Nurse

• Build rapport with donors to ensure overall customer satisfaction
• Select suitable plasmapheresis donors by performing physical examinations and taking medical histories
• Follow the FDA-approved Standard Operating Procedure Manual, current state and federal guidelines, OSHA, CLIA, CGMP, internal company procedures, education, and experience
• Ensure donor and staff confidentiality
• Create donor awareness of potential hazards and administer donor consent forms
• Educate donors regarding general health assessments and counsel them about unacceptable test results
• Evaluate and manage donor injuries and adverse events
• Evaluate illness and medication histories to ensure continued donor suitability
• Assist with employee training and coaching regarding medical SOPs
• Administer the employee Hepatitis Vaccine program

Registered Nurse

• Dispense prescription and non-prescription medications according to State, County, and Agency guidelines
• Collaborate with the program psychiatrist during weekly meetings to review medications, side effects, and effectiveness
• Coordinate telephone or virtual Zoom meetings with the psychiatrist to process new orders
• Work with pharmacies to procure medications
• Help families obtain medical assessments prior to placement
• Assist families with transferring medical insurance coverage to Los Angeles County when necessary
• Ensure mandated documentation is current for medication administration
• Dispense medications and perform daily quality assurance
• Treat student injuries and illnesses and ensure appropriate documentation
• Promote and maintain a safe work environment
• Follow Agency emergency procedures
• Respond to staff and parent inquiries regarding nursing services
• Punch in/out, including lunch, according to prescribed employment hours
• Maintain a neat and organized work area

Licensed Vocational Nurse – Program Nurse

• Provide routine review of authorization requests from all lines of business using respective national/state, health plan, and nationally recognized guidelines
• Review proposed hospitalization, home care, and inpatient/outpatient treatment plans for medical necessity and efficiency with coverage guidelines
• Determine the medical appropriateness of inpatient and outpatient services following evaluation of medical guidelines and benefit determination

Licensed Vocational Nurse, Utilization Management

• Lead coordination of complex or non-routine patient placements and discharges across facilities, service lines, and levels of care
• Serve as primary point of contact for escalated or complex cases, ensuring follow-up, resolution, and communication of placement status and decisions
• Facilitate transitions to higher or lower levels of care, including SNFs, CLHFs, and other post-acute settings
• Act as senior advisor and liaison between internal teams and external partners
• Review and assess clinical information to determine appropriate placement based on acuity, service needs, and facility capabilities
• Partner with case managers, social workers, providers, hospitals, IPAs, and post-acute partners to identify care pathways and resolve placement barriers
• Monitor patient movement and throughput, addressing delays and initiating escalation pathways
• Review program referrals, assign cases to Non-Routine Placement Specialists, and provide clinical oversight
• Provide education and guidance on complex placements and discharge coordination
• Maintain placement logs, referral tracking tools, and electronic medical records
• Document and track barriers, challenges, and interventions for reporting, audits, and quality improvement
• Ensure compliance with CMS, HEDIS, CAHPS, and other quality measures
• Participate in interdisciplinary huddles, throughput initiatives, and performance improvement activities
• Analyze trends, identify process gaps, and recommend workflow and care coordination improvements
• Support outreach and relationship-building with contracted providers and external partners
• Perform other duties required to support health plan operations and department needs

Non-Routine Placement Nurse, RN – Short-Term Assignment

• Provide direct nursing care to patients in private residences or hotel recovery suites
• Assist with activities of daily living, including bathing, dressing, grooming, toileting, feeding, and mobility support
• Administer and oversee medication management within LVN scope
• Provide post-operative care, wound care, and recovery support under RN or physician guidance
• Assist with long-term in-home assignments and palliative care patients
• Monitor vital signs and patient status
• Promptly report patient changes to a supervising RN or physician
• Complete documentation in compliance with company standards and state requirements
• Provide consistency, companionship, safety, and personalized care to a VIP client

Licensed Vocational Nurse – Private Duty

• Review OASIS assessments for completeness, appropriateness, and compliance with federal and state regulations.
• Ensure accurate ICD-10 coding and sequencing based on each patient’s medical condition and co-morbidities.
• Partner with clinical staff to resolve documentation and data integrity issues.
• Monitor visit utilization and flag potential financial risks or underutilization to clinical management.
• Identify and communicate trends that impact agency outcomes and process measures.
• Conduct OASIS inter-rater reliability visits with clinical team members.
• Participate in Quality Improvement and Corporate Compliance activities.
• Stay current with best practices through ongoing education and professional development.
• Perform other duties as required for patient services.

• Provide clinical expertise, medical communication, and quality assessment for timely transfer/transport and direct admission of patients
• Act as the single point of contact for patient transfers/transport and admission and placement processes
• Serve as liaison to physicians, hospitals, and other care providers referring patients
• Assess medical necessity using InterQual or related admissions criteria
• Recognize emergency or high-priority situations and take appropriate immediate action
• Facilitate information sharing and cooperation among stakeholders to resolve problems and achieve desired outcomes
• Manage and reprioritize activities and projects while maintaining responsiveness

Transfer Nurse, Transfer Center

• Serve as the primary clinical resource for Enhanced Care Management (ECM) care teams
• Provide clinical consultation and guidance to Lead Care Managers, Community Health Workers, Licensed Vocational Nurses, and interdisciplinary team members
• Review complex member cases and recommend care plans, interventions, risk mitigation, and treatment coordination
• Participate in interdisciplinary case reviews, case conferences, and care team meetings
• Support implementation and ongoing success of CalAIM Enhanced Care Management services
• Coordinate care with health plans, providers, hospitals, behavioral health agencies, and community-based organizations
• Support care transitions after hospitalizations, emergency department visits, skilled nursing facility discharges, and other significant healthcare events
• Conduct field visits and shadow care team members to assess service delivery, member engagement, documentation, safety, and program standards
• Provide real-time coaching, mentorship, clinical consultation, and direct clinical supervision to LVNs
• Monitor LVN clinical activities, documentation, assessments, care coordination, and member interactions
• Conduct quality assurance reviews and monitor compliance with Medi-Cal ECM requirements
• Facilitate communication among interdisciplinary team members and address gaps in care and service coordination
• Maintain accurate, timely, compliant documentation and support audit readiness
• Develop and deliver clinical training on chronic disease management, medication safety, behavioral health, symptom recognition, healthcare navigation, and clinical best practices
• Analyze clinical and programmatic outcomes and participate in quality improvement initiatives
• Monitor member outcomes, utilization trends, care coordination effectiveness, quality metrics, and compliance indicators
• Travel throughout the hiring county for field visits, supervision, coaching, member care coordination, community meetings, and quality assurance reviews

Part-Time Registered Nurse – Clinical Case Consultant

• Assist patients, staff, and physicians to maintain operational efficiency, customer service, and quality care
• Demonstrate clinical knowledge and skills within scope of practice
• Perform and assist with tests and procedures
• Administer medications safely and accurately, with required verification and documentation
• Prepare patients for examinations and procedures; obtain consents; prepare and label biopsies
• Document patient care accurately according to protocol
• Listen to patients, collect information, assess urgency, and route issues to physicians
• Return phone calls and may schedule patient appointments
• Provide patient education in partnership with physicians
• Follow universal precautions and infection-control policies
• Assist PSRs with scheduling and telephone-management issues
• Participate in clinical projects directed by physicians or managers
• Organize daily department requirements and monitor patient flow and physician schedules
• Manage telephone messages and troubleshoot problem calls
• Enter OCM and IDX information according to policy
• Respond to urgent and emergent situations and prioritize patient needs
• Maintain supplies, inventories, reports, and inspection readiness
• Enter authorizations and schedule surgeries and procedures
• Assist in other departments and travel to other sites as business needs arise
• Complete nursing competency testing and quality-assurance assignments
• Maintain narcotic-control procedures and assist with prescription reconciliation
• Support quality initiatives including P4P, BMI, and DataMart
• Operate department equipment and information systems
• Activate emergency procedures and complete AEHR tasks
• Support new applications and policies

Nursing Float Pool – LVN

• Review OASIS assessments for completeness, appropriateness, and compliance with federal and state regulations
• Ensure accurate ICD-10 coding and sequencing based on each patient’s medical condition and co-morbidities
• Partner with clinical staff to resolve documentation and data integrity issues
• Monitor visit utilization and flag potential financial risks or underutilization to clinical management
• Identify and communicate trends that impact agency outcomes and process measures
• Conduct OASIS inter-rater reliability visits with clinical team members
• Participate in Quality Improvement and Corporate Compliance activities
• Stay current with best practices through ongoing education and professional development
• Perform other duties as required for patient services