Jobs in Macdona, TX
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Assumes the responsibilities of leadership in designated clinic setting to ensure efficient and appropriate administration of care. Supports and maintains the University Health as well as the clinic’s departmental policies and standards.
EDUCATION/EXPERIENCE
BSN preferred, ADN required. Experience in multiple areas of healthcare or specialty areas with at least 10 years of nursing experience. Must meet career ladder Staff Nurse II criteria for worked area. American Heart Association, Basic Cardiac Life Support and Healthcare Provider card highly preferred.
LICENSURE
Current Registered Nurse licensure from the Board of Nurse Examiners of the State of Texas is required.
The Advanced Practice Provider (APP) will provide comprehensive outpatient care to patients under the supervision and collaboration of interventional cardiologists. The APP will evaluate, diagnose, and manage patients with cardiovascular disease, focusing on continuity of care before and after interventional procedures. This role emphasizes outpatient clinic management, coordination of patient care, and integration with inpatient and procedural services to optimize outcomes and patient satisfaction.
Key Responsibilities
Clinical Care
- Conduct new patient consultations, follow-up visits, and post-procedure evaluations in the outpatient clinic.
- Perform focused histories, physical examinations, and order/interpret diagnostic test results (e.g., echocardiograms, stress testing, vascular studies, labs).
- Supervise cardiac stress tests (training provided if not experienced)
- Manage cardiovascular risk factors and chronic conditions (hypertension, hyperlipidemia, CAD, PAD, heart failure) under established protocols.
- Provide pre-procedure evaluation and education prior to interventional cardiology procedures.
- Deliver post-procedure follow-up, including medication adjustments, wound care, and complication monitoring.
- Collaborate with supervising physicians in the formulation and execution of treatment plans.
Care Coordination
- Facilitate seamless transitions of care between hospital, cath lab, and outpatient clinic.
- Communicate with referring physicians and primary care providers regarding patient progress and treatment plans.
- Assist with triage of referrals to the interventional cardiology clinic, prioritizing urgent cases (e.g., unstable angina, critical limb ischemia).
- Coordinate acquisition and review of outside medical records and imaging.
Education & Counseling
- Educate patients and families on disease processes, procedures, lifestyle modification, and medication adherence.
- Provide counseling on cardiovascular prevention and rehabilitation strategies.
Provides primary health care and performs selective medical services under the direction of specialty physicians. Responsible for diagnostic and therapeutic management of patients by completing medical histories, conducting physicals, establishing diagnosis through tests, and formulating treatment plans. Provides follow-up and health maintenance care of patients in accordance with protocols approved by a physician.
EDUCATION/EXPERIENCE
Successful Completion of an educational program for physician assistants or surgeon assistants accredited by the Commission on Accreditation of Allied Health Education Programs, or by that committee's predecessor or successor entities is required. One year of training in the appropriate specialty is required.
LICENSURE/CERTIFICATION
Certification by the National Commission on Certification of Physician Assistants is recommended. Must be currently licensed as a Physician Assistant in the State of Texas. Must maintain current AHA BLS or higher in accordance with Medical-Dental Staff and UMA bylaws. Valid DEA number must be obtained within 90-days of hire.
Assumes the responsibilities of leadership in designated clinic setting to ensure efficient and appropriate administration of care. Supports and maintains the University Health as well as the clinic’s departmental policies and standards.
EDUCATION/EXPERIENCE
BSN preferred, ADN required. Experience in multiple areas of healthcare or specialty areas with at least 10 years of nursing experience. Must meet career ladder Staff Nurse II criteria for worked area. American Heart Association, Basic Cardiac Life Support and Healthcare Provider card highly preferred.
LICENSURE
Current Registered Nurse licensure from the Board of Nurse Examiners of the State of Texas is required.
Why USAA?
At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families.
Embrace a fulfilling career at USAA, where our core values – honesty, integrity, loyalty and service – define how we treat each other and our members. Be part of what truly makes us special and impactful.
The Opportunity
What you'll do:
- Applies appropriate coverage and handles simple liability, evaluates, and settles high volume and low complexity auto claims with repairable vehicles.
- Resolves claims through proactive problem solving and decision making, within authority guidelines and under direct supervision, overcoming obstacles, and effectively prioritizing the workload.
- Clearly documents thought process including damage evaluation, investigation, negotiation, and settlement decisions.
- Collaborates and sets expectations with external and internal business partners to facilitate claims resolution.
- Supports members, business partners, and claimants, through use of varying communication channels to include utilization of digital tools to drive timely and effective resolutions through exceptional service.
- Acquires and applies a foundational knowledge of P&C insurance industry products, services, to include P&C insurance policy contracts, coverages and internal claims handling process and procedures.
- Applies basic knowledge of Auto Physical Damage. Supports workload surges and catastrophe (CAT) response operations as needed, including mandatory on-call dates and potential evening, weekend, and/or holiday work outside normal work hours.
- May be assigned CAT deployment travel with minimal notice during designated CATs.
- Works various types of claims, including ones of higher complexity, and may be assigned additional work outside normal duties as needed.
- Ensures risks associated with business activities are effectively identified, measured, monitored, and controlled in accordance with risk and compliance policies and procedures.
What you have:
- High School Diploma or General Equivalency Diploma.
- 1 year or more of military experience.
- Acquisition and maintenance of insurance adjuster license within week 2 of training and 3 testing attempts.
- Demonstrated ability to prioritize and multi-task, including navigating through multiple business applications.
- Successful completion of a job-related assessment may be required.
What sets you apart:
- Currently serving in the military and you will be eligible to participate in a SkillBridge program in the Spring or Summer of 2026.
- Ability to get permission from your commander to participate in the SkillBridge program.
- Junior Military Veteran
Compensation range: The salary range for this position is: $48,340 - $50,340.
USAA does not provide visa sponsorship for this role. Please do not apply for this role if at any time (now or in the future) you will need immigration support (i.e., H-1B, TN, STEM OPT Training Plans, etc.).
THIS IS A NON-FEDERAL ENTITY. IT IS NOT A PART OF THE DEPARTMENT OF DEFENSE OR ANY OF ITS COMPONENTS AND IT HAS NO GOVERNMENTAL STATUS.
Compensation: USAA has an effective process for assessing market data and establishing ranges to ensure we remain competitive. You are paid within the salary range based on your experience and market data of the position. The actual salary for this role may vary by location.
Employees may be eligible for pay incentives based on overall corporate and individual performance and at the discretion of the USAA Board of Directors.
The above description reflects the details considered necessary to describe the principal functions of the job and should not be construed as a detailed description of all the work requirements that may be performed in the job.
Benefits: At USAA our employees enjoy best-in-class benefits to support their physical, financial, and emotional wellness. These benefits include comprehensive medical, dental and vision plans, 401(k), pension, life insurance, parental benefits, adoption assistance, paid time off program with paid holidays plus 16 paid volunteer hours, and various wellness programs. Additionally, our career path planning and continuing education assists employees with their professional goals.
For more details on our outstanding benefits, visit our benefits page on
Applications for this position are accepted on an ongoing basis, this posting will remain open until the position is filled. Thus, interested candidates are encouraged to apply the same day they view this posting.
USAA is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
Provides patient care as assigned by the registered nurse.
EDUCATION/EXPERIENCE
Recent experience in area of assignment or at least one year nursing experience is preferred. Current American Heart Association, Basic Cardiac Life Support and Healthcare Provider card required. Advanced Cardiac Life Support may be required based on location site.
LICENSURE
Current LVN licensure in the State of Texas is required.
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
Coordinates the interdisciplinary treatment plan of care for patients across the healthcare continuum within the maternal patient population. Facilitates the delivery of services, evaluates effectiveness, tracks outcomes and functions as the patient advocate to identify and communicate health care needs. Works collaboratively with clinical staff, clinic leadership, and outside agencies in an effort to improve patient outcomes, compliance, and decrease complications.
EDUCATION/EXPERIENCE
Graduation from an accredited school of nursing, RN or LVN is required. A minimum three years of clinical nursing experience is required. Data entry, referral management, utilization management experience is required. Case Management experience preferred. Experience in a similar setting and working with OB patients preferred. Experience working with EPIC EMR desirable.
LICENSURE/CERTIFICATION
Current licensure in the State of Texas as an RN or LVN is required.
Serves as a member of the mental health care team that provides specialized health care for selected groups of patients in the Adult Detention Center. Participates as a part of a multidisciplinary team that includes medical and mental health. Actively supports and adheres to the University Health policies and procedures. Ensures efficient, appropriate and adequate mental health care is administered to incarcerated individuals in the Bexar County Adult Detention Center. Supports and adheres to University Health (UH) and Detention Health Care Services (DHCS) – policies and procedures. Demonstrates behaviors consistent with UH mission, vision, and values. Promotes excellent internal and external customer relations.
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. Three years of nursing experience is required and two years of advanced practice is preferred. Certification by a national nursing body is recommended.
LICENSURE
Must be currently licensed as a Registered Nurse in Texas and credentialed by the State to practice as a Nurse Practitioner. Prescriptive authority is required.
Remote working/work at home options are available for this role.
Why USAA?
At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families.
Embrace a fulfilling career at USAA, where our core values – honesty, integrity, loyalty and service – define how we treat each other and our members. Be part of what truly makes us special and impactful.
The Opportunity
As a dedicated Property Adjuster, you will work within defined guidelines and framework, investigate, evaluate, negotiate, and settle low to moderate complexity property insurance claims. You will confirm/analyze coverage, recognize liability exposure and negotiate equitable settlement in compliance with all state regulatory requirements. You will recognize and empathize with members’ life events, as appropriate.
This hybrid role requires an individual to be in the office 3 days per week. This position can be based in one of the following locations: San Antonio, TX, Phoenix, AZ, Colorado Springs, CO, Tampa, FL or Chesapeake, VA. Relocation assistance is not available for this position.
This is an experienced desk based Property Adjuster role working in a telephone concentrated environment without physical inspection of loss. This is an hourly, non-exempt position with paid overtime available. Training will be approximately 12 weeks, Monday to Friday and hours may vary by location. Upon successful completion of training, employees will transition to an eight-hour work shift ranging between 8:00 am – 5:30 pm (local time) Monday to Friday with availability for occasional evenings and weekends based on business needs.
What you'll do:
Proactively manages assigned claims caseload comprised of claims with low to moderate complexity damages that require commensurate knowledge and understanding of claims coverage.
Partners with vendors and internal business partners to facilitate low to moderate complexity claims resolution. May also involve external regulatory coordination to ensure appropriate documentation and compliance.
Investigates claim damages by conducting research from various sources, including the insured, third parties, and external resources. May identify and resolve potential discrepancies and identifies subrogation potential resulting from unusual characteristics.
Identifies coverage concerns, reviews prior loss history, determines and creates Special Investigation Unit (SIU) referrals, when appropriate. Determines coverage through analyzing investigation information involving low to moderate complexity policy terms and contingencies.
Determines and negotiates low to moderate complexity claims settlement. Coordinates with management for guidance on assessing settlement amounts outside of authority limits to support managing claims outcomes.
Maintains accurate, thorough, and current claim file documentation throughout the claims process.
Applies knowledge of estimating technology platforms and virtual inspection tools to prepare and manage low to moderate complexity property insurance claims estimates
Recognizes and addresses jurisdictional challenges such as applicable legislation and construction considerations.
Supports workload surges and catastrophe (CAT) response operations as needed, including mandatory on-call dates and potential evening, weekend, and/or holiday work outside normal work hours.
May be assigned CAT deployment travel with minimal notice during designated CATs.
Works various types of claims, including ones of higher complexity, and may be assigned additional work outside normal duties as needed.
Ensures risks associated with business activities are effectively identified, measured, monitored, and controlled in accordance with risk and compliance policies and procedures.
What you have:
High School Diploma or General Equivalency Diploma.
1 year of customer service, military leadership, construction related industry/insurance experience and/or experience handling low complexity property claims
Knowledge of estimating losses using Xactimate or similar tools and platforms.
Demonstrated negotiation, investigation, communication, and conflict resolution skills.
Working knowledge and understanding of claims contracts as well as application of case law and state laws and regulations.
Ability to prioritize and multi-task, including navigating through multiple business applications.
May need to travel up to 25% of the year (local & non-local) and/or work catastrophe duty when needed.
Acquisition and maintenance of insurance adjuster license within 90 days and 3 attempts.
What sets you apart:
1+ years relevant property adjusting claims of moderate complexity
Experience desk adjusting residential property claims to include water, roof, and personal property
File ownership handling claims from start to finish (scoping the loss, assessing damages, estimating, interpreting policy, making coverage decisions, settlement)
Proficient in estimate writing using Xactimate and virtual tools (such as Claim X, Hover, and Hosta)
Currently hold an active P&C Adjuster license
Experience working directly for a standard insurance carrier
Experience in a all center environment
US military experience through military service or a military spouse/domestic partner
Physical Demand Requirements:
May require the ability to crouch and stoop to inspect confined spaces, to include attics and go beneath homes into crawl spaces.
May need to meet all USAA safe driving requirements including verification of driving record through MVR & possession of valid driver’s license.
May require the ability to lift a minimum of 35 pounds to include lifting a ladder in and out of the trunk of a car.
May require the ability to climb ladders and traverse roofs, this includes the ability to work at heights while inspecting roofs and attics.
Compensation range: The salary range for this position is: $57,970 - $97,820.
USAA does not provide visa sponsorship for this role. Please do not apply for this role if at any time (now or in the future) you will need immigration support (i.e., H-1B, TN, STEM OPT Training Plans, etc.).
Compensation: USAA has an effective process for assessing market data and establishing ranges to ensure we remain competitive. You are paid within the salary range based on your experience and market data of the position. The actual salary for this role may vary by location.
Employees may be eligible for pay incentives based on overall corporate and individual performance and at the discretion of the USAA Board of Directors.
The above description reflects the details considered necessary to describe the principal functions of the job and should not be construed as a detailed description of all the work requirements that may be performed in the job.
Benefits: At USAA our employees enjoy best-in-class benefits to support their physical, financial, and emotional wellness. These benefits include comprehensive medical, dental and vision plans, 401(k), pension, life insurance, parental benefits, adoption assistance, paid time off program with paid holidays plus 16 paid volunteer hours, and various wellness programs. Additionally, our career path planning and continuing education assists employees with their professional goals.
For more details on our outstanding benefits, visit our benefits page on
Applications for this position are accepted on an ongoing basis, this posting will remain open until the position is filled. Thus, interested candidates are encouraged to apply the same day they view this posting.
USAA is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
