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Management Jobs
Full Time
1/1/2025
Corpus Christi, TX 78401
(6.7 miles)
Would you like to join an international team working to improve the future of healthcare Do you want to enhance the lives of millions of people Grifols is a global healthcare company that since 1909 has been working to improve the health and well-being of people around the world. We are leaders in plasma-derived medicines and transfusion medicine and develop, produce and market innovative medicines, solutions and services in more than 110 countries and regions.Excellent Benefits!!Contact Dave at or Center Manager Primary Responsibilities for role: Responsible for meeting quarterly goals, staffing/hours per labor efficiency standards/cost per liter (CPL) targets and Quality key performance indicators (KPI) goals. Create appropriate organizational environment and value systems which stimulate the morale and productivity of the work force and its leadership. Operates the center and manages employees and operations to the highest standard of ethics and integrity. Manages staff to ensure that training and quality goals are met and to implement operational changes and maximize center efficiency. Monitor and evaluate operations. Develop action plans to maximize center efficiency and supervise the implementation of process improvements. Manages headcount to provide for efficient staffing through high and low production intervals, providing accurate and timely projections to reg management team in advance of cyclical and seasonal or situational spikes. Accountable for the direction of all personnel functions including hiring, assignment and direction of work, development and training, disciplinary actions and termination and the maintenance of all personnel records Provides strategic direction and planning.Other Responsibilities for role: Through Assistant Manager, oversees donor selection, plasma collection and shipment and records completion. Accountable to insure the adequate training of production employees and demonstrate how tasks are to be performed to meet company standards. Accountable for the adequacy of inventory of all goods and supplies necessary for center operations and oversee ordering goods as needed. Assure center employees maintain the facility in a neat and clean condition and all equipment is kept in good working order. Accountable for freezer management, including overseeing plasma shipments and equipment failures. Required to answer all freezer alarms and deal with them appropriately. Develop community representation with regards to all public relations and marketing campaigns to attract and retain donors. Maintains thorough familiarity and ensures compliance with state and federal regulations, U.S. Food and Drug Administration (FDA)-approved Standard Operating Procedures, Occupational Safety and Health Administration (OSHA), Clinical Laboratory Improvement Amendments (CLIA), and Current Good Manufacturing Practice (cGMP). Accountable for donor selection, plasma collection and all manufacturing records to maintain the highest production standards in accordance with state and federal regulations, U.S. Food and Drug Administration (FDA)-approved Standard Operating Procedures, Occupational Safety and Health Administration (OSHA), Clinical Laboratory Improvement Amendments (CLIA), and Current Good Manufacturing Practice (cGMP). Directs through the management team and with Training and Quality staff to ensure that training and quality goals are met. Builds rapport with donors to ensure overall customer satisfaction with the center to support long-term donation. Works with Div/Corp management in the preparation of annual budget and manages facility to consistently achieve production targets and quality goals at the agreed-upon cost structure.Job Requirements: Bachelor’s degree or equiv., preferably in Science, Business, Nursing, Finance, or related field.Typically requires a minimum of 3 years of related experience in clinical or general business experience. Supervisory experience preferred but not required. Experience in a medical and/or cGMP regulated environment preferred. Experience with plasma or whole blood preferred.EEO Minorities/Females/Disability/Veterans #biomat#appThird Party Agency and Recruiter Notice:Agencies that present a candidate to Grifols must have an active, nonexpired, Grifols Agency Master Services Agreement with the Grifols Talent Acquisition Department. Additionally, agencies may only submit candidates to positions that they have been engaged to work on by a Grifols Recruiter. All resumes must be sent to a Grifols Recruiter under these terms or they will be considered a Grifols candidate.Grifols provides equal employment opportunities to applicants and employees without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability or any other characteristic or status protected by law. We will consider for employment all qualified Applicants, including those with Criminal Histories, in a manner consistent with the requirements of applicable state and local laws, including the City of Los Angeles’ Fair Chance Initiative for Hiring Ordinance.Location:NORTH AMERICA : USA : TX-Corpus Christi:USNC0205 - Corpus Christi TX-Ayers St-TPRLearn more about Grifols
Full Time
12/19/2024
Corpus Christi, TX 78414
(2.5 miles)
DescriptionSummary: The Utilization Management Nurse I 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 Joint Commission regulations 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 Management 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. Applies demonstrated clinical competency and judgment in order to perform comprehensive assessments of clinical information and treatment plans and apply medical necessity criteria in order to determine the appropriate level of care. Resource/Utilization Management appropriateness: Assess assigned patient population for medical necessity, level of care, and appropriateness of setting and services. Utilizes MCG/InterQual Care Guidelines and/or health system-approved tools to track impact and variance. Uses appropriate criteria sets for admission reviews, continued stay reviews, outlier reviews, and clinical appropriateness recommendations. Coordinate and facilitate correct identification of patient status. Analyze the quality and comprehensiveness of documentation and collaborate with the physician and treatment team to obtain documentation needed to support the level of care. Facilitates joint decision-making with the interdisciplinary team regarding any changes in the patient status and/or negative outcomes in patient responses. Demonstrates, maintains, and applies current knowledge of regulatory requirements relative to the work process in order to ensure compliance, i. e. IMM, Code 44. Demonstrate adherence to the CORE values of CHRISTUS. Utilize independent scope of practice to identify, evaluate, and provide utilization review services for patients and analyze information supplied by physicians (or other clinical staff) to make timely review determinations, based on appropriate criteria and standards. Take appropriate follow-up action when established criteria for utilization of services are not met. Proactively refer cases to the physician advisor for medical necessity reviews, peer-to-peer reviews, and denial avoidance. Effectively collaborate with the Interdisciplinary team including the Physician Advisor for secondary reviews. Proactively review patients at the point of entry, prior to admission, to determine the medical necessity of a requested hospitalization and the appropriate level of care or placement for the patient. Review surgery schedule to ensure planned surgeries are ordered in the appropriate status and that necessary authorization has been obtained as required by the payor or regulatory guidance (i. e., CMS Inpatient Only List, Payor Prior Authorization matrix, etc.) Regularly review patients who are in the hospital in Observation status to determine if the patient is appropriate for discharge or if conversion to inpatient status is appropriate. Proactively identify and resolve issues regarding clinical appropriateness recommendations, coverage, and potential or actual payor denials. Maintain consistent communication and exchange of information with payors as per payor or regulatory requirements to coordinate certification of hospital services. Coordinate and facilitate patient care progression throughout the continuum and communicate and document to support medical necessity at each level of care. Evaluate care administered by the interdisciplinary health care team and advocate for standards of practice. Analyze assessment data to identify potential problems and formulate goals/outcomes. Follows the CHRISTUS Guidelines related to the Health Insurance Portability and Accountability ACT (HIPPA) designed to prevent or detect unauthorized disclosure of Protected Health Information (PHI). Attend scheduled department staff meetings and/or interdepartmental meetings as appropriate. Possesses and demonstrates technology literacy and the ability to work in multiple technology systems. Act as a catalyst for change in the organization; respond to change with flexibility and adaptability; demonstrate the ability to work together for change. Translate strategies into action steps; monitor progress and achieve results. Demonstrate the confidence, drive, and ability to face and overcome challenges and obstacles to