RN, Registered Nurse - Chemotherapy. Christus Health The CHRISTUS Children’s Hospital, established in 1959, was the first children’s hospital in South-Central Texas. Located downtown, this 190-plus-bed hospital serves more than 70,000 children annually from San Antonio, South Texas and around the world. The hospital (in partnership with Baylor College of Medicine) is the only academic children’s hospital in San Antonio. Our highly specialized services meet the unique medical needs of children, from Pediatric and Neonatal Intensive Care to Children’s Emergency Services, the latest treatments for deformities of the spine including titanium rib implants and halo traction, a Heart Center, a specialized asthma program, a highly regarded Cancer and Blood Disorders Center, and growing maternal services to include consultation, delivery, and maternal fetal medicine. Posted 7 days ago New Grad RN. Del Sol Medical Center The HCA Healthcare StaRN Residency Program is a year-long program designed to give you hands-on experience to help establish valuable clinical and critical thinking skills. As a Resident I Graduate Nurse you will be surrounded by a supportive community of nurse educators, experienced nurses, and fellow residents that promote learning, clinical application, and socialization, shepherding you through the transition from student nurse to registered nurse. Posted 7 days ago Marketing Manager. Taylor Morrison As a Marketing Manager working for Taylor Morrison, you will be working closely with our Regional Marketing Director and the Vice President of Sales & Marketing within the division ensuring that the customers' needs are met whilst maximizing the profits of the company. You will leverage national marketing tools, campaigns, and supplement them with divisional marketing strategies by providing creative, analytical, organizational, and coordination support with the core responsibility of quality lead and traffic generation. You will also ensure that programs developed as part of the marketing plan are implemented on an effective and timely basis, in a fast-paced environment with changing market conditions. Posted 7 days ago Machine Operator - Day Shift. Atkore International We are currently looking for a Machine Operator - Day shift to be based out of Houston, TX. Reporting to the Supervisor, this person will be responsible for performing various tasks to set up, operate, monitor, and troubleshoot on assigned machines. The Machine Operator will also be responsible for inspecting parts to specifications and making adjustments or tool changes as necessary to maintain quality specifications. The Operator sets up and operates a production machine in accordance with established procedures and guidelines. Experience in lean manufacturing or business system-based company is a plus. Posted 7 days ago Patient Financial Specialist - Spohn Medical Offices. Christus Health Responsible for the duties and services that are of a support nature to the RCBS High Performance Work Teams. Ensures that all processes are performed in a timely and efficient manner. Performs assigned duties such as, cash posting, customer service, data entry and reviewing of claims for proper billing/collections. Responsible for performing billing, collections and reimbursement services of claims and duties to hospitals supported by the RCBS. In doing so, ensures that all claims billed and collected meets all government mandated procedures for Integrity and Compliance. Performs billing, collections and reimbursement services in a prompt and efficient manner. Provides thorough, courteous and professional assistance to patients, physician offices, insurance companies and other clients on an as needed basis while maintaining strictest confidence. Documents, forwards, resolves incoming mail and correspondence. Demonstrates a level of accountability to ensure data and codes are not changed on claims prior to submission if related to diagnosis, charge and/or other clinical type data that RCBS would not have knowledge of. Ensures all Compliance errors are reported to the Director and maintain records and files of documentation supporting bill changes that are directed by Director and/or Integrity Officer. Responsible to ensure successful implementation of Governmental Regulatory Billing changes, including but not limited to Medicare OPPS effective August 1, 2000. Posted 7 days ago Patient Access Representative - Admitting - PRN. Christus Health Patient Access Representative will facilitate a welcome and courteous environment, while establishing a positive encounter with any patient who is in need of services. Patient Access staff ensures that all data entry is accurate including procedural requirements, data elements, insurance verification, authorization for services, demographic and financial information for each account. Responsible for the successful financial outcome of all patient services to include collections for all patient portions including prior balances. Communicate effectively with patients and families, physicians, nurses, insurance