Engineering Structures Jobs Full Time Jobs in Euless Texas

Summary:

The Utilization Review Nurse is responsible for determining the clinical appropriateness of care provided to patients and ensuring proper hospital resource utilization of services. This nurse is responsible for performing a variety of pre-admission, concurrent, and retrospective UM related reviews and functions. They must competently and accurately utilize approved screening criteria (InterQual/MCG/Centers for Medicare and Medicaid Services “CMS” Inpatient List). They effectively and efficiently manage a diverse workload in a fast-paced, rapidly changing regulatory environment and are responsible for maintaining current and accurate knowledge regarding commercial and government payors and guidelines related to UM. This nurse effectively communicates with internal and external clinical professionals, efficiently organizes the financial insurance care of the patients, and relays clinical data to insurance providers and vendors to obtain approved certification for services. The Utilization Review Nurse collaborates as necessary with other members of the health care team to ensure the above according to the mission of CHRISTUS.

Responsibilities:

• Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
• The prior authorization role completes an assessment of a proposed service to determine if the beneficiary has eligible coverage for the service and if it is medically necessary.
• Promote quality, cost-effective outcomes through prior authorization and concurrent review of requested services for medical necessity based upon evidence-based clinical guidelines.
• Identify and present cases of possible quality of care deviations, questionable admissions, and prolonged lengths of stay to the Medical Director for further determination.
• Appropriately refer beneficiaries who have complex or chronic conditions, a need for transition of care, disease management support, or other identifiable needs for coordination of the beneficiary’s member’s health care for behavioral health care management.
• Follow CHRISTUS Health Guidelines related to the Health Insurance Portability and Accountability Act (HIPAA), designed to prevent, or detect unauthorized disclosure of Protected Health Information (PHI).
• Protect the confidentiality of data and intellectual property;
  assures compliance withnational health information guidelines.
• Analyze clinical information submitted by medical providers to evaluate the medical necessity, appropriateness, and efficiency of the use of medical services, procedures, and facilities.
• Perform provider outreach to address post-hospital discharge services, redirection to in-network providers for appropriate steerage, durable equipment usage, and utilization of other medical services and/or procedures and other necessary telephonic follow-up.
• Utilize the nursing process and critical thinking skills to provide oversight of services and evaluation of service options.
• Ability to work in a variety of settings with culturally diverse communities with the ability to be culturally sensitive and appropriate.
• Must have excellent communication skills (written and verbal), clinical judgment, initiative, critical thinking, and problem-solving abilities.
• Must be able to take after hour calls to meet business requirements as needed.

Job Requirements:

Education/Skills

• Graduate of an accredited school of vocational nursing or equivalent required
• Associate’s (ADN) or Bachelor’s (BSN) in Nursing preferred

Experience

• 3 – 5 years of nursing experience preferred
• Experience in Microsoft software (e.G., Outlook, Teams, Word, and Excel) required
• General computer knowledge and capability to use computers required

Licenses, Registrations, or Certifications

• LVN license in the state of employment or compact required
• RN license in state of employment or compact preferred

Work Schedule:

5 Days - 8 Hours

Work Type:

Full Time

DescriptionSummary:Supervises the compiling and maintaining of records to assure information is complete , accurate, authenticated and consistent with medical, administrative, ethical and regulatory requirements of the healthcare system.Responsibilities:

• Supervises the creating, updating and generally maintaining medical staff credentials and licenses in accordance with the local file management practices and the electronic or manual record filing system
• Oversees the retrieving, delivering and filing / storing records in accordance with daily scheduled , emergency and special project needs
• Oversees the reviewing records for the completeness and accuracy of required information content and taking appropriate actions to assure record integrity
• Implements policies and procedures

Job Requirements:

Education/Skills~ Associate's Degree or 4 years of experience required.

Experience~4 years of experience preferred.

Licenses, Registrations, or Certifications~ None required.

Work Schedule:

5 Days - 8 HoursWork Type:

Full Time

Company Description

Founded in 1996, Biltmore Insurance Services provides tailored insurance solutions to individuals and businesses across the Southeast. Since its acquisition by Watkins Associated Industries in 2007, Biltmore has experienced rapid growth, expanding its presence through multiple agency acquisitions. As one of the fastest-growing independent agencies in the Southeast, Biltmore Insurance is committed to delivering exceptional service while fostering long-term relationships with its clients. Join our dynamic team and contribute to our continued success and expansion.

