Trabajos utilization review nurse en Arlington, TexasCrear alertas

Location: Main Hospital Bldg - 3rd Floor PRIMARY PURPOSE Responsible for the overall direction and daily operational activities of multiple designated department(s) including planning, budget, personnel, quality improvement, coordinating clinical services, policy/procedure development and collaboration with physicians and administration to ensure high quality, patient-centered services. MINIMUM SPECIFICATIONS Education Must be a graduate from an accredited school of nursing. Must hold at a minimum, a master's degree. If the master's degree is not in nursing then either a baccalaureate degree or doctoral degree must be in nursing. Current incumbents in the role as of 5/1/2023 must obtain a master's degree no later than 4/30/2026. Experience Must have 8 years of experience to include 3 years of operational leadership experience including experiences such as directly or indirectly leading teams, quality and process improvement initiatives, strategic initiatives with organizational implications, and/or providing oversight of staff and resources for efficient and effective patient care required. Must have seven years of Labor and Delivery and Recovery Experience. Certification/Registration/Licensure • Must have current RN license or valid temporary permit with the Texas Board of Nursing; or, valid Compact RN license., • Must have a current Heartsaver CPR course completion card within 90 days of hire and/or placement in job from one of the following:, • American Heart Association, • American Red Cross., • Military Training Network, • Must have current Advanced Life Support (ALS) or Advanced Cardiac Life Support (ACLS) certification upon hire or placement in the role. Certification must be from one of the following:, • American Heart Association, • American Red Cross, • Military Training Network, • Must have current NRP certification upon hire or placement in role. Certification must be from one of the following:, • American Heart Association, • American Red Cross, • Military Training Network, • May be required to have additional specialty certifications., • Must have one of the following, upon hire or transition into the role:, • AWHONN (Association of Women's Health, Obstetric and Neonatal Nurses) Intermediate Electronic Fetal Monitoring Certificate OR,, • AWHONN (Association of Women's Health, Obstetric and Neonatal Nurses) Advanced Electronic Fetal Monitoring Certificate OR,, • NCC (National Corporation Certification (NCC) Electronic Fetal Monitoring Certification., • Must retake every two years from completion date of previous certificate:, • AWHONN (Association of Women's Health, Obstetric and Neonatal Nurses) Intermediate Electronic Fetal Monitoring OR,, • AWHONN (Association of Women's Health, Obstetric and Neonatal Nurses) Advanced Electronic Fetal Monitoring, Skills or Special Abilities • Must be able to provide leadership care to assigned department patient population in accordance with the current State of Texas Nurse Practice Act, ANA Scope and Standards, established protocols, multidisciplinary plan of care and clinical area specific standards., • Provides care to assigned patient population in accordance with the current State of Texas Nurse Practice Act, established protocols, multidisciplinary plan of care, and clinical area specific standards., • Must have effective verbal and written communication skills in working with a diverse population of physicians, nurses, and support staff., • Must be able to demonstrate knowledge and skill in resource management including budget and personnel practices., • Must have effective leadership skills and be capable of motivating, recruiting and educating staff through department adaptations., • Must be able to demonstrate knowledge of Parkland policies, structure, procedures and mission., • Responsible for effective fiscal management of multiple departments. Ensures informed use of department resources. Investigates, evaluates and implements expertise in cost management from diverse sources including developing and administering grants. Develops and administers the operating and capital budgets, to ensure that the department has the necessary funds to carry out the goals and objectives that have been established for the department. Utilizes benchmarks for cost utilization. Demonstrates ability to flex resources to changing volume and acuity requirements. Correlates volume, revenue and cost to meet operating requirements for all service areas. Assures departments operate within allocated resources. Manages cost per patient in an efficient and effective manner. Develops, implements and evaluates action plans to correct variances., • Serves as a clinical resource and role model, facilitating problem solving and staff development. Effectively delegates responsibilities. Fosters environment for low turnover and high retention of staff. Identifies and utilizes strategies to meet/exceed employee growth and development, as well as ensure satisfaction and quality of work life needs., • Directs the recruitment, selection, practice environment and the education of staff. Develops, implements and monitors a comprehensive plan that ensures availability of staff to enable effective operations., • Responsible for quality management practices that deliver effective and efficient services and ensure optimal patient outcomes. Collaborates with nursing, medical staff and administration to assess department operations and evaluate quality. Identifies and analyzes the design of jobs, work processes and flows, and implements appropriate changes to improve effectiveness, productivity and efficiency that support the overall goals of the department and Parkland. Directs, reviews, and evaluates performance improvement plans/projects, utilizing performance indicators to track/trend outcomes. Directs, reviews, and evaluates patient satisfaction, infection rates, delays, chart audits and other practice feedback. Coordinates quality functions with other departments as needed., • Serves as WISH liaison for physicians, nurses, administration, other departments or hospitals and community agencies to ensure complete and accurate information. Researches and provides reports for administrative or staff review. Demonstrates responsiveness to innovation, data and cross-discipline expertise in strategic planning. Utilizes available information, tracking and trending patient volume/flow, billings, practice outcomes and other data for analysis and incorporation into strategic plan., • Responsible for a collaborative work team to ensure positive working relationships. Communicates effectively with physicians, nurses, ancillary staff, other departments/units, administration and vendors. Maintains good communication with other hospitals and community, government representatives., • Identifies and develops special projects that enhance the accessibility, quality or regulation of Women and Infants. Health including educational projects, collection and billing projects, nursing research, Joint Commission or other regulatory agency review, publication, and staff recruitment., • Serves on department and interdepartmental committees as selected and assigned., • Any duties deemed competent. Requisition ID: 990533