achieve organizational goals. Demonstrate competence to perform assigned responsibilities in a manner that meets the population-specific and developmental needs of patients served by the department. Possess negotiating skills that support the ability to interact with physicians, nursing staff, administrative staff, discharge planners, and payers. Excellent verbal and written communication skills, knowledge of clinical protocol, normative data, and health benefit plans, particularly coverage and limitation clauses. Must adjust to frequently changing workloads and frequent interruptions. May be asked to work overtime or take calls. May be asked to travel to other facilities to assist as needed. Must have excellent verbal and written communication and ability to interact with diverse populations. Must have critical and analytical thinking skills. Must have demonstrated clinical competency. Must have the ability to Multitask and to function in a stressful and fast-paced environment. Must have working knowledge of discharge planning, utilization management, case management, performance improvement, and managed care reimbursement. Must have an understanding of pre-acute and post-acute levels of care and community resources. Must have the ability to work independently and exercise sound judgment in interactions with physicians, payors, patients, and their families. Must have an understanding of internal and external resources and knowledge of available community resources. Must have familiarity with criteria sets including InterQual and MCG preferred. Other duties as assigned. Job Requirements: Education/Skills Graduate of an accredited school of nursing required. Experience A minimum of 2 years in acute clinical practice as a nurse. Case Management and Utilization Review experience preferred. Licenses, Registrations, or Certifications LVN or LPN License in state of employment or compact required. BLS preferred. Certification in Case Management preferred. Work Schedule: Varies Work Type: Full Time EEO is the law - click below for more information: https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12ScreenRdr.pdf We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact us at .
Full Time
1/6/2025
Portland, TX 78374
(12.5 miles)
Overview: General ManagerCommunity Choice Financial ® Family of BrandAs a results-driven General Manager, you will oversee the success of your store and team by setting the bar high for performance and customer service. You will provide ongoing coaching and training to your team to reach Company objectives, increase revenue, and further develop their skills while demonstrating your leadership. Reporting to the District Director of Operations, you will oversee marketing efforts for your location, champion store security and loss prevention, help enforce adherence to quality standards, and review all transactions to create an environment that fosters growth and innovation. Responsibilities: Coach, lead, and develop all store employees to obtain new business and increase store growth by demonstrating knowledge of and training on systems, Company standards, account management, recovery (collections), job duties, and performance reports.Lead the charge and set the example for all store employees to identify local marketing strategies, use business-to-business partnership opportunities, obtain referrals, host and participate in community and in-store events to steer growth and build revenue.Enforce adherence to quality standards, procedures, and local and state laws and regulations. Audit loan/pawn agreements and transactions to ensure staff accordance with procedures and practices. Participate in audits and compliance reviews as directed by the corporate office or District Manager.Supervise and maintain office security including cash management and loss prevention by verifying and documenting cash overages/shortages, vault, inventory, deposits, and expenses. Conduct proper opening and closing procedures.Examine, evaluate, and process loan/pawn applications and all relevant transactions, and assess risk within established limits.Participate in the selection, review, hiring, and retention of new employees.Develop work schedules in accordance with budget, workloads, and store needs. Ensure store is staffed for optimal performance.Handle complex customer situations that arise with integrity and professionalism.Monitor and maintain internal and external store appearance and address basic facilities needs, including scheduling maintenance services. This includes overseeing store planogram and ensuring seasonal and/or promotional marketing material are displayed properly.Work efficiently in a rapidly changing and fast-paced environment and handle multiple challenging tasks with ease to meet individual and team performance standards.Utilize strong interpersonal skills to communicate and interact with customers and Team Members at all levels.Ability to maintain a full-time work schedule with regular in-person attendance, including some weekend hours, is required for this position. A full-time work schedule for this position includes, at a minimum, 40-hours per week*.*Store hours, schedules, and/or the minimum number of hours required for this position may be subject to change by brand entity and at the sole discretion of the Company. Speak with your recruiter for the most up-to-date hourly requirements. Qualifications: High School Diploma or equivalent requiredMinimum two years of experience and proven success in a supervisory or leadership role in retail, financial, service, or related industriesExcellent verbal and written communication skillsAbility to work phone, Point of Sale, Microsoft Office, and other systemsValid driver's license, auto insurance, and personal vehicle to use throughout the workday (mileage compensated)Must be at least 18 years of age (19 in Alabama)Background check required (subject to applicable law)Ability to meet the physical demands of this position, which frequently include: the ability to remain in a stationary position, including standing up to 90% of the time, the ability to move and transport up to 25 pounds, the ability to move about inside and outside of the store, and the operation of mechanical controls, such as a keyboard.Preferred Qualifications and SkillsAssociate degree or higherExperience in check cashing, document verification, money order processingBilingual English/Spanish is a plus and may be required for certain locations What We Offer: Our Benefits Include**:A comprehensive new hire training program Access to a robust learning management system, full of e-learning modules and training programs to help boost your professional and personal developmentPerformance-based career advancementEducational Reimbursement Program (up to $5,000 per 12-month period, then up to $10,000 per 12-month period after five years with the Company) for select programs, courses, and certifications. Terms and conditions apply.Multiple coverage choices for medical insurance, all include free telemedicine and medical spending account (HSA/FSA) optionsTraditional 401(k) and Roth 401(k) Retirement plan with a generous Company match programCompany-Sponsored Life and AD&D InsuranceVoluntary benefits, including dental, vision, short-term and long-term disability plans, accident, critical illness, hospital confinement insurance, and even pet insurancePaid Time Off (Accrue 12 days per calendar year plus additional days for each year of service after the first year of employment)Diverse Culture and Inclusive Environment**Based on current benefit offering, which is subject to change with or without notice. Certain benefits are subject to the terms and conditions of the governing plan documents which should be consulted for additional details and eligibility requirements.About UsTitleMax® is one of the nation’s largest title lending companies helping thousands of people every day get the cash they need through title loans/pawns and now in select states, with personal loans. Since our first store opened in 1998, TitleMax® has expanded to over 900 locations spanning 14 states.The information contained herein is not intended to be an all-inclusive list of the duties and responsibilities of the job, nor is it intended to be an all-inclusive list of the skills and abilities required to do the job. The Company may, at its discretion, revise the job description at any time, and additional functions and requirements may be assigned by supervisors as deemed appropriate. Requirements, skills, and abilities included have been determined to illustrate the minimal standards required to successfully perform the position.Important: The Community Choice Financial® Family of Brands will never ask you for banking or other payment information at any point during the interview or hiring process, nor will we conduct an interview via text message. Any official email correspondence will come from the domains @ccfi.com, @titlemax.com, or @titlemax.biz. In-store positions are in-person only. The Community Choice Financial® Family of Brands is committed to providing an inclusive workplace free of discrimination based on race, color, religion, sex, age, national origin, military status, disability, pregnancy, sexual orientation, gender identity or expression, genetic information or any other characteristic protected by applicable law. Candidates of all backgrounds are encouraged to apply. CCFI Companies, LLC is an equal-opportunity employer.
