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Medicare Rn Jobs in California (NOW HIRING)

Bestica is seeking a travel nurse RN Hospice for a travel nursing job in Sonora, California ... Follow Medicare, Medicaid, and state/federal hospice regulations. * Participate in the on-call ...

$80 - $140/hr

Registered Nurse (RN) - Home Health Field Nurse Salary Range: $80,000.00 To $140,000.00 Annually ... Ensure compliance with CMS, Medicare, CHAP, and agency standards * Participate in clinical reviews ...

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Medicare Rn information

What does a Medicare RN do?

A Medicare RN is a registered nurse who specializes in providing care and managing cases for patients covered under Medicare, the federal health insurance program for people 65 and older or with certain disabilities. Their duties often include patient assessments, developing care plans, coordinating services, ensuring compliance with Medicare regulations, and educating patients and families about their healthcare options. They may work in hospitals, home health agencies, or long-term care facilities, helping to optimize patient outcomes while ensuring proper documentation for Medicare reimbursement.

What are the key skills and qualifications needed to thrive as a Medicare RN, and why are they important?

To thrive as a Medicare RN, you need a comprehensive understanding of clinical nursing practices, Medicare regulations, and care coordination, typically supported by an active RN license and experience in case management or utilization review. Familiarity with Medicare documentation requirements, electronic health records (EHRs), and case management software is essential. Strong communication, attention to detail, and critical thinking skills help Medicare RNs effectively advocate for patients and collaborate with healthcare teams. These skills ensure compliance with regulations, optimize patient outcomes, and support efficient healthcare delivery within the Medicare system.

What are the typical challenges Medicare RNs face when coordinating patient care across multiple providers?

Medicare RNs often encounter challenges related to coordinating care among various healthcare providers, such as physicians, specialists, and home health agencies. Navigating different documentation systems and ensuring timely communication can be complex, especially when managing patients with multiple chronic conditions. Effective organization, strong communication skills, and a thorough understanding of Medicare guidelines are essential for overcoming these challenges and providing seamless care transitions.

What is the difference between Medicare Rn vs Home Health Nurse?

AspectMedicare RnHome Health Nurse
CredentialsRegistered Nurse license, Medicare certificationRegistered Nurse license, home health certification
Work EnvironmentHospitals, clinics, Medicare facilitiesPatients' homes, community settings
Employer & IndustryMedicare providers, healthcare agenciesHome health agencies, hospice services
Search & Comparison IntentMedicare Rn vs Home Health NurseMedicare Rn vs Home Health Nurse

Both Medicare Rns and Home Health Nurses are registered nurses working within the Medicare system. While Medicare Rns often work in clinics or hospitals providing Medicare-related care, Home Health Nurses focus on delivering nursing services directly in patients' homes. Both roles require RN licensure, but their work environments and employer types differ, reflecting their specific patient care settings.

What job categories do people searching Medicare Rn jobs in California look for?

The top searched job categories for Medicare Rn jobs in California are:

What cities in California are hiring for Medicare Rn jobs?

Cities in California with the most Medicare Rn job openings:

Infographic showing various Medicare Rn job openings in California as of August 2026, with employment types broken down into 3% As Needed, 59% Full Time, 11% Part Time, and 27% Contract. Highlights an 99% Physical, and 1% Remote job distribution.

Registered Nurse (RN) - Quality Assurance

Community Medical Centers

Fresno, CA • On-site

Full-time

Retirement, PTO

Posted 22 days ago


Job description

Community Medical Centers is seeking a Registered Nurse (RN) Quality Assurance for a nursing job in Fresno, California.

Job Description & Requirements
  • Specialty: Quality Assurance
  • Discipline: RN
  • Duration: Ongoing
  • 40 hours per week
  • Shift: 8 hours, days
  • Employment Type: Staff

Overview:

*All positions are located in Fresno/Clovis CA*

Opportunities for you! 

  • Comprehensive relocation package and concierge service 
  • Progressive sign-on incentive paid over time for eligible candidates 
  • Consecutively recognized as a top employer by Forbes, and in 2025 by Newsweek 
  • Time and a half after 8 hrs + weekend and night differential (call pay for procedural areas) 
  • RN Advancement Pathway for growth, built for nurses, by nurses 
  • Free Continuing Education and certification including BLS, ACLS and PALS 
  • Tuition reimbursement, education programs and scholarships 
  • Vacation time starts building on Day 1, and builds with your seniority
  • Free money toward retirement with a 403(b) and matching contributions 
  • Great food options with on-demand ordering 
  • Free parking and electric charging 

Commitment to diversity and inclusion is a cornerstone of our culture at Community. All are welcome as valued members of our community. 

We know that our ability to provide the highest level of care is through taking care of our incredible teams. Learn more on our Benefits page. 

Responsibilities:

As part of Community Health System, you will join a team dedicated to advancing patient safety and improving clinical outcomes across our hospitals and clinics. In this role, you will use your clinical background and analytical skills to elevate organizational quality performance, including national standards such as the Centers for Medicare & Medicaid Services (CMS) 5-Star Quality Rating and the Leapfrog Safety Grade. 

In this role, you will identify trends in clinical outcomes, translate performance data into clear and actionable insights, and partner with departments to support meaningful and sustainable improvements. Your work will help drive patient safety initiatives, strengthen care delivery processes and support caregivers and leaders in making data-informed decisions that enhance the quality of care across the system. 

Qualifications:

Education & Experience  

  • Bachelor's Degree in Nursing or a Healthcare related field required 
  • 5 years of quality, clinical, compliance, or healthcare administration experience required 
  • Experience with regulatory bodies and requirements for process implementation (e.g., TJC, CDPH, CMS) required 
  • Educational and training experience required 
  • Project management experience required   
Licenses and Certifications
  • RN - Current and valid Registered Nurse license to work within the state of California required  
  • BLS - Current Basic Life Support (BLS) for Healthcare Providers by American Heart Association (AHA) required 
Disclaimers:

• Pay ranges listed are an estimate and subject to change.
• If any bonuses are noted, they are only applicable to external hires meeting criteria.

Community Medical Centers Job ID #2026-R5504. Posted job title: RN, Quality Coordinator