FQHCs) as indicated.Communicates with admitting or PFS regarding the needs of the patient, payer, and provider documentation.Patient needs are supported within the limitations of the existing individual beneficiary care structure.Communicates relevant elements of the health plan benefits.Documents and reviews all team member, physician, and patient/family communications and concerns pertaining to coordination of care and services.Screens every patient chart to justify identified needs for assessments, documentation of medical necessity, and/or discharge planning needs if assigned. Adheres to the Care Management Department policies and procedures. Participates in the Quality and Performance Improvement Plan for the Care Management Department. Considers the patient popubilation served, age-specific criteria and the Jean Watson Model of Care in all patient/family care and interaction. Collaborates with on-site care management team to support best practice guidelines. Attends unit/department staff meetings as well as other meetings as assigned. Maintain and complete Compass program training as assigned.Lead, mentor, and support utilization management staff including nurses and coordinators.Serve as a resource and subject matter expert on utilization management processes, policies, and regulations.Assist with onboarding, and training, of team members.Manage staffing assignments and workloads to meet service-level goals and compliance metrics.Monitor daily workflow for timely completion of authorization reviews (pre-certification, concurrent, post-service).Ensure appropriate application of clinical guidelines (e.g., InterQual, MCG) and regulatory standards (e.g., CMS, NCQA, URAC).Collaborate with medical directors for escalations or complex case reviews.Identify trends, delays, or denials and propose improvements.Monitor adherence to UM policies, procedures, and applicable federal/state laws.Participate in audits, accreditation surveys, and quality improvement initiatives.Develop and implement strategies to enhance utilization management effectiveness and member outcomes.Ensure accurate documentation and data integrity in UM systems.Serve as a liaison between utilization management, care coordination, provider relations, and payersFacilitate regular team meetings and cross-functional updates.Respond to escalations from providers, members, and internal stakeholders. Other duties as assignedsuch as denials management and appeals in lieu of other UM duties. POSITION REQUIREMENTS A. Education Associates Degree in Nursing or equivalent required. BSN preferred. B. Qualifications/Experience Minimum 5 years recent experience in Case Management or Utilization Management or Prior Authorization Current California Registered Nurse License. Certification in UM or CM is highly preferred Experience in MCG and/or Interqual required A team player that can follow a system and protocol to achieve a common goal Highly organized and well developed oral and written communication skills Confidence to communicate and outreach to other community health care organizations and personnel Demonstrates sound judgment, decision making and problem solving skills C. Special Skills/Knowledge Bilingual language skills preferred (Spanish) Basic computer skills Current Basic Life Support (BLS) CCM Certification preferred #LI-MM1MLKCH Video
Full Time
8/1/2025
Lynwood, CA 90262
(24.8 miles)
We. Are. OneStaff. Medical. An independently-owned, nationally-recognized and amazingly awesome staffing firm ready to work for you! A work ethic forged in the Midwest, we are here to stand by your side and help you find your dream assignment anywhere in this great country. We want the same like-minded, awesome candidates to travel with us. Be bold. Enjoy work again. Let us help. THE POSITION: Cath Lab Technicians are vital team members who assist doctors during invasive cardiovascular procedures such as angioplasty, cardiac catheterization, and electrophysiology. *Weekly amount stated in the job postings is scaled based on estimated hourly wages and potential stipends available for the location of the assignment. Hourly wages are based on various factors including but not limited to: experience, demand, availability, location, etc. Please contact one of our amazing OneStaff Recruiting Specialists for more details. **Equal Opportunity Employer** BENEFITS: Insurance We provide group benefits for Health, Dental, Vision, Life, Short Term Disability, Long Term Disability, Accident, Critical Illness, and Identity Theft Protection. 401K You are eligible to enroll 1st of the month following hire date. We match 100% of your first 3% of deferrals and an additional 50% of the next 2% you contribute. Employee Assistance Program Free to all employees who’d like information on personal issues: Education, Dependent Care, Care Giving, Legal, Financial, Lifestyle & Fitness Management, Working Smarter.
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