Top 2572 American communities Jobs in Houston, Tx

RN Case Manager Acute Care
River Oaks Hospital and Clinics —Houston, TX
- $70,000 - $80,000 a year
- Full-time
- Background check
- Spanish
- Nursing
- Disability insurance
- Health insurance
Quick Apply
Outpatient Pediatrician (MD/DO) - Houston, TX
MD Kids —Houston, TX
- From $210,000 a year
- Full-time
- Spanish
- Medicine
- BC/BE
- Health savings account
- Paid holidays
Quick Apply
8d
Sr Counsel - Litigation
Energy Transfer Partners —Houston, TX
- Full-time
- Training & development
- Senior level
- Communication skills
- Profit sharing
- Paid time off
Quick Apply
Sr Engineer II
Energy Transfer Partners —Houston, TX
- Full-time
- Bachelor of Science
- Engineering
- Office
- Profit sharing
- Paid time off
Quick Apply
13d
HOUSE SUPERVISOR, DAYS FT - ADVANCED EAST HOUSTON HOSPITAL
ADVANCED EAST HOUSTON HOSPITAL —Houston, TX
- $48 - $50 an hour
- 12 hour shift
- Background check
- Nursing
- Microsoft Outlook
- Health insurance
- Dental insurance
Quick Apply
14d
Server
First Watch Restaurants, Inc. —Houston, TX
- Part-time
- Serving
- 18 years or older
- Casual dining restaurant
- Health insurance
- Dental insurance
Packaging I
Anheuser-Busch —Houston, TX
- $21.85 an hour
- Full-time
- High school diploma or GED
- Cleaning
- Manufacturing
- Disability insurance
- Health insurance
Busser
First Watch Restaurants, Inc. —Houston, TX
- Part-time
- 18 years or older
- Sanitation
- Children
- Health insurance
- Dental insurance
22h
Behavioral Health Tech- Day
St. Josephs Medical Center —Houston, TX
- Full-time
- Vital signs
- Hospital
- Computer literacy
- Health insurance
Quick Apply
1d
Physician
LaneStaffing —Houston, TX
- $115 an hour
- Full-time
- Medicine
- Mid-level
- Clinic
Quick Apply
7h
Early Childhood Teacher
Primrose School of Greatwood —Sugar Land, TX
- $13 - $15 an hour
- Part-time
- School experience
- Classroom
- Experience working with individuals with developmental disabilities
- Health insurance
- Dental insurance
Quick Apply
Supplemental Occupational Therapy IP-LBJ
Harris Health —Houston, TX
- $35.46 - $46.12 an hour
- Part-time
- Bachelor of Science
- BLS Certification
- Mid-level
PET/CT, FT Days, Thursday - Saturday, (7:00a - 8:00p)
Memorial Hermann Health System —Houston, TX
- Full-time
- Hospital
- BLS Certification
- Mid-level
3d
Radiology Technologist | Houston
Amergis Healthcare Staffing —Houston, TX
- $1,477 a week
- Weekends as needed
- CPR Certification
- BLS Certification
- Mid-level
- Paid holidays
- Health insurance
Quick Apply
13d
Lead Installer
Expo Home Improvement —Houston, TX
- Weekends as needed
- Clean driving record
- Construction site
- 5 years
Quick Apply
Healthcare Account Executive (Houston, TX)
Standard Textile —Houston, TX
- Full-time
- Hospital
- Mid-level
- Travel
- Health insurance
- Dental insurance
9d
Certified Occupational Therapy Asst
HCA Houston Healthcare Northwest —Houston, TX
- Full-time
- Neurology
- Communication skills
- Entry level
- Employee stock purchase plan
- Disability insurance
Quick Apply
6d
QA and Food Safety Manager
Rich Products Corporation —Missouri City, TX
- $96,640 - $144,960 a year
- 5 years
- Bachelor of Science
- Supervising experience
- Health insurance
- Paid time off
RN II LTAC IMU
Houston Methodist Continuing Care Hospital —Houston, TX
- Full-time
- Nursing
- RN License
- BLS Certification
11h
Surgical Technologist
Houston Methodist Willowbrook Hospital —Houston, TX
- Overtime
- Surgery
- BLS Certification
- No experience needed

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american communities jobs near houston, tx

