Top 45 Clinic advisor 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
Brain Health / Longevity Registered Dietitian
BetterBrain —Texas
- From $50 an hour
- Full-time
- Remote
- Clinic experience
- Mid-level
- Neurology
- Paid training
- Continuing education credits
Quick Apply
Case Manager - Transition in Care
Houston Methodist —Houston, TX
- Full-time
- Nursing
- Microsoft Excel
- Microsoft Outlook
Registered Dental Assistant
Jefferson Dental Clinic —Baytown, TX
- $14 - $22 an hour
- Full-time
- 18 years or older
- Spanish
- Dental office
- Health insurance
- Dental insurance
Clinical Documentation Improvement Specialist
Baylor College of Medicine —Houston, TX
- $79,092 - $93,049 a year
- Full-time
- Hybrid work
- Mid-level
- High school diploma or GED
- Continuous improvement
Medical Scribe
ScribeAmerica —North Houston, TX
- 8 hour shift
- HIPAA
- No experience needed
- English
- Paid training
- Dental insurance
2d
HOA Site Management - Assistant Manager
SpectrumAM —Houston, TX
- $50,000 a year
- Full-time
- Hybrid work
- Microsoft Word
- Clean driving record
- Microsoft Excel
- AD&D insurance
- Paid holidays
Quick Apply
6d
Skeletal Dysplasia Account Manager (Southwest Region)
BridgeBio Pharma —Houston, TX
- $155,000 - $210,000 a year
- Full-time
- Hybrid work
- Bachelor of Science
- Analysis skills
- Bachelor's degree
- Commuter assistance
- Health savings account
Account Manager - Oklahoma City, OK - Remote
Endress+Hauser USA —Houston, TX
- $121,600 - $187,300 a year
- Full-time
- Up to 50% travel
- 5 years
- Office
- Health insurance
- Dental insurance
Home Care/ Community Liaison
El Hanun Care LLC —Houston, TX
- $27 - $30 an hour
- Part-time
- Hospital
- Mid-level
- Home Health
- 401(k)
- Opportunities for advancement
Quick Apply
National Account Manager - Healthcare
Wilsonart LLC —Houston, TX
- Full-time
- Microsoft Excel
- Ability to lift 50 pounds
- Bachelor's degree
- Paid holidays
- Disability insurance
Ethics & Compliance Operations Manager
Citgo Petroleum Corporation —Houston, TX
- Management
- Customer service
- Office
- Health savings account
- Paid holidays
9d
Account Manager - Kansas City, MO - Remote
Endress+Hauser USA —Houston, TX
- $121,600 - $187,300 a year
- Full-time
- Up to 50% travel
- 5 years
- Office
- Health insurance
- Dental insurance
Account Manager - Pearland Texas
Optum —Pearland, TX
- $91,700 - $163,700 a year
- Full-time
- Remote
- Microsoft Word
- Pass drug screening
- Public speaking
Quick Apply
PRN Resident Advisor, Bridge
The Menninger Clinic —Houston, TX
- Weekends as needed
- Mid-level
- Residential
- High school diploma or GED
Quick Apply
Regional Medical Director - Americas
Chevron —Houston, TX
- Email
- Medicine
- Clinic
- Senior level
- Employee assistance program
9d
Care Manager Clinical Denials - Mon. - Friday / Telecommute / Hybrid.
Harris Health —Houston, TX
- $86,985.60 - $109,304.00 a year
- Full-time
- Microsoft Word
- Nursing
- RN License
Associate General Counsel, Litigation
Memorial Hermann Health System —Houston, TX
- Full-time
- Computer literacy
- Senior level
- Communication skills
Coordinator Outreach (Part Time) - Staff Pool
Houston City College —Houston, TX
- Part-time
- 5 years
- Word processing
- Computer literacy
Nurse Aide/CNA
Sheldon Independent School District —Houston, TX
- From $14.83 an hour
- Heavy lifting
- Experience working with individuals with disabilities
- Word processing

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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

clinic advisor jobs in houston, tx

RN Case Manager Acute Care

Brain Health / Longevity Registered Dietitian

Case Manager - Transition in Care

Registered Dental Assistant

Clinical Documentation Improvement Specialist

Medical Scribe

HOA Site Management - Assistant Manager

Skeletal Dysplasia Account Manager (Southwest Region)

Account Manager - Oklahoma City, OK - Remote

Home Care/ Community Liaison

National Account Manager - Healthcare

Ethics & Compliance Operations Manager

Account Manager - Kansas City, MO - Remote

Account Manager - Pearland Texas

PRN Resident Advisor, Bridge

Regional Medical Director - Americas

Care Manager Clinical Denials - Mon. - Friday / Telecommute / Hybrid.

Associate General Counsel, Litigation

Coordinator Outreach (Part Time) - Staff Pool

Nurse Aide/CNA

I want to receive the latest job alert for clinic advisor in houston, tx

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