Houston Methodist

<div>
 Come lead with us at Houston Methodist Willowbrook Hospital
 
 
 At Houston Methodist, the Registered Nurse (RN) II position is a licensed staff nurse, an experienced clinician, functions at the Competent to Proficient stage of Benner's model of clinical practice. The RN II position provides professional nursing care to a diverse patient population, conducts nursing assessments, assists with exams and treatment, patient education, and maintenance of medical records. The RN II position provides direct patient care effectively and efficiently which may include patients with varied and complex needs. This position communicates and collaborates with the physicians and interprofessional health care team to facilitate, coordinate and maintain compassionate, efficient, quality care and achievement of desired treatment outcomes. The RN II position demonstrates clinical competence when providing care, using technology, administering medications, performing procedures and managing emergencies, acting as a patient and family advocate in order to monitor and maintain patient rights. This position assumes leadership roles with progressive responsibility including but not limited to participating in or leading unit and shared governance initiatives, serving as charge nurse or preceptor to students or new employees, and possibly contributing to service line or hospital-wide initiatives in partnership with management.
 
 
 
 People Essential Functions
 
 
 
 <ul>
 <li>
 Uses therapeutic communication, which includes active listening and teaching, to establish a relationship with patients, families and interprofessional health care team to collaborate on the plan of care.
 </li>
 <li>
 Contributes to teamwork by awareness of overall unit acuity, consistently offering assistance, and responding positively to requests for assistance. Collaborates to foster healthy relationships in the work environment. Seeks guidance from and offers guidance to interprofessional health care team, when appropriate, and applies feedback to improve patient outcomes.
 </li>
 <li>
 Implements staff education specific to patient populations and unit processes; coaches and mentors other staff and students. May include preceptorship. Uses peer-to-peer accountability towards improvement of department score for turnover/retention/employee engagement on unit-based scorecard.
 
 
 </li>
 </ul>
 
 Service Essential Functions
 
 
 
 <ul>
 <li>
 Follows the patient and family-centered care standards, as outlined in the Houston Methodist Professional Nursing Practice document. Conducts nursing assessments, assists with exams and treatment, and maintenance of medical records.
 </li>
 <li>
 Develops, updates and communicates plan of care, including discharge, in partnership with the patient, family and interprofessional health care team, using the nursing process. Prioritizes care based on the patient's needs, abilities and preferences. Advocates on patient/family's behalf to identify and resolve clinical and ethical concerns, utilizing appropriate resources.
 </li>
 <li>
 Provides patient teaching based on learning needs, uses appropriate resources, incorporating planning for care after discharge. Consistently evaluates the patient's comprehension and adapts teaching methods accordingly.
 </li>
 <li>
 Helps drive improvement of department score for patient satisfaction on unit-based scorecard, through peer-to-peer accountability to service standards.
 
 
 </li>
 </ul>
 
 Quality/Safety Essential Functions
 
 
 
 <ul>
 <li>
 Follows the standards of care related to the nursing process, as outlined in the Houston Methodist Professional Nursing Practice document.
 </li>
 <li>
 Follows the standards related to regulatory requirements and professional practice as outlined in the Houston Methodist Professional Nursing Practice document. Identifies areas of practice improvements with research-based evidence to achieve core measure and patient safety outcomes, supported by accurate documentation.
 </li>
 <li>
 Provides and modifies care to complex patients and coordinates care with the interprofessional team based on evaluation of the patient's condition, supported by accurate documentation. Utilizes clinical judgement, using an evidence-based analytical approach.
 </li>
 <li>
 Improves quality and safety scores on the unit-based scorecard, through peer-to-peer accountability, reporting near misses, and collaborating with the interprofessional health care team.
 
 
 </li>
 </ul>
 
 Finance Essential Functions
 
 
 
 <ul>
 <li>
 Displays self-motivation to independently manage time effectively, timely document care, minimize incidental overtime, and prioritize daily tasks. Provides input into the unit resource utilization including unit capital and operational budget needs.
 </li>
 <li>
 Contributes towards meeting department financial targets on unit-based scorecard through decreasing length of stay, optimizing efficiency and other areas according to department specifications.
 