Full Time
12/15/2024
Corpus Christi, TX 78417
(5.7 miles)
D&S Community Services, a part of the Sevita family, provides community-based services for individuals with intellectual and developmental disabilities. Here we believe every person has the right to live well, and everyone deserves to have a fulfilling career. You’ll join a mission-driven team and create relationships that motivate us all every day. Join us today, and experience a career well lived. • Pay Class: Full Time • Hours: Day Shift • Site Location: Graford, Corpus Christi, TX 78413 • Rate of Pay: $11/hr • MUST HAVE active/valid driver's license Program Supervisor Are you looking for a career opportunity where you can make a difference in the lives of others Look no further! This role is critical to our success. As a mission-driven organization, we are intensely focused on expanding access to services and developing new and more effective ways of delivering supports and services to individuals with a range of intellectual and developmental disabilities. Facilitate the implementation of Individual Service Plans (ISP) and participate in a range of administrative duties including staff hiring, training, scheduling, and oversight.Supervise a team of Caregivers supporting individuals we serve in the program.Provide support to individuals receiving services including: assistance with daily activities such as meal preparation and planning; medication administration; and personal care.Duties are split between providing direct support, professional or program activities, and supervision.Facilitate community involvement by accompanying individuals on outings in the community or providing transportation to work or other activities. Qualifications: High School diploma or equivalent.One year related work experience.Must be 18 years or older.Current driver's license, car registration, and auto insurance.Other licensure or certification where required by regulatory authority.Excellent communication skills with an ability to establish rapport with team members and those we serve.Strong organizational abilities to ensure staffing and schedules are maintained.This is a great opportunity to gain supervisory skills and experience while still directly making a difference in the lives of the people we serve on a daily basis. Why Join Us Full, Part-time, and As Needed schedules available.Full compensation/benefits package for full-time employees.401(k) with company match.Paid time off and holiday pay.Rewarding work, impacting the lives of those you serve, working alongside a great team of coworkers.Enjoy job security with nationwide career development and advancement opportunities. Come join our amazing team of committed and caring professionals. Apply Today!Sevita is a leading provider of home and community-based specialized health care. We believe that everyone deserves to live a full, more independent life. We provide people with quality services and individualized supports that lead to growth and independence, regardless of the physical, intellectual, or behavioral challenges they face. We’ve made this our mission for more than 50 years. And today, our 40,000 team members continue to innovate and enhance care for the 50,000 individuals we serve all over the U.S. As an equal opportunity employer, we do not discriminate on the basis of race, color, religion, sex (including pregnancy, sexual orientation, or gender identity), national origin, age, disability, genetic information, veteran status, citizenship, or any other characteristic protected by law.
Full Time
1/5/2025
CORPUS CHRISTI, TX 78411
(2.6 miles)
Role Overview: Facilities/Maintenance careers are challenging! But you get results. Bring us your drive and dedication, and we'll provide the growth opportunities you've been searching for.Sodexois seeking a qualifiedFacilities / Engineering Operations Managerto support our operations atDriscoll Children's Hospital in Corpus Christi, TX.Driscoll Children's Hospital, a leading provider of pediatric care in South Texas since 1954. This position is crucial in ensuring all Driscoll facilities maintain compliance with relevant regulatory requirements. This role will support two hospital campuses (Corpus Christi - 229 beds, and Rio Grande Valley - 114 beds) and over four clinic locations across South Texas, including Laredo, McAllen, Brownsville, and Victoria. This position requires regular travel and occasional overnight stays.Are You the One We are seeking candidates with proven success in achieving reductions in expense through innovative projects in facility management and renovations, with technical expertise in building services including plant operations, MEP and project management for re-engineering initiatives. You also may oversee contract labor for electrical, HVAC, plumbing, fire safety equipment, security systems and building hardware.If you excel at unit profitability, account savings, client satisfaction, safety and quality, we want to hear from you! Incentives: *****Full Relocation Package***** What You'll Do: Manage and maintain all facilities-related regulatory documentation for all Driscoll locations (hospitals and clinics).Ensure compliance with local, state, and federal regulations pertaining to healthcare facilities, including but not limited to:The Joint Commission (TJC) standardsCMS (Centers for Medicare & Medicaid Services) regulationsNFPA (National Fire Protection Association) codesOSHA (Occupational Safety and Health Administration) standardsState and local health department regulationsConduct regular audits and inspections of facilities to identify potential compliance issues.Develop and implement corrective action plans to address identified deficiencies.Maintain accurate records of inspections, audits, and corrective actions.Stay up-to-date on changes in regulations and disseminate information to relevant personnel.Collaborate with facilities management, engineering, and other departments to ensure compliance.Serve as a liaison with regulatory agencies during inspections and surveys.Travel regularly to all Driscoll locations, including occasional overnight stays. What We Offer: Compensation is fair and equitable, partially determined by a candidate's education level or years of relevant experience. Salary offers are based on a candidate's specific criteria, like experience, skills, education, and training. Sodexo offers a comprehensive benefits package that may include:Medical, Dental, Vision Care and Wellness Programs401(k) Plan with Matching ContributionsPaid Time Off and Company HolidaysCareer Growth Opportunities and Tuition ReimbursementMore extensive information is provided to new employees upon hire. What You Bring: Qualifications:Bachelor's degree in a related field (e.g., engineering, facilities management, healthcare administration) preferred.[Number] years of experience in facilities regulatory compliance, preferably in a healthcare setting.Strong understanding of healthcare regulatory requirements (TJC, CMS, NFPA, OSHA).Excellent organizational, analytical, and problem-solving skills.Ability to read and interpret complexregulations and standards.Excellent communicationand interpersonal skills.Ability to work independently and as part ofa team.Valid driver's license and ability to travelregularly.Preferred Qualifications:Certified Healthcare Facility Manager (CHFM) or other relevant certifications.Experience with electronic document management systems.Physical Requirements:Ability to travel frequently, including occasional overnight stays.Ability to navigate hospital and clinic environments, including walking, standing, and climbing stairs. Who We Are: At Sodexo, our purpose is to create a better everyday for everyone and build a better life for all. We believe in improving the quality of life for those we serve and contributing to the economic, social, and environmental progress in the communities where we operate. Sodexo partners with clients to provide a truly memorable experience for both customers and employees alike. We do this by providing food service, catering, facilities management, and other integrated solutions worldwide.Our company values you for you; you will be treated fairly and with respect, and you can be yourself. You will have your ideas count and your opinions heard because we can be a stronger team when you’re happy at work. This is why we embrace diversity and inclusion as core values, fostering an environment where all employees are valued and respected. We are committed to providing equal employment opportunities to individuals regardless of race, color, religion, national origin, age, sex, gender identity, pregnancy, disability, sexual orientation, military status, protected veteran status, or any other characteristic protected by applicable federal, state, or local law. If you need assistance with the application process, please complete this form. Qualifications & Requirements: Minimum Education Requirement - Bachelor’s Degree or equivalent experience Minimum Management Experience - 3 years Minimum Functional Experience - 3 years work experience in facilities maintenance, plant operations or engineering services
