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As part of the Baby Bexar Healthy Families Community-Based Perinatal Health Initiative, this position will serve as liaison between health system providers and community based resources in order to improve maternal health outcomes for University Health patients. This position will work with a clinical care team and a team of social service agencies to assist and guide patients through prenatal, delivery and postpartum services. This position will provide screening services, education, support, and patient care coordination. Candidate will ensure appropriate information is disseminated, patient is navigated to medical appointments, and follow-up with health care needs. All functions and behaviors are applicable to the clinical and community settings. Additional activities will include patient tracking, data entry, and reporting.
EDUCATION/EXPERIENCE
Bachelor’s degree in social sciences, health education or related field of study is required. Four years of experience in the area of health education, public health, social work and/or case management may be considered in lieu of the Bachelor’s degree. Community Health Worker certification preferred. Knowledge and experience working with programs of similar scope and focus preferred. Spanish fluency is preferred.
Provides direct and indirect nursing care to patients in the Ambulatory setting in accordance with University Health 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. Four 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.
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
We are looking for a SIU Investigator (mid-level). This is a desk position. Within defined guidelines and framework, protects USAA and our members from potential fraudulent claims by investigating questionable, suspect claims activity in compliance with state insurance fraud-related laws and regulations and policies and procedures. The candidate selected will have strong multi-line SIU Investigation experience.
This role is remote eligible. However, you must live in the assigned territory which is ME, VT, NH, MA, CT, RI, DE, MD or Washington DC. There may be occasional business travel.
What you'll do:
Applies knowledge and understanding of fraud schemes and investigation strategies on any questionable or suspect first or third part claims.
Participates in the development of fraud prevention strategies.
Applies knowledge of P&C insurance industry products, services, and processes in investigating claims to include P&C insurance policy contracts, coverages and internal claims handling process and procedures.
Applies knowledge of state laws and regulations pertaining to insurance fraud in investigating claims.
Collects evidence of potential fraud through field or remote interviews and thorough searches of investigative databases, internal resources, Internet resources, public records, and forensic tools.
Makes recommendations within defined authority guidelines.
Prepares and presents detailed and comprehensive verbal and written investigative reports summarizing the results of the investigation and recommended outcome.
Develops and maintains external relationships with industry, law enforcement and other contacts involved in fraud investigation, detection, and prevention.
May serve as a resource team member on specific matters through demonstrated skill or training.
Assists with the delivery of fraud awareness training initiatives in a defined environment.
Handles CAT duty responsibilities as business requires.
Ensures risks associated with business activities are effectively identified, measured, monitored, and controlled in accordance with risk and compliance policies and procedures.
High School Diploma or General Equivalency Diploma (GED).
2+ years claims adjusting experience, or P&C SIU/Fraud Investigation experience OR 4+ years prior investigative law enforcement (to include military) or relevant fraud industry investigation experience.
Proven investigatory skills.
Experience obtaining statements from various parties to incidents, witnesses, and suspects.
Ability to gather broad range of evidence and draw conclusions based on the objective details related to the applicability of fraud.
Demonstrated ability to organize and prioritize workload, performing multiple tasks and devising solutions to problems.
Familiarity with using computers and various software packages to enter and extract data for analysis from relevant data sources and systems.
Knowledge of city, state and local regulations, legal concepts, understanding of contracts, case law, medical treatment, and medical terminology.
SIU experience conducting low to complex P&C fraud investigations OR a combination of Insurance Claims and (Law Enforcement Investigations OR Military Investigations) experience.
Strong background with multi-line SIU investigations
Designations such as CFE, CIFI, SCLA, ACLS, FCLS, LPCS, AIC, CPCU, CCLS, or other.
US military experience through military service or a military spouse/domestic partner
Compensation range: The annualized range for this position is: $77,120 - $147,390. This is an hourly position.
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, F-1, 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.
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.
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.
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
At least one year experience in direct patient care is preferred. Current American Heart Association, Basic Cardiac Life Support and Healthcare Provider card required. ACLS certification may be required based on site location. Various certifications may be required based on location site.
LICENSURE
Must possess a current license to practice Vocational Nursing in the State of Texas.
Remote working/work at home options are available for this role.
Performs the nursing process in a safe therapeutic manner in a designated clinic setting. Provides direct patient care (dialysis) and monitoring of renal dialysis patients. Oversees direct patient care of the ESRD patient on dialysis. Supports and adheres to University Health and department specific policies and standards. Mentors and serves as a clinical role model for all staff. Receives mentoring from Nurse Staff III and the Director of Dialysis Services.
EDUCATION/EXPERIENCE
BSN is highly preferred. Must meet career ladder Staff Nurse II criteria for worked area. Two years or more of nursing experience required. Must have current American Heart Association, Basic Cardiac Life Support and Healthcare Provider card.
LICENSURE/CERTIFICATION
Current RN licensure from the Board of Nurse Examiners of the state of Texas is required. National certification in Dialysis is encouraged.
Come be a part of an organization that gives back to its community by providing top quality care and invests in its people.
We offer:
- Low Cost Medical Insurance that includes Vision
- Dental Plans
- RN Student Loan Repayment
- Up to $800 a year for continuing education reimbursement
- Generous PTO accrual
- Career Growth
POSITION SUMMARY/RESPONSIBILITIES
Serves as a clinical expert, educator, and mentor for assigned area. Functions in a team environment to provide support to clinical practice.
EDUCATION/EXPERIENCE
BSN is required. A national certification is preferred. Minimum of two years of full-time nursing experience required in Dialysis, 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.
POSITION SUMMARY/RESPONSIBILITIES
Performs the nursing process in a safe therapeutic manner in a designated clinic setting. Provides direct patient care (dialysis) and monitoring of renal dialysis patients. Oversees direct patient care of the ESRD patient on dialysis. Supports and adheres to University Health and department specific policies and standards. Mentors and serves as a clinical role model for all staff. Receives mentoring from Nurse Staff III and the Director of Dialysis Services.
EDUCATION/EXPERIENCE
BSN is highly preferred. Must meet career ladder Staff Nurse II criteria for worked area. Two years or more of nursing experience required. Must have current American Heart Association, Basic Cardiac Life Support and Healthcare Provider card.
LICENSURE/CERTIFICATION
Current RN licensure from the Board of Nurse Examiners of the state of Texas is required. National certification in Dialysis is encouraged.
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.