 
 </li>
 </ul>
 
 Growth/Innovation Essential Functions
 
 
 
 <ul>
 <li>
 Identifies and presents areas for innovation, efficiency and improvement in patient care or unit operations using evidence-based practice literature. Offers innovative solutions through evidence-based practice/performance improvement projects and shared governance activities.
 </li>
 <li>
 Champions new care pathways or service line implementation to improve service to the community. Identifies trends for improvement opportunities or practice changes and supports initiatives. Researches the change and presents options to shared governance and leadership.
 
 
 </li>
 </ul>
 This job description is not intended to be all-inclusive; the employee will also perform other reasonably related business/job duties as assigned. Houston Methodist reserves the right to revise job duties and responsibilities as the need arises.
 
 
 
 EDUCATION
 
 
 
 <ul>
 <li>
 Graduate of education program approved by the credentialing body for the required credential(s) indicated below in the Certifications, Licenses and Registrations section
 
 
 </li>
 </ul>
 
 Work Experience
 
 
 
 <ul>
 <li>
 Twelve months registered nurse experience in a healthcare environment
 
 
 </li>
 </ul>
 
 Licenses And Certifications - Required
 
 
 
 <ul>
 <li>
 RN - Registered Nurse - Texas State Licensure -- Compact Licensure - must obtain permanent Texas license within 60 days (if establishing Texas residency) AND
 </li>
 <li>
 BLS - Basic Life Support or Instructor (AHA)
 
 
 </li>
 </ul>
 
 Licenses And Certifications - Preferred
 
 
 
 <ul>
 <li>
 Magnet - ANCC Recognized Certification
 </li>
 <li>
 ACLS - Advanced Cardiac Life Support or Instructor (AHA)
 
 
 </li>
 </ul>
 
 KNOWLEDGE, SKILLS, AND ABILITIES
 
 
 
 <ul>
 <li>
 Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through ongoing skills, competency assessments, and performance evaluations as defined in orientation checklist and annual departmental competency checklist
 </li>
 <li>
 Sufficient proficiency in speaking, reading, and writing the English language necessary to perform the essential functions of this job, especially with regard to activities impacting patient or employee safety or security
 </li>
 <li>
 Ability to effectively communicate with patients, physicians, family members and co-workers in a manner consistent with a customer service focus and application of positive language principles
 </li>
 <li>
 Strong assessment, organizational and problem solving skills as evidenced by capacity to prioritize multiple tasks and role components
 </li>
 <li>
 Ability to function independently and exercise judgment in interactions with physicians, interprofessional care team and patients and their families
 </li>
 <li>
 Uses critical thinking skills and clinical judgment to work autonomously as defined by the Nurse Practice Act
 </li>
 <li>
 Demonstrates proficient time management skills
 </li>
 <li>
 Maintains level of professional contributions as defined in Clinical Career Path program guide
 </li>
 <li>
 Working knowledge of Microsoft products including Outlook
 
 
 </li>
 </ul>
 
 Supplemental Requirements
 
 
 
 
 WORK ATTIRE
 
 
 
 <ul>
 <li>
 Uniform No
 </li>
 <li>
 Scrubs Yes
 </li>
 <li>
 Business professional No
 </li>
 <li>
 Other (department approved) No
 
 
 </li>
 </ul>
 
 ON-CALL*
 
 
 
 <ul>
 <li>
 Note that employees may be required to be on-call during emergencies (ie. DIsaster, Severe Weather Events, etc) regardless of selection below.
 </li>
 <li>
 On Call* Yes
 
 
 </li>
 </ul>
 
 TRAVEL**
 
 
 
 <ul>
 <li>
 Travel specifications may vary by department**
 </li>
 <li>
 May require travel within the Houston Metropolitan area Yes
 </li>
 <li>
 May require travel outside Houston Metropolitan area No
 
 
 </li>
 </ul>
 Houston Methodist is an Equal Opportunity Employer.
</div>

Registered Nurse (RN) II - Outpatient OR - Full Time (Days)

