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Registered Nurse Clinical Review-Hybrid-Los Angeles, California
Salary not disclosed
The Clinical Consultant – RN provides clinical leadership, consultation, and oversight across care management programs.

This role supports interdisciplinary care teams serving individuals with complex medical, behavioral health, and social needs, including people experiencing homelessness, serious mental illness, substance use disorders, chronic disease, and socioeconomic instability.

The Clinical Consultant – RN partners with Care Managers, Behavioral Health clinicians, Primary Care Providers, hospitals, Managed Care Plans, and community-based organizations to ensure high-quality, whole-person, and evidence-based care.

This position plays a critical role in care planning, clinical decision-making, transitions of care, medication management, quality improvement, and staff development while addressing social determinants of health and system barriers to care.

Essential Duties and Responsibilities Clinical Oversight & Consultation Provide clinical support and consultation to Care Managers, and interdisciplinary care teams across care management programs.

Serve as a clinical resource for chronic disease management, medication monitoring, and complex case review.

Guide staff in ensuring member safety and provide immediate consultation and escalation support for high-risk clinical situations.

Ensure clinical services align with evidence-based practices, regulatory standards, and program contracts, including requirements with Managed Care Plans (MCPs).

Care Planning & Coordination Provide clinical oversight and tracking of comprehensive intake assessments.

Participate in the development, review, and approval of patient-centered care plans, including initial plans and required updates.

Monitor progress toward care plan goals and recommend adjustments based on clinical findings and data.

Collaborate with Primary Care Providers, Behavioral Health clinicians, specialists, ACOs, MCOs, hospitals, and community partners to ensure services outlined in care plans are delivered.

Coordinate hospital admissions, discharges, and transitions of care to promote continuity, safety, and prevent avoidable readmissions.

Perform timely medication reconciliation following transitions of care and support medication adherence.

Data, Quality Improvement & Compliance Use data to evaluate outcomes of targeted interventions and assist in modifying care plans and care strategies accordingly.

Participate in quality improvement initiatives, audits, peer reviews, and program evaluations conducted by internal leadership, health plans, or external administrators.

Monitor continuous quality improvement measures through documentation review, clinical consultation, and chart audits.

Oversee charting and documentation standards to ensure compliance with contracts, program requirements, and organizational policies.

Documentation & Systems Complete and review care plans, assessments, and case notes using required systems (e.g., Salesforce, EHRs, or health plan platforms).

Maintain accurate, timely, and compliant documentation using SMART format where applicable.

Ensure confidentiality and compliance with HIPAA and all applicable federal and state regulations.

Staff Development & Team Collaboration Provide staff development training, coaching, and clinical guidance for care management staff.

Participate in weekly, bi-weekly, and monthly interdisciplinary care team meetings to review client progress, evaluate program effectiveness, and develop strategies to enhance care delivery.

Present cases and clinical insights during scheduled case conferences.

Attend required trainings, webinars, meetings, and conferences to maintain clinical excellence and program knowledge.

Support and expand programming that addresses social determinants of health and strengthens connections to community-based organizations.

Promote monthly health promotion topics and materials aligned with program priorities.

Expectations & Professional Standards Prioritize client health, safety, dignity, and self-determination.

Communicate with professionalism, tact, and cultural humility.

Demonstrate the ability to work under pressure and manage multiple complex priorities.

Maintain strict confidentiality and ethical standards.

Adapt effectively to change and support continuous improvement.

Model openness, honesty, accountability, and teamwork.

Demonstrate sensitivity to cultural, linguistic, and socioeconomic diversity.

Adhere to organizational safety policies, compliance standards, and guiding principles.

Required Qualifications Active and unrestricted Registered Nurse (RN) license in the State of California, in good standing.

Experience working with vulnerable populations, including individuals with histories of trauma, homelessness, substance use disorders, serious mental illness, or socioeconomic stress.

Strong clinical assessment, critical thinking, and problem-solving skills.

Comfort working autonomously in community-based and outreach settings.

Experience using data to track outcomes and measure performance.

Basic computer proficiency, including email, spreadsheets, and electronic documentation.

Valid California Driver’s License and proof of auto liability insurance meeting state of California minimum requirements.

Knowledge and applied practice of HIPAA compliance and healthcare regulations.

Preferred Qualifications Bilingual in English and Spanish.

Partners in Care Foundation is an equal opportunity employer.

We are committed to complying with all federal, state, and local laws providing equal employment opportunities, and all other employment laws and regulations.

It is our intent to maintain a work environment which is free of harassment, discrimination, or retaliation because of age, race (including hair texture and protective hairstyles, such as braids, locks, and twists), color, national origin, ancestry, religion, sex, sexual orientation, pregnancy (including childbirth, lactation/breastfeeding, and related medical conditions), physical or mental disability, genetic information (including testing and characteristics, as well as those of family members), veteran status, uniformed service member status, gender, gender identity, gender expression, transgender status, arrest or conviction record, domestic violence victim status, credit history, unemployment status, caregiver status, sexual and reproductive health decisions, salary history or any other status protected by federal, state, or local laws.

All qualified applicants will receive consideration for employment and reasonable accommodations may be made to enable qualified individuals to perform the essential functions of the position.
Remote working/work at home options are available for this role.
Not Specified
SAP S/4HANA Functional Process Data Expert
Salary not disclosed
Atlanta 3 days ago
Summary: Location: Atlanta, GA Duration: 12 Months 100% Remote – open to any area Responsibilities: Partner with global and regional business stakeholders to define data requirements aligned to standardized value stream processes.

Translate business process designs into clear master and transactional data definitions for S/4HANA.

Support template design by ensuring consistent data models, attributes, and hierarchies across geographies.

Validate data readiness for end-to-end process execution (Plan, Source, Make, Deliver, Return).

Define data objects, attributes, and mandatory fields.

Support business rules, validations, and derivations.

Align data structures to SAP best practices and industry standards.

Support data cleansing, enrichment, and harmonization activities.

Define and validate data mapping rules from legacy systems to S/4HANA.

Participate in mock conversions, data loads, and reconciliation activities.

Ensure data quality thresholds are met prior to cutover.

Support the establishment and enforcement of global data standards and policies.

Work closely with Master Data and Data Governance teams.

Help define roles, ownership, and stewardship models for value stream data.

Contribute to data quality monitoring and remediation processes.

Support functional and integrated testing with a strong focus on data accuracy.

Validate business scenarios using migrated and created data.

Support cutover planning and execution from a data perspective.

Provide post-go-live support and stabilization.

Requirements: 5 years of SAP functional experience with a strong data focus.

Hands-on experience with SAP S/4HANA (greenfield preferred).

Proven involvement in large-scale, global ERP implementations.

Deep understanding of value stream business processes and related data objects.

Experience supporting data migration, cleansing, and validation.

Required Skills: Strong knowledge of SAP master data objects (e.g., Material, Vendor/Business Partner, BOM, Routings, Pricing, Customer, etc.).

Understanding of S/4HANA data model changes vs.

ECC.

Experience working with SAP MDG or similar governance tools preferred.

Familiarity with data migration tools (e.g., SAP Migration Cockpit, LVM, ETL tools).

Ability to read and interpret functional specs and data models.

Strong stakeholder management and communication skills.

Ability to work across global, cross-functional teams.

Detail-oriented with strong analytical and problem-solving skills.

Comfortable operating in a fast-paced transformation environment.

Preferred Skills: Experience in manufacturing, building materials, or asset-intensive industries.

Prior role as Functional Data Lead or Data Domain Lead.

Experience defining global templates and harmonized data models.

Knowledge of data quality tools and metrics.

Experience with MGD and setting up cost center and profit center groups.
Not Specified
Specimen Processing Tech - Night Shift - Fri. - Mon.
✦ New
Salary not disclosed
Kansas City, KS 1 day ago

Position Title Specimen Processing Tech
- Night Shift
- Fri.

- Mon.

Nights
- Full Time Bell Hospital Position Summary / Career Interest: The Specimen Processing Technician is a position within the clinical laboratory and microbiology that is responsible for managing specimens once they arrive in the department and handling multiple pre-analytical variables.

Depending on the area of the lab, this may include, but are not limited to: positive patient identification, correct tube types, specimen conditions and integrity and how they affect laboratory results.

The Specimen Processing Technician accepts samples in the laboratory and performs tasks including releasing orders out of the Hospital Information System (HIS), receiving specimens in the Laboratory Information System (LIS), and processing specimens to include aliquoting and preparation for the automation line.

