Information Technology Jobs in Brea, CA

• Facilitation of precertification and payor authorization processes
• Facilitation of the collaborative management of patient care across the continuum, intervening as necessary to remove barriers to timely and efficient care delivery and reimbursement
• Application of process improvement methodologies in evaluating outcomes of care
• Coordinating communication with physicians.

• Completes a comprehensive assessment to identify opportunities for intervention that are appropriate and realistic for the patient/family's psycho-social, cultural, spiritual, and physical plan of care.
• Assess the patient's healthcare needs and goals; specifically targeting the physical, functional, psychosocial, environmental and financial status.
• Completes and documents timely clinical reviews based on assessment of medical necessity and documented clinical findings in accordance with Hospital policy and payer requirements.
• Communicates with attending physician regarding appropriateness of patient admissions, resource utilization, and when documentation does not support continued stay.
• Assesses readmission risk based on established Hospital criteria.

• Demonstrates an understanding of medical necessity and intensity of service, and incorporates payer requirements into the development of a safe, effective, and timely discharge plan.
• Demonstrates an understanding of the patient's clinical condition, social, and financial resources to determine the most appropriate care setting, practice standards for evaluation, treatment delivery options (Home, SAR, SNF,
• LTACH, Acute Rehabilitation, Assisted Living, Board/Care, Recuperative Care, Shelter), and resources required to support safe transition of care.
• Incorporates risk of readmission and socio-economic factors in the creation of a safe and individualized transition plan.
• Engages the patient and family/support network in developing the transition plan.
• Collaborates actively with the interdisciplinary team throughout the patient's stay to re-assess and adjust the plan for care progression and transition according to the patient's clinical condition.
• Advocates for the patient with the payer and/or IPA to ensure the most effective care progression and transition plan for the patient.

• Coordinates the progression of care to ensure that the ongoing needs of the patient and family are adequately addressed.
  • a.Identifies psychosocial and financial barriers, (e.g. substance abuse, homelessness, unsafe or abusive living arrangement) and collaborates with or delegates to Clinical Social Work colleagues.
  • b.Identifies discharge planning needs and facilitates transfers to acute and post-acute venues.
  • c.Demonstrates working knowledge of the clinical requirements, individual payer networks and coverage, and impact of patient's living environment and support network in creating a transition plan.
  • d.Identifies and facilitates home care and durable medical equipment needs at the time of discharge.
  • e. Facilitates palliative or hospice care when needed
• Works collaboratively and maintains active communication with physicians, nursing and other members of the interdisciplinary care team to ensure timely and effective care progression and achievement of desired outcomes.
• Oversees discharge planning and facilitates safe transitions to community settings.
• Addresses/resolves system problems impeding diagnostic or treatment progress. Proactively identifies and resolves delays and obstacles to discharge.
• Seeks consultation from appropriate disciplines/departments as required to expedite care and facilitate discharge.
• Coordinates and monitors scheduling of tests/procedures of patients and reports results to other healthcare members when appropriate. Identifies recurrent problems and recommends strategies for resolution.

• Develops and evaluates case management plans and protocols in collaboration with the interdisciplinary team.
• Evaluates actions taken to assure cost-effective care including physician length of stay, diagnostic related groups cost reporting, morbidity and mortality reports and monitoring of readmissions.
• Utilizes avoidable day reporting tool to identify sources of barriers to patients' progression of care.

• Serves as a liaison between members of the interdisciplinary care team, community providers, payers, and patient/family to ensure safe and effective plans and smooth transitions between internal and external levels of care.
• Ensures consistent and timely communication with Patient Financial Services and HIM as needed to confirm patient status and/or authorization to support the billing process.
• Collaborates with medical staff, nursing staff, and ancillary staff to eliminate barriers to efficient delivery of care.
• Collaborates with attending physicians and consultants to review and discuss patient care, progress and identified outcomes. Defines and manages deviations from the plan of care.
• Participates in and or facilitates patient care conferences and family meetings.
• Provides support and clinical expertise for nursing/ancillary personnel related to patient care issues.
• Maintains communication with Nurse Managers and other Case Managers relative to individual patient care and/or system problems.
• Assures prompt reporting of medical/legal issues to Risk Management and appropriate Administrative parties.
• Facilitates peer to peer discussions between attending physicians, Case Management Consultants, and Physician Advisor in cases requiring evaluation and justification of medical necessity for admission by the payer.
• Utilizes advanced conflict resolution skills as necessary to ensure timely resolution of issues.

