Position Summary. We are seeking a detail-oriented and analytical Auditor to join our team, with a focus on reviewing managed care claims to ensure billing accuracy, compliance with payer contracts, and identification of fraud, waste, or abuse. This role involves deep dives into claims data, provider billing patterns, and contract terms to identify discrepancies and recommend corrective actions. Duties. Conduct audits of managed care claims to ve...
Position Summary. The Managed Care Contract Reimbursement Manager serves as the conduit for Managed Care payer related issues with the contracted third-party payers. This position is responsible for organizing, understanding, and managing the managed care contracts. These responsibilities will be achieved by creating and maintaining a database of all managed care contracts and associated insurance plans and understanding and interpreting the paye...
Major Responsibilities/Essential Functions. Reporting to the Clinical Nurse Director, this position is responsible for planning, directing, coordinating and providing high quality, individualized patient care using the components of the nursing process. Job Qualifications. Minimum Education (Indicate minimum education or degree required.). Graduate of an accredited RN Program. Preferred Education (Indicate Preferred Education Or Degree Required.)...
Position Summary. The Float Pool RN I (FPRN I) is a flexible and experienced professional RN who is competent to work within the following specialty groups as indicated. The FPRNI is a proficient clinical nurse who utilizes the nursing process to provide safe and therapeutic patient care. A FPRN I functions as a productive member of the interdisciplinary team, carries out established policies, procedures and standards to meet the needs of high ac...
Position Summary. Provide clinical assistance to the medical staff for the overall clinical management of the HPMC patient, including all phases of the surgical process, which may include pre-operative phase, to admission for surgery through discharge from hospital, including readmission to the hospital, and post-operative follow-up in the clinic, when applicable. PA will also support the wider HPMC Enterprise, specifically Pacifica Foundation in...
Position Summary. The Float Pool Registered Nurse (FPRN) II is a flexible and experienced professional RN who is competent to work within the following specialty groups as indicated. The FPRN II is an expert clinical nurse who utilizes the nursing process to provide safe and therapeutic care to emergent and critically ill and injured patients. S/he functions as a productive member of the interdisciplinary team, carries out established policies, p...
Major Responsibilities/Essential Functions. The Employee Health Manager is responsible for the oversight and administration of all occupational health and safety services within the hospital setting. This role ensures compliance with. The Joint Commission standards, Cal/OSHA, CDC, ADA/FEHA, and other applicable state and federal regulations. while promoting a safe, healthy, and supportive environment for employees. The position encompasses health...
Major Responsibilities/Essential Functions. The Employee Health Manager is responsible for the oversight and administration of all occupational health and safety services within the hospital setting. This role ensures compliance with. The Joint Commission standards, Cal/OSHA, CDC, ADA/FEHA, and other applicable state and federal regulations. while promoting a safe, healthy, and supportive environment for employees. The position encompasses health...
Position Summary. Reporting to the Clinical Nurse Director, this position is responsible for planning, directing, coordinating and providing high quality, individualized patient care using the components of the nursing process. Minimum Education. Graduate of an RN Training Program. Completion of Basic EKG course. Preferred Education. Completion of a Critical Care course preferred. Minimum Work Experience And Qualifications. Ability to communicate...
Position Summary. The Float Pool Registered Nurse (FPRN) III is a flexible and experienced professional RN who is competent to work within the following specialty groups as indicated. The FPRN III is an expert clinical nurse who utilizes the nursing process to provide safe and therapeutic care to emergent and critically ill and injured patients. S/he functions as a productive member of the interdisciplinary team, carries out established policies,...
CHA Hollywood Presbyterian (CHA HPMC) is a nationally recognized acute care facility that has been caring for the Hollywood community and Los Angeles Areas since 1924. Join our Global Network and be a CHA Global Ambassador. CHA HPMC is also a part of the world-renown CHA Health System (CHS). CHS has CHA University which consists of 14 education institutions including medical school, nursing school and pharmacy. CHA global network operates 81 hosp...