Full Time
1/5/2025
Corpus Christi, TX 78412
(0.9 miles)
Description IntroductionWant to join a team of daring managers who care without reservations or limits Our Corpus Christi Medical Center Bay Area team is looking for a(an) RN Manager Labor and Delivery. HCA Healthcare is an advanced healthcare network that has committed up to $300 million to our incredible team members over the course of three years.BenefitsCorpus Christi Medical Center Bay Area, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.Free counseling services and resources for emotional, physical and financial wellbeing401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)Employee Stock Purchase Plan with 10% off HCA Healthcare stockFamily support through fertility and family building benefits with Progyny and adoption assistance.Referral services for child, elder and pet care, home and auto repair, event planning and moreConsumer discounts through Abenity and Consumer DiscountsRetirement readiness, rollover assistance services and preferred banking partnershipsEducation assistance (tuition, student loan, certification support, dependent scholarships)Colleague recognition programTime Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.Learn more about Employee BenefitsNote: Eligibility for benefits may vary by location.HCA Healthcare is committed to research and clinical protocols. Do you want to impact standards of care and save lives across the country Apply today to our RN Manager Labor and Delivery and be a part of the innovation of ideas.Job Summary and QualificationsThe Manager ensures high quality, patient-centered care through oversight of the overall daily function and staffing ofthe unit/department. The Manager monitors and evaluates theprovision of nursing care in accordance with establishedpolicies/procedures and holds staff accountable for quality and clinical outcomes in support of facility objectives.Education & Experience:• Associate Degree in Nursing or RN Diploma Required• Bachelor's Degree in Nursing Preferred• 1+ years applicable experience RequiredCorpus Christi Medical Center is a 630+ bed healthcare system of hospitals in Corpus Christi and the surrounding Coastal Bend community. Bay Area is our full-service acute care hospital and offers state-of-the-art cardiovascular services, bariatric, GYN and robotic surgery. The Women’s Center at Bay Area, with its NICU Unit, is also the home of our graduate medical education program. Doctors Regional is our acute care hospital, with a 24-hour emergency department, cardiac catheterization labs, orthopedic and surgical services, and inpatient rehabilitation. The Heart Hospital offers complete diagnostics, treatment, surgery and rehabilitation for cardiac patients. Northwest Regional/Northwest Behavior Health Center provides emergency medical services, laboratory, imaging services and outpatient behavioral health services. Bayview Behavioral Hospital provides inpatient and outpatient short-term treatment for psychiatric patients ages 12 years and older, as well as substance abuse treatment. Northshore Emergency Center is a full-service 24-7 emergency department in Portland that offers outpatient laboratory, imaging and occupational services. Radiation Oncology offers advanced technology for treating cancer with the latest and most specific radiation therapies available. Our programs focus on the needs of individual patients, while employing the latest techniques and research of 21st-century medicine. HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses. "Good people beget good people."- Dr. Thomas Frist, Sr.HCA Healthcare Co-Founder Unlock your potential with a leading healthcare provider dedicated to its patients, colleagues and communities. Help guide our team as a(an) RN Manager Labor and Delivery and help us improve more lives in more ways.We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
Full Time
12/14/2024
Corpus Christi, TX 78468
(8.2 miles)
Description IntroductionDo you want to be appreciated daily Our nurses are celebrated for being on the front line, empathetic for patients. At Corpus Christi Medical Center our nurses set us apart from any other healthcare provider. We are seeking a Manager RN Acute Inpatient to join our healthcare family.BenefitsCorpus Christi Medical Center, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.Free counseling services and resources for emotional, physical and financial wellbeing401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)Employee Stock Purchase Plan with 10% off HCA Healthcare stockFamily support through fertility and family building benefits with Progyny and adoption assistance.Referral services for child, elder and pet care, home and auto repair, event planning and moreConsumer discounts through Abenity and Consumer DiscountsRetirement readiness, rollover assistance services and preferred banking partnershipsEducation assistance (tuition, student loan, certification support, dependent scholarships)Colleague recognition programTime Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.Learn more about Employee BenefitsNote: Eligibility for benefits may vary by location.At Corpus Christi Medical Center, our nurses play a vital part. We know that every nurse’s path and purpose is unique. Do you want to create your own personal career path in nursing HCA Healthcare is your career destination! Our scale makes it possible for nurses to create the career path that fits their life – for life – and empowers their passion for patient care. Apply today for our Manager RN Acute Inpatient opportunity.Job Summary and QualificationsThe Manager ensures high quality, patient-centered care through oversight of the overall daily function and staffing of the unit/department. The Manager monitors and evaluates the provision of nursing care in accordance with established policies/procedures and holds staff accountable for quality and clinical outcomes in support of facility objectives.What you will do in this role:Helps create a superior clinical identity by operationalizing evidence-based practices to enhance patient safety and quality outcomes. Ensures adherence to standards of care.Supports efforts to reduce variation in clinical practice and improve efficiency, effectiveness, and cost. Ensures a culture of accountability and transparency in the provision of care.Supports the achievement of internal/external benchmarks, accreditations, and designations.Ensures compliance with all policies, procedures, and regulatory standards.Ensures equipment maintenance is performed regularly and according to regulatory and/or accreditation standards.Manages admissions and discharge processes to ensure efficient throughput and high quality, patient-centered care.Facilitates effective interdisciplinary care coordination within and across departments. Ensures staff with appropriate clinical competencies are assigned to meet patient care needs.Manages nursing practice and unit operations. Monitors and