companies and third party payers. Posted 7 days ago Patient Financial Specialist - Financial Services. Christus Health Responsible for the duties and services that are of a support nature to the RCBS High Performance Work Teams. Ensures that all processes are performed in a timely and efficient manner. Performs assigned duties such as, cash posting, customer service, data entry and reviewing of claims for proper billing/collections. Responsible for performing billing, collections and reimbursement services of claims and duties to hospitals supported by the RCBS. In doing so, ensures that all claims billed and collected meets all government mandated procedures for Integrity and Compliance. Performs billing, collections and reimbursement services in a prompt and efficient manner. Provides thorough, courteous and professional assistance to patients, physician offices, insurance companies and other clients on an as needed basis while maintaining strictest confidence. Documents, forwards, resolves incoming mail and correspondence. Demonstrates a level of accountability to ensure data and codes are not changed on claims prior to submission if related to diagnosis, charge and/or other clinical type data that RCBS would not have knowledge of. Ensures all Compliance errors are reported to the Director and maintain records and files of documentation supporting bill changes that are directed by Director and/or Integrity Officer. Responsible to ensure successful implementation of Governmental Regulatory Billing changes, including but not limited to Medicare OPPS effective August 1, 2000. Posted 7 days ago Appeals and Grievance Nurse Registered Nurse II PRN. Christus Health Responsible for the management and communication of denials/appeals received from third party payers, managed care companies, and/or government entities/auditors related to medical necessity and/or level of care. This associate will be a liaison and point of contact for clinical denials and appeal inquiries. The Clinical Appeals Nurse will review each case identified/referred for appeal based on Milliman Care Guidelines (MCG), InterQual, and/or other relevant guidelines, determined the viability of the appeal, and manage the appeal process. The Clinical Appeals Nurse is responsible for appealing all inappropriate denials through all possible levels of the appeal process. The RN Clinical Appeals Nurse will actively manage, maintain and communicate denial/appeal activity to appropriate stakeholders, and report suspected or emerging trends related to payer denials. Working with Case Management leadership, this individual will orchestrate education and other performance improvement initiatives to impact clinical quality, improve efficiency and mitigate lost revenue related to medical necessity denials. Key Performance and trends related to denials/appeals will be reported to the facility. Posted 7 days ago Utilization Management Nurse III - Case Management. Christus Health The Utilization Management Nurse III is responsible for determining the clinical appropriateness of care provided to patients and ensuring proper hospital resource utilization of services. This Nurse is responsible for performing a variety of pre-admission, concurrent, and retrospective UM related reviews and functions. They must competently and accurately utilize approved screening criteria (InterQual/MCG/Centers for Medicare and Medicaid Services “CMS” Inpatient List). They effectively and efficiently manage a diverse workload in a fast-paced, rapidly changing regulatory environment and are responsible for maintaining current and accurate knowledge regarding commercial and government payors and Joint Commission regulations and guidelines related to UM. This Nurse effectively communicates with internal and external clinical professionals, efficiently organizes the financial insurance care of the patients, and relays clinical data to insurance providers and vendors to obtain approved certification for services. The Utilization Management Nurse collaborates as necessary with other members of the health care team to ensure the above according to the mission of CHRISTUS. Posted 7 days ago Revenue Agent GS-14. Internal Revenue Service As a Revenue Agent (Examiner) at the GS-14 grade level, you will independently examine and investigate significant tax compliance issues involving complex income tax returns filed by individuals or organizations. Revenue Agents (Examiners) are known for their ability to accomplish comprehensive analytical examinations of tax returns to determine tax liability and violations of Federal tax statutes and to make fair and impartial recommendations for criminal prosecution and civil penalties. You’ll use your skills and knowledge to perform professional accounting work, as well as provide expert accounting and financial management advice and assistance to higher levels of management. You’ll examine accounting and financial information systems that reflect a variety of complex financial operations, including serving as a team lead. Posted 7 days ago