*This position will float to our surgery centers: Surgery Center of Plano and McKinney Surgery Center. Are you passionate about the patient experience? At HCA Healthcare, we are committed to caring for patients with purpose and integrity. We care like family! Jump-start your career as an Operating Room RN Float Pool today with North Texas Float Pool. Job Summary and Qualifications We are seeking an Operating Room Nurse for our ambulatory surgery center who demonstrates the values of our company by caring like family. You will be an amazing addition to our team by contributing your expertise in the circulating or scrub role. You will ensure safe and effective nursing care until your patient is transferred from your care to recovery. What you will do in this role: • Oversee the instrument and equipment set-up for your OR, including utilization of preference cards and ability to anticipate your surgeons needs, • Coordinate and oversee your room during a case as the circulator, • You will facilitate effective and efficient transition between surgical procedures, • Utilize appropriate body mechanics in moving your patients to stretchers and OR tables to prevent injury, • Manage your patients care and medication, including assistance with anesthesia, • Consistently review your charts for completeness, in accordance with documentation protocols prior to and after the surgical procedure Qualifications you will need: • Graduate from an accredited school of professional nursing, • Minimum 1 year of experience in an operating room setting, preferably in an ambulatory surgery center, • Active RN license as required by state of employment or appropriate compact licensure, • Valid BCLS Certification upon employment ***online certification not acceptable, • ACLS as required by facility, • PALS is preferred, but may be required at some facilities, • CNOR certification preferred Benefits North Texas Float Pool, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include: • Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services, • Wellbeing support, including free counseling and referral services, • Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence, • Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling, • Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing, • Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts Note: Eligibility for benefits may vary by location. "The great hospitals will always put the patient and the patient's family first, and the really great institutions will provide care with warmth, compassion, and dignity for the individual."- Dr. Thomas Frist, Sr. HCA Healthcare Co-Founder If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our Operating Room RN Float Pool opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews. Unlock the possibilities and apply today! We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