Kelsey-Seybold Clinic

<div>Job ID: 2327796 
Job Type: Full-time 
Location: Houston, TX 77001

Explore opportunities with Kelsey-Seybold Clinic, part of the Optum family of businesses. Work with one of the nation&rsquo;s leading health care organizations and build your career at one of our 40+ locations throughout Houston. Be part of a team that is nationally recognized for delivering coordinated and accountable care. As a multi-specialty clinic, we offer care from more than 900 medical providers in 65 medical specialties. Take on a rewarding opportunity to help drive higher quality, higher patient satisfaction and lower total costs. Join us and discover the meaning behind Caring. Connecting. Growing together. 


Primary Responsibilities:
<ul>
<li>Provides nursing care to patients in an assigned unit. Possesses knowledge and skill necessary to meet nursing standards for professional practice specified in Texas Nurse Practice Act with supervision</li>
<li>Recognizes when assistance is needed and seeks appropriate resources</li>
<li>Practice is characterized by a balance of dependent and interdependent decision making</li>
<li>Focus is on expanding knowledge and skills for specialty area</li>
<li>Provides patient care through nursing-based practices upon the American Nurses Association Standards of Professional Practice and Professional Performance</li>
<li>Values specialty unit, nursing, and institutional strategic initiatives and health system goals</li></ul> 


You&rsquo;ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:
<ul>
<li>Associate of Science in Nursing (ASN) or higher</li>
<li>Texas RN license</li>
<li>American Heart Association Basic Life Support (BLS)</li>
<li>2+ years of experience as RN in PACU, Pre-OP or Endoscopy
</li><li>Ability to work a Single Unit work unit</li>
<li>Proven basic computer skills</li></ul> 


Preferred Qualifications:
<ul>
<li>Bachelor of Science in Nursing (BSN)</li>
<li>RN experience in Pre-Op, Pre-Admission Testing (PAT), Emergency Room (ER), Infusion Therapy, Ambulatory Surgery Center (ASC) or hospital setting</li></ul> 


Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you&rsquo;ll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $28.27 to $50.48 per hour based on full-time employment. We comply with all minimum wage laws as applicable. 


At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes &ndash; an enterprise priority reflected in our mission. 


OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.</div>

Per Diem RN II – ASC – North Houston Campus – Kelsey Seybold Clinic

Kingwood Pines Hospital

<div>
 
 Responsibilities
 
 
 
 Kingwood Pines Hospital is a 116 bed facility located in the beautiful residential Kingwood community. We are located about 30 miles northeast of the Houston Medical Center. The hospital provides 24-hour emergency services. We serve children, adolescents, and adults for psychiatric and behavioral health. The hospital also has services in intensive outpatient and partial hospital program services.
 
 
 Website: www.kingwoodpines.com
 
 
 Click here for a virtual Facility Tour
 
 
 
 Position Summary
 
 
 
 The Registered Nurse will provide nursing care for psychiatric patients, including child, adolescent, geriatric and chemical dependency patients using the nursing process. Duties include: assess mental health needs, develop nursing diagnoses, identify outcomes, plan and evaluate nursing care; administer and/or monitor the effects and side effects of medications and treatments ordered by a physician; to ensure safety and provide milieu management and crisis intervention strategies.
 
 
 
 Job Duties/Responsibilities
 
 
 
 <ul>
 <li>
 Provide leadership and direction to licensed vocational nurses, psychiatric technicians, and counselors. Direct milieu management.
 </li>
 <li>
 Provide assessment of patients&rsquo; psychiatric and medical status.
 </li>
 <li>
 Contribute to treatment plan as a member of interdisciplinary team.
 </li>
 <li>
 Document nursing care, treatment, and patient&rsquo;s response to treatment
 </li>
 <li>
 Recognize signs and symptoms of mental health disorders and chemical dependency disorders and apply/utilize appropriate treatment interventions.
 
