Top 321 Computer systems manager Jobs in Edinburg, Tx

Resource Management Director
DHR Health —Edinburg, TX
- Full-time
- Acute care
- Background check
- Spanish
- Continuing education credits
- Health insurance
Quick Apply
Linguist - (Gan Chinese, Nanchang Dialect)
KACE —Texas
- $35 an hour
- Overtime
- Microsoft Excel
- Microsoft Outlook
- Writing skills
Quick Apply
2d
Computer System Analyst
Rapid Transport —Pharr, TX
- From $15 an hour
- Full-time
- Spanish
- Computer networking
- In-person
- Health insurance
- Dental insurance
Quick Apply
Consulting Actuary
Martin and Company —Texas
- $120,000 - $150,000 a year
- Full-time
- Microsoft Word
- Microsoft Outlook
- 5 years
- Health savings account
- Paid holidays
Maintenance Technician III
FOX PACKAGING —McAllen, TX
- $22 - $26 an hour
- Full-time
- Spanish
- Mechanic experience
- Word processing
- Health savings account
- Relocation assistance
Quick Apply
Nutritional Health Coach
Natural Grocers —McAllen, TX
- From $23 an hour
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Bachelor of Science
- Wellness program
- Paid parental leave
Quick Apply
Experienced Petroleum Installer
Seneca Companies, Inc. —Texas
- $25 - $37 an hour
- Full-time
- Background check
- Construction site
- CDL A
- Travel reimbursement
- Paid training
Quick Apply
Quality Control Inspector
FOX PACKAGING —McAllen, TX
- $12 - $18 an hour
- Overtime
- Spanish
- Microsoft Excel
- Computer literacy
- Health savings account
- Relocation assistance
Quick Apply
Distribution Engineering Supervisor
Leidos —Texas
- $73,450 - $132,775 a year
- Full-time
- Hybrid work
- Microsoft Outlook
- Bachelor of Science
- Engineering
- Flexible schedule
Business Services Manager
Health & Human Services Comm —Edinburg, TX
- $5,425.33 - $8,886.17 a month
- Online Application
- Writing skills
- High school diploma or GED
- Travel
- Health insurance
- Opportunities for advancement
Quick Apply
Operations Manager
Helena - Agri Enterprises, LLC —Alamo, TX
- Background check
- Sales
- Computer literacy
- Paid parental leave
- Health savings account
10d
Warehouse Manager
Fresh Del Monte Produce Company —McAllen, TX
- Full-time
- Spanish
- Customer service
- 5 years
- Paid holidays
- Disability insurance
Quick Apply
Part Time Community Manager
Asset Living —Edinburg, TX
- $18 - $19 an hour
- Overtime
- Mid-level
- Ability to climb stairs
- High school diploma or GED
- Paid holidays
- Disability insurance
Quick Apply
3d
IT Specialist
La Union del Pueblo Entero —San Juan, TX
- $21 an hour
- Full-time
- Spanish
- Google Workspace
- Computer literacy
- Mileage reimbursement
- Paid holidays
Quick Apply
Analyst I - System (Business Office)
South Texas College —McAllen, TX
- $28 an hour
- Weekends as needed
- Background check
- Computer science
- Computer Science
HVAC Controls Systems Designer
PERRY MECHANICAL SYSTEMS —Edinburg, TX
- $40,000 - $80,000 a year
- Email
- Background check
- Computer Science
- Construction site
- Health insurance
- Dental insurance
Quick Apply
3d
Warehouse Supply Technician
Driscoll Health —Edinburg, TX
- Full-time
- High school diploma or GED
- Trade school
- Entry level
Parts Warehouse Clerk 1
HOLT CAT —Edinburg, TX
- Overtime
- Forklift
- High school diploma or GED
- Travel
Quick Apply
8d
General Manager
Burger King —Edinburg, TX
- $35,000 - $42,000 an hour
- Weekends as needed
- Sales
- ServSafe
- Mid-level
- Paid training
- Health savings account
Quick Apply
Digital Banking Specialist
LONE STAR NATIONAL BANK —McAllen, TX
- Extended hours
- Spanish
- English
- Research
2d

I want to receive the latest job alert for computer systems manager in edinburg, tx

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Resource Management Director

DHR Health -
Edinburg, TX

Quick Apply

Job Details

Full-time

Benefits

Continuing education credits
Health insurance
Dental insurance
401(k)
Paid time off
Vision insurance
Life insurance
Retirement plan

Qualifications

Teamwork
Health data analysis
Utilization review
Finance
Clinical case management
Acute care facility experience
Supervising experience
Bachelor's degree
Case management
Utilization management
Nursing case management supervisor experience
Conflict management
Resource utilization in healthcare
Discharge planning
Nursing Case Management Certification
Resource management in clinical case management
Acute care experience
Productivity software
Hospital experience

Full Job Description

POSITION SUMMARY:

Under supervision of the Vice President of the Integrated Resource Management Department, the Director manages the functions of the Resource Management program. The position is accountable to supervise the daily activities of Resource Management staff and is responsible for other duties as defined by the Vice President. The Director is on-site, available seven days a week and carries a cell phone for after hour, weekend and holidays.

POSITION EDUCATION/ QUALIFICATIONS:

· Bachelor’s degree required

· Must possess a strong knowledge of nursing, case management or healthcare related field.

· Certification in Case Management preferred, or must achieve certification within 3 years of hiring.

· Supervisory experience required, 2-4 years preferred.

· Previous experience in Case Management and Discharge Planning or equivalent required.