• Within the nursing scope of practice, the care manager continuously assesses self-knowledge and competencies to assure job performance.
• Actively participates in departmental meetings and shares knowledge related to the practice of case management
• Demonstrates understanding of Medicare Conditions of Participation as related to discharge planning, patient/family engagement, and communication of financial responsibility.
• Maintains respect for the dignity of every person by addressing issues and concerns with workers directly, with a positive problem-solving approach, and the observance of the right to patient privacy and confidentiality.
• Demonstrates concern, respect, and caring for all customers, both internal and external, regardless of their diagnosis or socioeconomic status.
• Maintains positive interpersonal relations.
• Performs other related job duties as assigned.

• Bachelor of Science degree in nursing preferred

• Minimum of one (1) to three (3) years of hospital or related experience required. Internals with at least 18 months acute care case management/coordination experience will be considered in lieu of nursing clinical experience.
• Able to navigate and connect successfully with outside provider networks (Health Plans, IPA's, and FQHC's).

• Bilingual language skills preferred (Spanish) Basic computer skills
• Current California Nursing license
• Current Basic Life Support (BLS)
• Certification in Case Management preferred.
• ED Care Managers: Must complete annual Workplace Violence Prevention Program/Certificate, per hospital policy, during initial training/orientation but not to exceed 90 days from hire/transfer.

• Patient advocate - ensures a setting that protects the rights of the patient and provides an atmosphere that does not compromise the patients' physical or mental wellbeing, safety, or dignity.
• Ability to utilize good clinical judgment to deal tactfully and effectively with patients and their families, other employees, practitioners and other medical professionals.
• Demonstrates knowledge of anatomy and physiology, patient care standards as dictated by the nursing licensing board of the State of California, and standard knowledge of basic CPT and ICD-10 coding.
• Under supervision of physician, gives results of pathology, radiology, laboratory, and other diagnostic tests.
• Accurately records and maintains documentation of telephone encounters and onsite patient conversations, including chief complaint, verbal history of present illness with date of onset, symptoms including pain, bleeding and retention assessment, update of medications and allergies, and limited physical examination, adhering to scope of practice guidelines of the State of California.
• Documents relevant material in medical record and forwards pertinent notes to physician for review and signature.
• Instructs patients on procedures, studies and consults.
• Supports and implements the organization's vision, mission and values.
• Performs all job functions in a professional, courteous and timely manner. This includes answering all phone calls, e-mails and providing excellent customer service to internal and external customers.
• Fosters and promotes a culture of service excellence and self-accountability.
• Responsible for implementations and integration of Comprehensive Perinatal Services Program (CPSP) including nutrition, psychosocial and health education assessments, interventions and perinatal education with basic obstetrical care.
• Responsible for ensuring the integrity and quality of the health services delivered in Comprehensive Prenatal Services and in compliance with Federal, State, and L.A. County Standards and individual site policies, procedures and protocols.
• Collaborate with external agencies to ensure early entry into prenatal care.
• Works cohesively with a multi-disciplinary provider team to ensure robust pre and post-natal patient care coordination.
• Coordinates post-partum and lactation care management and anchors newborns to pediatric clinic.
• Maintains up to date status with CPSP courses.
• Directs the maintenance of program logs and statistics for internal and external review and reporting.
• Follows up on relevant laboratory tests.
• Participates in Continuous Quality Improvement plans for site and program.
• Establishes rapport with WIC and external agencies to aid in patient support.
• Provides support to OB/GYN provider as needed.
• Performs all other duties as assigned.

• High school diploma or GED.

• Two (2) years of LVN clinical experience, with one (1) year minimum of Obstetric experience required.
• Environment that included clinical and clerical duties.
• Valid California Vocational Nursing license
• IV and Blood Draw Certification required.
• BLS for Healthcare Provider from the American Heart Association
• Must complete annual Workplace Violence Prevention Program/Certificate, per hospital policy, during initial training/orientation but not to exceed 30 days from hire/transfer.

• Must be able to respect and maintain highly confidential information. The ability to engage in reasoned dialogue on complex, difficult, or emotional issues, to be flexible, actively listen, and affect change.
• Able to give constructive feedback in a supportive manner. Ability to effectively work independently and as a member of a team, quickly build strong working relationships, demonstrate a high-level of integrity, and establish a proactive approach to customer service.
• Ability to pay attention to detail with excellent prioritization and organization skills.
• Self-starter with strong project management skills and ability to follow through.
• Demonstrated adaptability and flexibility to changes and response to new ideas and approaches.
• A working knowledge of Microsoft Office Products (Outlook, Word, Excel, and PowerPoint) working knowledge of Kronos is a plus.
• This professional must possess intermediate math skills, excellent written and verbal communication skills.

Description

RN – Labor and Delivery at Providence St. Jude Medical Center in Fullerton, CA. This position is Full-Time and will work 12-hour Night shifts. Our Labor and Delivery unit has 17 beds and offers 24-hour on-site OB anesthesia, OB triage, OB operating rooms and high-risk antepartum care. We deliver approximately 185 babies per month.

Providence St. Jude Medical Center in Fullerton, CA was designated as a Magnet organization in 2015 and 2020 by the ANCC Magnet Recognition Program. This prestigious designation recognizes excellence in nursing services. In April 2025, Providence St. Jude Medical Center is applying for redesignation.

In addition, we are recognized as a top regional hospital in 9 types of care by U.S. News & World Report and listed among the top 20 in Newsweek’s America’s Best-In-State Hospitals for California, is celebrated for its excellence in surgical and clinical care by Healthgrades.

Providence nurses are not simply valued – they’re invaluable. You will thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best nurses, we must empower them. Learn why nurses choose to work at Providence by visiting our Nursing Institute page.

Join our team at St. Jude Medical Center as a Providence caregiver, you’ll apply your specialized training to deliver world-class health with human connection and make a difference every day through your extraordinary care.

Required Qualifications:

• Graduation from an accredited nursing program.
• California Registered Nurse License upon hire.
• National Provider BLS - American Heart Association upon hire.
• National Provider NRP - American Academy of Pediatrics upon hire.
• 1 year - Nursing experience.

Why Join Providence?

Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.

Accepting a new position at another facility that is part of the Providence family of organizations may change your current benefits. Changes in benefits, including paid time-off, happen for various reasons. These reasons can include changes of Legal Employer, FTE, Union, location, time-off plan policies, availability of health and welfare benefit plan offerings, and other various reasons.

About Providence

At Providence, our strength lies in Our Promise of “Know me, care for me, ease my way.” Working at our family of organizations means that regardless of your role, we’ll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.

Posted are the minimum and the maximum wage rates on the wage range for this position. The successful candidate's placement on the wage range for this position will be determined based upon relevant job experience and other applicable factors. These amounts are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits.

Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.

About the Team

The Sisters of Providence and Sisters of St. Joseph of Orange have deep roots in California, bringing health care and education to communities from the redwood forests to the beach shores of Orange county - and everywhere in between. In Southern California, Providence provides care throughout Los Angeles County, Orange County, High Desert and beyond.

Our award-winning and comprehensive medical centers are known for outstanding programs in cancer, cardiology, neurosciences, orthopedics, women's services, emergency and trauma care, pediatrics and neonatal intensive care. Our not-for-profit network provides a full spectrum of care with leading-edge diagnostics and treatment, outpatient health centers, physician groups and clinics, numerous outreach programs, and hospice and home care, and even our own Providence High School.

Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement.

Requsition ID: 411694

Company: Providence Jobs

Job Category: Nursing-Patient Facing

Job Function: Nursing

Job Schedule: Full time

Job Shift: Multiple shifts available

Career Track: Nursing

Department: 7510 SJMC L AND D

Address: CA Fullerton 101 E Valencia Mesa Dr

Work Location: St Jude Medical Center

Workplace Type: On-site

Pay Range: $53.25 - $82.68

The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

Join a Company That Puts People First!

Licensed Vocational Nurse –LVN

We are one of the largest private duty nursing companies in the nation and growing! At Aveanna, we’re proud to foster a workplace culture that celebrates diversity, encourages connection, and supports our team members every step of the way.

Pay rate: $28-34/HR - Looking to fill FT Mon-Fri shifts in Orange, CA.

