The Heights of TylerRN Weekend SupervisorMust have a current and valid Texas RN nursing license or a current and valid RN nursing license from a Compact Party State and have at least 2 years long term care experience.Here’s what’s in it for YOU!Shift: Saturday & Sunday 6am-10pmRate: $34/hr - $38/hrA place where your voice mattersCompetitive compensation and benefit packagePaycheck advancesTuition Reimbursement401(k) matchingAccrue paid time off starting day 1Numerous bonus opportunitiesTouchstone Emergency Assistance Foundation GrantsMake Lives Better. Be a part of something meaningful: The Touchstone Experience.If your purpose is to Make Lives Better, we welcome you to Join Team Touchstone today and be part of something meaningful. Touchstone is committed to bringing a Best In Class Healthcare Experience to our Patients, Residents and Veterans. Compassionate team members are the key to revealing our vision to be the leading post-acute healthcare solution in the markets we serve. If you desire to be part of a work environment where every voice matters, we encourage you to apply today. EOE STATEMENT We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status or any other characteristic protected by law.

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

DescriptionSummary: The competent Nurse, in the same or similar clinical setting, practices independently and demonstrates an awareness of all relevant aspects of a situation. Provides routine and complex care, with the ability to on long-range goals or plans. Continues to develop the ability to cope with and manage contingencies of clinical nursing. Makes appropriate assignments and delegates to other care providers as a means to help manage the clinical situation. Responsibilities: Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders. Consistent with the ANA Scope and Standards of Practice, provides nursing care utilizing the nursing process, including assessment, diagnosis, planning, intervention and evaluation for assigned patients. Addresses increasingly complex psychological, emotional, cultural, and social needs of patient and families in accordance with their level of practice. Using the appropriate protocol, administers medications and treatments; monitors for side-effects and effectiveness of the treatment prescribed. Documents patient history, symptoms, medication, and care given. Assess learning needs and provides education to patients, family members and/or care givers; identify issues and resources. CORE COMPETENCIES Standard I: Utilizes the Nursing Process Uses critical thinking skills to assess the basic physical, psychosocial, social, cultural, spiritual, and development needs of patient and familiesCommunicates findings to appropriate healthcare team membersDevelops and uses a specific plan of care and modifies it to meet individual patient needs using evidence-based practiceImplements patient care and therapeutic procedures; monitors and documents progression of treatment and teaching goalsEvaluates the care and treatment(s) provided to the patient and the patient response to the care and treatment(s)Performs timely reassessment and documentationMust be able to perform unit-specific competencies based on the specific patient care need for the designated unit's patient population Standard II. Patient Throughput & Patient Flow Process Anticipates and plans for admission/discharge/transfer needs to facilitate patient flowUtilizes appropriate systems of communication and tools to facilitate the discharge processCoaches on tools and techniques for checking, cross checking and validating orders to ensure accuracy Standard III. Unit Operations Plans, directs, and evaluates the overall nursing care and functions in a particular nursing unit during an assigned shiftDemonstrates good stewardship in proper use and maintenance of equipment and SuppliesAssesses departmental staffing needs; actively participates in resourcing efforts. Educates and trains others on the operations, ethics, and regulations within the industry Standard IV. Safe Practice/Quality Care/Regulations Incorporates patient safety practices/guidelines to promote a safe environment resulting in positive patient outcomesDemonstrates accountability for nursing research and quality improvement activitiesProvides evidence-based nursing careCommunicates patient information effectively across the continuum of careEducates and trains others on the operations, ethics, and regulations within the industryKnowledge of federal, state and local healthcare-related laws and regulations; ability to comply with these in healthcare practices and activities TECHNICAL COMPETENCIES Clinical Policies and Standards Follows a specific set of standards and associated clinical proceduresAnalyzes policy and standards documentation and ensures organizational complianceProvides feedback for improvement of proceduresAssists in the development and implementation of specific proceduresWorks with control and monitoring mechanisms, tools and techniques Health Information Documentation Shares experiences with maintaining paper and electronic patient documentationWalk through the steps and procedures for receiving, validating and updating patient recordsDescribes the flow of information between various stations or unitsDiscusses the functions, features and document flow of electronic documentationTranscribes verbal orders; explains techniques for ensuring their accuracyExplains health information documentation best practices and their rationale across health care practices Medical Equipment Describes experience with basic medical equipment used in own unit or facilityUses standard diagnostic tools and techniques to resolves common equipment problemsEducates patients about the appropriate use of home medical equipmentEnsures that all equipment and related supplies are in proper working order prior to use to ensure patient safetyInspects, troubleshoots and evaluates incoming equipment Medical Order Processing Shares experiences with processing medical orders for one or more groups of patients or conditionsDescribes functions and features of the system used to enter, validate, update and forward medical ordersDiscusses common errors, their sources and procedures for correctingExplains considerations for entering and following standing ordersDifferentiates between standing orders and preprinted orders and considerations for each Patient Chart Reading and Interpretation Describes experiences in reading and interpreting patient charts for patients on unit and under own careReviews patients’ charts for completion and accuracy; identifies and alerts to mistakes or omissionsRecognizes unexpected readings and alerts nursing or medical staffRelates examples of mis-readings or misinterpretations and lessons learnedReviews, discusses and validates own interpretation with others Patient Safety Shares experiences with ensuring safety for one or more patient groups or settingsExplains key features of safety guidelines and procedures for those groups and settingsListens and responds to safety inquiries from patients and family membersRecognizes and addresses physiological and psychological signs of problemsDescribes considerations for patients who can cause to harm to self, versus harm to othersUtilizes appropriate systems to document misses and near misses, participates in immediate investigating, analysis and reporting in real-time Job Requirements: Education/Skills Bachelor of Science Degree in Nursing, preferred Experience 1 year of experience in the related nursing specialty preferred Licenses, Registrations, or Certifications BLS requiredRN License in state of employment or compact Work Schedule: 5 Days - 8 Hours 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 .

