Jobs in Union City
690 positions found — Page 2
Nurse Case Manager CFHP PRN
✦ New
Salary not disclosed
POSITION SUMMARY AND RESPONSIBILITIES
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.
EDUCATION/EXPERIENCE
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.
LICENSURE
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.
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.
EDUCATION/EXPERIENCE
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.
LICENSURE
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.
Not Specified
Staff Nurse II
✦ New 🏢 University Health
Salary not disclosed
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.
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.
Not Specified
Nurse Educator
✦ New 🏢 University Health
Salary not disclosed
POSITION SUMMARY/RESPONSIBILITIES
Serves as a clinical expert, educator, researcher and mentor for assigned area.
Functions in a team environment to provide support to clinical practice.
EDUCATION/EXPERIENCE
MSNis required plus specialty national certification and Nursing Professional Development Certification or Healthcare Simulation Educator Certification is required or PhD plus specialty national certification is required. Minimum of five years of full-time nursing experience with at least three years in related nursing specialty is required. Demonstration of experience in curriculum development and implementation of adult learning principles is required.
Serves as a clinical expert, educator, researcher and mentor for assigned area.
Functions in a team environment to provide support to clinical practice.
EDUCATION/EXPERIENCE
MSNis required plus specialty national certification and Nursing Professional Development Certification or Healthcare Simulation Educator Certification is required or PhD plus specialty national certification is required. Minimum of five years of full-time nursing experience with at least three years in related nursing specialty is required. Demonstration of experience in curriculum development and implementation of adult learning principles is required.
Not Specified
Staff Nurse - Non-Bedside
✦ New 🏢 University Health
Salary not disclosed
POSITION SUMMARY/RESPONSIBILITIES
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. Must meet career ladder Staff Nurse II criteria for worked area. Two years or more nursing experience required. American Heart Association, Basic Cardiac Life Support and Healthcare Provider card required.
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. Must meet career ladder Staff Nurse II criteria for worked area. Two years or more nursing experience required. American Heart Association, Basic Cardiac Life Support and Healthcare Provider card required.
Not Specified
Staff Nurse
✦ New 🏢 University Health
Salary not disclosed
POSITION SUMMARY/RESPONSIBILITIES
Provides clinical nursing leadership and acts as a facilitator, educator, and resource for the Detention Health Care Services team.
Ensures that efficient, appropriate, and therapeutic health care is administered to DHCS patients while also ensuring that established security requirements are maintained (as defined by the Bexar County Adult Detention Center and Central Magistrate’s Office).
Demonstrates patient assessment skills and able to translate knowledge into the planning and interventions required to meet the individual needs of each patient.
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/EXPERIENCE
One year of clinical experience in direct patient care is required.
Experience in correctional health care or nursing within an emergency environment is preferred.
Prior knowledge or experience within the University Health System nursing services and certification as a Certified Correctional Health Care Provider (CCHP) also a plus. BSN is highly preferred.
Trauma Nursing Core Course (TNCC) certification strongly preferred (Central Magistrate)
LICENSURE
Must possess a current Registered Nurse license from the Board of Nurse Examiners of the State of Texas. Must have a current AHA BLS Healthcare Provider or AHA BLS Instructor Provider card
Provides clinical nursing leadership and acts as a facilitator, educator, and resource for the Detention Health Care Services team.
Ensures that efficient, appropriate, and therapeutic health care is administered to DHCS patients while also ensuring that established security requirements are maintained (as defined by the Bexar County Adult Detention Center and Central Magistrate’s Office).
Demonstrates patient assessment skills and able to translate knowledge into the planning and interventions required to meet the individual needs of each patient.
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/EXPERIENCE
One year of clinical experience in direct patient care is required.
Experience in correctional health care or nursing within an emergency environment is preferred.
Prior knowledge or experience within the University Health System nursing services and certification as a Certified Correctional Health Care Provider (CCHP) also a plus. BSN is highly preferred.