The specimen Processing Technician troubleshoots specimen and order issues and communicates with care providers across the Health System.

The Specimen Processing Technician working in Microbiology is responsible for performing pre-analytic functions such as: specimen receipt, sterile processing, specimen manipulation including sonication and tissue grinding, determination of appropriate culture media for different specimen types and plating.

The Specimen Processing Technician follows regulatory, accreditation, safety and hospital standards, policies and procedures, and participates in quality assurance and quality improvement activities.

Responsibilities and Essential Job Functions Creates Registration encounters, releases orders out of HIS when indicated; receives samples in LIS; prints barcode labels and affixes labels to specimens.

Completes order entry functions or paperwork as required.

Ensures proper container type, centrifugation, specimen sterility, and transport conditions for specimens.

Ensures positive patient identification, correct specimen collection and handling/transport; performs specimen processing duties and prioritizes based on urgency Ensures the specimen and orders received are appropriate for requested testing.

Prioritizes specimens based on clinical urgency.

- Performs specimen processing duties including but not limited to: aliquoting urine and body fluid samples, supply storage, Kanban supply, inventory monitoring and storing patient samples appropriately.

In Microbiology, uses sterile techniques to handle, manipulate, and inoculate specimens on to culture media, including but not limited to determination of selecting the correct culture media based on specimen, order and protocols, sterile aliquoting, sonification and tissue grinding.

Assists in pathology specimen preservation, by adding formalin to specimens, and/or paging residents or providers as needed.

Fields inquiries and communicates information in written and verbal formats.

Answers the phone and provides customer service to internal and external customers following established standards.

Consults Specimen Processing Coordinator, supervisor or lab leadership when appropriate.

Assists other staff with processing questions or automation line issues.

Assists with training new hires, students, or medical students, if applicable.

Disposes of bio-hazardous materials, chemical waste, sharps and other potentially hazardous materials according to policy and strictly adheres to safety and infection control procedures.

Uses and wears PPE (Personal Protective Equipment) as necessary to perform job duties safely and minimize risk.

Other duties as assigned.

Must be able to perform the professional, clinical and or technical competencies of the assigned unit or department.

These statements are intended to describe the essential functions of the job and are not intended to be an exhaustive list of all responsibilities.

Skills and duties may vary dependent upon your department or unit.

Other duties may be assigned as required.

Required Education and Experience High School Graduate 6 months of experience in a clinical laboratory
- working with biological specimens Preferred Education and Experience Completion of a Phlebotomy program 1 or more years of experience in specimen collection and processing.

Required Licensure and Certification If required by position to be filled, must obtain Department of Transportation and International Air Transportation Association certification within 180 Days Time Type: Full time Job Requisition ID: R-46315 Important information for you to know as you apply: The health system is an equal employment opportunity employer.

Qualified applicants are considered for employment without regard to race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), national origin, ancestry, age, disability, veteran status, genetic information, or any other legally-protected status.

See also Diversity, Equity & Inclusion .

The health system provides reasonable accommodations to qualified individuals with disabilities.

If you need to request reasonable accommodations for your disability as you navigate the recruitment process, please let our recruiters know by requesting an Accommodation Request form using this link .

Employment with the health system is contingent upon, among other things, agreeing to the health-system-dispute-resolution-program.pdf and signing the agreement to the DRP.

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Not Specified
Sterile Processing Manager
✦ New
Salary not disclosed
Modesto 1 day ago
Job Title : Sterile Processing Manager (Temp to Hire) Location : Modesto, CA 95350 Duration : 3+ months (Temp to Hire) Shift : 2nd shift (B)– 2:00pm-10:30pm / 3 rd shift – 11:00pm-7:30pm Pay rate: $45/hr.

on W2 Job Summary: The Sterile Processing Manager is responsible for leading a 24/7 Sterile Processing Department (SPD) , ensuring operational excellence, compliance, and high-quality instrument processing.

This role drives workflow efficiency, staff development, and regulatory adherence while supporting surgical operations through reliable instrument availability.

Job Duties: Oversee daily SPD operations across all shifts.

Manage staffing models, workflow, and productivity.

Monitor turnaround times, throughput, and quality metrics.