Introduction North Texas Float Pool is committed to investing in the latest technology enabling nurses to work more efficiently. Are you passionate about delivering patient-centered care? Submit your application for OR Nurse - Float Pool position and spend more time at the bedside with the patient. Benefits North Texas Float Pool, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include: • Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation., • Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more., • Free counseling services and resources for emotional, physical and financial wellbeing, • 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), • Employee Stock Purchase Plan with 10% off HCA Healthcare stock, • Family support through fertility and family building benefits with Progyny and adoption assistance., • Referral services for child, elder and pet care, home and auto repair, event planning and more, • Consumer discounts through Abenity and Consumer Discounts, • Retirement readiness, rollover assistance services and preferred banking partnerships, • Education assistance (tuition, student loan, certification support, dependent scholarships), • Colleague recognition program, • Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence), • Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income. Note: Eligibility for benefits may vary by location. You contribute to our success let us contribute to yours! Whether you choose to focus on bedside care, a leadership or C-suite role, shape business and operational outcomes, or work to deliver clinical excellence behind the scenes in data science, case management or transfer centers. Unlock your potential at North Texas Float Pool! Job Summary and Qualifications We are seeking an Operating Room Nurse for our ambulatory surgery center who demonstrates the values of our company by caring like family. You will be an amazing addition to our team by contributing your expertise in the circulating or scrub role. You will ensure safe and effective nursing care until your patient is transferred from your care to recovery. What you will do in this role: • Oversee the instrument and equipment set-up for your OR, including utilization of preference cards and ability to anticipate your surgeons needs, • Coordinate and oversee your room during a case as the circulator, • You will facilitate effective and efficient transition between surgical procedures, • Utilize appropriate body mechanics in moving your patients to stretchers and OR tables to prevent injury, • Manage your patients care and medication, including assistance with anesthesia, • Consistently review your charts for completeness, in accordance with documentation protocols prior to and after the surgical procedure Qualifications you will need: • Graduate from an accredited school of professional nursing, • Minimum 1 year of experience in an operating room setting, preferably in an ambulatory surgery center, • Active RN license as required by state of employment or appropriate compact licensure, • Valid BCLS Certification upon employment ***online certification not acceptable, • ACLS as required by facility, • CNOR certification preferred Join a family that cares about every stage in your career! We are interviewing candidates for our OR Nurse - Float Pool opening. Apply today and a member of our Talent Acquisition team will reach out. We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

