Jobs in Leon Valley Texas Remote

POSITION SUMMARY/RESPONSIBILITIES

Assists Community First Health Plan (CFHP) members regain optimum health or improved functional capacity by ensuring that members have access to all of the health care services they need in the most efficient and effective manner possible. Responsibilities include but are not limited to overseeing the allocation of resources, cost and quality of health care for members; coordinating care between the primary care physician, community resources, family and member; coordinating care across the health care continuum while monitoring and managing benefit utilization; and, collaborating with multi-disciplinary health care team members in identifying the educational and discharge needs of members.

EDUCATION/EXPERIENCE

Registered Nurse (RN) is required. Bachelor of Science in Nursing (BSN) or Master’s degree is preferred. Minimum three (3) years nursing, acute care, quality management or managed care experience is required. Basic knowledge of Medicaid, Medicare, community resources and alternate funding programs is desired. Knowledge of InterQual screening criteria as well as DRG, ICD and CPT coding is preferred.

LICENSURE/CERTIFICATION

Current licensure as a Registered Nurse with the Texas State Board of Nurse Examiners is required. Current certification from an appropriate professional agency, such as Case Management Society, is preferred.

Nurse Leadership Opportunity!

This is a wonderful opportunity for a motivated, self-starter who is seeking a supervisory position and a new challenge!

University Health System 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.
  

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
  
• Level I Trauma Center
  
• Teaching Hospital
  
• Nurse Residency Program
  
• RN Loan Repayment Program
  
• Nationally certified nursing staff
  
• Regionally, nationally and internationally recognized
  

Requirements:

Current RN license from the Texas Board of Nursing BSN highly preferred American Heart Association Healthcare Provider card

POSITION SUMMARY/RESPONSIBILITIES

The RN Service Coordinator-RN (RN-SC) contributes to the Long Term Services and Supports (LTSS) service coordination process by performing activities within the scope of licensure; provides supervision and direction to staff participating in Member’s cases following applicable state law and contract; develops, monitors, evaluates, and revises the Members’ care plans to meet Member’s needs, to optimize health care across the care continuum to enhance the Member's well-being, independence, integration in the community, and potential for productivity.  The RN-SC conducts a holistic assessment of the Member's dynamics, needs, and preferences while providing education and health-related information to the Member, the Member’s Legal Authorized Representative (LAR), and the Member’s Support Network. Responsible for the coordination of STAR+PLUS Members' covered and non-capitated services, including acute and LTSS, while meeting the Member's physical, behavioral, functional, and psychosocial needs. Complies with policies, procedures, and protocols for establishing and maintaining good working relationships with co-workers, employees, patients, and guests.

EDUCATION/EXPERIENCE

Graduation from an accredited school of professional nursing or social work is required. BSN is preferred. Four (4) recent years of clinical experience preferred, which may include service coordination, case management, quality management, or managed care experience. Working knowledge of HMO standards, LTSS, and NCQA standards is preferred. Knowledge of Medicare and Medicaid HMO experience is preferred. Experience in meeting the needs of vulnerable populations who have chronic or complex conditions is required. Bilingual, English/Spanish, is preferred.

LICENSURE/ CERTIFICATION

A current, unrestricted license to practice professional nursing issued by the State of Texas is required. RUG Certification is required and must be obtained within 30 days of employment for all RN candidates.

 

POSITION SUMMARY/RESPONSIBILITIES

            In collaboration and consultation with physicians and other healthcare professionals, the nurse practitioner provides evidence-based, quality, compassionate, and holistic care to inpatients and their families.

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 are required, and two years of advanced practice are preferred. 

LICENSURE/CERTIFICATION

            Must be currently licensed as a registered nurse in Texas and credentialed by the statee to practice as anadvancedd nurse practitioner. Must maintain current AHA BLS or higher in accordance with medical-dental staff bylaws. Prescriptive authority is required. A valid DEA number must be obtained within 90 days of hire. Certification by a national nursing body is required. 

Senior Stop Loss Underwriter

Location: United States (Hybrid/Remote options available)

Salary Range: $85,000–$105,000 + bonus/benefits.

A growing insurance organization is seeking a Senior Stop Loss Underwriter to join its expanding team. This is an exceptional opportunity to work in an entrepreneurial, collaborative environment with the stability of a larger organization.

What You’ll Do

• Develop sound specific and aggregate stop loss pricing recommendations for prospective and inforce employer stop loss accounts
• Analyze large claims datasets to identify medical expense drivers prior to nurse review
• Partner with internal sales teams, brokers, TPAs, and clients to drive growth and implement successful plan designs
• Participate in the sales process by providing underwriting guidance and strategy
• Make independent underwriting decisions within authority limits while maintaining thorough documentation
• Mentor junior underwriters, analysts, and trainees
• Collaborate with administration to ensure audit compliance and adherence to underwriting policies
• Maintain a profitable book of business aligned with departmental goals

What We’re Looking For

• Bachelor’s degree (or equivalent work experience)
• Minimum 5 years of experience in medical stop loss underwriting
• Deep knowledge of healthcare payers, plan administration, and medical service providers
• Strong analytical, risk management, and pricing skills
• Exceptional organizational, time management, and attention to detail
• Excellent communication and interpersonal skills, capable of collaborating with internal and external stakeholders
• Comfortable in a fast-paced, evolving environment

Why This Role

• Opportunity to lead and shape underwriting decisions for a growing portfolio
• Work in a high-impact, entrepreneurial culture with strong leadership support
• Competitive compensation, bonus, and benefits package
• Meaningful role contributing to organizational growth and client success

Interested candidates are encouraged to send their resume directly to Kyle Archer at

Job Title : GIS Specialist (Hybrid/Exp in utilities/oil/gas/power Industry preferred)

Job Description :

Seeking a GIS Analyst that will develop an understanding of current data state, workflows and processes and develop solutions for integrations, transformations, and deliverables.

This will include GIS data analysis, data mining, technical support, and database maintenance to meet internal and external customer requirements.

• Requires demonstrated ability to solve complex problems and recommend the best track for data development and processing.
• Project work will involve process improvement, quality control, data creation from spatial and tabular sources, conversion, migration, and maintenance.
• Bachelor’s degree in geography (GIS), engineering, computer science, or related field and 3+ years experience in industry standard GIS.
• GIS certificate and 3 years of related work experience in lieu of a degree in related discipline
• 1+ years in a utility or pipeline GIS

Job Responsibilities:

• Proficiency with linear referencing techniques and concepts is highly recommended
• Knowledge of the Utility and Pipeline Data model (UPDM) is highly recommended.
• Technical project tasks, including database design, advanced GIS analysis and modeling
• Performs data mining activities to meet customer requirements/specifications
• Provides specialized queries, maps and reports to meet customer requirements/specifications
• Performs application testing and documentation of defects
• Interfaces with users; documents requested/needed changes
• Identifies new GIS technologies/processes/applications to improve inter-/intra- departmental functions
• Creates and maintains existing automated processes using Model Builder/Python scripting or other tools
• Processes, prepares and converts data to enter into GIS from a variety of data formats •
• Analyzes current business processes and recommends best practice solutions • Perform QA/QC on version data that pushes to the production environment Knowledge, Skills & Abilities
• Esri ArcGIS Pro – advanced proficiency
• Esri ArcGIS 10.2x – advanced proficiency
• Linear referencing - advanced proficiency
• MS Office suite (Access, Excel, Word, PowerPoint, Visio) – advanced proficiency
• FME by Safe Software – intermediate proficiency
• Esri ArcGIS Enterprise – intermediate proficiency
• Utility Network – intermediate proficiency
• Model Builder – intermediate proficiency
• Python – intermediate proficiency
• SQL RDBMS – intermediate proficiency
• AutoCAD/CADD – basic proficiency
• Visual Basic/VBA – basic proficiency
• SharePoint – basic proficiency
• Excellent verbal and written communication skills
• Excellent geoprocessing and spatial analysis skills
• Strong requirements review, analytical, and problem solving skills
• Application testing script development and performance of testing
• Ability to quickly learn and apply new technologies
• Ability to function independently and as a team member
• Ability to handle multiple assignments and changing priorities •
• Ability to work effectively with limited direct supervision Travel (Up to...): 5%

Sr. IT Project Manager – Salesforce/Hybrid/Direct Hire 5006

Tier4 Group is seeking a strategic, high‑impact Senior Project Manager who thrives on understanding the why behind every project and translating business needs into clear, actionable delivery plans. You’ll join a fast‑paced Technology team where purpose, clarity, and execution discipline are essential.

This role requires someone with proven Salesforce migration experience, exceptional communication skills, and the ability to drive complex projects while keeping teams aligned on outcomes—not just tasks.

What You’ll Do

Lead Projects with Purpose & Clarity

• Develop project plans rooted in a deep understanding of business objectives and user impact
• Clearly communicate the why behind decisions, priorities, and approaches
• Translate strategic goals into measurable milestones and delivery timelines

Drive End-to-End Delivery

• Oversee all phases of project execution (planning, build, testing, deployment, stabilization)
• Track progress, manage dependencies, and proactively address gaps
• Provide timely, clear status updates tailored to both technical and business audiences

Manage Risks & Issues with Business Context

• Identify, document, and manage risks and issues
• Communicate impacts in terms of business value and customer outcomes
• Drive accountability with owners and action plans

Enable Team Performance & Remove Barriers

• Facilitate cross-team collaboration and remove roadblocks
• Foster a clear, purpose-driven environment where teams understand why their work matters
• Ensure alignment between business partners, developers, and leadership

Champion Agile Ways of Working

• Lead Agile ceremonies with a focus on transparency, learning, and continuous improvement
• Guide teams through effective standups, retrospectives, grooming, and prioritization
• Ensure Agile practices are being used to deliver value—not just followed as process

Additional Responsibilities

• Lead Salesforce migration and/or enhancement projects
• Manage two or more Agile delivery projects simultaneously
• Perform other related duties as needed