 
 </li>
 </ul>
 
 Benefit Highlights
 
 
 
 <ul>
 <li>
 Challenging and rewarding work environment
 </li>
 <li>
 Career development opportunities within UHS and its Subsidiaries
 </li>
 <li>
 Competitive Compensation
 </li>
 <li>
 Excellent Medical, Dental, Vision and Prescription Drug Plan
 </li>
 <li>
 401(K) with company match and discounted stock plan
 </li>
 <li>
 Generous Paid Time Off
 </li>
 <li>
 Free Basic Life Insurance
 
 
 </li>
 </ul>
 
 About Universal Health Services
 
 
 
 One of the nation&rsquo;s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, annual revenues were $13.4 billion in 2022. During the year, UHS was again recognized as one of the World&rsquo;s Most Admired Companies by Fortune; and listed in Forbes ranking of America&rsquo;s Largest Public Companies. Headquartered in King of Prussia, PA, UHS has approximately 94,000 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. states, Washington, D.C., Puerto Rico and the United Kingdom. www.uhs.com
 
 
 
 Qualifications
 
 
 
 <ul>
 <li>
 Graduate of accredited school of nursing (Associate's Degree) required. BSN preferred.
 </li>
 <li>
 Current Registered Nurse (RN) license in the State of Texas required.
 </li>
 <li>
 Minimum of one (1) year related experience required. Psychiatric nursing experience is preferred.
 </li>
 <li>
 CPR and HWC Crisis Intervention training must be completed prior to beginning work.
 </li>
 <li>
 Hours: Night Shift: 7 PM - 7 AM (Rotating Weekends Required)
 
 
 </li>
 </ul>
 
 EEO Statement
 
 
 
 All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.
 
 
 We believe that diversity and inclusion among our teammates is critical to our success.
 
 
 
 Avoid and Report Recruitment Scams
 
 
 
 At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS
 
 
 and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc.
 
 
 If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters.
</div>

Registered Nurse (RN) Night Shift (Full-time) - Behavioral Health

Crescentia

** No visa sponsorships supported **..JOB DESCRIPTIONThe Pediatric ECMO Specialist team is a highly trained and specialized team that responds to emergent situations in our TMC Children's location. As an ECMO specialist, you will utilize the bypass machine to assist with rapid response procedures needed to save lives. The Pediatric ECMO Program at Children&rsquo;s Hospital (CMHH) has been recognized by the Extracorporeal Life Support Organization (ELSO) as a Designated Center of Excellence since the inception of the award in 2006, recognizing international ECMO programs for having processes, procedures and systems in place that promote excellence and exceptional care. Our Program began in 1992, one of the oldest in Texas, and has used ECMO to treat more than 500 patients. As a high-volume program in Texas, the Pediatric ECMO Program supports approximately 30 children each year.Minimum QualificationsEducation:<ul><li>Graduate of an accredited School of Professional Nursing; Bachelors of Nursing preferred</li></ul>Licenses/Certifications:<ul><li>Current State of Texas license or temporary/compact license to practice professional nursing</li><li>Certified in Basic Life Support</li><li>Additional certifications may be required based on discipline and/or nursing unit requirements</li></ul>Experience / Knowledge / Skills:<ul><li>RN I &lt;1 year</li><li>RN II = 1-3 years</li><li>RN III = 3-10 years</li><li>RN IV = 10+ years</li><li>Effective oral and written communication</li></ul>Principal Accountabilities<ul><li>Delivers safe and appropriate care to patients, according to the nursing skills inventory and the age and needs of the patient/population served.</li><li>Coordinates the planning for the delivery of nursing care with an interdisciplinary team and administers appropriate clinical decisions in the delivery of patient care.</li><li>Collaborates with, directs, and may delegate to the healthcare team in the attainment of positive outcomes based on data, research, evidence, and professional standards of care.</li><li>Coordinates treatment plans; develops/implements discharge and/or transfer plans.</li><li>Participates in a systemic, interdisciplinary, and ongoing evaluation of programs, process improvement and desired client-centered outcomes.</li><li>Considers the diverse needs of each patient through the entire continuum of care, providing and ensuring the highest level of service according to established service standards, optimizing the patient experience.</li><li>Adheres to all regulatory and Texas Board of Nursing standards.</li><li>Performs other duties as assigned, within scope of practice and clinical competency.</li><li>Ensures safe care to patients, staff and visitors; adheres to all policies, procedures, and standards within budgetary specifications including time management, supply management, productivity and quality of service.</li><li>Promotes individual professional growth and development by meeting requirements for mandatory/continuing education and skills competency; supports department-based goals which contribute to the success of the organization; serves as preceptor, mentor and resource to less experienced staff.</li><li>Demonstrates commitment to caring for every member of our community by creating compassionate and personalized experiences. Models Hospital&rsquo;s service standards by providing safe, caring, personalized and efficient experiences to patients and colleagues.</li><li>Other duties as assigned..</li></ul>Must-Haves<ul><li>Bachelors of Science in Nursing</li><li>Must have 2 years Prior ECMO Specialist Experience</li><li>Must have Prior experience working with the pediatrics or NICU population</li></ul>Job Type: Full-timePay: $90,000.00 - $140,000.00 per yearApplication Question(s):<ul><li>PLEASE SHARE YOUR E-MAIL ADDRESS AND YOUR ZIP CODE</li><li>DO YOU HAVE BACHELORS OF SCIENCE IN NURSING ? PLEASE COMMENT</li><li>DO YOU HAVE MINIMUM 2 YEARS PRIOR ECMO SPECIALIST EXPERIENCE ? PLEASE COMMENT</li><li>DO YOU HAVE PRIOR EXPERIENCE WORKING WITH THE PEDIATRICS OR NICU POPULATION? PLEASE COMMENT</li><li>ADDITIONAL INFORMATION YOU WOULD LIKE THE EMPLOYER TO KNOW ?</li></ul>Work Location: In person

