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 Patient Access Representative - Admitting. Christus Health Patient Access representatives facilitate a welcome and easy access to the facility / clinics and are responsible for establishing an encounter for any patient who meets the guidelines for exceptional customer service. Patient Access staff ensures that all data entry is accurate including demographic and financial information for each account. Patient Access has numerous procedural requirements including data elements, insurance verification, authorization for services, and collections for all patient portions including prior balances. Patient Access staff is responsible for the successful financial outcome of all patient services. Patient Access is responsible for ensuring the hospital maintains compliance with Federal regulations, JCAHO, and Department of Health and Hospital compliance standards. Patient Access communicates directly with patients and families, physicians, nurses, insurance companies and third party payers. This position requires professional appearance, and behavior, good communication skills and effective organizational skills. Patient Access representatives require dependability, flexibility, and teamwork. Posted 7 days ago Progressive Care Registered Nurse. Methodist Hospital Texsan Do you want to join an organization that invests in you as a(an) Progressive Care Registered Nurse? At Methodist Hospital Texsan, you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible team members over the course of three years. Posted 7 days ago RN, Registered Nurse -CVOR Surg General. Christus Health CHRISTUS Santa Rosa Hospital - Westover Hills (CSRH-WH) is a 150-bed hospital serving the fastest growing area of San Antonio. Specialized care includes orthopedic and surgical services, ICU, women’s services, a newborn nursery, comprehensive cardiovascular care from diagnostics to open heart surgery, vascular lab, sleep center, emergency services, the CHRISTUS Weight Loss Institute, wound care, rehabilitation, and more. The campus also boasts an Outpatient Imaging Center and three medical plazas, one of which houses our CHRISTUS Santa Rosa Family Medicine Residency Program and CHRISTUS Santa Rosa Family Health Center. Posted 8 days ago Maintenance Coordinator. Sysco This is an Operations position responsible for performing the computer keying of all maintenance records and repairs on fleet equipment into the maintenance software, answering phone calls from delivery associates and vendors regarding breakdowns, parts ordered, parts deliveries, fuel deliveries, and other fleet maintenance related duties. Posted 8 days ago Clinical Nurse Coordinator Ortho Med Surg. Methodist Hospital Texsan The Clinical Nurse Coordinator (CNC) ensures and delivers high quality, patient-centered care and coordination of all functions in the unit/department during the designated shift. In collaboration with other members of the management team, the CNC directs, monitors, and evaluates nursing care in accordance with established policies/procedures, serves as a resource person for staff, and models a commitment to the organization’s vision/mission/values to support an unparalleled patient experience and clinical outcomes that contribute to overall departmental performance. Posted 8 days ago RN, Registered Nurse - Acute MedSurgical A. Christus Health CHRISTUS Santa Rosa Hospital - Medical Center (CSRH-MC), located in the South Texas Medical Center, provides a high-level of care through compassionate hands, experience physicians, and advanced technology, including the da Vinci Surgical Robot System and the Mako™ Robotic-Arm Assisted System. Services at the 178- bed facility include Acute Care of the Elderly Unit, cardiology, diabetes care, emergency care, general surgery, kidney transplantation at the CHRISTUS Transplant Institute, orthopedics, outpatient rehabilitation and aquatic therapy, Senior Behavioral Health Center, urology, and the Wound Care and Hyperbaric Center. Posted 9 days ago RN, Registered Nurse - IMC Telemetry. Christus Health CHRISTUS Santa Rosa Hospital - New Braunfels (CSRH-NB), nestled in the heart of downtown New Braunfels, is a full-service, 94-private bed facility that continues to expand to meet the needs of New Braunfels’ strong population growth. Innovative equipment and procedures are utilized, including an Outpatient Imaging Center, orthopedic and surgical services, rehabilitation, a renovated birthing center, including 24/7 neonatal coverage, emergency care, wound care/hyperbaric center, 3D mammography, and comprehensive heart care, from diagnostics to open-heart surgery. Posted 9 days ago RN, Registered Nurse - ECC Emergency Care. Christus Health CHRISTUS Santa Rosa Health System is about people. People we meet and care for; people whose lives we enhance, and those whose lives we save. CHRISTUS is about the people who work here: our award-winning medical staff, dedicated housekeeping staff, compassionate nurses and patient-focused ancillary staff. We're about people who need us, from small bumps to massive trauma, no matter their economic bracket. We're about the people of San Antonio, New Braunfels, and all the South Texas communities we serve. Since 1869, CHRISTUS Santa Rosa Health System has grown and flourished just as South Texas has grown. We remain the only Catholic faith-based, non-profit health care system in San Antonio and New Braunfels. Our healing ministry now includes five full-service hospitals with 1,159 licensed beds, and a number of specialty centers. Posted 9 days ago RN, Registered Nurse - Post Surgical PACU - PRN. Christus Health The competent Nurse, in the same or similar clinical setting, practices independently and demonstrates an awareness of all relevant aspects of a situation. Provides routine and complex care, with the ability to on long-range goals or plans. Continues to develop the ability to cope with and manage contingencies of clinical nursing. Makes appropriate assignments and delegates to other care providers as a means to help manage the clinical situation. Posted 9 days ago
