Top 2670 Nurse 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
14d
Behavioral Health (High acuity) Registered Nurse
Sun Behavioral Houston —Houston, TX
- From $40 an hour
- Full-time
- CPR Certification
- Nursing
- RN License
- Wellness program
- Disability insurance
Quick Apply
RN (Registered Nurse) Hospice
Elysian Hospice —Houston, TX
- PRN
- Nursing
- RN License
- English
- Continuing education credits
- Mileage reimbursement
Quick Apply
5h
Hospice Registered Nurse (RN)
VITAS Healthcare —Houston, TX
- $38 - $41 an hour
- Full-time
- Skilled nursing facility
- RN License
- Mid-level
- Disability insurance
- Health insurance
Quick Apply
(RN Lead) Registered Nurse Lead - Emergency Department
Frontline ER —Richmond, TX
- $49 - $50 an hour
- Overtime
- CPR Certification
- Nursing
- RN License
- Health insurance
- Dental insurance
Quick Apply
12d
Staff Nurse II - PP - Family Medicine
UTHealth Houston —Houston, TX
- Nursing
- RN License
- BLS Certification
- Health insurance
- Employee discount
PRN RN – Procedural / Recovery Nurse (Vascular OBL)
Hope Amputation Prevention Center —Houston, TX
- $50 - $55 an hour
- Part-time
- Spanish
- Medication administration
- RN License
Quick Apply
Registered Nurse
PAD Specialists —Houston, TX
- $38 - $49 an hour
- Full-time
- RN License
- BLS Certification
- Mid-level
- Travel reimbursement
- Paid training
Quick Apply
Registered Nurse (RN) Pre-OP/PACU/OR
Meridian Hospital —Houston, TX
- $35 - $45 an hour
- Full-time
- CPR Certification
- Nursing
- RN License
- Paid holidays
- Health insurance
Quick Apply
Nurse Educator, RN
Eagle's Trace by Erickson Senior Living —Houston, TX
- From $96,000 a year
- 18 years or older
- Nursing
- Microsoft Excel
- Health insurance
- Dental insurance
Quick Apply
6d
Staff Nurse II - ACTAT-EP Heart- TMC
UTHealth Houston —Houston, TX
- No weekends
- Nursing
- RN License
- BLS Certification
- Health insurance
- Employee discount
Clinic Specialty Registered Nurse - Infusion Center (Medical Center)
Houston Methodist Specialty Physician Group —Houston, TX
- Full-time
- Nursing
- Microsoft Outlook
- RN License
8h
Home Health RN Field -Registered Nurse
Choice Health At Home —Kingwood, TX
- Full-time
- CPR Certification
- RN License
- BLS Certification
- Health savings account
- Paid holidays
Quick Apply
School NURSE
SER-Ninos Charter School —Houston, TX
- From $64,000 a year
- Full-time
- Background check
- School experience
- Spanish
- Health insurance
- Dental insurance
Quick Apply
Registered Nurse - ICU
NurseDash —Houston, TX
- $55 - $65 an hour
- Choose your own hours
- RN License
- PALS Certification
- BLS Certification
- Health insurance
- Opportunities for advancement
Quick Apply
4d
Staff Nurse I/II/III - Urology
UTHealth Houston —Houston, TX
- Nursing
- Surgery
- RN License
- Health insurance
- Employee discount
RN II/III - Pediatrics High Risk (TMC)
UTHealth Houston —Houston, TX
- $16 an hour
- Nursing
- RN License
- BLS Certification
- Health insurance
- Employee discount
Admissions RN
VITAS Healthcare —Houston, TX
- $34 - $42 an hour
- Full-time
- RN License
- Mid-level
- Home health
- Disability insurance
- Health insurance
Quick Apply
Staff Nurse III - RN - Internal Medicine - Cardiac Imaging Center
UTHealth Houston —Houston, TX
- Full-time
- CPR Certification
- Nursing
- Management
- Health insurance
- Employee discount
Registered Nurse (RN)/Licensed Vocational Nurse (LVN)
We Level Up —Kingwood, TX
- $30 - $44 an hour
- Per diem
- Background check
- Nursing
- LVN
Quick Apply
14d

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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
14 days ago

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

nurse jobs in houston, tx

RN Case Manager Acute Care

Behavioral Health (High acuity) Registered Nurse

RN (Registered Nurse) Hospice

Hospice Registered Nurse (RN)

(RN Lead) Registered Nurse Lead - Emergency Department

Staff Nurse II - PP - Family Medicine

PRN RN – Procedural / Recovery Nurse (Vascular OBL)

Registered Nurse

Registered Nurse (RN) Pre-OP/PACU/OR

Nurse Educator, RN

Staff Nurse II - ACTAT-EP Heart- TMC

Clinic Specialty Registered Nurse - Infusion Center (Medical Center)

Home Health RN Field -Registered Nurse

School NURSE

Registered Nurse - ICU

Staff Nurse I/II/III - Urology

RN II/III - Pediatrics High Risk (TMC)

Admissions RN

Staff Nurse III - RN - Internal Medicine - Cardiac Imaging Center

Registered Nurse (RN)/Licensed Vocational Nurse (LVN)

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

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