Top 396 Group manager Jobs in Edinburg, Tx

RN Resource Management Director
DHR Health —Edinburg, TX
- Full-time
- Acute care
- Background check
- Spanish
- Continuing education credits
- Health insurance
Quick Apply
Construction Manager, Solar+BESS
Summit Energy Group, LLC —Texas
- $67 - $72 an hour
- Full-time
- Microsoft Word
- Construction site
- Ability to walk for extended periods
- Health insurance
- Dental insurance
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MEP Project Manager I & II
M. A. Mortenson Company —McAllen, TX
- $113,500 - $198,200 a year
- Construction site
- Customer service
- Driver's License
- AD&D insurance
- Paid holidays
10d
Project Manager
Sharyland Water Supply —Palmhurst, TX
- Full-time
- Construction site
- Bachelor's degree
- Business Administration
- Health insurance
- Dental insurance
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Survey Manager
Thalle Construction Company —Texas
- Background check
- Construction site
- Research
- Paid holidays
- Disability insurance
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Linguist - (Gan Chinese, Nanchang Dialect)
KACE —Texas
- $35 an hour
- Overtime
- Microsoft Excel
- Microsoft Outlook
- Writing skills
Quick Apply
General Superintendent- Wastewater Treatment Plant
Thalle Construction Company —Texas
- Construction site
- 5 years
- Writing skills
- Paid holidays
- Disability insurance
Quick Apply
Outreach & Intake Specialist II
FAMILY ENDEAVORS INC —McAllen, TX
- $21.63 - $22.59 an hour
- Full-time
- High school diploma or GED
- Driver's License
- Travel
BERT OGDEN FIESTA MANAGEMENT GENERAL MANAGER
Fiesta Management Group Inc —McAllen, TX
- Full-time
- Background check
- Dealership
- Writing skills
- Paid holidays
- Health insurance
Field Investigator - Region 11
Health & Human Services Comm —Edinburg, TX
- $4,263.16 - $5,521.16 a month
- Online Application
- Writing skills
- Office
- High school diploma or GED
- Health insurance
- Opportunities for advancement
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4d
Supervisor - Security
South Texas College —McAllen, TX
- $25 an hour
- Weekends as needed
- Background check
- Microsoft Excel
- Microsoft Outlook
10d
Trainer
RALLY CREDIT UNION —Edinburg, TX
- Microsoft Excel
- Microsoft Outlook
- Customer service
8d
Business Sevice Officer
Health & Human Services Comm —Edinburg, TX
- $4,801.17 - $7,761.50 a month
- Online Application
- Writing skills
- Mid-level
- Office
- Health insurance
- Opportunities for advancement
Quick Apply
14d
Operations Manager
Helena - Agri Enterprises, LLC —Alamo, TX
- Background check
- Sales
- Computer literacy
- Paid parental leave
- Health savings account
Human Resources Staffing Specialist
South Texas College —McAllen, TX
- $21 an hour
- Weekends as needed
- Background check
- Microsoft Excel
- Microsoft Outlook
10d
Property Manager
NEW ASPEN MANAGEMENT LLC —Edinburg, TX
- Weekends as needed
- Writing skills
- Mid-level
- Office
Quick Apply
14d
District Manager
Vape City —McAllen, TX
- Full-time
- Sales
- Mid-level
- Human resources
Quick Apply
Senior Trainer
RALLY CREDIT UNION —Edinburg, TX
- Microsoft Word
- Classroom
- Microsoft Excel
- On-the-job training
9d
Retail Store Manager
PetSmart —McAllen, TX
- $57,500 - $108,000 a year
- Weekends as needed
- 18 years or older
- Mid-level
- Ability to lift 50 pounds
- Health insurance
- Tuition reimbursement
Case Manager ORR
Upbring —McAllen, TX
- Full-time
- LMFT
- Spanish
- Microsoft Excel
- Paid holidays
- Health insurance

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group manager jobs near edinburg, tx

RN Resource Management Director

DHR Health -
Edinburg, TX

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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
Managing patients as a nurse case manager
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

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Refine Your Search

group manager jobs in edinburg, tx

RN Resource Management Director

Construction Manager, Solar+BESS

MEP Project Manager I & II

Project Manager

Survey Manager

Linguist - (Gan Chinese, Nanchang Dialect)

General Superintendent- Wastewater Treatment Plant

Outreach & Intake Specialist II

BERT OGDEN FIESTA MANAGEMENT GENERAL MANAGER

Field Investigator - Region 11

Supervisor - Security

Trainer

Business Sevice Officer

Operations Manager

Human Resources Staffing Specialist

Property Manager

District Manager

Senior Trainer

Retail Store Manager

Case Manager ORR

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

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