Top 111 Clinic nurse Jobs in Oxnard Ca

SBS - Utilization Authorization Coordinator (UM Review Nurse)
Choice Medical Group —Camarillo, CA
- $48 - $55 an hour
- Full-time
- LVN
- RN License
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Sr. LVN - Specialty Care, Ventura
UCLA Health —Ventura, CA
- $36.34 - $47.94 an hour
- CPR Certification
- LVN
- Patient monitoring
Sr. LVN - Float, Northwest Valley Clinics
UCLA Health —Thousand Oaks, CA
- $36.34 - $47.94 an hour
- LVN
- Patient monitoring
- Float pool
Registered Nurse – Aesthetic Training Provided
LaserAway —Oxnard, CA
- $50 - $55 an hour
- Weekends as needed
- Surgery
- Mid-level
- Critical & Intensive Care
- Disability insurance
- Health insurance
Quick Apply
RN Per Diem - Endoscopy Medical Procedure Units
UCLA Health —Thousand Oaks, CA
- $96.74 an hour
- Per diem
- Nursing
- RN License
- BLS Certification
RN Clinic Nursing Supervisor - Ambulatory Clinic
Community Memorial Healthcare —Ventura, CA
- $54.79 - $81.58 an hour
- 8 hour shift
- Spanish
- Nursing
- RN License
- Dental insurance
- Tuition reimbursement
Clinic Nursing Supervisor - RN
Community Memorial Healthcare —Ventura, CA
- $56.24 - $84.85 an hour
- 8 hour shift
- Spanish
- Nursing
- RN License
- Dental insurance
- Tuition reimbursement
Registered Nurse (RN)
Wellpath —Ventura, CA
- $65.90 an hour
- PRN
- Nursing
- Surgery
- RN License
- Wellness program
- Health savings account
Registered Nurse
NVISION Eye Centers —Westlake Village, CA
- $50 - $60 an hour
- Full-time
- Nursing
- Surgery
- RN License
13d
Medical Assistant - Regular Part-Time - Benefits offered
Community Memorial Healthcare —Oxnard, CA
- $24.90 - $32.41 an hour
- 8 hour shift
- Spanish
- BLS Certification
- High school diploma or GED
- Dental insurance
- Tuition reimbursement
RN
school nurse —Oxnard, CA
- From $60 an hour
- Nursing
- Patient monitoring
- RN License
- Flexible schedule
Quick Apply
Clinic Nurse Supervisor – LVN
Community Memorial Healthcare —Ventura, CA
- $33.15 - $45.88 an hour
- 8 hour shift
- Spanish
- LVN
- BLS Certification
- Dental insurance
- Tuition reimbursement
Registered Nurse
DAVITA —Ventura, CA
- $38 - $53 an hour
- Part-time
- Nursing
- RN License
- Computer literacy
- Paid training
- Health insurance
5h
Medical Assistant - Bilingual
Community Memorial Healthcare —Ventura, CA
- $24.90 - $32.41 an hour
- 8 hour shift
- Spanish
- BLS Certification
- High school diploma or GED
- Dental insurance
- Tuition reimbursement
Medical Assistant - Surgical Oncology, Westlake Village
UCLA Health —Westlake Village, CA
- $29.46 - $38.87 an hour
- Overtime
- Surgery
- OSHA
- BLS Certification
Nurse
Restore Hyper Wellness - RHWCA102 —Westlake Village, CA
- $45 - $47 an hour
- Part-time
- Nursing
- RN License
- BLS Certification
- Flexible schedule
Quick Apply
13d
Physician Assistant / Nurse Practitioner (APP) – Pulmonary & Step-Down Unit
Aquila Management Services —Oxnard, CA
- From $138,000 a year
- 12 hour shift
- Background check
- Spanish
- Inpatient
- Disability insurance
- Health insurance
Quick Apply
Psychiatric Nurse Practitioner (PMHNP)
LifeStance Health —Ventura, CA
- $200,000 - $250,000 a year
- Full-time
- Hybrid work
- Psychiatry
- Adults
- Mid-level
- Paid parental leave
- 401(k) 4% Match
Quick Apply
Flexible part time with experience NP or PA
Confidential —Thousand Oaks, CA
- $80 - $90 an hour
- Part-time
- Background check
- Certified Nurse Practitioner
- Inpatient
- Health insurance
- Paid time off
Quick Apply
Urgent Care FNP Nurse Practitioner / PA-C Physician Assistant, Up To $258,336/Yr, FT and PT
SHS Recruitment Partners —Camarillo, CA
- Up to $258,336 a year
- 12 hour shift
- Background check
- Nursing
- PALS Certification
- Health savings account
- Health insurance
Quick Apply
6d

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clinic nurse jobs near oxnard ca

