Jobs in Leon Valley Tx Bexar County, TX
1,545 positions found — Page 6
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.
POSITION SUMMARY/RESPONSIBILITIES
Supports the Director, Infection Control, in providing a robust, comprehensive health system wide infection control program in accordance with current standards of practice and in compliance with regulatory agencies and governmental policies and procedures. The principle goals of the infection control program include protecting patients, healthcare workers, volunteers, students, visitors, and others in the healthcare environment; and accomplishing the goals in a cost-effective manner
EDUCATION/EXPERIENCE
Minimum of five years of infection prevention experience within a hospital setting required with a Baccalaureate degree in nursing or higher required. Three years of recent infection prevention experience in an acute care hospital setting is required. Preferred: post-graduate courses in epidemiology, infection prevention or disease control, completion of CDC or APIC sponsored infection prevention training is desirable. Supervisory and managerial experience is desirable. Working knowledge of statistics and epidemiological principles is required. Computer skills required include proficiency in the following Microsoft Office applications: Word, Excel, PowerPoint; graphics display programs such as QI Macros, as well as a level of comfort with learning and adapting to new programs
LICENSURE/CERTIFICATION
Current certification in Infection Prevention and Control by the Certification Board of Infection Control and Epidemiology is required. Must have current State of Texas professional nursing licensure
Graduation from an accredited school of nursing with current RN licensure in the State of Texas, BSN preferred.
National certification (e.g.
CCRN, RNC, CEN, CNOR, OCN, ANCC, CAN, CPAN, CFRN, etc.) in related field is preferred.
Three years recent, full-time hospital experience preferred.
Work experience in case management, utilization review or hospital quality assurance experience is preferred.
Must complete a Clinical Documentation Improvement Course within specified time of hire date.
Current license from the Board of Nurse Examiners of the State of Texas to practice as a registered nurse is required.
National certification in related field is preferred.
Case Manager Certification (CCM or ANCC) is highly desirable.
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. We were named as a Top Workplace for 2021 by the San Antonio Express News.
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.
- Comprehensive benefits package including pet insurance
- Continuing Education
- Gym membership discounts
Requirements:
- BSN highly preferred
- Current RN license from the Texas Board of Nursing
- American Heart Association Healthcare Provider card
POSITION SUMMARY/RESPONSIBILITIES Develops, implements, and evaluates professionally competent, comprehensive individual and group treatment programs for all medically referred patients.
Participates and initiates educational, administrative, managerial, and quality control duties.
Performs professionally competent physical therapy treatment programs and related documentation on all assigned patient programs efficiently and timely.
Participates with other members of the health care team to achieve maximum patient benefit and efficiency.
Participates in and contributes to educational programs.
Serves as a Clinical Instructor for various levels of physical therapist and/or physical therapist assistant students as assigned.
Assists with supervision and evaluation of assigned staff or volunteers.
EDUCATION/EXPERIENCE Two years experience as a physical therapist is required.
Supervisory and/or clinical teaching experience and additional clinical experience is preferred.
Meets clinical and leadership activities and behaviors as defined in the clinical ladder or equivalent.
LICENSURE Licensure by the Executive Council of Physical and Occupational Therapy Examiners as an Physical Therapist is required.
Must have a current AHA BLS Healthcare Provider or AHA BLS Instructor Provider card.
Ambulatory Therapist must be a participating Medicaid and Medicare provider or be eligible to obtain a Medicaid and Medicare provider number.
POSITION SUMMARY/RESPONSIBILITIES
Provides direct and indirect nursing care to patients in the Ambulatory setting in accordance with UH policies and standards. Supports and promotes University Health values to ensure patient/guest relations. Performs the nursing process in a safe therapeutic manner in a designated clinic setting. Maintains, facilitates and promotes department policies and standards.
EDUCATION/EXPERIENCE
Graduation from an accredited school of vocational nursing is required. Two years or more experience in health care delivery as an LVN is required ACLS certification may be required based on site location.
LICENSURE
Must possess a current license to practice Vocational Nursing in the State of Texas. Must have a current AHA BLS Healthcare Provider or AHA BLS Instructor Provider card.
POSITION SUMMARY/RESPONSIBILITIES
Trains patients and care partners on self-care home hemodialysis (HHD) or peritoneal dialysis (PD) techniques, equipment use, infection control, and emergency procedures. Home Dialysis nurses will also conduct home visits to assess the environment and ensure safety and compliance. Home Dialysis nurses will also be required to take on call responsibilities for patient and care partner support during and after office hours, and on holidays. Performs the nursing process in a safe therapeutic manner in a designated clinical setting. Provides direct patient care (HHD/CAPD/CCPD) and monitoring of renal dialysis patients. Coordinates home dialysis activities within the frame work of the Federal Regulations, State and Local End Stage Renal Disease Network. Supports and adheres to University Health and department specific policies and standards. Receives mentoring from the Patient Care Coordinator and Director of Dialysis Services.
EDUCATION/EXPERIENCE
Registered nurse who has at least 2 years of experience as an RN, and six months experience in the specific home dialysis modality. BSN is highly preferred. Must meet career ladder Staff Nurse II criteria for specialty area worked. National Certification in Dialysis is preferred. Must have current American Heart Association, Basic Cardiac Life Support and Healthcare Provider card.
LICENSURE/CERTIFICATION
Must be a Registered Nurse currently licensed in the state of Texas.
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 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
POSITION SUMMARY/RESPONSIBILITIES Serves as a clinical expert, educator, and mentor to float between the Retama and Palto Alto Hospitals.
Functions in a team environment to provide support to clinical practice.
EDUCATION/EXPERIENCE BSN is required.
A national certification is required.
Minimum of two years of full-time nursing experience required, five years preferred.
Demonstration of experience in curriculum development and implementation of adult learning principles is required.
LICENSURE State of Texas Licensure as a Registered Nurse is required.
Current American Heart Association Basic Cardiac Life Support and Health Care Provider card is 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. We were named as a Top Workplace for 2021 by the San Antonio Express News.
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.
- Comprehensive benefits package including pet insurance
- Continuing Education
- Gym membership discounts
Requirements:
- BSN highly preferred
- Current RN license from the Texas Board of Nursing
- American Heart Association Healthcare Provider card
