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Clinical Services Nurse

B8540034 C2d4 40f6 8c02 Ae52edf37f2f 19000101 000001 · VISTA, Vista, CA, US, Vista, CA · On Site · Active · $34–$45 / hour · ADP Workforce Now Recruiting

Job facts

FieldValue
CompanyB8540034 C2d4 40f6 8c02 Ae52edf37f2f 19000101 000001
TitleClinical Services Nurse
Normalized title-
Department / team-
LocationVISTA, CA, United States
Work modelOn Site
Employment typeFull Time
Salary$34–$45 / hour
Statusactive
ATS providerADP Workforce Now Recruiting
Posted / first seen2026-04-16 / 2026-05-31
Changed / last seen2026-06-06 / 2026-06-06

Related slices

PageWhat it containsOpen
Company jobsActive postings from B8540034 C2d4 40f6 8c02 Ae52edf37f2f 19000101 000001.Open
Company breakdownsRole, location, ATS, and work model facets for this company.Open
ATS provider jobsActive postings observed through ADP Workforce Now Recruiting.Open
Provider filtered searchThe same provider as a filtered job collection.Open
City jobsActive postings in VISTA.Open
Work model jobsActive On Site postings.Open
Lifecycle eventsOpen, update, close, and reopen events for this posting.Open
Original postingCanonical source or apply URL captured from the ATS.Open

Linked records

CompanyB8540034 C2d4 40f6 8c02 Ae52edf37f2f 19000101 000001
Source127cebaa-6388-4207-8bee-32bd2c84c48c
ATS providerADP Workforce Now Recruiting

Description

800x600 Normal 0 false false false EN-US X-NONE X-NONE MicrosoftInternetExplorer4 Primary Purpose: To provide support and facilitate care of members who require case management. To work collaboratively with Health Plan and Hospital Case Management Departments in the facilitation of services. To collaborate with the treating physician and IPA Medical Director in the review and decision-making process regarding the facilitation of appropriate health care and service requests. Case Management is a collaborative process that assesses, plans, implements, coordinates, monitors, and evaluates an individual’s health needs through communication and available resources to promote quality, cost-effective outcomes. If applicable, the CM will coordinate care for Cal Medi-Connect program members to ensure all aspects of the CMC program description are implemented and followed. A case manager is a licensed LVN. A care manager can be a licensed social worker (MSW) or licensed nurse (LVN). NEW GRADS WELCOME! All candidates for any case management position will have the appropriate education and experience to meet requirements and the service needs of the populations. Principal Duties and Responsibilities (* = essential functions): · To utilize the Case Management functions: assessor, planner, facilitator, advocate. * · To facilitate services at the appropriate Health Plan center of excellence. · To review and process clinical information in accordance with regulatory mandates to facilitate patient healthcare and services across the continuum of care. * · To interface professionally and courteously with all internal staff and external customers to ensure appropriate exchange of information. * · To prepare and participate in health plan audits onsite as required. · To actively participate in Utilization Management Committees in regard to Case Presentations and problem- solving. · To participate in the development of Case Management Policies and Procedures. · To actively participate in the discharge planning process. * · To monitor and participate in the SNP/Duals program · To ensure all members are living in the least restrictive environment · To follow the UM/QI/CM/SNP/CMC program descriptions · To perform other duties as assigned. Job Specifications (KSAs): Requires extensive and specialized knowledge of utilization and case management processes, as is generally acquired by 1 year or greater of experience as a case manager in a Managed Care Environment, and successful completion of a nursing program. Requires prior Case Management experience, preferably with catastrophic cases. Requires an active LVN license in the state of California. Requires excellent written and verbal communication skills. Requires computer experience, particularly Microsoft Word, Excel, familiarity with Cozeva or EZCap, a plus, and the ability to learn new software applications quickly. Requires problem-solving and critical thinking skills. Requires professional demeanor and the ability to contribute to a positive work environment. Requires extensive knowledge of health plan guidelines. Position Performance Criteria: 1. Demonstrates proficiency in UM and Case Management, including but not limited to: Referral review Concurrent/inpatient review and bed-day management. 2. Demonstrates the effective practice of Case Management Standards of Care, including: Assessment Case Identification and Selection Planning Monitoring Evaluating Outcomes 3. Sets appropriate priorities to meet departmental goals and objectives, including but not limited to: Demonstrates ability to efficiently manage case load. Demonstrates ability to set appropriate priorities Consistently renders prudent and sound decisions Manages multiple tasks while meeting required timeframes Adheres to departmental policies and procedures 4. Demonstrates knowledge of Health Plan guidelines. 5. Consistently demonstrates professional work ethic, collegial interaction with others, and reliability, while contributing to a positive work environment, including but not limited to: · Professional appearance and demeanor · Meets departmental attendance needs on-site · Participates verbally in group activities, i.e., staff meetings, etc. · Demonstrates respect for co-workers and customers. · Works collaboratively with other departments to identify and resolve issues.