What You Bring

Required Experience

• 5+ years of Project Management experience (8+ preferred)
• Hands-on Salesforce migration experience (required)
• Proven ability to manage multiple concurrent projects using Agile methodologies
• Strong ability to understand and articulate the why behind initiatives
• Excellent communication skills—able to explain complex topics to both technical and non-technical audiences
• Experience working with third-party development or infrastructure partners
• Proficiency with tools such as Jira and Confluence (Atlassian suite)

Preferred Skills

• Experience supporting or working within a lightweight PMO or structured project delivery environment
• Experience with value-based prioritization or intake processes

Assistant Project Manager

Construction | Chicago, IL | Hybrid Flexibility

A globally recognized Architecture, Engineering, and Construction firm is seeking an Assistant Project Manager to join their downtown Chicago office. This firm delivers complex, high profile projects across the United States and internationally, with a diverse portfolio including industrial, residential, commercial, education/public, mixed use, and hospitality developments valued up to $200M+.

This role offers the opportunity to support the delivery of large scale projects while working within a fully integrated AEC delivery model alongside architecture, engineering, and construction teams.

The Opportunity

• The Assistant Project Manager will support senior project leadership in the planning and execution of construction projects from preconstruction through completion. This role will assist with coordination across project teams, consultants, subcontractors, and clients to ensure projects are delivered safely, on schedule, and within budget.
• You will gain exposure to complex projects across multiple sectors while developing your leadership and project management capabilities within a collaborative AEC environment.

Key Responsibilities

• Support the planning and execution of construction projects valued up to $200M+.
• Assist in managing projects from preconstruction through project closeout.
• Coordinate with project managers, superintendents, project engineers, and subcontractors to maintain project progress.
• Work closely with internal architectural and engineering teams within the integrated AEC environment.
• Assist with project financial tracking including budgets, cost reporting, forecasting, and change management.
• Help maintain project schedules, documentation, and reporting.
• Support communication between clients, consultants, subcontractors, and internal teams.
• Participate in project meetings and assist in tracking action items and deliverables.
• Ensure project documentation complies with safety standards, contractual requirements, and company procedures.

Qualifications

• 2 to 6 years of construction project management experience.
• Experience supporting commercial, mixed use, residential, industrial, hospitality, or institutional construction projects preferred.
• Exposure to projects valued $10M to $100M+.
• Strong organizational and coordination skills.
• Ability to support project financials, schedules, and documentation.
• Excellent communication and teamwork capabilities.
• Bachelor’s degree in Construction Management, Engineering, Architecture, or related field preferred.

Why Join

• Globally respected Architecture, Engineering, and Construction firm with an international project portfolio.
• Opportunity to work on complex projects across multiple sectors.
• Strong mentorship and career progression toward Project Manager and Senior Project Manager roles.
• Collaborative environment working alongside architecture and engineering teams in an integrated delivery model.
• Downtown Chicago office with a hybrid work schedule with 2 days work from home.

Position Title: Clinical Informaticist

Location: Chicago, IL (Hybrid)

Interview Mode: MS Teams Video Call/ Onsite Interview

Approximate Duration: (Open-ended Contract will extend for multiple years)

Domain: Hospital/Healthcare

Clinical Informaticist

This position is part of the Clinical Informatics team, and works in close partnership with operations leaders, clinical leaders, and the Information Systems EMR team to coordinate successful implementation, system optimization, and improvements to the use of EMR. This position is expected to work at all facilities to support all projects related to the EMR.

Minimum Qualifications

• Minimum 5 years prior experience in a clinical capacity including experience with EMR implementation and or design.
• Flexibility in the work schedule is required, including the ability to work on-site in Chicago as needed and remotely when the situation allows.

Preferred Qualifications

• Bachelor’s Degree required
• Master’s degree in Nursing, Health Informatics, Healthcare Administration, or a related field preferred.
• Experience with Cerner EMR
• Minimum of 2 years direct experience in planning, managing, and implementing large-scale, complex clinical information systems experience.

Knowledge, Skills, Abilities

• Responsible for all aspects of planning, design, development, implementation, maintenance and evaluation of the clinical information systems for clinical departments.
• Analyzes current and future end-user department requirements, procedures, and workflow, in order to provide application solutions that support and improve organization, division, and/or department operations.
• Collaborates with end-users to help define health care information problems and identifying solutions. Participates in facility wide process improvement teams related to clinical information systems.
• In-depth knowledge of EHR systems (e.g., Cerner, Epic), clinical decision support tools, healthcare information technology, and Systems Development Life Cycle.
• Proficient in Microsoft Office Suite, including Visio

Responsibilities & Typical Duties

• The Clinical Informaticist may work all shifts, including first, second, and third, as well as weekends and holidays if periodically required.
• The role will allow remote work and on-site work with a variable schedule
• Be able to travel to occasionally travel to sites beyond the main campus.
• When on-site, work in a vacant classroom or a hoteling space

Benefits:

• Dental insurance
• Health insurance
• Vision insurance

Work Location: Hybrid remote in Chicago, IL 60612