evaluates the provision of nursing care in accordance with established policies/procedures to ensure patient and family needs are assessed and met.Provides leadership in attaining and sustaining an unparalleled patient experience. Instills accountability for providing consistent, positive patient interactions that differentiate the organization as a healthcare leader.Reviews various feedback mechanisms and helps identify opportunities to improve customer/patient satisfaction. Supports the development and implementation of strategies to elevate the patient experience.Leverages various feedback mechanisms to benchmark performance and identify opportunities to improve patient satisfaction.Ensures compliance with evidence-based practices that enhance patient experience and customer service.Collaborates with subject matter experts and other leaders to create an environment of teamwork that supports improved outcomes and service.Supports a patient-first philosophy and engages in service recovery when necessary.Leads in a way that inspires commitment to the vision/mission/values of the organization. Implements evidence-based employee engagement practices.Identifies development opportunities or training needs of individual employees and teams. Provides coaching, feedback, and training to improve performance.Builds a competitively superior organization through attracting, developing, engaging, and retaining talent. Ensures people with the right skills and motivations are in the right role, at the right time, to meet business needs.Assumes responsibility for resolving and/or channeling employee grievances, disputes, or concerns according to appropriate procedures.What qualifications you will need:1+ years applicable experienceAdvanced Cardiac Life SptRegistered NurseBachelors Degree must be obtained within 2 years of employment start dateBasic Cardiac Life SupportCorpus Christi Medical Center is a 630+ bed healthcare system of hospitals in Corpus Christi and the surrounding Coastal Bend community. Bay Area is our full-service acute care hospital and offers state-of-the-art cardiovascular services, bariatric, GYN and robotic surgery. The Women’s Center at Bay Area, with its NICU Unit, is also the home of our graduate medical education program. Doctors Regional is our acute care hospital, with a 24-hour emergency department, cardiac catheterization labs, orthopedic and surgical services, and inpatient rehabilitation. The Heart Hospital offers complete diagnostics, treatment, surgery and rehabilitation for cardiac patients. Northwest Regional/Northwest Behavior Health Center provides emergency medical services, laboratory, imaging services and outpatient behavioral health services. Bayview Behavioral Hospital provides inpatient and outpatient short-term treatment for psychiatric patients ages 12 years and older, as well as substance abuse treatment. Northshore Emergency Center is a full-service 24-7 emergency department in Portland that offers outpatient laboratory, imaging and occupational services. Radiation Oncology offers advanced technology for treating cancer with the latest and most specific radiation therapies available. Our programs focus on the needs of individual patients, while employing the latest techniques and research of 21st-century medicine. HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses. "The great hospitals will always put the patient and the patient's family first, and the really great institutions will provide care with warmth, compassion, and dignity for the individual."- Dr. Thomas Frist, Sr.HCA Healthcare Co-Founder Join a family that cares about every stage in your career! We are interviewing candidates for our Manager RN Acute Inpatient opening. Apply today and a member of our Talent Acquisition team will reach out.We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
Full Time
12/19/2024
Corpus Christi, TX 78404
(5.1 miles)
DescriptionSummary: The RN Supervisor is accountable for supervising the delivery of high-quality, cost-effective care to patients. Responsible in assisting the Director for analyzing, planning, implementing, evaluating, and communicating processes and programs which enhance, strengthen and integrate the services comprising the nursing department. Responsible for participation in the development and implementation of the service line strategic business plans; and for creating an environment, which continuously supports improvement of operational, financial, and clinical components. Assumes primary responsibility for effective supervision of nursing activities of assigned area(s). Assists management of financial and human resources to ensure services meet established quality and productivity standards. Provides feedback and assistance concerning customer satisfaction, staff development, and associate performance and satisfaction. The Supervisor is responsible for the daily operations of a Nursing department on a 24-hour basis. The Supervisor collaborates with other clinical and ancillary departments to meet organizational and department-specific Quality and Safety Measures, Community Values, Business Literacy, and Service Excellence goals. A6 is a 27-bed fast paced unit. We provide care for cardiac patients who have undergone a cardiac intervention from the cath lab which includes stent placement, pacemaker placement, and diagnostic angiograms. We also care for the patients who have chosen to undergo Watchman and Mitraclip procedures. We manage patients with congestive heart failure, NSTEMI, STEMI, pre-CABG, and peripheral vascular occlusions. We do have patients with cardiac drips and also take medical-surgical overflow patients from the ER. We have a strong working relationship with our cardiologists and hospitalists. A6 has a dedicated team that is known for delivering exceptional high-quality patient care together with outstanding customer service. Responsibilities: Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders. Implementing and monitoring programs and practices for the delivery of safe and efficient quality nursing care for patients and their families. Ensuring consistent application of nursing services policies and standards throughout the organization. Monitoring patient outcomes and quality and effectiveness of nursing care. Overseeing the performance of teams; identifying and addressing staff training and development needs. Standard I. Human Resources Management Evaluates and specifies the critical resources required to accomplish the team's objectives. Initiates requests for required resources based on staff competency with patient acuity. Allocates team resources responsibly and equitably within the scope of labor laws. Discovers opportunities to improve resource utilization. Implements changes in role consistent with scope of practice. Anticipates and plans for admission/discharge/transfer needs to facilitate patient flow. Resolves conflicts in a wide variety of situations, such as workload or resource allocation, patient and family concerns, patient through-put and capacity needs, associate engagement challenges, etc. Adjusts management and personal style to fit the needs of different people and different situations. Explores motivational factors and tailor's motivational efforts to individual needs and situations for the department. Conducts evaluations on personnel performance at the workplace and recommends improvement plans. Coaches others on operating personnel management systems and their processes. Manages day-to-day labor needs by maintaining optimum staffing levels. Standard II. Relationship Management and Influencing Behaviors Applies principles of crisis management to identify issues that require immediate attention, handle situations as necessary, and manage conflict. Mentors and coach's staff. Encourages participation in professional organization. Embraces principles of self-awareness. Fosters a healthy work environment and encourages stress management. Promotes Diversity and team dynamics and understands the components of cultural competence as they apply to the