Full job record

Job ID640859bd8b68164cd200de76d8541ad3804d326a
Org ID9fabecd2-95d5-476a-969e-3a7287cf06ee
Source ID127cebaa-6388-4207-8bee-32bd2c84c48c
Board ID127cebaa-6388-4207-8bee-32bd2c84c48c
Provideradp_workforcenow
Provider Job Key572933
TitleClinical Services Nurse
Normalized Title—
Statusactive
Activeyes
Location TextVISTA, Vista, CA, US, Vista, CA
Department—
Team—
Employment Typefull_time
Workplace Typeon_site
Remote Policy—
CountryUnited States
RegionCA
CityVISTA
Salary Raw33.50 To 45 (USD) Hourly
Salary Min33.5
Salary Max45
Salary CurrencyUSD
Salary Periodhour
Source URLhttps://workforcenow.adp.com/mascsr/default/mdf/recruitment/recruitment.html?cid=b8540034-c2d4-40f6-8c02-ae52edf37f2f&ccId=19000101_000001&lang=en_US&type=JS&jobId=572933&jwId=9200900905927_1
Apply URLhttps://workforcenow.adp.com/mascsr/default/mdf/recruitment/recruitment.html?cid=b8540034-c2d4-40f6-8c02-ae52edf37f2f&ccId=19000101_000001&lang=en_US&type=JS&jobId=572933&jwId=9200900905927_1
First Seen At2026-05-31 18:17:24Z
Last Seen At2026-06-06 11:52:57Z
Last Checked At2026-06-06 11:52:57Z
Last Changed At2026-06-06 11:52:57Z
Inactive At—
Source Posted At2026-04-16 22:39:00Z
Source Updated At—
Raw Payload Uris3://job-postings-prod-raw-590183727216/raw/provider=adp_workforcenow/board=b8540034-c2d4-40f6-8c02-ae52edf37f2f|19000101_000001/date=2026-06-06/2026-06-06T11-52-56-852Z-6ed18b69c026cfde71ef298d947c61726ddc4cc34b3a16e7902dd56e31012a0d.json
Event Fields
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  "last_changed_at": "2026-06-06T11:52:57.097Z",
  "active_status": "active"
}
Parsed Structured
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  "inferred_at": "2026-06-06T11:52:57.095Z",
  "launch_scope": {
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    "included": true,
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      "is_remote": false,
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    "countries": [
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  },
  "remote_policy": null,
  "salary_period": "hour",
  "workplace_type": "on_site",
  "salary_currency": "USD"
}
Extensions
{}
Native Structured
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Definitions */ table.MsoNormalTable&nbsp;&nbsp;&nbsp;&nbsp;{mso-style-name:\"Table Normal\";&nbsp;&nbsp;&nbsp;&nbsp;mso-tstyle-rowband-size:0;&nbsp;&nbsp;&nbsp;&nbsp;mso-tstyle-colband-size:0;&nbsp;&nbsp;&nbsp;&nbsp;mso-style-noshow:yes;&nbsp;&nbsp;&nbsp;&nbsp;mso-style-priority:99;&nbsp;&nbsp;&nbsp;&nbsp;mso-style-parent:\"\";&nbsp;&nbsp;&nbsp;&nbsp;mso-padding-alt:0in 5.4pt 0in 5.4pt;&nbsp;&nbsp;&nbsp;&nbsp;mso-para-margin:0in;&nbsp;&nbsp;&nbsp;&nbsp;mso-para-margin-bottom:.0001pt;&nbsp;&nbsp;&nbsp;&nbsp;mso-pagination:widow-orphan;&nbsp;&nbsp;&nbsp;&nbsp;font-size:10.0pt;&nbsp;&nbsp;&nbsp;&nbsp;font-family:\"Times New Roman\",serif;}</style><![endif]--><!--StartFragment--><strong><u>Primary Purpose:</u></strong></p><p class=\"MsoBodyTextIndent\">To provide support and facilitate care of members who require case management. &nbsp;To work collaboratively with Health Plan and Hospital Case Management Departments in the facilitation of services. To collaborate with the treating physician and IPA Medical Director in the review and decision-making process regarding the facilitation of appropriate health care and service requests. &nbsp;Case Management is a collaborative process that assesses, plans, implements, coordinates, monitors, and evaluates an individual&rsquo;s health needs through communication and available resources to promote quality, cost-effective outcomes. If applicable, the CM will coordinate care for Cal Medi-Connect program members to ensure all aspects of the CMC program description are implemented and followed. &nbsp;A case manager is a licensed LVN. &nbsp;A care manager can be a licensed social worker (MSW) or licensed nurse (LVN). &nbsp; <strong>NEW GRADS WELCOME!</strong></p><p class=\"MsoBodyTextIndent\">All candidates for any case management position will have the appropriate education and experience to meet requirements and the service needs of the populations. &nbsp;&nbsp;</p><p class=\"MsoNormal\"><strong><u>Principal Duties and Responsibilities (* = essential functions):</u></strong></p><p class=\"MsoNormal\">&middot; &nbsp; &nbsp; &nbsp; &nbsp; To utilize the Case Management functions: &nbsp;assessor, planner, facilitator, advocate. *</p><p class=\"MsoNormal\"><!--[if !supportLists]-->&middot; &nbsp; &nbsp; &nbsp; &nbsp; <!--[endif]-->To facilitate services at the appropriate Health Plan center of excellence.&nbsp;</p><p class=\"MsoNormal\"><!--[if !supportLists]-->&middot; &nbsp; &nbsp; &nbsp; &nbsp; <!--[endif]-->To review and process clinical information in accordance with regulatory mandates to facilitate patient healthcare and services across the continuum of care. *</p><p class=\"MsoNormal\"><!--[if !supportLists]-->&middot; &nbsp; &nbsp; &nbsp; &nbsp; <!--[endif]-->To interface professionally and courteously with all internal staff and external customers to ensure appropriate exchange of information. *</p><p class=\"MsoNormal\"><!--[if !supportLists]-->&middot; &nbsp; &nbsp; &nbsp; &nbsp; <!--[endif]-->To prepare and participate in health plan audits onsite as required.</p><p class=\"MsoNormal\"><!--[if !supportLists]-->&middot; &nbsp; &nbsp; &nbsp; &nbsp; <!--[endif]-->To actively participate in Utilization Management Committees in regard to Case Presentations and problem- &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; solving.</p><p class=\"MsoNormal\"><!--[if !supportLists]-->&middot; &nbsp; &nbsp; &nbsp; &nbsp; <!--[endif]-->To participate in the development of Case Management Policies and Procedures.</p><p class=\"MsoNormal\"><!--[if !supportLists]-->&middot; &nbsp; &nbsp; &nbsp; &nbsp; <!--[endif]-->To actively participate in the discharge planning process. *</p><p class=\"MsoNormal\"><!--[if !supportLists]-->&middot; &nbsp; &nbsp; &nbsp; &nbsp; <!--[endif]-->To monitor and participate in the SNP/Duals program</p><p class=\"MsoNormal\"><!--[if !supportLists]-->&middot; &nbsp; &nbsp; &nbsp; &nbsp; <!--[endif]-->To ensure all members are living in the least restrictive environment&nbsp;</p><p class=\"MsoNormal\"><!--[if !supportLists]-->&middot; &nbsp; &nbsp; &nbsp; &nbsp; <!--[endif]-->To follow the UM/QI/CM/SNP/CMC program descriptions&nbsp;</p><p class=\"MsoNormal\"><!--[if !supportLists]-->&middot; &nbsp; &nbsp; &nbsp; &nbsp; <!--[endif]-->To perform other duties as assigned.</p><p class=\"MsoNormal\"><strong><u>Job Specifications (KSAs):</u></strong></p><ul type=\"disc\"><li class=\"MsoNormal\">Requires extensive and specialized knowledge of utilization and case management processes, as is generally acquired by 1 year or greater of experience as a case manager in a Managed Care Environment, and successful completion of a nursing program.</li><li class=\"MsoNormal\">Requires prior Case Management experience, preferably with catastrophic cases.</li><li class=\"MsoNormal\">Requires an active LVN license in the state of California.&nbsp;</li><li class=\"MsoNormal\">Requires excellent written and verbal communication skills.</li><li class=\"MsoNormal\">Requires computer experience, particularly Microsoft Word, Excel, familiarity with Cozeva or EZCap, a plus, and the ability to learn new software applications quickly.</li><li class=\"MsoNormal\">Requires problem-solving and critical thinking skills.</li><li class=\"MsoNormal\">Requires professional demeanor and the ability to contribute to a positive work environment.</li><li class=\"MsoNormal\">Requires extensive knowledge of health plan guidelines.</li></ul><p class=\"MsoNormal\">&nbsp;<strong><u>Position Performance Criteria:</u></strong></p><p class=\"MsoNormal\"><!--[if !supportLists]-->1. &nbsp; &nbsp; &nbsp;<!--[endif]-->Demonstrates proficiency in UM and Case Management, including but not limited to:</p><ul type=\"disc\"><li class=\"MsoNormal\">Referral review</li><li class=\"MsoNormal\">Concurrent/inpatient review and bed-day management.</li></ul><p class=\"MsoBodyText\"><!--[if !supportLists]-->2. &nbsp; &nbsp; &nbsp;<!--[endif]-->Demonstrates the effective practice of Case Management Standards of Care, including:</p><ul type=\"disc\"><li class=\"MsoNormal\">Assessment</li><li class=\"MsoNormal\">Case Identification and Selection</li><li class=\"MsoNormal\">Planning</li><li class=\"MsoNormal\">Monitoring</li><li class=\"MsoNormal\">Evaluating&nbsp;</li><li class=\"MsoNormal\">Outcomes</li></ul><p class=\"MsoNormal\"><!--[if !supportLists]-->3. &nbsp; &nbsp; &nbsp;<!--[endif]-->Sets appropriate priorities to meet departmental goals and objectives, including but not limited to:</p><ul type=\"disc\"><li class=\"MsoNormal\">Demonstrates ability to efficiently manage case load.</li><li class=\"MsoNormal\">Demonstrates ability to set appropriate priorities</li><li class=\"MsoNormal\">Consistently renders prudent and sound decisions</li><li class=\"MsoNormal\">Manages multiple tasks while meeting required timeframes</li><li class=\"MsoNormal\">Adheres to departmental policies and procedures</li></ul><p class=\"MsoNormal\"><!--[if !supportLists]-->4. &nbsp; &nbsp; &nbsp;<!--[endif]-->Demonstrates knowledge of Health Plan guidelines.</p><p class=\"MsoNormal\"><!--[if !supportLists]-->5. &nbsp; &nbsp; &nbsp;<!--[endif]-->Consistently demonstrates professional work ethic, collegial interaction with others, and reliability, while contributing to a positive work environment, including but not limited to:</p><p class=\"MsoBodyText\"><!--[if !supportLists]-->&middot; &nbsp; &nbsp; &nbsp; &nbsp; <!--[endif]-->Professional appearance and demeanor</p><p class=\"MsoBodyText\"><!--[if !supportLists]-->&middot; &nbsp; &nbsp; &nbsp; &nbsp; <!--[endif]-->Meets departmental attendance needs on-site</p><p class=\"MsoBodyText\"><!--[if !supportLists]-->&middot; &nbsp; &nbsp; &nbsp; &nbsp; <!--[endif]-->Participates verbally in group activities, i.e., staff meetings, etc.</p><p class=\"MsoBodyText\"><!--[if !supportLists]-->&middot; &nbsp; &nbsp; &nbsp; &nbsp; <!--[endif]-->Demonstrates respect for co-workers and customers.</p><p class=\"MsoBodyText\"><!--[if !supportLists]-->&middot; &nbsp; &nbsp; &nbsp; &nbsp; <!--[endif]-->Works collaboratively with other departments to identify and resolve issues.</p><!--EndFragment--><p><br></p><p><br></p></div></div></div>\n",
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