Ensure consistent, high-performing department operations.

Manage and develop SPD Supervisors.

Drive accountability, performance, and staff engagement.

Partner with HR on hiring, training, and performance management.

Required: CRCST certification (required); CHL or CIS preferred.

5+ years of sterile processing experience.

3+ years in a leadership role with multi-shift accountability.
Not Specified
Clinical Case Review Nurse (BOERNE)
Salary not disclosed
BOERNE, Texas 4 days ago
POSITION SUMMARY AND RESPONSIBILITIES

Conducts comprehensive clinical reviews of adverse determinations related to medical necessity. Initiates outreach to providers to obtain clarification or additional documentation in alignment with established clinical criteria and organizational policies, to support Medical Director decision making. Provides support for claim appeals in relation to medical necessity. Ensures the timely and accurate resolution of appeal cases and supports organizational adherence to all state, federal, and accreditation standards. Facilitates member second level appeal process.

EDUCATION/EXPERIENCE

Graduate from an accredited school of professional nursing is required. BSN preferred. Minimum 2 years acute care experience or managed care experience is required. Basic knowledge of Medicaid, Medicare preferred. Knowledge of InterQual screening criteria, ICD-10, CPT coding preferred.

LICENSURE

Current Registered Nurse (RN) license to practice professional nursing issued by the Board of Nurse Examiners for the State of Texas is required. Active Certification in Case Management (CCM) is preferred.
temporary
Clinical Review Nurse Specialist (SEGUIN)
🏢 University Health
Salary not disclosed
SEGUIN, Texas 4 days ago
POSITION SUMMARY AND RESPONSIBILITIES

Conducts comprehensive clinical reviews of adverse determinations related to medical necessity. Initiates outreach to providers to obtain clarification or additional documentation in alignment with established clinical criteria and organizational policies, to support Medical Director decision making. Provides support for claim appeals in relation to medical necessity. Ensures the timely and accurate resolution of appeal cases and supports organizational adherence to all state, federal, and accreditation standards. Facilitates member second level appeal process.

EDUCATION/EXPERIENCE

Graduate from an accredited school of professional nursing is required. BSN preferred. Minimum 2 years acute care experience or managed care experience is required. Basic knowledge of Medicaid, Medicare preferred. Knowledge of InterQual screening criteria, ICD-10, CPT coding preferred.

LICENSURE

Current Registered Nurse (RN) license to practice professional nursing issued by the Board of Nurse Examiners for the State of Texas is required. Active Certification in Case Management (CCM) is preferred.
temporary
Clinical Review Nurse PRN (PLEASANTON)
🏢 University Health
Salary not disclosed
PLEASANTON, Texas 4 days ago
POSITION SUMMARY AND RESPONSIBILITIES

Conducts comprehensive clinical reviews of adverse determinations related to medical necessity. Initiates outreach to providers to obtain clarification or additional documentation in alignment with established clinical criteria and organizational policies, to support Medical Director decision making. Provides support for claim appeals in relation to medical necessity. Ensures the timely and accurate resolution of appeal cases and supports organizational adherence to all state, federal, and accreditation standards. Facilitates member second level appeal process.

EDUCATION/EXPERIENCE

Graduate from an accredited school of professional nursing is required. BSN preferred. Minimum 2 years acute care experience or managed care experience is required. Basic knowledge of Medicaid, Medicare preferred. Knowledge of InterQual screening criteria, ICD-10, CPT coding preferred.

LICENSURE

Current Registered Nurse (RN) license to practice professional nursing issued by the Board of Nurse Examiners for the State of Texas is required. Active Certification in Case Management (CCM) is preferred.
temporary
Medical Necessity Reviewer (HONDO)
🏢 University Health
Salary not disclosed
Hondo, Texas 3 days ago

Conducts comprehensive clinical reviews of adverse determinations related to medical necessity.

Initiates outreach to providers to obtain clarification or additional documentation in alignment with established clinical criteria and organizational policies, to support Medical Director decision making.

Provides support for claim appeals in relation to medical necessity.

Ensures the timely and accurate resolution of appeal cases and supports organizational adherence to all state, federal, and accreditation standards.

Facilitates member second level appeal process.

Graduate from an accredited school of professional nursing is required.

BSN preferred.