SBS - Utilization Authorization Coordinator (UM Review Nurse)

Choice Medical Group -
Camarillo, CA

Quick Apply

Job Details

Full-time
$48 - $55 an hour

Benefits

Health insurance
Dental insurance
401(k)
Paid time off
Vision insurance
Life insurance

Qualifications

Network administration
Appeals
Utilization review
LVN
RN License
Managed care organization experience
Claims adjudication
Overseeing healthcare denial management
Durable medical equipment (DME) coordination
Case appeal in utilization management
Utilization management
Insurance claims appeal handling
Healthcare data reporting

Full Job Description

Santa Barbara Select is an Independent Physician Association (IPA) that functions under Desert Physicians Management (DPM). DPM is a physician-owned managed care network with 200+ physicians and multiple urgent care facilities. Some administrative responsibilities include:

· Managed care operations

· Claims adjudication

· Utilization management

· Provider network administration

<Job Overview>
We are seeking a dedicated and detail-oriented Utilization Authorization Coordinator (UM Review Nurse) to join our team. This vital role involves reviewing medical documentation, authorizing appropriate patient care services, and ensuring compliance with healthcare regulations. The ideal candidate will possess strong clinical knowledge, experience with managed care processes, and proficiency in electronic health record systems to facilitate effective utilization management and optimize patient outcomes.

<Responsibilities>
· Participate in the authorization review process, including pre-service and retrospective requests (including retrospective claims) and audit process with each health plan.

· Regularly maintain and report on DME Utilization, Home Health Utilization, Pharmacy Utilization, UM Utilization and turn-around times, and member services assistance on UM issues

· Ensure timely and accurate processing of all authorizations and verify referral completion per regulations, policies, and procedures

· Coordinating with healthcare providers and/or specialists, utilization management team, and compliance departments to ensure appropriate utilization of healthcare services

· Communicate directly with providers and specialists regarding documentation, obtaining additional information from practitioners’ offices, as needed

· Provide ongoing support and training for staff on documentation requirements, and medical necessity updates

· Conduct initial review of medical information and identify initial determination of benefit coverage

· Preparing and providing clinical justification to insurance companies to reduce denials

· Review approval of medically routine referrals and preliminary denial for eligibility

· Participate in the development and implementation of the referral functions

· Monitor workflow queues to ensure timely processing of all referrals

· Collaborate and defer to Medical Director for escalated cases

· Monitor home health reports and NOMNCS

· Review patient notes for medical necessity

· Communicate approvals to clinics or providers

· Participate in Joint Operational Committees (JOC)

· Participate in health plan audits

· Other duties as assigned

<Qualifications>
· Must possess an active, unrestricted Licensed Vocational Nurse (LVN) license and/or a Registered Nurse (RN) license, issued by the State of California’s Board of Nursing.

· Minimum of two (2) - four (4) years’ experience in the healthcare management managed care environment required and experience in managing, analyzing, and reporting denials and appeals.

This is a great opportunity to become a part of a growing organization that is dedicated to improving healthcare experience. Apply today and join us in our mission to deliver superior services, ensuring health and quality of life to the people in the communities we serve!

Equal Employment Opportunity (EEO)/Americans with Disabilities Act (ADA): We are an Equal Employment Opportunity (EEO) and Americans with Disabilities Act (ADA) compliant employer, committed to providing equal employment opportunity to all employees and applicants.

Pay: $48.00 - $55.00 per hour

Expected hours: 40.0 per week

Benefits:

401(k)
Dental insurance
Health insurance
Life insurance
Paid time off
Vision insurance

Work Location: In person

Quick Apply

Refine Your Search

clinic nurse jobs in oxnard ca

SBS - Utilization Authorization Coordinator (UM Review Nurse)

Sr. LVN - Specialty Care, Ventura

Sr. LVN - Float, Northwest Valley Clinics

Registered Nurse – Aesthetic Training Provided

RN Per Diem - Endoscopy Medical Procedure Units

RN Clinic Nursing Supervisor - Ambulatory Clinic

Clinic Nursing Supervisor - RN

Registered Nurse (RN)

Registered Nurse

Medical Assistant - Regular Part-Time - Benefits offered

RN

Clinic Nurse Supervisor – LVN

Registered Nurse

Medical Assistant - Bilingual

Medical Assistant - Surgical Oncology, Westlake Village

Nurse

Physician Assistant / Nurse Practitioner (APP) – Pulmonary & Step-Down Unit

Psychiatric Nurse Practitioner (PMHNP)

Flexible part time with experience NP or PA

Urgent Care FNP Nurse Practitioner / PA-C Physician Assistant, Up To $258,336/Yr, FT and PT

I want to receive the latest job alert for clinic nurse in oxnard ca

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