workforce. Capitalizes on differences and maintains an environment of fairness to foster highly effective work groups. Standard III. Performance Improvement/Safe Practice/Quality Care/Regulations Assesses customer and patient satisfaction while developing and implementing strategies to address satisfaction issues. Provides direct service to internal or external customers and facilitates the resolution of customer problems, issues, or concerns. Monitors and promotes workplace safety requirements resulting in positive patient outcomes. Supports nursing research and quality improvement activities. Provides evidence-based nursing care. Promotes and communicates patient information effectively across the continuum of care. Standard IV. Leadership Serves as a leader of patient care. Utilizes an appropriate style of leadership: autocratic, democratic, laissez-faire/free rein, etc. Demonstrates leadership qualities: intelligence, influence, determination, integrity, confidence. Manages own behaviors during interactions, such as feedback giving, to shape workplace events. Utilizes positive reinforcement to motivate and attain desired behaviors; increases productivity. Clinical Performance Improvement Shares experiences with process performance improvements across multiple areas. Recognizes recurring and difficult problems and explores new or innovative solutions. Leverages technology to facilitate the sharing of clinical performance or outcomes data. Creates mechanism for ensuring quality and performance measures are understood and valued by nursing staff. Implements and supports improvement initiatives at the unit level. Clinical Policies and Standards Monitors different types of clinical practice to ensure compliance with standards and their impact on the organization. Informs others on advanced clinical standards and policies across medical specialties. Collaborates with other functions in establishing and documenting joint standards. Participates in the development of clinical policies and practices. Healthcare Policy and Ethics Compliance Shares experiences with addressing diverse problems in healthcare policy compliance. Demonstrates best practices for dealing with complex compliance or non-compliance situations. Guides others in making correct decisions when faced with ethical dilemmas. Supports and coaches on mechanisms that encourage attention to compliance issues, all clinical activities. Healthcare Regulatory Environment Implements programs as needed to comply with diverse healthcare laws or regulations. Monitors regulatory compliance of all healthcare practices in preparation for external audits to ensure no violations. Job Requirements: Education/Skills Bachelor of Science Degree in Nursing required for Magnet facilities, otherwise preferred. Experience 2 years of clinical patient care experience in a relevant setting. Previous Lead or Supervisor experience overseeing work of assigned units, preferred. Previous healthcare management experience preferred. Licenses, Registrations, or Certifications BLS required. RN License in state of employment or compact. Work Schedule: Varies Work Type: Full Time EEO is the law - click below for more information: https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12ScreenRdr.pdf We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact us at .
Full Time
12/21/2024
Corpus Christi, TX 78411
(2.6 miles)
Overview: Store ManagerCommunity Choice Financial ® Family of BrandsAs a Store Manager, you will leverage your leadership skills to coach, train, and guide your team to excel in their roles and uphold our high-quality standards. Reporting to the General Manager, you will serve as their right hand and run daily operations in their absence. You will make a positive impact on overall store performance by setting the example for account management, marketing, and compliance all while providing an unmatched customer experience in our high-velocity and fast-paced environment. As you're helping your team and the business grow, we'll provide you with ongoing and comprehensive training and development programs to take your career to the next level. Responsibilities: Coach, lead, and develop all store employees to obtain new business and increase store growth by demonstrating knowledge of and training on systems, Company standards, account management, recovery (collections), job duties, and performance reports.Lead the charge and set the example for all store employees to identify local marketing strategies, use business-to-business partnership opportunities, obtain referrals, host and participate in community and in-store events to steer growth and build revenue.Enforce adherence to quality standards, procedures, and local and state laws and regulations. Audit loan/pawn agreements and transactions to ensure staff accordance with procedures and practices. Participate in audits and compliance reviews as directed by the corporate office or District Manager.Supervise and maintain office security including cash management and loss prevention by verifying and documenting cash overages/shortages, vault, inventory, deposits, and expenses. Conduct proper opening and closing procedures.Examine, evaluate, and process loan/pawn applications and all relevant transactions, and assess risk within established limits.Participate in the selection, review, hiring, and retention of new employees.Develop work schedules in accordance with budget, workloads, and store needs. Ensure store is staffed for optimal performance.Handle complex customer situations that arise with integrity and professionalism.Monitor and maintain internal and external store appearance and address basic facilities needs, including scheduling maintenance services. This includes overseeing store planogram and ensuring seasonal and/or promotional marketing material are displayed properly.Work efficiently in a rapidly changing and fast-paced environment and handle multiple challenging tasks with ease to meet individual and team performance standards.Utilize strong interpersonal skills to communicate and interact with customers and Team Members at all levels.Ability to maintain a full-time work schedule with regular in-person attendance, including some weekend hours, is required for this position. A full-time work schedule for this position includes, at a minimum, 40-hours per week*.*Store hours, schedules, and/or the minimum number of hours required for this position may be subject to change by brand entity and at the sole discretion of the Company. Speak with your recruiter for the most up-to-date hourly requirements. Qualifications: High School Diploma or equivalent requiredMinimum one year of supervisory, key holder, or relevant leadership experienceMinimum one year customer service, retail, and/or sales experienceHands on cash management experienceExcellent verbal and written communication skillsProficiency in using phone system, Point of Sale, Microsoft Office, and other systemsMust be at least 18 years of age (19 in Alabama)Background check required. All background checks are conducted, and their results are considered, in accordance with applicable law.Physical demands of this position frequently include: the ability to remain in a stationary position, including standing up to 90% of the time, the ability to move and transport up to 25 pounds, the ability to move about inside and outside of the store, and the operation of mechanical controls, such as a keyboard.Preferred Qualifications and SkillsExperience in check cashing, document verification, money order processingBilingual English/Spanish is a plus and may be required for certain locations What We Offer: Our Benefits Include**:A comprehensive new hire training program Access to a robust learning management system, full of e-learning modules and training programs to help boost your professional and personal developmentPerformance-based career advancementEducational Reimbursement Program (up to $5,000 per 12-month period, then up to $10,000 per 12-month period after five years with the Company) for select