Minimum 2 years acute care experience or managed care experience is required.

Basic knowledge of Medicaid, Medicare preferred.

Knowledge of InterQual screening criteria, ICD-10, CPT coding preferred.

Current Registered Nurse (RN) license to practice professional nursing issued by the Board of Nurse Examiners for the State of Texas is required.

Active Certification in Case Management (CCM) is preferred.

Not Specified
Medical Review Specialist PRN (SAN ANTONIO)
✦ New
🏢 University Health
Salary not disclosed
San Antonio, Texas 13 hours ago

Conducts comprehensive clinical reviews of adverse determinations related to medical necessity.

Initiates outreach to providers to obtain clarification or additional documentation in alignment with established clinical criteria and organizational policies, to support Medical Director decision making.

Provides support for claim appeals in relation to medical necessity.

Ensures the timely and accurate resolution of appeal cases and supports organizational adherence to all state, federal, and accreditation standards.

Facilitates member second level appeal process.

Graduate from an accredited school of professional nursing is required.

BSN preferred.

Minimum 2 years acute care experience or managed care experience is required.

Basic knowledge of Medicaid, Medicare preferred.

Knowledge of InterQual screening criteria, ICD-10, CPT coding preferred.

Current Registered Nurse (RN) license to practice professional nursing issued by the Board of Nurse Examiners for the State of Texas is required.

Active Certification in Case Management (CCM) is preferred.

Not Specified
Supervisor Sterile Processing - Evenings
Salary not disclosed
Naperville, IL 3 days ago
Hourly Pay Range:

$26.61 - $39.92 - The hourly pay rate offered is determined by a candidate's expertise and years of experience, among other factors.

Supervisor ? Sterile Processing - Evenings

Position Highlights:

- Bonus: 10K
- Position: Supervisor, Sterile Processing
- Location: Edward Hospital
- Full Time/Part Time: Full Time
- Hours: 3:00pm-11:30pm

What you will need:

- License: N/A
- Education: High school Diploma or GED required, College Degree Preferred.
- Certification: Certification Board for Sterile Processing and Distribution (CBSPD) or Healthcare Sterile Processing Association (HSPA) required. Obtain Certified Endoscope Reprocessing Certification within 6 months of accepting position.
- Experience: Three years? experience in SPD with one year supervisory experience. Five years? experience in SPD
- Skills: N/A

What you will do:

- Responsible for the sterile processing function of the Sterile Processing Department.
- Maintain and provide an adequate supply of sterilized products for the OR, nursing units, and other departments.
- Oversees and evaluates the performance of all support positions in the department.

Benefits (For full time or part time positions):

- Career Pathways to Promote Professional Growth and Development
- Various Medical, Dental, Pet and Vision options
- Tuition Reimbursement
- Free Parking
- Wellness Program Savings Plan
- Health Savings Account Options
- Retirement Options with Company Match
- Paid Time Off and Holiday Pay
- Community Involvement Opportunities

Endeavor Health is a fully integrated healthcare delivery system committed to providing access to quality, vibrant, community-connected care, serving an area of more than 4.2 million residents across six northeast Illinois counties. Our more than 25,000 team members and more than 6,000 physicians aim to deliver transformative patient experiences and expert care close to home across more than 300 ambulatory locations and eight acute care hospitals ? Edward (Naperville), Elmhurst, Evanston, Glenbrook (Glenview), Highland Park, Northwest Community (Arlington Heights) Skokie and Swedish (Chicago) ? all recognized as Magnet hospitals for nursing excellence. For more information, visit you work for Endeavor Health, you will be part of an organization that encourages its employees to achieve career goals and maximize their professional potential.

Please explore our website ( ) to better understand how Endeavor Health delivers on its mission to ?help everyone in our communities be their best?.

Endeavor Health is committed to working with and providing reasonable accommodation to individuals with disabilities. Please refer to the main career page for more information.

Diversity, equity and inclusion is at the core of who we are; being there for our patients and each other with compassion, respect and empathy. We believe that our strength resides in our differences and in connecting our best to provide community-connected healthcare for all.

EOE: Race/Color/Sex/Sexual Orientation/ Gender Identity/Religion/National Origin/Disability/Vets, VEVRRA Federal Contractor.
Not Specified
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