RN Case Manager Acute Care

River Oaks Hospital and Clinics
Houston, TX

Quick Apply

Job Details

Full-time
$70,000 - $80,000 a year

Benefits

Disability insurance
Health insurance
Dental insurance
401(k)
Paid time off
Employee assistance program
Vision insurance
Life insurance

Qualifications

Spanish
RN License
Intake
Patient assessment
BLS Certification
Microsoft Office
Managing patients as a nurse case manager
Driver's License
Medical records
Case management
Patient care
Discharge planning

Full Job Description

SUMMARY

This position works closely with the interdisciplinary team to facilitate and maintain compassionate, safe and efficient quality care and achieve desired treatment outcomes. This position works closely with the team to ensure effective discharge planning and continuity of care; and communicates clinical information to payers to ensure reimbursement.

Job Duties and Responsibilities
1. Collaborates with the physician and team to facilitate care, monitor the patient’s progress, intervening as needed to ensure high quality, efficient, and cost-effective services to the patient that are timely.

2. Educates staff and serves as a resource for meeting needs of the patient and facility.

3. Performs review for medical necessity of admission, continued stay and resource use, appropriate level of care and program compliance.

3.1 Identifies when services no longer meet criteria, initiates discussion with physicians, coordinates with the external case manager to facilitate discharge planning, seeks assistance from physician advisor when needed, and informs management of possible need for issuing Medicare Hospital Initiated Notice of Non-coverage.

3.2 Applies approved utilization criteria to monitor appropriateness of admissions, level of care, resource utilization, and continued stay.

3.3 Reviews level of care denials to identify trends and collaborates with team to recommend opportunities for process improvement.

4. Plans for routine / difficult discharge and anticipates / prevents and manages emergent situations. Specific focus is given to discharge plan and elimination of barriers.

5. Performs post-discharge review by analyzing the medical record to ensure that compliance with quality indicators is met. Communicates reports to appropriate leader regarding regulatory concerns.

6. Monitors length of stay (LOS) on an ongoing basis. Proactively takes action to expedite care / facilitate discharge.

6.1 Manages all patients in observation status, daily, informing physicians of timely disposition options to assure maximum benefits for patients and reimbursement for the hospital.

6.2 Secures reimbursement for hospital services by communicating medical information required by all external review entities, managed care contracts, insurers, fiscal intermediaries, and state / federal agencies.

6.3 Responds to requests for information, monitors covered days, initiates review to assure that all days are covered and reimbursable.

7. Supports and follows the mission, vision, values and policies of the hospital and communicates with the appropriate leadership and staff.

Qualifications (Education, Experience and Certifications)

Education: RN graduate from an accredited nursing program. Master’s Degree preferred.

Certification, Licensure: Current license as a registered nurse in the state of Texas; current American Heart Association BLS certification.

Experience, Training, Knowledge: Three (3) years hospital clinical experience; two (2) years case manager experience.

KNOWLEDGE, Skills And Abilities
Strong assessment, organizational and problem solving skills

Knowledge of Medicare, Medicaid and managed care requirements.

Comprehensive knowledge of community resources, healthcare financial and payer requirements and eligibility requirements for county, state and federal programs.

Adept at computer operating skills, including Microsoft Office.

Job Type: Full-time

Pay: $70,000.00 - $80,000.00 per year

Benefits:

401(k)
Dental insurance
Disability insurance
Employee assistance program
Health insurance
Life insurance
Paid time off
Vision insurance

Medical Specialty:

Primary Care

Language:

Spanish (Required)

Ability to Commute:

Houston, TX 77027 (Required)

Ability to Relocate:

Houston, TX 77027: Relocate before starting work (Preferred)

Work Location: In person

Quick Apply

Refine Your Search

american communities jobs in houston, tx

RN Case Manager Acute Care

Outpatient Pediatrician (MD/DO) - Houston, TX

Sr Counsel - Litigation

Sr Engineer II

HOUSE SUPERVISOR, DAYS FT - ADVANCED EAST HOUSTON HOSPITAL

Server

Packaging I

Busser

Behavioral Health Tech- Day

Physician

Early Childhood Teacher

Supplemental Occupational Therapy IP-LBJ

PET/CT, FT Days, Thursday - Saturday, (7:00a - 8:00p)

Radiology Technologist | Houston

Lead Installer

Healthcare Account Executive (Houston, TX)

Certified Occupational Therapy Asst

QA and Food Safety Manager

RN II LTAC IMU

Surgical Technologist

I want to receive the latest job alert for american communities in houston, tx

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