Top 71 Mds nurse Jobs in Long Beach, Ca

RN- Care Review Clinician- UM/Discharge Planning (Remote- CA License Req)
Molina Healthcare —Los Angeles, CA
- $30.37 - $59.21 an hour
- Full-time
- Remote
- RN License
- Mid-level
- Discharge planning
- Health insurance
MDS Coordinator
Intercommunity Care Center —Long Beach, CA
- $39 - $45 an hour
- Full-time
- In person
- Nursing
- Skilled nursing facility
- LVN
- Health insurance
- Dental insurance
Quick Apply
Senior Nurse Executive - Skilled Nursing Facility
Sunnyside Nursing and Post-Acute Care —Torrance, CA
- $150,000 - $160,000 a year
- Nursing
- Skilled nursing facility
- RN License
- Paid training
- Paid holidays
Quick Apply
MDS Director, RN
Sunnyside Nursing and Post-Acute Care —Torrance, CA
- $124,800 - $135,200 a year
- Full-time
- Nursing
- Skilled nursing facility
- RN License
- Paid training
- Paid holidays
Quick Apply
Registered Nurse Hospice Per Diem
Newport Hospice —Irvine, CA
- $75 - $350 an hour
- Part-time
- Nursing
- RN License
- Mid-level
Quick Apply
RN- Per Diem
Ocean Ridge Post Acute —Long Beach, CA
- Part-time
- CPR Certification
- Nursing
- RN License
Quick Apply
RN
Ivy Fertility-Fertility Centers of Orange County —Irvine, CA
- $42 - $50 an hour
- Per diem
- Nursing
- Surgery
- RN License
Quick Apply
3d
RN- Full time
Ocean Ridge Post Acute —Long Beach, CA
- Weekends as needed
- CPR Certification
- Nursing
- RN License
Quick Apply
MDS Nurse (LVN) - Artesia Palms Care Center
Artesia Palms Care Center —Artesia, CA
- Full-time
- Nursing
- Skilled nursing facility
- LVN
Quick Apply
MDS Nurse
California PostAcute Care —Lynwood, CA
- Full-time
- CPR Certification
- Nursing
- Skilled nursing facility
Quick Apply
MDS Assistant
Kennedy Care Center —Los Angeles, CA
- Full-time
- Skilled nursing facility
- LVN
- Basic math
Quick Apply
LVN-Part Time
Ocean Ridge Post Acute —Long Beach, CA
- Part-time
- CPR Certification
- Nursing
- LVN
Quick Apply
MDS COORDINATOR
Los Palos Post-Acute Care Center —San Pedro, CA
- Full-time
- CPR Certification
- Skilled nursing facility
- LVN
Quick Apply
RN FT
Huntington Valley Healthcare Center —Huntington Beach, CA
- Weekends as needed
- CPR Certification
- Nursing
- RN License
Quick Apply
LVN- Full Time
Ocean Ridge Post Acute —Long Beach, CA
- Full-time
- CPR Certification
- Nursing
- LVN
Quick Apply
MDS Consultant
PACS —Los Angeles, CA
- $120,000 - $130,000 a year
- Full-time
- Nursing
- Skilled nursing facility
- Basic math
Quick Apply
RN NOC Full time 11pm -7am - Sunset Villa Post Acute
Sunset Villa Post Acute —Long Beach, CA
- From $45 an hour
- Weekends as needed
- CPR Certification
- Nursing
- RN License
Quick Apply
Registered Nurse - Artesia Palms Care Center
Artesia Palms Care Center —Artesia, CA
- Weekends as needed
- CPR Certification
- Nursing
- RN License
Quick Apply
RN- Part Time
Valley View Post Acute —El Monte, CA
- Part-time
- CPR Certification
- Nursing
- RN License
Quick Apply
Minimum Data Set Assistant/Registered Nurse (Part Time)
Sharon Care Center —Los Angeles, CA
- $40 - $60 an hour
- Part-time
- Nursing
- Skilled nursing facility
- RN License
- Health insurance
- Dental insurance
Quick Apply

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mds nurse jobs near long beach, ca

RN- Care Review Clinician- UM/Discharge Planning (Remote- CA License Req)

Molina Healthcare -
Los Angeles, CA

Apply Now

Job Details

Full-time
$30.37 - $59.21 an hour

Benefits

Health insurance

Qualifications

Inpatient experience
RN License
Managed care organization experience
Pre-authorization review for utilization management
Acute care experience
Productivity software
Nursing

Full Job Description

JOB DESCRIPTION Job Summary

Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and regulations - ensuring members reach desired outcomes through integrated delivery of care across the continuum. Contributes to overarching strategy to provide quality and cost-effective member care.

Essential Job Duties

Assesses services for members to ensure optimum outcomes, cost-effectiveness and compliance with all state/federal regulations and guidelines.
Analyzes clinical service requests from members or providers against evidence based clinical guidelines.
Identifies appropriate benefits, eligibility and expected length of stay for requested treatments and/or procedures.
Conducts reviews to determine prior authorization/financial responsibility for Molina and its members.
Processes requests within required timelines.
Refers appropriate cases to medical directors (MDs) and presents them in a consistent and efficient manner.
Requests additional information from members or providers as needed.
Makes appropriate referrals to other clinical programs.
Collaborates with multidisciplinary teams to promote the Molina care model.
Adheres to utilization management (UM) policies and procedures.

Required Qualifications

At least 2 years experience, including experience in hospital acute care, inpatient review, prior authorization, managed care, or equivalent combination of relevant education and experience.
Registered Nurse (RN). License must be active and unrestricted in state of practice.
Ability to prioritize and manage multiple deadlines.
Excellent organizational, problem-solving and critical-thinking skills.
Strong written and verbal communication skills.
Microsoft Office suite/applicable software program(s) proficiency.

Preferred Qualifications
Certified Professional in Healthcare Management (CPHM).

Utilization review, prior authorization, inpatient review desirable. MCG experience, strongly preferred.

To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

Pay Range: $30.37 - $59.21 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Apply Now

Refine Your Search

mds nurse jobs in long beach, ca

RN- Care Review Clinician- UM/Discharge Planning (Remote- CA License Req)

MDS Coordinator

Senior Nurse Executive - Skilled Nursing Facility

MDS Director, RN

Registered Nurse Hospice Per Diem

RN- Per Diem

RN

RN- Full time

MDS Nurse (LVN) - Artesia Palms Care Center

MDS Nurse

MDS Assistant

LVN-Part Time

MDS COORDINATOR

RN FT

LVN- Full Time

MDS Consultant

RN NOC Full time 11pm -7am - Sunset Villa Post Acute

Registered Nurse - Artesia Palms Care Center

RN- Part Time

Minimum Data Set Assistant/Registered Nurse (Part Time)

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