Trauma Nursing Core Course (TNCC) certification strongly preferred (Central Magistrate)
LICENSURE
Must possess a current Registered Nurse license from the Board of Nurse Examiners of the State of Texas. Must have a current AHA BLS Healthcare Provider or AHA BLS Instructor Provider card
Not Specified
Nurse Practitioner
✦ New 🏢 University Health
Salary not disclosed
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.
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.
Not Specified
Nurse Manager
✦ New 🏢 University Health
Salary not disclosed
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
P
osition 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.
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
P
osition 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.
Not Specified
Nurse Clinical Transplant Coordinator
✦ New 🏢 University Health
Salary not disclosed
POSITION SUMMARY/RESPONSIBILITIES
Under general supervision, the Clinical Transplant Coordinator I will use clinical management, consultation, education and research to promote quality care for the specific transplant patient populations. Supports and maintains the University Health System's policies, protocols, values and guest relations. Directly accountable to the Director and the Supervisor, Clinical Transplant Nurse. May direct activities and services provided by personnel in assigned area, such as Licensed Vocational Nurses, non-licensed nursing and secretarial support staff.
EDUCATION/EXPERIENCE
Graduation from an accredited school of nursing with an RN and one year of nursing experience required. Will develop a plan to attain a Bachelor's Degree in Nursing. Knowledge of transplant, health care trends, community and regional resources. An ability to establish cooperative working relationships with diverse groups and individuals, medical staff and other health care disciplines and understanding of the consultative process.
LICENSURE
Current RN licensure in the State of Texas. Current American Heart Association, Basic Cardiac Life Support Healthcare Provider certification required. Attain CITI research certification within six months from date of hire. (CITI certification is not required for coordinators in lung transplant, post-transplant, live donor transplant or disease management nurses).
Under general supervision, the Clinical Transplant Coordinator I will use clinical management, consultation, education and research to promote quality care for the specific transplant patient populations. Supports and maintains the University Health System's policies, protocols, values and guest relations. Directly accountable to the Director and the Supervisor, Clinical Transplant Nurse. May direct activities and services provided by personnel in assigned area, such as Licensed Vocational Nurses, non-licensed nursing and secretarial support staff.
EDUCATION/EXPERIENCE
Graduation from an accredited school of nursing with an RN and one year of nursing experience required. Will develop a plan to attain a Bachelor's Degree in Nursing. Knowledge of transplant, health care trends, community and regional resources. An ability to establish cooperative working relationships with diverse groups and individuals, medical staff and other health care disciplines and understanding of the consultative process.
LICENSURE
Current RN licensure in the State of Texas. Current American Heart Association, Basic Cardiac Life Support Healthcare Provider certification required. Attain CITI research certification within six months from date of hire. (CITI certification is not required for coordinators in lung transplant, post-transplant, live donor transplant or disease management nurses).
Not Specified
Staff Nurse Non-Bedside
✦ New 🏢 University Health
Salary not disclosed
POSITION SUMMARY/RESPONSIBILITIES
Performs the nursing process in a safe therapeutic manner in a designated clinic setting. Assumes the responsibilities of leadership in varied clinical settings 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 is highly preferred. American Heart Association, Basic Cardiac Life Support and Health Care Provider highly preferred.
LICENSURE/CERTIFICATION
Current RN licensure from the Board of Nurse Examiners of the State of Texas is required.
Performs the nursing process in a safe therapeutic manner in a designated clinic setting. Assumes the responsibilities of leadership in varied clinical settings 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 is highly preferred. American Heart Association, Basic Cardiac Life Support and Health Care Provider highly preferred.
LICENSURE/CERTIFICATION
Current RN licensure from the Board of Nurse Examiners of the State of Texas is required.
Not Specified
Service Coordinator RN
✦ New 🏢 University Health
Salary not disclosed
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.
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.
Not Specified
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