Role Description

This is a full-time hybrid role as a Commercial Trucking Insurance Sales Producer, based in Arlington, TX, with some work-from-home flexibility. The role involves building relationships with trucking businesses, identifying their insurance needs, and offering tailored coverage solutions. Responsibilities include prospecting new clients, maintaining existing relationships, preparing insurance quotes, and ensuring compliance with industry regulations. The role will also require ongoing education on industry trends and insurance products to serve clients effectively.

Qualifications

• Understanding of CDL Class A requirements and familiarity with truck driving operations
• Knowledge of truck unloading practices and related logistics
• Extensive knowledge of Department of Transportation (DOT) regulations
• Experience working in or with the trucking industry is highly desirable
• Strong communication, negotiation, and relationship-building skills
• Self-motivated and goal-oriented with the ability to work independently in a hybrid environment
• Proficiency in basic office software and CRM systems for documentation and client management
• Relevant insurance licenses

Senior Paralegal / Office Manager

Location: Bedford, TX (Onsite)

Compensation: $60,000 – $85,000 base salary (commensurate with experience)

Job Type: Full‑Time

Overview

A growing, well‑established law firm is opening a new office in Bedford, Texas and is seeking a Senior Paralegal / Office Manager to serve as the foundational hire for this location.

This is a unique opportunity for an experienced paralegal who enjoys variety, responsibility, and being part of a growth story. While this is a new office, the firm itself is not a startup — it has an established national presence, strong leadership, and proven systems already in place.

The Role

This position is ideal for a strong paralegal who is comfortable taking on additional operational responsibilities during the early stages of a new office launch.

Initially, this role will blend hands‑on paralegal work with office management and administrative support. As the office grows, responsibilities will evolve and specialize, with opportunities for long‑term advancement.

Key Responsibilities

Paralegal Responsibilities (Primary Focus)

• Support attorneys in corporate and tax‑related matters
• Assist with:
• Entity formations and maintenance
• Corporate governance documents
• Contracts and transactional documentation
• Tax‑related filings and client coordination
• Draft, revise, and proofread legal documents
• Manage deadlines, filings, and document organization
• Communicate professionally with clients and internal stakeholders

Office Management & Operations

• Assist with opening and organizing the Bedford office
• Coordinate vendors, deliveries, equipment, and office logistics
• Serve as the onsite point of contact for day‑to‑day office needs
• Help establish workflows and processes as the office scales
• Support attorneys and leadership with general administrative needs

Qualifications

• 5+ years of experience as a paralegal (law firm experience required)
• Background in corporate law, tax, or transactional work strongly preferred
• Comfortable supporting multiple attorneys and practice areas
• Organized, proactive, and adaptable
• Willing to take on office management responsibilities as needed
• Strong communication and interpersonal skills
• Positive attitude and team‑first mindset
• Comfortable working onsite in Bedford, TX

Why This Opportunity Stands Out

• Ground‑floor role in a growing office with long‑term potential
• Supportive, people‑first culture with no tolerance for toxic behavior
• Established firm with strong infrastructure and leadership
• Clear path for growth as the office and team expand
• Competitive compensation and robust benefits package, including:
• Employer‑paid medical premiums for non‑attorney staff
• Employer‑paid life, short‑term, and long‑term disability insurance
• 401(k) with employer match
• Student loan assistance program
• Additional voluntary benefits

Work Environment

• Initial onboarding may include short‑term in‑person training at another firm office
• Remote work may be available during office build‑out
• Fully onsite role once the Bedford office is operational in May

Company Description

Oncospark Inc. is a global leader in healthcare revenue cycle management (RCM) and prior authorization solutions. Leveraging advanced technology and industry expertise, the company helps healthcare organizations optimize financial outcomes while ensuring operational efficiency. With a dedicated team of over 650 professionals, Oncospark provides seamless, end-to-end RCM services and innovative technology solutions that enable healthcare providers to focus on delivering quality patient care. The company specializes in streamlining revenue processes, improving cash flow, and reducing administrative burdens, creating sustainable financial success for its clients.

Role Description

This is a full-time, on-site role for a Healthcare RCM Sales Representative located in Southlake, TX. The Sales Representative will focus on identifying and pursuing new business opportunities, building strong client relationships, and promoting Oncospark's healthcare RCM and prior authorization solutions. Responsibilities include developing and executing strategic sales plans, conducting presentations, managing the sales cycle, negotiating contracts, and ensuring client satisfaction. The role will involve close collaboration with internal teams to align solutions with client needs and drive revenue growth.

