Top 6891 Managers, all other Jobs in Mcallen, Tx

Resource Management Director
DHR Health —Edinburg, TX
- Full-time
- Acute care
- Background check
- Spanish
- Continuing education credits
- Health insurance
Quick Apply
HR Assistant
Confidential —McAllen, TX
- $15 an hour
- Full-time
- Bilingual
- Microsoft Word
- Microsoft Excel
- Health insurance
- Dental insurance
Quick Apply
Business Analyst
Alps Alpine North America Inc —McAllen, TX
- Full-time
- Hybrid work
- Computer science
- Computer Science
- Research
- AD&D insurance
- Paid holidays
Quick Apply
1d
Regional Manager - Texas
Studies Weekly Inc. —Texas
- From $85,000 a year
- Full-time
- Remote
- School experience
- 3 years
- Ability to climb stairs
- Health savings account
- Health insurance
Quick Apply
8d
Administrative Support Specialist
Melden & Hunt —Edinburg, TX
- $19 an hour
- Full-time
- Clean driving record
- Microsoft Excel
- Microsoft Outlook
- Health insurance
- Dental insurance
Quick Apply
19h
Store Manager Trainee
Burlington Stores —McAllen, TX
- $64,125 - $80,155 a year
- Weekends as needed
- 5 years
- Merchandising
- Mid-level
- Paid holidays
- Disability insurance
Provider Relations Advocate
Optum —McAllen, TX
- $60,200 - $107,400 a year
- Full-time
- Pass drug screening
- Mid-level
- High school diploma or GED
- AD&D insurance
- Employee stock purchase plan
Center Manager
CSL Plasma —McAllen, TX
- Full-time
- English
- Mid-level
- Bachelor's degree
12d
Medicaid Eligibility Advocate
Rio Grande Regional Hospital —McAllen, TX
- Full-time
- Reliable transportation
- Entry level
- Employee stock purchase plan
- Disability insurance
Quick Apply
2h
Safety Specialist - Red Gate or Pearsall, TX / Salary Grade 10
South Texas Electric Cooperative, Inc. —Edinburg, TX
- $83,116.80 - $130,624.00 a year
- Weekends as needed
- Pass drug screening
- Mid-level
- Microsoft Office
Retail Store Management -New Store
Burlington Stores —McAllen, TX
- $20.00 - $26.65 an hour
- Weekends as needed
- 5 years
- Merchandising
- Mid-level
- Paid holidays
- Disability insurance
Operations Supervisor - Red Gate, TX / Salary Grade 13
South Texas Electric Cooperative, Inc. —Edinburg, TX
- $115,814.40 - $185,036.80 a year
- Weekends as needed
- Pass drug screening
- Office
- Microsoft Office
Maintenanace Supervisor - Red Gate, TX / Salary Grade 13
South Texas Electric Cooperative, Inc. —Edinburg, TX
- $115,814.40 - $185,036.80 a year
- Full-time
- Pass drug screening
- Microsoft Office
- High school diploma or GED
7h
Food/Consumables Team Supervisor
Walmart —McAllen, TX
- $19 - $32 an hour
- Full-time
- High school
- Merchandising
- Mid-level
- Paid jury duty
- Disability insurance
6d
Store Team Member
Academy Sports —McAllen, TX
- Part-time
- Sales
- Merchandising
- Cash register
Fitness Test Administrator (PRN)
Concentric Methods —McAllen, TX
- $36.51 an hour
- PRN
- CPR Certification
- Mid-level
- High school diploma or GED
- 401(k) matching
Payroll Specialist
Bettis Construction —Mission, TX
- $65,000 - $98,000 a year
- Office
- Organizational skills
- Communication skills
- Paid holidays
- Disability insurance
1d
VA Activities Supervisor
Village Healthcare and Rehabilitation —McAllen, TX
- Full-time
- English
- Mid-level
- High school diploma or GED
Store Team Lead
Academy Sports —McAllen, TX
- Part-time
- Inventory control
- Sales
- Merchandising
Keyholder
SHOE DEPT. —Mission, TX
- Full-time
- Merchandising
- Retail management experience
- Leadership
- Health insurance
- Dental insurance
Quick Apply
7d

I want to receive the latest job alert for managers, all other in mcallen, tx

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

Explore jobs in more locations

managers, all other jobs near mcallen, tx

Retail Sales Associate jobs in McAllen, TX

Regional Manager jobs in Texas

Management Trainee jobs in McAllen, TX

Operations Supervisor jobs in Edinburg, TX

Retail Assistant Manager jobs in Mission, TX

Center Manager jobs in McAllen, TX

Human Resources Assistant jobs in McAllen, TX

Administrative Assistant jobs in Edinburg, TX

Administrator jobs in McAllen, TX

Business Analyst jobs in McAllen, TX

Team Supervisor jobs in McAllen, TX

Inova Patient Access Associate jobs in Virginia

Retail Sales Associate jobs in Edison, NJ

Client Service Associate Wealth jobs in Houston, TX

Associate Attorney jobs in Los Angeles, CA

Retail Sales Associate jobs in Holland, MI

Retail Sales Associate jobs in Eugene, OR

Retail Sales Associate jobs in Reno, NV

Retail Stores Hiring No Experience jobs in San Antonio, TX

Regional Manager jobs in Maine

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

managers, all other jobs in mcallen, tx

Resource Management Director

HR Assistant

Business Analyst

Regional Manager - Texas

Administrative Support Specialist

Store Manager Trainee

Provider Relations Advocate

Center Manager

Medicaid Eligibility Advocate

Safety Specialist - Red Gate or Pearsall, TX / Salary Grade 10

Retail Store Management -New Store

Operations Supervisor - Red Gate, TX / Salary Grade 13

Maintenanace Supervisor - Red Gate, TX / Salary Grade 13

Food/Consumables Team Supervisor

Store Team Member

Fitness Test Administrator (PRN)

Payroll Specialist

VA Activities Supervisor

Store Team Lead

Keyholder

I want to receive the latest job alert for managers, all other in mcallen, tx

Related Searches

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected