Current jobs related to Registered Nurse - Camarillo, California - Gold Coast Health Plan
-
Camarillo, California, United States Travel Nurse Source Full timeAbout the Job:Travel Nurse Source is working with TRS Healthcare to find a qualified Telemetry RN in California. The Registered Nurse will be responsible for providing patient care in a Telemetry Unit setting. The ideal candidate will have a current Registered Nurse license to work in the state of California and at least 2 years of recent experience as a...
-
Travel Nurse RN Position in LTAC
3 days ago
Camarillo, California, United States Travel Nurse Source Full timeAbout the PositionWe are seeking a qualified LTAC Registered Nurse (RN) to make a positive impact on patient care. This is a great opportunity for a travel nurse to work in a dynamic environment and make a difference in the lives of our patients.Job Details• 12hr Days, 36hrs per week• 13 weeks contractBenefits• Weekly Pay: $2,482• Medical, Dental,...
-
Registered Nurse
3 weeks ago
Camarillo, California, United States Skyline Med Staff Nursing Full timeJob OverviewSkyline Med Staff Nursing is currently seeking a Registered Nurse specializing in Endoscopy for a travel nursing position. This role is designed for dedicated professionals looking to make a difference in patient care.Position DetailsSpecialty: EndoscopyDiscipline: RNDuration: 13 weeksHours: 40 hours per weekShift: 8 hours, daysEmployment Type:...
-
Registered Nurse
2 months ago
Camarillo, California, United States TotalMed Staffing Full timeTotalMed Staffing is currently in search of a travel nurse RN specializing in the GI Lab for an exciting opportunity.Position OverviewSpecialty: GI LabDiscipline: RNDuration: 13 weeksWeekly Hours: 40 hoursShift: 8 hours, day shiftsEmployment Type: TravelWe are looking for a dedicated Registered Nurse with expertise in the GI Lab for a travel assignment. This...
-
GI Registered Nurse
3 weeks ago
Camarillo, California, United States Skyline Med Staff Nursing Full timePosition OverviewSkyline Med Staff Nursing is currently seeking a dedicated Registered Nurse specializing in Endoscopy for a travel nursing opportunity. This role is designed for professionals who are passionate about providing exceptional patient care in a dynamic environment.Job DetailsSpecialty: EndoscopyDiscipline: RNDuration: 13 weeksWeekly Hours: 40...
-
Nurse Practitioner
2 weeks ago
Camarillo, California, United States Aspire Nursing and Rehab of Riverview Full timeJob Title: Registered NurseAspire Nursing and Rehab of Riverview is seeking a skilled Registered Nurse to join our team in providing high-quality patient care in both short-term rehabilitation and long-term care settings.Job Summary:The successful candidate will work closely with the Unit Director to develop and implement individualized Nursing Care Plans,...
-
Nurse Practitioner
2 weeks ago
Camarillo, California, United States Aspire Nursing and Rehab of Riverview Full timeJob Title: Registered NurseAspire Nursing and Rehab of Riverview is seeking a dedicated and compassionate Registered Nurse to join our team in providing high-quality care to our patients.Job Summary:The Registered Nurse will be responsible for developing and implementing individualized care plans, providing direct patient care, and collaborating with the...
-
Travel Nurse RN
2 weeks ago
Camarillo, California, United States Aureus Medical Group - Nursing Full timeJob Title: Telemetry RNAureus Medical Group - Nursing is seeking a skilled Telemetry Registered Nurse for a travel nursing assignment in California.Job Description & RequirementsSpecialty: TelemetryDiscipline: Registered NurseDuration: 16 weeksShift: 12 hours, nightsEmployment Type: TravelEstimated Compensation:~$2308.00-$2434.00/week*~$966.00-$1092.00 in...
-
Traveling Registered Nurse
2 weeks ago
Camarillo, California, United States Medical Solutions Full timeTelemetry Nurse Job OpportunityMedical Solutions is seeking a skilled Telemetry nurse for a travel contract in California. The ideal candidate will have 2 full years of experience, hold an active BLS, ACLS, NIH, and CA License.Job DetailsSpecialty: TelemetryDiscipline: RNDuration: 13 weeksHours: 36 hours per weekShift: 12 hours, daysEmployment Type:...
-
Travel Nurse RN Position
4 days ago
Camarillo, California, United States Aequor Healthcare Services Full timeJob Title: Registered Nurse - TelemetryJob Summary:Aequor Healthcare Services is seeking a skilled Registered Nurse to join our team in a Telemetry nursing role. As a Telemetry nurse, you will be responsible for providing high-quality patient care in a fast-paced environment. Responsibilities:• Provide direct patient care to patients with cardiac and...
-
Telemetry Nurse
4 weeks ago
Camarillo, California, United States Dignity Health Full timeJob SummaryWe are seeking a skilled and compassionate Registered Nurse II to join our Telemetry team at St. John's. As a key member of our nursing team, you will be responsible for closely monitoring patients' vitals, explaining test results, and working collaboratively with doctors and other clinical specialists to provide high-quality patient...
-
Pleasant Valley School Nurse RN Position
1 month ago
Camarillo, California, United States Soliant Full timeJob Title: School Nurse RNSoliant is seeking an experienced Registered School Nurse to join our team in Pleasant Valley, Missouri.Job Summary:We are looking for a skilled and dedicated Registered School Nurse to provide high-quality healthcare services to students in Pleasant Valley. The ideal candidate will have a strong background in nursing, excellent...
-
Pleasant Valley School Nurse RN Position
1 week ago
Camarillo, California, United States Soliant Full timeJob Title: School Nurse RNSoliant is seeking an experienced Registered School Nurse to join our team in Pleasant Valley, Missouri.Job Summary:We are looking for a skilled and dedicated Registered School Nurse to provide high-quality healthcare services to students in Pleasant Valley. The ideal candidate will have a strong background in nursing, excellent...
-
School Nurse
4 weeks ago
Camarillo, California, United States Soliant Full timeJob Title: Registered NurseWe are seeking a compassionate and qualified Registered Nurse to join our team in Pleasant Valley, MO. This position requires RN licensure in the state of Missouri, current CPR certification, and recent TB test results.Key Responsibilities:Provide direct nursing care and health assessments to students as needed.Administer...
-
Travel Nurse RN Position
3 days ago
Camarillo, California, United States CoreMedical Group Full timeTravel Nurse RN PositionCoreMedical Group is seeking a Registered Nurse to work in California. The ideal candidate will have a strong background in nursing and be able to work independently. This is a great opportunity to see the sights and sounds of California while gaining valuable experience in the field of nursing.Responsibilities:- Provide high-quality...
-
Telemetry Nurse Specialist
3 days ago
Camarillo, California, United States TotalMed Staffing Full timeJob Title: Telemetry Registered NurseJob Summary:We are seeking a skilled Telemetry Registered Nurse to provide high-quality patient care in a dynamic telemetry unit. As a member of our nursing staff, you will be responsible for monitoring vital signs, administering medications, and collaborating with the healthcare team to ensure excellent patient...
-
Travel Nurse RN PCU Position
2 weeks ago
Camarillo, California, United States Host Healthcare Full timeJob Title: Registered Nurse - PCUHost Healthcare is seeking a skilled Registered Nurse - PCU to join our team for a travel nursing assignment in Camarillo, California.Job Description & RequirementsSpecialty: PCU - Progressive Care UnitDiscipline: RNDuration: 13 weeks36 hours per weekShift: 12 hours, nightsEmployment Type: TravelAs a Registered Nurse - PCU...
-
Travel Nurse RN
3 days ago
Camarillo, California, United States Aureus Medical Group - Nursing Full timeAureus Medical Group - Nursing is seeking a travel nurse RN for a telemetry position in California.Job Description & RequirementsSpecialty: TelemetryDiscipline: RNDuration: 16 weeks36 hours per weekShift: 12 hours, nightsEmployment Type: TravelEstimated payment breakdown~$2308.00-$2434.00/wk*~$966.00-$1092.00 in weekly taxable...
-
Telemetry Nurse Specialist
1 week ago
Camarillo, California, United States Dignity Health Full timeDignity Health is seeking a skilled Telemetry Nurse to join our team at St. John's. As a key member of our nursing team, you will closely monitor patients' vitals, explain test results, and work with doctors and clinical specialists to provide exceptional care. This role requires a strong nursing background, with a focus on cardiac monitoring and patient...
-
Telemetry Nurse Specialist
1 month ago
Camarillo, California, United States Dignity Health Full timeAbout the RoleWe are seeking an experienced Telemetry Nurse to join our team at St. John's. As a key member of our nursing team, you will work closely with doctors and other clinical specialists to monitor patients requiring continuous cardiac monitoring.ResponsibilitiesClosely monitor patients' vitals, including blood pressure, oxygen saturation, heart...
Registered Nurse
2 months ago
Gold Coast Health Plan is committed to providing exceptional healthcare services. This role does not offer sponsorship for work visas.
Compensation Details: The salary range reflects the minimum and maximum compensation for this role in California. Various factors such as individual skills, relevant experience, and comparisons with existing employees may influence salary placement. For remote positions outside California, salary ranges may differ.
Work Environment: This position allows for 100% remote work.
Role Summary
Under the supervision of the Manager of Utilization Management (UM), the RN in Utilization Management I will evaluate requests for medical services in accordance with National Clinical Guidelines. This role requires sound judgment in selecting the appropriate guidelines and applying established policies and procedures. The RN will ensure high-quality, cost-effective medical outcomes for enrollees needing inpatient and/or outpatient authorizations and discharge planning for post-acute care settings. Additionally, the RN will screen enrollees for various initiatives and programs, including Case Management, Enhanced Care Management, and California Children's Services (CCS).
Key Responsibilities
To successfully fulfill this role, the individual must perform the following essential functions:
- Assess precertification requests for medical necessity, escalating those needing further expertise to the Medical Director.
- Evaluate clinical information for concurrent reviews, extending inpatient Length of Stay when appropriate.
- Identify members whose physical, mental, and social circumstances may hinder safe hospital discharge.
- Collaborate with hospital staff to facilitate timely discharges to home or other care levels.
- Build effective relationships with colleagues, support staff, clients, patients, families, and healthcare providers.
- Utilize relationship management, service coordination, resource management, education, patient advocacy, and related interventions to:
- Enhance quality of care and life;
- Promote cost-effective medical outcomes;
- Prevent unnecessary hospitalizations;
- Reduce hospital stay durations when feasible;
- Minimize complications for patients;
- Ensure continuity of care;
- Guarantee appropriate care levels for patients.
- Make suitable referrals to Case Management.
- Identify alternative and non-traditional resources, demonstrating creativity in case management.
- Maintain accurate records of all interventions.
- Conduct utilization reviews for all members requiring service authorizations.
- Perform assessments of medical necessity using MCG online criteria.
- Collect all relevant information from providers and facilities to ensure comprehensive data for physician reviewers.
- Coordinate with non-clinical staff to ensure timely and professional documentation.
- Engage with internal resources, including Medical Directors and Health Services staff, to ensure members receive appropriate care.
- Participate in clinical joint operation meetings with facilities/providers as necessary.
Qualifications
The ideal candidate will possess the following competencies:
- Management Skills - Ability to effectively organize and direct oneself and supervise others.
- Decision Making - Capability to make critical decisions in line with company procedures.
- Accountability - Willingness to be responsible for one's actions.
- Customer Focus - Ability to address customer needs while adhering to company policies.
- Problem Solving - Proficiency in addressing work-related challenges proactively.
- Time Management - Skill in utilizing available time to organize and complete tasks within deadlines.
- Diversity Awareness - Ability to work effectively with individuals from diverse backgrounds.
Education and Experience
Education: A Bachelor's Degree (four-year college or technical school) in Nursing, Healthcare, or Case Management is preferred.
Experience: Previous experience in case management and/or utilization review is preferred.
Computer Skills: Proficiency in basic computer applications and adaptability to new software.
Certifications: RN, California Board Certified Registered Nurse License is required.
Additional Requirements
- Understanding of utilization management principles and practices.
- Ability to apply acute care medical/surgical nursing practices effectively.
- Familiarity with clinical guidelines for medical necessity determinations.
- Demonstrated capability to navigate complex, emotionally charged situations.
- Strong organizational skills, task prioritization, and delegation abilities.
- Knowledge of regulatory timelines to ensure compliance with State contracts.