programs, courses, and certifications. Terms and conditions apply.Multiple coverage choices for medical insurance, all include free telemedicine and medical spending account (HSA/FSA) optionsTraditional 401(k) and Roth 401(k) Retirement plan with a generous Company match programCompany-Sponsored Life and AD&D InsuranceVoluntary benefits, including dental, vision, short-term and long-term disability plans, accident, critical illness, hospital confinement insurance, and even pet insurancePaid Time Off (Accrue 12 days per calendar year plus additional days for each year of service after the first year of employment)Diverse Culture and Inclusive Environment**Based on current benefit offering, which is subject to change with or without notice. Certain benefits are subject to the terms and conditions of the governing plan documents which should be consulted for additional details and eligibility requirements.About UsTitleMax® is one of the nation’s largest title lending companies helping thousands of people every day get the cash they need through title loans/pawns and now in select states, with personal loans. Since our first store opened in 1998, TitleMax® has expanded to over 900 locations spanning 14 states.The information contained herein is not intended to be an all-inclusive list of the duties and responsibilities of the job, nor is it intended to be an all-inclusive list of the skills and abilities required to do the job. The Company may, at its discretion, revise the job description at any time, and additional functions and requirements may be assigned by supervisors as deemed appropriate. Requirements, skills, and abilities included have been determined to illustrate the minimal standards required to successfully perform the position.Important: The Community Choice Financial® Family of Brands will never ask you for banking or other payment information at any point during the interview or hiring process, nor will we conduct an interview via text message. Any official email correspondence will come from the domains @ccfi.com, @titlemax.com, or @titlemax.biz. In-store positions are in-person only. The Community Choice Financial® Family of Brands is committed to providing an inclusive workplace free of discrimination based on race, color, religion, sex, age, national origin, military status, disability, pregnancy, sexual orientation, gender identity or expression, genetic information or any other characteristic protected by applicable law. Candidates of all backgrounds are encouraged to apply. CCFI Companies, LLC is an equal-opportunity employer.
Full Time
12/16/2024
Corpus Christi, TX 78468
(8.2 miles)
Description IntroductionAre you looking for a place to deliver excellent care patients deserve At Corpus Christi Medical Center we support our colleagues in their positions. Join our Team as a(an) Registered Nurse Case Manager PRN and access programs to assist with every stage of your career.BenefitsCorpus Christi Medical Center, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.Free counseling services and resources for emotional, physical and financial wellbeing401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)Employee Stock Purchase Plan with 10% off HCA Healthcare stockFamily support through fertility and family building benefits with Progyny and adoption assistance.Referral services for child, elder and pet care, home and auto repair, event planning and moreConsumer discounts through Abenity and Consumer DiscountsRetirement readiness, rollover assistance services and preferred banking partnershipsEducation assistance (tuition, student loan, certification support, dependent scholarships)Colleague recognition programTime Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.Learn more about Employee BenefitsNote: Eligibility for benefits may vary by location.Are you a continuous learner With more than 94,000 nurses throughout HCA Healthcare, we are one of the largest employers of nurses in the United States. Education is key to excellence! As a majority owner of Galen College of Nursing, which joins Research College of Nursing and Mercy School of Nursing as educational facilities within the HCA Healthcare family, we make it easier and more affordable to gain certifications and job skills. Apply today for our Registered Nurse Case Manager PRN opening and continue to learn!Job Summary and QualificationsThe RN case manager is responsible to facilitate care along a continuum through effective resource coordination to help patients achieve optimal health, access to care, and appropriate utilization of resources, balanced with the patient's resources and right to self-determination. The individual in this position has overall responsibility for ensuring that care is provided at the appropriate level of care based on medical necessity and to assess the patient for transition needs to promote timely thoughput, safe discharge, and prevent avoidable readmissions. This position integrates national standards for case management scope of services including:What you will do in this role:Actively participates in the collaborative program which requires review of patient activities related to medical necessity of hospitalization, appropriateness of length of stay, timely and appropriate utilization of services rendered, and identification of patient needs related to patient care following discharge from the hospital.The case manager promotes quality care and cost-effective outcomes to enhance the physical, psychosocial and vocational health of individuals.The position encompasses reviewing, planning, implementing, coordinating and evaluating health-related service options throughout the continuum.Employee will be responsible for knowledge and skill necessary to provide care based on physical, psychological, educational, safety and related criteria for the neonate, infant child, adolescent, adult and geriatric population.What you will need for this role:Associate Degree in Nursing, requiredBachelor's Degree in Nursing, preferredCase Management certification, preferredCurrent Texas licensure with State Board of Nurse Examiners as an RN1+ years experience in healthcareCorpus Christi Medical Center is a 630+ bed healthcare system of hospitals in Corpus Christi and the surrounding Coastal Bend community. Bay Area is our full-service acute care hospital and offers state-of-the-art cardiovascular services, bariatric, GYN and robotic surgery. The Women’s Center at Bay Area, with its NICU Unit, is also the home of our graduate medical education program. Doctors Regional is our acute care hospital, with a 24-hour emergency department, cardiac catheterization labs, orthopedic and surgical services, and inpatient rehabilitation. The Heart Hospital offers complete diagnostics, treatment, surgery and rehabilitation for cardiac patients. Northwest Regional/Northwest Behavior Health Center provides emergency medical services, laboratory, imaging services and outpatient behavioral health services. Bayview Behavioral Hospital provides inpatient and outpatient short-term treatment for psychiatric patients ages 12 years and older, as well as substance abuse treatment. Northshore Emergency Center is a full-service 24-7 emergency department in Portland that offers outpatient laboratory, imaging and occupational services. Radiation Oncology offers advanced technology for treating cancer with the latest and most specific radiation therapies available. Our programs focus on the needs of individual patients, while employing the latest techniques and research of 21st-century medicine. HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses. "Good people beget good people."- Dr. Thomas Frist, Sr.HCA Healthcare Co-Founder If growth and continued learning is important to you, we encourage you to apply for our Registered Nurse Case Manager PRN opening. Our team will promptly review your application. Highly qualified candidates will be contacted for interviews. Unlock the possibilities apply today!We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
Full Time
12/18/2024
Corpus Christi, TX 78404
(5.1 miles)
DescriptionSummary: The Utilization Management Nurse II 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 Joint Commission regulations 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 Management Nurse collaborates as necessary with other members of the health care team to ensure the above according to the mission of CHRISTUS. CHRISTUS Spohn Hospital Corpus Christi - Shoreline overlooking Corpus Christi Bay is the largest and foremost acute care medical facility in the region, with a full range of diagnostic and surgical specialty services in cardiac, cancer, and stroke care. It is the leading emergency facility in the area with a Level II Trauma Center in the Coastal Bend, staffed with physicians and nurses specially trained in emergency services. The Pavilion and North Tower house a state-of-the-art emergency department, ICU, Cardiac Cath Lab and surgical suitesA teaching facility in affiliation with the Texas A&M University System Health and Science Center College of MedicineAccredited Chest Pain CenterAccredited Joint Commission Stroke Team Responsibilities: Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders. Applies demonstrated clinical competency and judgment in order to perform comprehensive assessments of clinical information and treatment plans and apply medical necessity criteria in order to determine the appropriate level of care. Resource/Utilization Management appropriateness: Assess assigned patient population for medical necessity, level of care, and appropriateness of setting and services. Utilizes MCG/InterQual Care Guidelines and/or health system-approved tools to track impact and variance. Uses appropriate criteria sets for admission reviews, continued stay reviews, outlier reviews, and clinical appropriateness recommendations. Coordinate and facilitate correct identification of patient status. Analyze the quality and comprehensiveness of documentation and collaborate with the physician and treatment team to obtain documentation needed to support the level of care. Facilitates joint decision-making with the interdisciplinary team regarding any changes in the patient status and/or negative outcomes in patient responses. Demonstrates, maintains, and applies current knowledge of regulatory requirements relative to the work process in order to ensure compliance, i. e. IMM, Code 44. Demonstrate adherence to the CORE values of CHRISTUS. Utilize independent scope of practice to identify, evaluate and provide utilization review services for patients and analyze information supplied by physicians (or other clinical staff) to make timely review determinations, based on appropriate criteria and standards. Take appropriate follow-up action when established criteria for utilization of services are not met. Proactively refer cases to the physician advisor for medical necessity reviews, peer-to-peer reviews, and denial avoidance. Effectively collaborate with the Interdisciplinary team including the Physician Advisor for secondary reviews. Proactively review patients at the point of entry, prior to admission, to determine the medical necessity of a requested hospitalization and the appropriate level of care or placement for the patient. Review surgery schedule to ensure planned surgeries are ordered in the appropriate status and that necessary authorization has been obtained as required by the payor or regulatory guidance (i. e., CMS Inpatient Only List, Payor Prior Authorization matrix, etc.) Regularly review patients who are in the hospital in Observation status to determine if the patient is appropriate for discharge or if conversion to inpatient status is appropriate. Proactively identify and resolve issues regarding clinical appropriateness recommendations, coverage, and potential or actual payor denials. Maintain consistent communication and exchange of information with payors as per payor or regulatory requirements to coordinate certification of hospital services. Coordinate and facilitate patient care progression throughout the continuum and communicate and document to support medical necessity at each level of care. Evaluate care administered by the interdisciplinary health care team and advocate for standards of practice. Analyze assessment data to identify potential problems and formulate goals/outcomes. Follows the CHRISTUS Guidelines related to the Health Insurance Portability and Accountability ACT (HIPPA) designed to prevent or detect unauthorized disclosure of Protected Health Information (PHI). Attend scheduled department staff meetings and/or interdepartmental meetings as appropriate. Possesses and demonstrates technology literacy and the ability to work in multiple technology systems. Act as a catalyst for change in the organization; respond to change with flexibility and adaptability; demonstrate the ability to work together for change. Translate strategies into action steps; monitor progress and achieve results. Demonstrate the confidence, drive, and ability to face and overcome challenges and obstacles to achieve organizational goals. Demonstrate competence to perform assigned responsibilities in a manner that meets the population-specific and developmental needs of patients served by the department. Possess negotiating skills that support the ability to interact with physicians, nursing staff, administrative staff, discharge planners, and payers. Excellent verbal and written communication skills, knowledge of clinical protocol, normative data, and health benefit plans, particularly coverage and limitation clauses. Must adjust to frequently changing workloads and frequent interruptions. May be asked to work overtime or take calls. May be asked to travel to other facilities to assist as needed. Actively participates in Multidisciplinary/Patient Care Progression Rounds. Escalates cases as appropriate and per policy to Physician Advisors and/or CM Director. Documents in the medical record per regulatory and department guidelines. May be asked to assist with special projects. May serve as a preceptor or orienter to new associates. Assumes responsibility for professional growth and development. Familiarity with criteria sets including InterQual and MCG preferred. Must have excellent verbal and written communication and ability to interact with diverse populations. Must have critical and analytical thinking skills. Must have demonstrated clinical competency. Must have the ability to Multitask and to function in a stressful and fast-paced environment. Must have working knowledge of discharge planning, utilization management, case management, performance improvement, and managed care reimbursement. Must have an understanding of pre-acute and post-acute levels of care and community resources. Must have the ability to work independently and exercise sound judgment in interactions with physicians, payors, patients, and their families. Must have an understanding of internal and external resources and knowledge of available community resources. Other duties as assigned. Job Requirements: Education/Skills Graduate of an accredited School of Nursing OR demonstrated success in the Utilization Management Nurse I role for at least five years at CHRISTUS Health on top of required experience in lieu of education required. Experience Two or more years of clinical experience with at least one year in the acute care setting OR demonstrated success as Utilization Management Nurse I role at CHRISTUS Health required. Licenses, Registrations, or Certifications RN License in state of employment or compact required. LPN or LVN license accepted for associates with 5+ years of demonstrated success and experience in the Utilization Management Nurse I role at CHRISTUS Health. Certification in Case Management preferred. BLS preferred. Work Schedule: 7AM - 7PM Work Type: Full Time EEO is the law - click below for more information: https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12ScreenRdr.pdf We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact us at .
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