Qualifications

• Knowledge of Revenue Cycle Management and Prior Authorization processes, including medical billing, coding, and other RCM functions.
• Proven sales experience, with skills in business development, client relationship building, and negotiation.
• Strong communication and presentation abilities, with the capability to convey complex information effectively to diverse audiences.
• Capacity to develop and execute strategic sales plans, identify opportunities, and bring in new business.
• Ability to leverage advanced technology solutions for healthcare operations and client benefits.
• Bachelor's degree in Business, Healthcare Administration, or a related field preferred.
• At least 3 years of RCM Sales experience is required.
• Self-motivated, goal-oriented, and capable of thriving in a dynamic, on-site work environment.

Summary:

An LVN/ LPN plays a crucial role in managing patient care and ensuring continuity of services. The Care Coordinator is responsible for making telephonic outreaches to members attributed to our value-based contacts. They support the ACO and CIN network providers and practices in successfully meeting quality improvement initiatives, monitoring standards of care and managing high risk multi morbidity patient populations across CHRISTUS Health ministries. The role focuses on improving quality care gaps, promoting preventive care, and improving patient outcomes.

Responsibilities:

• Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
• Mentor, train and support the team of care coordinators, ensuring high-quality care and adherence to best practices. Assist with work assignments and development of new work processes as needed. Coordinate and assist with associate onboarding. Create education material for training.
• Monitor and ensure compliance with all regulatory requirements, organizational policies, standing delegated orders and protocols.
• Identify quality gaps and risk adjustment gaps. Participate in Quality Improvement Programs as indicated. Attend learning sessions and share information learned with team members. Assist in the development of tools, education, and workflow processes to assist the network in meeting CMS, ACO, documentation, and payor quality initiatives.
• Conducts internal review audits to facilitate feedback for documentation and efficiency of the care coordination team.
• Support Primary Care Providers and assist patients in scheduling preventative screenings and appropriate appointments. Maintain ongoing communication with healthcare providers through various tools and meetings.
• Monitor value-based care quality performance and pulls reports to identify open care gaps. Conducts telephonic outreach on behalf of providers to close care gaps & address medication adherence to facilitate star rating and quality performance.
• Providing counseling and health education to patients and families, using appropriate materials and standardized protocols. Serve as a subject matter expert in care transitions & quality metrics. Assist in educating practice staff on quality, payor, and government program requirements.
• Communicate resources and services available to patients through the continuum of care.
• Escalate health concerns to Primary Care providers and place referrals to appropriate care team members, i.e., Nurse Navigation, CHW, etc. Develop professional working relationships with ACO and CIN network providers, practice managers, and their staff to collaboratively manage follow-up care and improve overall health and wellness. Conduct in-person and virtual meetings with practice managers, staff, providers and managers to communicate program goals, results, and provide education.
• Document relevant, comprehensive information and data using standard assessment tools. Maintain patient chart compliance through proper documentation and updated: preventative screenings, medical history, medication, and immunizations.
• Unburden primary care providers by placing approved orders for labs and other screenings as per the Standing Delegated orders.
• Perform Transition of Care calls on patients transitioning from an inpatient stay to home, or emergency department encounter to identify the need for a follow-up appointment, community resource needs, scheduling follow-up appointments, reviewing discharge instructions, and medications. Utilizing clinical judgment and problem-solving skills to coordinate appropriate care with physicians and Nurse Navigation.
• Prepare and maintain Transitions of Care and Care Management reports and provide periodic updates to network leaders.
• Must have strong leadership, exceptional oral communication skills, strong organizational and analytical skills, ability to adapt to change and motivate a team.
• Must have a strong ability to multi-task and coordinate multiple projects.
• Perform other duties as assigned.

Job Requirements:

Education/Skills
• High School Diploma required.

Experience
• Minimum of 3 years of clinical or home health experience required.
• 5 years supporting value-based care programs, accountable care organizations, or HEDIS
• Knowledge of government programs (CMS), accountable care organizations (ACOs), HEDIS, and experience with payor cost sharing initiatives preferred.
• Knowledge of physician office practice operations and 3 years of experience in a physician practice is preferred.
• Proficiency in keyboarding and EHR systems, primarily Epic.

Licenses, Registrations, or Certifications
• LVN/ LPN in the state of employment and/or compact licensure required.

In accordance with the CHRISTUS Health License, Certification and Registration Verification Policy, all Associates are required to obtain the required certifications for their respective positions within the designated time frame.

Work Schedule:

8AM - 5PM Monday-Friday

Work Type:

Full Time