At DICK’S Sporting Goods, we believe in how positively sports can change lives. On our team, everyone plays a critical role in creating confidence and excitement by personally equipping all athletes to achieve their dreams. We are committed to creating an inclusive and diverse workforce, reflecting the communities we serve.If you are ready to make a difference as part of the world’s greatest sports team, apply to join our team today!OVERVIEW:DICK’S Sporting Goods is seeking a passionate, people-first store leader to oversee store operations.The Store Manager has a commitment to their store team, customers, and the community they serve. They’re accountable for increasing company business results and delivering operational goals while prioritizing coaching and development to equip their team and ensure a hassle-free shopping experience for all customers.Directly involved in the interview/hiring process and builds an effective store team by ensuring a diverse mix of backgrounds, skillsets, perspectives, and experiences are represented.Drives sales and profitability through customer satisfaction and data analysis to uncover customer and business trends; control expenses and workforce budgeting.Guarantees floor sets are executed, visual standards are met, and the store is clean, organized, and safe.Prioritizes community involvement and builds relationships with local leaders.Drives shrink (store loss) results through compliance to all guidelines involved with safety, loss prevention, and cash-handling procedures.Manages team in with a people-first focus by building trust, actively listening, and dedicating time to their team.Leads through coaching and development and infuses learning into day-to-day leading.Creates an inclusive store environment where everyone (teammates & customers) feels safe, welcome, and is treated with respect.#LI-OF1#DSGT1QUALIFICATIONS:3 years Retail Store Manager experience or 5 years of related management/customer focused experienceStrong problem-solving ability and analytical skillsProficiency in MS OfficeMust have strong people management skills and an ability to develop talent.Flexible availability – including nights, weekend, and holidays

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.

Style is never in short supply at our more than 1,000 TJ Maxx stores. They all have different products, but the same commitment to the thrill of the find. From designers straight off the runway to statement jewelry, we offer exciting surprises that make the everyday a little more fun. Same with working here. Our environment is ever-changing, yet always encouraging. Each shift is a new opportunity to Discover Different.Opportunity: Contribute To The Growth Of Your CareerResponsible for executing receiving and merchandising standards while ensuring Associates are processing efficiently and effectively, and working as a team. Ensures an excellent customer experience by engaging and interacting with all customers, and maintaining a clean and organized store. Role models exceptional customer service.Creates a positive internal and external customer experiencePromotes a culture of honesty and integrity; maintains confidentialityOrchestrates truck delivery, prioritizing the processing of merchandise onto the sales floorTrains and mentors Associates on established merchandising and processing principlesEnsures merchandise is properly tagged, hung, secured, and codedCommunicates with the Coordinator on Duty to ensure efficient flow of goods to sales floorEnsures Associates complete tasks and activities according to store plan; prioritizes as neededMonitors productivity of team and coaches as necessaryOrganizes and rotates back stock for easy replenishmentMaintains and upholds merchandising philosophy and signage standardsMaintains all organizational, cleanliness and recovery standards for the backroom areaEnsures compliance with recycling and, where applicable, hazardous waste programsCommunicates accurately and effectively with management and Associates when setting and addressing priorities; provides progress updatesProvides and accepts recognition and constructive feedbackPartners with Management on Associate training needs to increase effectivenessEnsures adherence to all labor laws, policies, and proceduresPromotes credit and loyalty programsSupports and participates in store shrink reduction goals and programsPromotes safety awareness and maintains a safe environmentOther duties as assignedWho We Are Looking For: You!Able to work a flexible schedule, including nights and weekendsSuperior communication and organizational skills with attention to detailCapable of multi-taskingAble to respond appropriately to changes in direction or unexpected situationsTeam player, working effectively with peers and supervisorsCapable of lifting heavy objects with or without reasonable accommodationAble to train others1 year retail and 6 months of leadership experienceThis position has a starting pay range of $13.00 to $13.50 per hour.Actual starting pay is determined by a number of factors, including relevant skills, qualifications, and experience.Benefits include: Associate discount; EAP; smoking cessation; bereavement; 401(k) Associate contributions; child care & cell phone discounts; pet & legal insurance; credit union; referral bonuses. Those who meet service or hours requirements are also eligible for: 401(k) match; medical/dental/vision; HSA; health care FSA; life insurance; short/long term disability; paid parental leave; paid holidays/vacation/sick; auto/home insurance discounts; scholarship program; adoption assistance. All benefits are provided in accordance with and subject to the terms of the applicable plan or program and may change from time to time. Contact your TJX representative for more information.Applications for this position are always accepted.At TJ Maxx there’s so much potential to discover something new. A new day means new merchandise, and a fresh chance to reinvent retail. Discover Different means that we want you to bring your whole self and your sense of style to work with you every day - just as Associates do throughout the entire TJX family, which includes Marshalls, HomeGoods, Sierra, and Homesense.Discover Different also means we embrace each other’s differences and unique perspectives. We consider all applicants for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, gender identity and expression, marital or military status. We also provide reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law.

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

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 .

At DICK’S Sporting Goods, we believe in how positively sports can change lives. On our team, everyone plays a critical role in creating confidence and excitement by personally equipping all athletes to achieve their dreams. We are committed to creating an inclusive and diverse workforce, reflecting the communities we serve.If you are ready to make a difference as part of the world’s greatest sports team, apply to join our team today!OVERVIEW:DICK’S Sporting Goods is seeking a passionate, people-first store leader to oversee store operations in their area of the store.The Assistant Store Manager is responsible for driving the highest level of brand and operational excellence throughout the store by ensuring our team is delivering hassle-free and engaging customer service to everyone who enters one of our stores. They prioritize teammate coaching, development, and wellbeing while staying engrossed in financial metrics, store performance, and short/long term planning.Responsible for managing the day-to-day operational aspects of their store department.Operationally plans and organizes both short-term and long-term, with the guidance of the Store Manager. Actively recruits in the community and supports opportunities for teammates to give back to their community.Partners with store leadership team to hire a strong, inclusive, and diverse team and manage store workforce planning (including payroll budget and scheduling). Holds team accountable for meeting operational guidelines, brand standards, customer service expectations and company policies.Drives shrink results through compliance to all guidelines involved with safety, loss prevention, and cash-handling procedures.Transparently communicates and finds creative ways to build an engaging environment for the team.Passion for coaching and development of oneself and others; infuses learning into day-to-day leading.Creates an inclusive store environment where everyone (teammates & customers) feels safe, welcome, and is treated with respect.#LI-OF1#DSGT1QUALIFICATIONS:1-3 years of retail management experience (or customer-focused experience)Strong problem-solving ability and analytical skillsFlexible availability – including nights, weekend, and holidays

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 .

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 .

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 .

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 .