Schedule: Monday - Friday AM/PM

Urgent need for Night Shifts 

Bilingual nurse preferred but not required

Here’s what sets us apart:

Award-Winning Culture
• Indeed’s Work Wellbeing Top 100 Company in 2024
• Best Company for Work-Life Balance, Happiest Employees and Culture and Best CEO in 2024, as ranked by Comparably
Why Join Us?
• Health, Dental, Vision and Company-Paid Life Insurance
• Paid Time Off Available
• Flexible scheduling- full-time, part-time, or PRN. Days, nights, and weekend shifts— we will work with your availability!
• 24/7 Local support from operators and clinicians
• Aveanna has a tablet in each patient’s home allowing for electronic documentation
• Career Pathing with opportunities for skill advancement
• Weekly and/or Daily Pay
• Employee Stock Purchase Plan with 15% discount
• Employee Relief Fund
*Benefit eligibility can vary and is dependent upon employment status and employment location

We consider it both a privilege and an honor when we welcome a new patient into our Aveanna family. Our homecare is always delivered from a place of heartfelt compassion and empathy, and every one of our Licensed Vocational Nurses (LVN)s works together to make sure we achieve outstanding clinical outcomes. Aveanna isn’t just a provider of compassionate homecare to children and adults. We are a national leader.

Qualifications  
• Must have and maintain an active, unencumbered CA LVN license
• Current CPR certification (with hands-on component)
• TB skin test -2 step (current within last 12 months)
• One year prior hands-on nursing experience
• Must have reliable transportation  
• Demonstrated proficiency in clinical assessments, documentation and compliance with nursing care and policies and procedures
• Continuing Education as required by state

Aveanna Healthcare is an Equal Opportunity Employer and encourages applicants from diverse backgrounds to apply.

Position Overview
The Licensed Practical Nurse (LPN/LVN) is responsible for providing and documenting skilled nursing care, under the supervision of a Registered Nurse, in accordance with the developed care plan and physicians orders for each individual patient while adhering to confidentiality standards and professional boundaries at all times.

Essential Job Functions
• Responsible for the delivery and coordination of quality patient care in compliance with physician orders.
• Continuously observes and assesses patient condition and care needs and reports changes in condition to the supervisor and/or physician as appropriate.
• Documents all activities, assessments, nursing actions, responses and coordination of care in a timely manner whenever care is delivered.
• Participate, implement and update the nursing care plan.
• Takes appropriate nursing action based on assessment and achieves expected outcomes.
• Recognizes changes in patient needs and responses requiring intervention and implements care to prevent risk or reduce risk.
• Accepts responsibility for personal and professional accountability by complying with Aveanna policies, state and federal regulations, accrediting bodies and the Nurse Practice Act.
• Provide care utilizing infection control measures that protect both the staff and the patient according to OSHA standards.
• Educates the patient and family regarding the disease process, self-care techniques, and prevention strategies, and in meeting the patient’s nursing needs.
• Maintain knowledge of competencies related to the nursing profession by participating in educational programs, continued education units, internal learning management skills and skill evaluations.

Requirements
• Graduate of an accredited school of nursing.
• Current, unrestricted state license as a Licensed Nurse in the state of practice
• Current CPR certification
• Demonstrated proficiency in clinical assessments, documentation and compliance with nursing care and policies and procedures
Additional state specific requirements:
• South Carolina – One (1) year of pediatrics experience
• California – One (1) year of experience required working under current nursing license
• Louisiana – One (1) year of experience required working as a licensed nurse
• Continuing Education as required by state

Preferences
• Six (6) months of recent experience as a Licensed Nurse in a clinical care setting
• Home health experience

Other Skills/Abilities
• Attention to detail
• Time Management
• Effective problem-solving and conflict resolution
• Good organization and communication skills

Physical Requirements
• Must be able to speak, write, read and understand English
• Must be able to travel
• Must be able to lift 50 pounds
• Must be able to sufficiently reposition patients and move equipment without assistance
• Prolonged walking, standing, bending, kneeling, reaching, twisting
• Must be able to sit and climb stairs
• Must have visual and hearing acuity
• Must have strong sense of smell and touch
• Must be able to sufficiently reposition patients and move equipment without assistance
• Must be able to appropriately respond physically and mentally to emergency situations in the home or during transport

Environment
• Must be able to function in a wide variety of environments which may involve exposure to allergens and other various conditions
• Possible exposure to blood, bodily fluids and infectious diseases

Other Duties
• Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all relevant jurisdictions, including required vaccinations and testing, subject to exemptions for medical or religious reasons as appropriate.

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