RN Case Manager Medical City Dallas FT Day shift, 8:00am - 4:30pm Monday - Friday with some weekends New Hires May Be Eligible for a Sign On Bonus up to $20K Introduction Are you looking for a place to deliver excellent care patients deserve? At Medical City Dallas we support our colleagues in their positions. Join our Team as an RN Case Manager and access programs to assist with every stage of your career. Benefits Medical City Dallas, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include: • Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation., • Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more., • Free counseling services and resources for emotional, physical and financial wellbeing, • 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), • Employee Stock Purchase Plan with 10% off HCA Healthcare stock, • Family support through fertility and family building benefits with Progyny and adoption assistance., • Referral services for child, elder and pet care, home and auto repair, event planning and more, • Consumer discounts through Abenity and Consumer Discounts, • Retirement readiness, rollover assistance services and preferred banking partnerships, • Education assistance (tuition, student loan, certification support, dependent scholarships), • Colleague recognition program, • Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence), • Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income. Note: Eligibility for benefits may vary by location. Are you a continuous learner? With more than 94,000 nurses throughout HCA Healthcare, we are one of the largest employers of nurses in the United States. Education is key to excellence! As a majority owner of Galen College of Nursing, which joins Research College of Nursing and Mercy School of Nursing as educational facilities within the HCA Healthcare family, we make it easier and more affordable to gain certifications and job skills. Apply today for our RN Case Manager opening and continue to learn! Job Summary and Qualifications • This is a Full Time Day Shift position, hours are typically 8:00am-4:30pm Monday - Friday with some weekends * Our RN Case Managers raise the bar by providing clinical expertise and the highest quality care in the most compassionate way. The RN Case Manager is responsible for promoting patient-centered care by coordinating the plan of care for the patient stay, managing the length of stay, ensuring appropriate resource management, and developing a safe appropriate discharge plan in collaboration with the multidisciplinary team. The RN Case Manager facilitates the progression and transition of care using established criteria and in conjunction with the multidisciplinary team. The RN Case Manager will coordinate activities that promote quality outcomes and patient throughput while supporting a balance of optimal care and appropriate resource utilization. What You Will Do In This Role: • Performs a comprehensive assessment of psychosocial, medical and discharge needs of patients/family along with an assessment of resources appropriate and available to the patient/family, • Reassesses the patient’s clinical condition as indicated. Considers patient’s readmission status or risk of readmission and develops strategies to mitigate including education on appropriately accessing healthcare resources, preventative education, and community based resources., • Coordinates the plan of care and drives the discharge plan by collaborating with the multidisciplinary health care team and in particular with the patient's physician to facilitate a successful care transition, • In partnership with Social Services, the RN CM is responsible for ensuring the post-acute medical needs and level of care are appropriate, • The RN CM is responsible for timely referral to Social Services when risk factors for psychosocial determinants of health are identified, • Involves patient, family/responsible/significant others in identifying and clarifying needs and expectations to develop mutual and realistic goals, • Evaluates progression of care using evidence-based tools and approved criteria (InterQual) throughout the episode of care; escalates progression and transition of care issues through the established chain of command, • Makes appropriate referrals to third party payer, disease and case management programs for recurring patients and patients with chronic disease states, • Facilitates patient throughput with an ongoing focus on an effective care transition, quality and efficiency, • Documents professional recommendations, discharge plan, care coordination interventions, and case management activities to effectively communicate to all members of the health care team, • Align patient’s needs with available resources to ensure a safe discharge / transition, • Acts as a liaison through effective and professional communications between and with physicians, patient / family, hospital staff, and outside agencies, • Directs activities to identify and provide for the needs of the under-resourced patient population to include patient education activities, patient assistance programs, and community-based resources, • Demonstrates knowledge of regulatory requirements, HCA Ethics and Compliance policies, and quality initiatives, • Serve as an advocate for patient's rights, needs, and values; ensuring that patients’ ethnic, cultural, or religious values, beliefs, preferences and needs are considered and aligned What qualifications you will need: • Registered Nurse with current TX state license required, • Associate Degree in Nursing or Nursing diploma required, Bachelor's Degree in Nursing preferred, • 3+ years of clinical hospital nursing experience required OR 2+ years experience in case management required, • RN NICU experience required with Case Management experience preferred, • Certification in case management preferred HCA Healthcare has been recognized as one of the World's Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses. "Good people beget good people."- Dr. Thomas Frist, Sr. HCA Healthcare Co-Founder If growth and continued learning is important to you, we encourage you to apply for our RN Case Manager opening. Our team will promptly review your application. Highly qualified candidates will be contacted for interviews. Unlock the possibilities apply today! We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

A company is looking for a Utilization Review Nurse RN (Part-Time). Key Responsibilities Provide assessments and reviews for the medical necessity of treatment requests and plans Conduct first level reviews for outpatient and inpatient pre-certification requests, ensuring proper referrals as need

Key Responsibilities Conducts clinical reviews and presents recommendations based on guidelines and organizational policies Performs prior authorization and concurrent reviews focusing on utilization management and care coordination Monitors clinical quality concerns and escalates issues as nece

The Utilization Review Nurse is responsible for determining the clinical appropriateness of care provided to patients and ensuring proper hospital resource utilization of services. The Utilization Review Nurse collaborates as necessary with other members of the health care team to ensure the above a

Registered Nurse (RN) Pediatric Home Health. Nurses who thrive here value autonomy, continuity of care, and the ability to deliver skilled nursing in a calm, controlled environment, backed by real clinical support whenever it's needed. A dedicated team focused on nurse safety and success.

Description Summary: The Utilization Review Nurse is responsible for determining the clinical appropriateness of care provided to patients and ensuring proper hospital resource utilization of services. The Utilization Review Nurse collaborates as necessary with other members of the health care team

Nurses who thrive here value autonomy, continuity of care, and the ability to deliver skilled nursing in a calm, controlled environment, backed by real clinical support whenever it's needed. A dedicated team focused on nurse safety and success. Registered Nurse (RN) Pediatric Home Health.

Nurse Anesthetist, Certified Registered, Healthcare, Health Care, Patient Care, Hospital, CRNA. Certified Registered Nurse Anesthetist (CRNA). This facility is seeking a Certified Registered Nurse Anesthetist (CRNA) for locum tenens support as they look to fill a current need.