JOB KNOWLEDGE/EXPERIENCE:

· Requires knowledge in the areas of case management and utilization management. Experience with Managed Care preferred. Knowledge of utilization management as it relates to third-party payers.

· Experience in use of InterQual and or Milliman criteria and review processes.

· Knowledge and understanding of Medicare and Medicaid guidelines and regulations pertaining to utilization review and discharge planning.

· Demonstrated skills in the areas of negotiation, excels in communications (verbal and written), conflict, interdisciplinary collaboration, creative problem solving, and critical thinking. .

· Knowledge of health care financing, and data analysis.

· Must have a working knowledge of hospital operations, medical/nursing staff procedures, and hospital and community resources.

· Requires leadership skills and an ability to interact well across departments, facilities and organizations.

· Organizational, human relations, and communication skills are required

· Computer skills required with knowledge of Microsoft Office Suite.

· Bilingual – English/Spanish preferred.

POSITION RESPONSIBILITES:

· Provides leadership, education, and mentoring of Resource Management Staff.

· Provides training within the department on topics relevant to the services provided.

· Coordinates the planning of schedules, work assignments and directs the workflow for the staff.

· Participates in hiring, and oversees orientation of new staff.

· Provides/oversees training program of BSW as required by the State of Texas.

· May be called upon to undertake supervision of students, trainees or staff.

· At regular intervals reviews pertinent medical records/ logs to ensure that all information is complete

· Performs evaluations of the staff in concert with the Administrator.

· Develops corrective actions plans with staff not meeting expectations of their respective position.

· Reviews policies annually to make sure they reflect current standards and regulations.

· Participates in the development of the department budget.

· Represents Resource Management at hospital committee and work groups as requested by the Administrator.

· In accordance with departmental policy, will be required to attend relevant training courses and staff developmental programs when these are made available and recommended by senior staff/training officers.

· Maintains personal competencies needed for licensure and attending internal and external educational offerings.

· Evaluations are completed timely and provide goal setting for the future year

· Work schedules are completed timely and reflect adequate staffing.

· Provides leadership functions in absence of Vice President of Integrated Resource Mgt.

· Review biweekly staffing schedule.

· Maintains supplies equipment.

· Requests for PTO.

· Maintains departmental staffing within established budget.

· Collaborate with the multidisciplinary team to assure effective, efficient, appropriate care in order to optimize the health status and assure a smooth transition between levels of care for patients served.

· Manages staff performance related patient's transition through the system and transfers accountability to the appropriate person upon entry into another clinical service or upon discharge.

· Participates in rounds on nursing units to observe and provide direction so as to facilitate maintain resource consumption.

· Serves as a resource to associates/physicians/ Case Managers and Social Workers on issues relating to utilization of services and discharge planning.

· Assists in facilitating and implementing physician orders to aid in the timely completion of patient care along the continuum.

· Provides training within the department on topics applicable to the services provided

· Performs quality assessment reviews and studies both concurrently and retrospectively as required by the hospital’s PI plan, TJC standards, CMS and third-party payer regulations.

· Applies generic quality screens/indicators concurrently to patient medical records and accurately abstracts relevant patient care data to determine if quality screens are flagged. Performs first line reviews on potential quality issues as requested by the Administrator.

· Refers all other potential quality of care issues identified, not reviewed, as part of the quality assessment screening to the physician advisor to facilitate timely follow up.

· Monitors and oversees avoidable day data for system Performance Improvement

· Refers quality issues to the Resource Management Administrator, CMO and/or PA appropriately.

· Identifies and reports opportunities to improve care for patients, including patient complaints and any unusual patient care issues.

· Assists the Vice President in establishing and maintaining an effective Denial Management Program and process

· Organize and conduct meetings and training sessions.

· Member of Denial Management Team

· Data Management

· Demonstrate ability to collect, analyze and present data accurately as appropriate to position

· Prepare clear and concise oral and written reports

· Organize and provide materials in compliance with laws, regulations and policies

· Provide at minimum, monthly reports to Leadership, of discrepancies and other data as requested.

· Maintains current knowledge of case management, utilization management, and discharge planning, as specified by federal, state, and private insurance guidelines.

· Maintains a working knowledge about the requirements of the payers most frequently seen with the patient population

· Maintains a working knowledge of the resources available in the community for patients/families.

· Maintains current nursing licensure CEU credits.

· Maintains knowledge of InterQual and Milliman criteria.

· Performs related duties as required

Benefits:

401(k)
Dental insurance
Health insurance
Life insurance
Retirement plan
Vision insurance

Education:

Bachelor's (Required)

Experience:

Case management: 1 year (Preferred)
Supervising: 2 years (Required)
Hospital: 1 year (Required)
Discharge planning: 1 year (Required)
Acute care: 3 years (Required)

License/Certification:

Nursing Case Management Certification (Preferred)

Work Location: In person

Quick Apply

Refine Your Search

computer systems manager jobs in edinburg, tx

Resource Management Director

Linguist - (Gan Chinese, Nanchang Dialect)

Computer System Analyst

Consulting Actuary

Maintenance Technician III

Nutritional Health Coach

Experienced Petroleum Installer

Quality Control Inspector

Distribution Engineering Supervisor

Business Services Manager

Operations Manager

Warehouse Manager

Part Time Community Manager

IT Specialist

Analyst I - System (Business Office)

HVAC Controls Systems Designer

Warehouse Supply Technician

Parts Warehouse Clerk 1

General Manager

Digital Banking Specialist

I want to receive the latest job alert for computer systems manager in edinburg, tx

Related Searches

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected