Jobs in Leming, TX
453 positions found — Page 6
University Health is Bexar County and South Texas' first health system to earn Magnet status from the American Nurses Credentialing Center (ANCC). Magnet hospitals and health systems offer patients reassurance that they are being cared for by a team with a proven track record for providing excellent care and positive outcomes for their patients.
University Hospital still serves as the primary teaching facility for UT Health San Antonio and is the premiere Level I trauma center for South Texas and the region’s only pediatric Level I trauma center. University Hospital is also home to the highest level neonatal intensive care unit and the region’s only Joint Commission accredited Comprehensive Stroke Center.
Why should you work for University Health?
Most up-to-date advancements in nursing
Level I Trauma Center
Teaching Hospital
Nurse Residency Program
RN Loan Repayment Program
Nationally certified nursing staff
Regionally, nationally and internationally recognized
Why Should You Apply?
- We offer exceptional pay and opportunities for advancement.
- Continuing Education
- Gym membership discounts
- Comprehensive benefits package including pet insurance
Requirements:
- BSN highly preferred
- Current RN license from the Texas Board of Nursing
- American Heart Association Healthcare Provider card
This is a wonderful opportunity for a motivated, self-starter who is seeking a supervisory position and a new challenge!
University Health is Bexar County and South Texas' first health system to earn Magnet status from the American Nurses Credentialing Center (ANCC). Magnet hospitals and health systems offer patients reassurance that they are being cared for by a team with a proven track record for providing excellent care and positive outcomes for their patients.
What sets us apart?
- Most up-to-date advancements in nursing
- Home to the only Level I trauma center in South Texas
- Nationally certified nursing staff
- Regionally, nationally and internationally recognized
Position Summary:
The Registered Nurse Manager (Patient Care Coordinator-PCC) will be responsible for performing expert leadership skills in management of staff and coordination of patient care activities. The professional RN will work collaboratively with all healthcare providers and non-health care providers. Will serve as a mentor and role model for all staff and will receive mentoring for the Nursing Director.
Requirements:
- Must have a current Texas RN licensure
- BSN Required
- BLS from the American Heart Association and national certification in related field are required.
- Three (3) years recent, full-time hospital experience with a minimum of two (2) years in an equivalent management capacity is also required.
Serves as member of health care team that provides specialized health care including preventive care and on-going health maintenance for selected groups of patients. Functions in a variety of settings ranging from ambulatory to inpatient. Participates in the care of well, acutely ill and chronically ill patients.
EDUCATION
A Registered Professional Nurse who is prepared for advanced nursing practice by virtue of knowledge and skills obtained through an accredited post basic or advanced educational program of study acceptable to the Board of Nurse Examiners. A Master’s degree in nursing is preferred. Must be a participating Medicare provider or eligible to obtain a Medicare provider number. Three years of nursing experience is required and two years of advanced practice is preferred.
LICENSURE/CERTIFICATION
Must be currently licensed as a Registered Nurse in Texas and credentialed by the State to practice as an Advanced Nurse Practitioner. Must maintain current AHA BLS or higher in accordance with Medical-Dental staff bylaws. Prescriptive authority is required. Valid DEA number must be obtained within 90 days of hire. Certification by a national nursing body is required.
University Hospital serves as the primary teaching facility for UT Health and is a Level I Trauma Center.
Why should you work for University Health?
Most up-to-date advancements in nursing
Level I Trauma Center
Teaching Hospital
Nurse Residency Program
RN Student Loan Repayment Program
Nationally certified nursing staff
Regionally, nationally and internationally recognized
Why Should You Apply?
- We offer exceptional pay and opportunities for advancement.
- Continuing Education
- Gym membership discount
- Comprehensive benefits package including pet insurance
Requirements:
- BSN highly preferred
- Current RN license from the Texas Board of Nursing
- American Heart Association Healthcare Provider card
University Hospital serves as the primary teaching facility for UT Health and is a Level I Trauma Center.
Why should you work for University Health?
Most up-to-date advancements in nursing
Level I Trauma Center
Teaching Hospital
Nurse Residency Program
RN Student Loan Repayment Program
Nationally certified nursing staff
Regionally, nationally and internationally recognized
Why Should You Apply?
- We offer exceptional pay and opportunities for advancement.
- Continuing Education
- Gym membership discount
- Comprehensive benefits package including pet insurance
Requirements:
- BSN highly preferred
- Current RN license from the Texas Board of Nursing
- American Heart Association Healthcare Provider card
Serves as member of health care team that provides specialized health care including preventive care and on-going health maintenance for selected groups of patients. Functions in a variety of settings ranging from ambulatory to inpatient. Participates in the care of well, acutely ill and chronically ill patients.
EDUCATION
A Registered Professional Nurse who is prepared for advanced nursing practice by virtue of knowledge and skills obtained through an accredited post basic or advanced educational program of study acceptable to the Board of Nurse Examiners. A Master’s degree in nursing is preferred. Must be a participating Medicare provider or eligible to obtain a Medicare provider number. Three years of nursing experience is required and two years of advanced practice is preferred.
LICENSURE/CERTIFICATION
Must be currently licensed as a Registered Nurse in Texas and credentialed by the State to practice as an Advanced Nurse Practitioner. Must maintain current AHA BLS or higher in accordance with Medical-Dental staff bylaws. Prescriptive authority is required. Valid DEA number must be obtained within 90 days of hire. Certification by a national nursing body is required.
Serves as member of health care team that provides specialized health care including preventive care and on-going health maintenance for selected groups of patients. Functions in a variety of settings ranging from ambulatory to inpatient. Participates in the care of well, acutely ill and chronically ill patients.
EDUCATION
A Registered Professional Nurse who is prepared for advanced nursing practice by virtue of knowledge and skills obtained through an accredited post basic or advanced educational program of study acceptable to the Board of Nurse Examiners. A Master’s degree in nursing is preferred. Must be a participating Medicare provider or eligible to obtain a Medicare provider number. Three years of nursing experience is required and two years of advanced practice is preferred.
LICENSURE/CERTIFICATION
Must be currently licensed as a Registered Nurse in Texas and credentialed by the State to practice as an Advanced Nurse Practitioner. Must maintain current AHA BLS or higher in accordance with Medical-Dental staff bylaws. Prescriptive authority is required. Valid DEA number must be obtained within 90 days of hire. Certification by a national nursing body is required.
Remote working/work at home options are available for this role.
Conducts comprehensive clinical reviews of adverse determinations related to medical necessity.
Initiates outreach to providers to obtain clarification or additional documentation in alignment with established clinical criteria and organizational policies, to support Medical Director decision making.
Provides support for claim appeals in relation to medical necessity.
Ensures the timely and accurate resolution of appeal cases and supports organizational adherence to all state, federal, and accreditation standards.
Facilitates member second level appeal process.
Graduate from an accredited school of professional nursing is required.
BSN preferred.
Minimum 2 years acute care experience or managed care experience is required.
Basic knowledge of Medicaid, Medicare preferred.
Knowledge of InterQual screening criteria, ICD-10, CPT coding preferred.
Current Registered Nurse (RN) license to practice professional nursing issued by the Board of Nurse Examiners for the State of Texas is required.
Active Certification in Case Management (CCM) is preferred.
Remote working/work at home options are available for this role.
Identifies Community First Health Plan members with specific health care needs and provides case management interventions.
Analyzes, approves health care services and monitors outpatient care planning for Community First Health Plans members based on established criteria, plan policies and procedures.
Formulates and communicates case management plans that efficiently utilize health care services to move the member along the continuum of care towards optimum outcomes in the safest, most cost effective manner.
Graduation from an accredited school of professional nursing is required, BSN preferred.
Master's degree is preferred.
Minimum three years' acute care experience or managed care experience is required.
Minimum one-year of concurrent review experience is required.
Candidate must have utilization management and/or quality assurance experience.
Basic knowledge of Medicaid, community resources and alternate funding programs is desired.
Knowledge of InterQual screening criteria as well as DRG, ICD-9 and CPT coding is preferred.
Current Registered Nurse license to practice professional nursing issued by the Board of Nurse Examiners for the State of Texas is required.
Active Certification in Case Management (CCM) designation is preferred.
Serves as member of health care team that provides specialized health care including preventive care and on-going health maintenance for selected groups of patients. Functions in a variety of settings ranging from ambulatory to inpatient. Participates in the care of well, acutely ill and chronically ill patients.
EDUCATION
A Registered Professional Nurse who is prepared for advanced nursing practice by virtue of knowledge and skills obtained through an accredited post basic or advanced educational program of study acceptable to the Board of Nurse Examiners. A Master’s degree in nursing is preferred. Must be a participating Medicare provider or eligible to obtain a Medicare provider number. Three years of nursing experience is required and two years of advanced practice is preferred.
LICENSURE/CERTIFICATION
Must be currently licensed as a Registered Nurse in Texas and credentialed by the State to practice as an Advanced Nurse Practitioner. Must maintain current AHA BLS or higher in accordance with Medical-Dental staff bylaws. Prescriptive authority is required. Valid DEA number must be obtained within 90 days of hire. Certification by a national nursing body is required.