Description Summary: The RN Navigator Home Health Review monitors home health patients to ensure patients continue to meet the CMS criteria for services. Outreach to TOC patients should focus on medication reconciliation/adherence, self-management, use of personal health records, follow-up with PCPs

Registered Nurse (RN) Pediatric Home Health. Nurses who thrive here value autonomy, continuity of care, and the ability to deliver skilled nursing in a calm, controlled environment, backed by real clinical support whenever it's needed. A dedicated team focused on nurse safety and success.

The competent Nurse, in the same or similar clinical setting, practices independently and demonstrates an awareness of all relevant aspects of a situation. Education/Skills All newly hired experienced RNs must attend New Nurses Orientation within the first 30 days of hire. Trauma Nurse Core Curricul

Registered Nurse (RN) Pediatric Home Health. Nurses who thrive here value autonomy, continuity of care, and the ability to deliver skilled nursing in a calm, controlled environment, backed by real clinical support whenever it's needed. A dedicated team focused on nurse safety and success.

The competent Nurse, in the same or similar clinical setting, practices independently and demonstrates an awareness of all relevant aspects of a situation. All newly hired experienced RNs must attend New Nurses Orientation within the first 30 days of hire. Trauma Nurse Core Curriculum (TNCC)Within 6

All newly hired experienced RNs must attend New Nurses Orientation within the first 30 days of hire. Trauma Nurse Core Curriculum (TNCC)Within 60 days of hire. The competent Nurse, in the same or similar clinical setting, practices independently and demonstrates an awareness of all relevant aspects

Hours of Work : 36 Days Of Week : 3x12 Work Shift : Job Description : Job Family: ☒ Nursing Job Title: STAFF NURSE - 0635 Reports To: • Nurse Manager • All Staff Nurses have a reporting relationship (direct or indirect) with the CNO. Registered Nurse (RN) renders highly professional and techni

The competent Nurse, in the same or similar clinical setting, practices independently and demonstrates an awareness of all relevant aspects of a situation. All newly hired experienced RNs must attend New Nurses Orientation within the first 30 days of hire. Trauma Nurse Core Curriculum (TNCC)Within 6

The competent Nurse, in the same or similar clinical setting, practices independently and demonstrates an awareness of all relevant aspects of a situation. All newly hired experienced RNs must attend New Nurses Orientation within the first 30 days of hire. Trauma Nurse Core Curriculum (TNCC).

The competent Nurse, in the same or similar clinical setting, practices independently and demonstrates an awareness of all relevant aspects of a situation. All newly hired experienced RNs must attend New Nurses Orientation within the first 30 days of hire. Trauma Nurse Core Curriculum (TNCC).

Validating competency of users in utilization of information systems prior to systems go-live or major changes.

Conducts internal review audits to facilitate feedback for documentation and efficiency of the care coordination team. Perform Transition of Care calls on patients transitioning from an inpatient stay to home, or emergency department encounter to identify the need for a follow-up appointment, commun

Conducts internal review audits to facilitate feedback for documentation and efficiency of the care coordination team. Perform Transition of Care calls on patients transitioning from an inpatient stay to home, or emergency department encounter to identify the need for a follow-up appointment, commun

Conducts internal review audits to facilitate feedback for documentation and efficiency of the care coordination team. Perform Transition of Care calls on patients transitioning from an inpatient stay to home, or emergency department encounter to identify the need for a follow-up appointment, commun

Utilizing clinical judgment and problem-solving skills to coordinate appropriate care with physicians and Nurse Navigation. Conducts internal review audits to facilitate feedback for documentation and efficiency of the care coordination team. Perform Transition of Care calls on patients transitionin

Validating competency of users in utilization of information systems prior to systems go-live or major changes.

DescriptionSummary: The RN Navigator Home Health Review monitors home health patients to ensure patients continue to meet the CMS criteria for services. Outreach to TOC patients should focus on medication reconciliation/adherence, self-management, use of personal health records, follow-up with PCPs/