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Management Jobs
Full Time
11/6/2024
Tyler, TX 75701
(43.1 miles)
OverviewJoin our team as a day shift, PRN, Acute Care Registered Nurse (RN) Case Manager in Tyler, TX.Thrive in a People-First Environment and Make Healthcare BetterThrive: We empower our team with career growth opportunities, tuition assistance, and resources that support your wellness, education, and financial well-being.People-First: We prioritize your well-being with a supportive, inclusive culture where you are valued and cared for.Make Healthcare Better: We use advanced technology to support our team and enhance patient care.Get to Know Your Team:UT Health Tyler, the flagship hospital of the system, has 502 licensed beds specializing in advanced acute care medicine. Our hospital includes a 24-hour ER with Level 1 trauma center, a comprehensive stroke center, more than 500 physicians and a full complement of subspecialty groups. ResponsibilitiesCoordinate and advocate for our patients' care & create an appropriate discharge plan. Review patients' charts, and meet with families and healthcare providers to establish the most suitable course of action. Should remain in contact with patients and their families during the hospitalization stay. QualificationsJob Requirements:Current RN license in the state of Texas Registered Nurse with an Associates, Bachelor’s or Master’s DegreeMinimum of three (3) years of clinical experiencePreferred Job Requirements:Case Management certificationExperience in utilization review, discharge planning, quality programs
Full Time
10/27/2024
Palestine, TX 75801
(5.5 miles)
DescriptionSummary: Provides care under supervision of physician or registered nurses for clinic patients, according to established standards and practices. Performs various lab procedures when necessary and in accordance with competency. Responsibilities: Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders. Under the direction of the physician; performs basic patient care duties including, but not limited to, obtaining vital signs, weighing patients, and collecting specimens [including phlebotomy (specific to site). Assists provider(s) in examination and treatment of patients and with procedures. Assist with patient flow through the clinic. Answers phone/records phone messages, and assists provider(s) with patient related calls. Assists in scheduling test appointment, results and pre-certification. Documents any information related to patient. Assists provider(s) with medication refills. Administers medications/immunizations according to provider order. Cleans and restocks exam rooms. Cleans equipment in accordance with policy. Orders stock supplies from supply department (specific to site maintains sterile technique and utilizes universal protocol. Performs routine clerical duties assigned, including but not limited to locating patient charts, filing and the completion of routine forms. Attends/completes required meetings and in-service training and performs other duties as assigned. Requirements: CERTLVN License in state of employment or compactBLS 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
11/16/2024
Athens, TX 75752
(36.1 miles)
Our Company: Hospice Plus, part of the Gentiva family of hospice, home health, palliative, and community care providers, focuses on clinical excellence with compassion and dignity. Our company culture centers around humility, servant leadership, empathy, and innovation while we serve as a leader in the home care industry. Our people and our patient care allow us to make a difference when life matters most. We are passionate about what we do because our care matters. Overview: Join us to make a difference when life matters mostWe believe every day is an opportunity to make care more personal and life more comfortable. That’s why we offer personal care, palliative care and hospice to give people the care they need with dignity, grace, and love. The Afterhours AIM RN (7 on 7 off) will report directly to the Director of AIM. Responsible for identifying and coordinating patient/family needs and for providing preventive and supportive care to the palliative patients and family. Utilizes assessment, intervention, and teaching skills to maximize patient comfort and to enhance the quality of life. Assumes afterhours coverage for the designated teams and functions as an interdisciplinary advanced illness management and support, along with telephonic, video, and in person interventions afterhours.As a Registered Nurse / RN, you will: Be able to triage patient needs over the phone until a nurse can provide an in-person visitRespond appropriately and with urgency to crisis calls from patients and families after hoursMake the initial nursing evaluation in determining eligibility for palliative serves, as part of a patient visit, within 48 hours of referral Identify the patient/family’s physical, psychosocial, emotional, and environmental needs and re-assesses as neededCollaborate with the patient/family, attending physician and other members of IDG in providing patient and family careTimely document the problems, appropriate goals, interventions, and patient/family response to palliative careMaintain accurate and relevant clinical notes regarding the patient’s conditionBe responsible to effectively communicate with members of the AIM team, clinical supervisor, and the patient’s PCP, if any, regarding changes in patient status and/or patient needs occurring during afterhours callReport patient condition and any identified needs/issues to supervisor, nurse practitioner, or PCPAssist in overseeing the utilization of medications, DME and supplies related to the plan of care in a manner consistent with the needs of the patent, physician orders, and the performance goals of the AIM agency About You: Registered Nurse / RN Requirements:Education:Associates/Bachelor’s degree NursingExperience:2 years of prior skilled Registered Nurse experienceDemonstrated ability to provide quality patient careNursing experience in palliative care, oncology, hospice, or geriatric care preferredAdditional, preferred experience to help you be successful in a hospice role: hospital Staff RN, Med Surg, PACU, Float pool, ER or emergency room, critical care, acute care, cardiac, geriatric, admissions, wound care, telemetry or travel nursingLicenses, Certifications and/or Registration: Current RN license to practice in the stateCPR CertificationEquipment/Tools/Work-Aids: Fluent competence in computer programs Microsoft Outlook, Microsoft Word, and Microsoft ExcelFluent in electronic medical record documentationSpecialized Knowledge and Skills:Prior clinical experience Strong compassionate phone skillsStrives for independence and sound critical decision-making regarding the delivery of patient careCompetent to perform afterhours in person visits Familiar with the concepts and needs of patients/families who are facing advanced illnessesExcellent written and verbal communicationAlways maintains patient confidentiality Good problem-solving skills Good time management skills We Offer: As a Registered Nurse / RN, you will be eligible for:Competitive PayMedical, Dental, Vision Plans Wellness Program and Resources including:A dedicated Accolade Care Coordinator for personalized care management support of all your healthcare needsTelemedicine ProgramType 2 Diabetes Management Program via Virta Health A complete Joint and Spine Program with concierge services via Nimble OrthopedicsGenerous Paid Time Off (plan increases with tenure) and 7 paid holidaysPre-tax FSA and HSA plans (HSA w/company contributions)401(k) with company matching contributionsCareer growth opportunities available at both the branch and corporate levelsOne on One Onboarding Program Free Continuing Education UnitsTuition Program that includes:Access to 280+ program at 25+ learning partnersPrograms at every education level from ASN to BSN or BSN to MSNOnline classes with flexible start datesTuition reimbursement Company paid life and long-term disability insuranceVoluntary long-term care, critical illness, accident insurance, and pet insurance Local and national award programsReferral bonus programMileage reimbursement or Fleet ProgramFinancial assistance program supporting teammates in times of need Legalese: This is a safety-sensitive positionEmployee must meet minimum requirements to be eligible for benefitsWhere applicable, employee must meet state specific requirementsWe are proud to be an EEO employerWe maintain a drug-free workplace Location: Hospice Plus
Full Time
11/15/2024
Crockett, TX 75835
(29.7 miles)
Join us and inspire with every cup! At Starbucks, it’s all about connection. People are at the heart of who we are, especially the people that are a part of our store team. We connect with each other, our customers and our communities to make a positive impact every day. We believe in working together to make a difference and in celebrating our shared success, which is why we call ourselves Starbucks “partners.” Starbucks is a place of warmth and belonging, where everyone is welcome, and we value the unique experiences that each partner brings to our team! As a Starbucks shift supervisor, you’ll be a role model of the store operations standards that define our Starbucks Experience. You’ll lead each shift, working alongside a team of baristas to deliver quality customer service and expertly-crafted products. You’ll be in an energetic store environment where you’ll have the ability to positively influence and guide others, maintain an encouraging team environment, and grow your leadership skills. We believe our shift supervisors are leaders in creating an uplifting experience for our customers and partners alike. You’d make a great shift supervisor if you: Take initiative and act as a role model to others. Enjoy working as a team and motivating others.Understand how to create a great customer service experience.Have a focus on quality and take pride in your work.Are confident in leading, deploying, and guiding others.Are open to learning new things (especially the latest beverage recipe!)Are experienced with responsibilities like cash-handling and store safety. Can keep cool and calm in a fast-paced, energetic work environment.Have excellent communications skills. From free coffee to competitive pay, Starbucks is proud to offer a comprehensive compensation and benefits package to our eligible part-time and full-time partners. Benefits include 100% tuition coverage through our Starbucks College Achievement Plan, health coverage with a variety of plans to choose from, and stock & savings programs like our equity reward program, Bean Stock. What’s more, Starbucks offers flexible scheduling and opportunities for paid time off. Visit starbucksbenefits.com for details. Benefit Information Summary of Experience Customer service experience in a retail or restaurant environment - 1 year Basic Qualifications Maintain regular and consistent attendance and punctuality, with or without reasonable accommodationAvailable to work flexible hours that may include early mornings, evenings, weekends, nights and/or holidaysMeet store operating policies and standards, including providing quality beverages and food products, cash handling and store safety and security, with or without reasonable accommodationsSix (6) months of experience in a position that required constant interacting with and fulfilling the requests of customersPrepare and coach the preparation of food and beverages to standard recipes or customized for customers, including recipe changes such as temperature, quantity of ingredients or substituted ingredientsAt least six (6) months of experience delegating tasks to other employees and/or coordinating the tasks of two (2) or more employees Knowledge, Skills and Abilities Ability to direct the work of othersAbility to learn quicklyEffective oral communication skillsKnowledge of the retail environmentStrong interpersonal skillsAbility to work as part of a teamAbility to build relationships As a Starbucks partner, you (and your family) will have access to medical, dental, vision,basic and supplemental life insurance, and other voluntary insurance benefits.Partners have access to short-term and long-term disability, paid parental leave, family expansion reimbursement, paid vacationthat accrues starting at .01961 hours based on a 40 hour week up to 40 hours annually (64 hours in California) after an introductory period, sick time (accrued at1 hour for every 25 or 30 hours worked, depending on work location),and additional pay if working on one of eightobserved holidays. Starbucks also offers eligible partners participation in a 401(k)-retirement plan with employer match, a discounted company stock program (S.I.P.), Starbucks equity program (Bean Stock), incentivized emergency savings, and financial well-being tools. Additionally, Starbucks offers 100% upfront tuition coverage for a first-time bachelor’s degree through Arizona State University’s online program viathe Starbucks College Achievement Plan, student loan management resources, and access to other educational opportunities.You will also have access to backup careand DACA reimbursement. Starbucks will comply with any applicable state and local laws regarding employee leave benefits, including, but not limited to providing time off pursuant to the Colorado Healthy Families and Workplaces Act, in accordance with its plans and policies. This list is subject to change depending on collective bargaining in locations where partners have a certified bargaining representative. For additional information regarding partner perks and more detailed information regarding benefits, go to starbucksbenefits.com. At Starbucks, it is typical for new partners to be hired at the entry point of the range for their role, which is based upon geographic location. Individual compensation decisions are dependent upon the facts and circumstances of each position and candidate. Starbucks is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, age, physical or mental disability, sexual orientation, marital status, military or veteran status, gender identity and expression, genetic information, or any other factor protected by law. We are committed to creating a diverse and welcoming workplace that includes partners with diverse backgrounds and experiences. We believe that enables us to better meet our mission and values while serving customers throughout our global communities. People of color, women, LGBTQIA+, veterans and persons with disabilities are encouraged to apply. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal state and local ordinances. Starbucks Corporation is committed to offering reasonable accommodations to job applicants with disabilities. If you need assistance or an accommodation due to a disability, please contact us at .
Full Time
11/17/2024
PALESTINE, TX 75801
(0 miles)
Before you apply to a job, select your language preference from the options available at the top right of this page.Explore your next opportunity at a Fortune Global 500 organization. Envision innovative possibilities, experience our rewarding culture, and work with talented teams that help you become better every day. We know what it takes to lead UPS into tomorrow—people with a unique combination of skill + passion. If you have the qualities and drive to lead yourself or teams, there are roles ready to cultivate your skills and take you to the next level.Job Description:Job Summary This position trains and supervises Package Handlers and Clerks on safety, productivity, and various job-related tasks. This position holds teams accountable for attendance and submits timecards. Responsibilities: Develops and maintains good working relationships with employees, management and customers. Facilitates training with new and current employees. Conducts and participates in group meetings. Coordinates evaluations with management. Determines best solutions for package concerns. Supervises daily activities of package handlers and clerks to ensure all assigned duties are accomplished safely and timely. Understands and consistently demonstrates UPS's high ethical standards and code of conduct. Qualifications: Ability to lift 70 lbs./32 kgs. Availability to work flexible shift hours, up to 5 days per week Strong problem solving skills, with ability to multitask Strong oral and written communication skills Working knowledge of Microsoft Office Ability to work in a fast-paced warehouse environment Bachelor's Degree or International equivalent - Preferred Management experience - PreferredEmployee Type:PermanentUPS is committed to providing a workplace free of discrimination, harassment, and retaliation.Other Criteria: UPS is an equal opportunity employer. UPS does not discriminate on the basis of race/color/religion/sex/nationalorigin/veteran/disability/age/sexual orientation/gender identity or any other characteristic protected by law.Basic Qualifications:Must be a U.S. Citizen or National of the U.S., an alien lawfully admitted for permanent residence, or an alien authorized to work in the U.S. for this employer.
Full Time
11/7/2024
Palestine, TX 75801
(0 miles)
Expand your career possibilities.Thank you for dedicating your time and talent to Lowe’s. We want to give you more opportunities to learn and grow, so if you find a position you’re interested in below, we encourage you to apply!Find Your Home to More Possibilities.All Lowe’s associates deliver quality customer service while maintaining a store that is clean, safe, and stocked with the products our customers need. As an Night Operations Department Supervisor, this means:• Removing barriers, addressing inefficiencies, and enabling staff to delighting our customers.• Collaborating with front-end and back-end operations associates to ensure items are adequately stocked.• Monitoring use of store power equipment and coaching employees on safe behaviors and lifting techniques.The Night Operations Department Supervisor is primarily responsible for leading and enabling a team of associates to deliver the best possible customer experience in the store. This includes coaching and training associates, delegating, following-up on daily tasks, managing performance, and ensuring adequate department coverage. The Night Operations Department Supervisor impacts Lowe’s mission daily by planning, scheduling, monitoring, and successfully implementing all non-selling operations in the back end and front end of the store, facilitating the store’s ability to provide a superior customer shopping experience and maximize sales and profitability.To be successful, the Night Operations Department Supervisor must collaborate and communicate with other Department Supervisors and Assistant Store Managers to determine the most effective methods for meeting service, operations, and safety objectives. The individual in this role must continuously drive efficiencies and be able to teach others the skills needed to maintain effective store operations. It is important that this associate communicate upward to keep management informed of concerns, issues, recognitions, and morale.The Night Operations Department Supervisor helps keep our store safe by conducting safety walks, reporting hazards, training and monitoring staff, and understanding all safety and lifting requirements.In addition to the responsibilities summarized above, individuals in this role may occasionally open or close the store or serve as manager-on-duty (MOD).Travel Requirements: This role does not require regular travel; however, this role may need to travel on occasion to meetings, trainings, or to support neighboring stores.What We're Looking For• Hourly Full Time: Generally scheduled 39 to 40 hours; more hours may be required based on the needs of the store.• Requires working overnight shift.• Physical ability to perform tasks that may require prolonged standing, sitting, and other activities necessary to perform job duties.• Minimally must be able to lift 25 pounds without assistance; may lift over 25 pounds with or without assistance.What You Need To SucceedMinimum Qualifications• High School Diploma or equivalent and 3 years of experience in a retail environment OR 5 years of experience in a retail environment.• Experience providing direction or supervision to teams (with or without direct report responsibility).• Experience supporting or participating in the process of training, mentoring and developing associates.• Experience working cross-functionally.• Experience Using Microsoft Office Suite.• Ability to obtain sales related licensure or registration as may be required by law.Preferred Qualifications• Experience supporting front-end or back-end operations in a retail environment.• Experience in customer service role.• Experience in a leadership role with direct report responsibility.• Experience working in the home improvement retail sector.• Experience working in a fast paced, dynamic retail environment.• Experience in key carrying role with manager-on-duty responsibilities.• Experience using store computer systems (including but not limited to: Project Tool, Genesis, Sterling, M2O, Thin Client, etc.).If the state or local municipality requires a salesperson license for this position, you must either be licensed or pass the requisite licensing exam within sixty (60) days of starting employment in this position.Lowe’s is an equal opportunity employer and administers all personnel practices without regard to race, color, religious creed, sex, gender, age, ancestry, national origin, mental or physical disability or medical condition, sexual orientation, gender identity or expression, marital status, military or veteran status, genetic information, or any other category protected under federal, state, or local law.
Full Time
11/2/2024
Tyler, TX 75703
(37.0 miles)
Ready to join our BIG family Text "BIG LOTS" to 97211 to schedule an interview.When you join our team, you’ll enjoy extra savings with a 20% discount on almost everything in store – even food! And a 30% discount on Indoor and Outdoor furniture. Additional benefits include a same day pay option (hourly associates only), discounts on Apple products, Verizon, AT&T services, and more! For More information about benefits, see https://www.biglots.com/corporate/careers/benefits.Primarily responsible for leading the service team including cashiering, and recovery-related functions and is accountable for customer service and operational front-end standards. Provides leadership and clear direction to associates and actively participates in the customer-facing and service aspects of the store, including the support of front-end operations and programs and customer carry outs. Serves as the primary Manager on Duty (MOD) when present. When serving as MOD, leads and provides direction to store associates performing all cashiering, customer service, recovery, and furniture-related activities on the sales floor. Works collaboratively with store leadership to accomplish customer service and front-end operational goals and tasks to help drive overall store performance.1. Leads, supervises, and provides work direction to the Service Team in the store related to all cashiering, front-end and recovery functions.2. Provides feedback to store leadership regarding the team’s performance.3. Responsible for activities related to the achievement of customer service standards, front end operations and program compliance, training, and day-to-day operational tasks, including recovery.4. Serves as the primary Manager on Duty when present including opening and closing the store when scheduled. When serving in this role, provides leadership and direction to floor associates and ensures that store, merchandising, and customer service standards are continuously met, including merchandise presentation, signage, recovery, and cleanliness. Drives the customer experience and ensures resolution of customer issues.5. Responsible for the maintenance, supervision, and compliance of the Hazardous Waste program.6. Utilizes company tools, reports, and feedback to effectively analyze trends and collaborate with store leadership in refining plans to accomplish store initiatives and achieve goals.Qualification1. High School Diploma, GED, or equivalent work experience required. Must be 18 years of age.2. Minimum two years retail management experience preferred.3. Strong decision-making, problem resolution, and interpersonal skills required.4. Ability to lift, carry, push, and pull a minimum of 50 pounds required. Ability to unload freight, to move product on and off store shelves, to walk, stand, bend, stoop, or kneel for long periods of time, and to move freely throughout store on a continual basis required.5. Availability to work a variable schedule of up to 40 hours per week, including nights, weekends, and holidays required.6. Basic English literacy, math, and PC skills required.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.The actual hourly rate will equal or exceed the required minimum wage applicable to the job location.
Full Time
11/15/2024
Tyler, TX 75701
(43.1 miles)
OverviewJoin our team as a day shift, full-time, Nuero Surgical Intensive Care Unit (ICU) Nursing Manager Registered Nurse (RN) in Jacksonville, TX.Fulfilling your purpose begins here:People First, Always. Here’s how we take care of our people:Medical, vision, dental health insurance, health savings account / flexible spending, competitive pay, paid time off, 401k retirement plan with company match, employee assistance program and more.Your team is bigger than your department: UT Health Tyler, the flagship hospital of the system, has 502 licensed beds specializing in advanced acute care medicine. Our hospital includes a 24-hour ER with Level 1 trauma center, a comprehensive stroke center, more than 500 physicians and a full complement of subspecialty groups.We believe healthcare is a team sport and every player has something to contribute. We show compassion, celebrate differences and treat one another with respect. ResponsibilitiesThe Clinical Manager RN provides innovative leadership to maximize the department& contribution to overall hospital performance through effective planning as well as human and financial resource management which result in quality outcomes in line with financial goals of the institution. Provides for the delivery of care to a group of patients and evaluates the multi-disciplinary care in a systematic fashion, in order to improve outcomes. The care is delivered within the framework of hospital philosophy in concert with departments and services within the hospital. Responsible for assuring hospital compliance with all local, state and federal regulations as well as accrediting organizations. QualificationsJob Requirements:Graduation from an approved school of nursing and licensed as a Registered Nurse in the State of Texas.Bachelor of Science in Nursing required.Registered Nurse with a current license to practice in the State of Texas.At least two years recent experience in the nursing specialty.BLS Required
Full Time
10/30/2024
Tyler, TX 75701
(43.1 miles)
DescriptionSummary: Assures appropriate staffing is maintained on all Nursing Units; responsible for the clinical and administrative supervision of overall hospital activities in the absence of Administration and Nursing Director/Managers. Responsibilities: Provides supervision and guidance to all areas by visiting units/departments throughout the shift to ascertain status of areas, interpreting policies and regulations to staff patients, and visitors, coordinating placement/transfer of patients, and responding to staffing issuesScreens incoming patients for appropriateness of admission/transfer and facilitates placement in proper level of careFunctions at all times as the hospital administrative representative by acting as hospital spokesperson, as appropriate, investigating incidents and events and taking appropriate action, interview to provide assistance in problem-solving, and conveying a positive image of the hospitalConsults with administrator on-call as appropriateArranges/facilitates emergency operations as neededPerforms clinical functions as neededIntervenes in patient, family associated, and physician complaints and follows up with director/manager and patient advocate as appropriateProvides staffing for oncoming shift; assigns staff utilizing appropriate mix of full time, PRN and agency staff to meet each unit’s needsMakes changes in KRONOS scheduling to represent the most recent staffing planMonitors and utilizes competency/orientation check lists for temporary reassignment of hospital staff and assignment of agency staffPerforms PFT reviews on PRN Pool associatesProvides input to director on staff performanceWorks collaboratively with other house supervisors and staffing personnel within the region to effectively utilize the PRN pool Requirements: Associate's Degree in NursingRN License in state of employment or compactBLS 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
10/27/2024
Tyler, TX 75701
(43.1 miles)
DescriptionSummary: Assures appropriate staffing is maintained on all Nursing Units; responsible for the clinical and administrative supervision of overall hospital activities in the absence of Administration and Nursing Director/Managers. Responsibilities: Provides supervision and guidance to all areas by visiting units/departments throughout the shift to ascertain status of areas, interpreting policies and regulations to staff patients, and visitors, coordinating placement/transfer of patients, and responding to staffing issuesScreens incoming patients for appropriateness of admission/transfer and facilitates placement in proper level of careFunctions at all times as the hospital administrative representative by acting as hospital spokesperson, as appropriate, investigating incidents and events and taking appropriate action, interview to provide assistance in problem-solving, and conveying a positive image of the hospitalConsults with administrator on-call as appropriateArranges/facilitates emergency operations as neededPerforms clinical functions as neededIntervenes in patient, family associated, and physician complaints and follows up with director/manager and patient advocate as appropriateProvides staffing for oncoming shift; assigns staff utilizing appropriate mix of full time, PRN and agency staff to meet each unit’s needsMakes changes in KRONOS scheduling to represent the most recent staffing planMonitors and utilizes competency/orientation check lists for temporary reassignment of hospital staff and assignment of agency staffPerforms PFT reviews on PRN Pool associatesProvides input to director on staff performanceWorks collaboratively with other house supervisors and staffing personnel within the region to effectively utilize the PRN pool Requirements: Associate's Degree in NursingRN License in state of employment or compactBLS 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
10/27/2024
Tyler, TX 75701
(43.1 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. 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: 8AM - 5PM Monday-Friday 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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