Pediatric ECMO Specialist- Registered Nurse (Nights) - Houston,,__TX.

Cantex Continuing Care Network

<div>Diversity, Equity, and Inclusion are at the heart of Cantex. We are committed to a culture that respects our differences and values the contributions of all people.
Please visit cantexcc.com for more information on this location.
Job Summary:
The primary purpose of the Treatment Nurse (RN/LVN) position is to participate in and oversee the wound care of Residents as prescribed by the attending physician, consistent with accepted standards of care and within the scope of RN/LVN training and licensure.
At times, this position will be responsible to provide care directly to the Resident and/or supervise the direction of this care by a Certified Nursing Assistant to ensure that the highest practical well-being is maintained by the Resident.
Qualifications:
&uml; Graduation from an accredited Nursing School and a current and valid
license in the applicable State.
&uml; Minimum of one-year experience in a long-term or health care
setting is preferred.
Knowledge of current wound care treatments and dressings.
&uml; Ability to read, write, and speak the English language.
Essential Functions:
&uml; Observe, assess, treat, and documents Residents wounds according
to the Resident Care Management System Skin, Federal, State, and local
regulations.
&uml; Ensures that preventative measures are utilized to prevent the development
of pressure ulcers.
&uml; Assists in the collection and documentation of data for Quality Assurance
including the weekly Pressure/Non-Pressure Trending Reports.
&uml; Consults with Director of Nurses/Attending Physician regarding changes in
Residents wounds/condition.
&uml; Receives transcribes and executes physicians' orders.
&uml; Ensures implementation of care plans to promote wound healing.
&uml; Administers medications and treatments as prescribed.
&uml; Identifies and secures equipment and supplies for wound care.
&uml; Ensures that each Resident's attending physician and family or responsible
party is promptly notified of any significant change in the Resident's wound/
condition and this notification is documented in the medical record.
&uml; May participate in assigning duties and ensures the delivery of appropriate
clinical care by the CNA staff.
&uml; Ensures that each Resident's accident or incident is fully documented and
reported in accordance with Cantex Senior Communities Clinical
Policies and Procedures and state/federal guidelines and regulations.
&uml; Ability to function as a Team Leader/Role Model.
&uml; Ensures a safe environment for Resident population.
&uml; May participate in the Nurse Manager On call rotation.
&uml; Has reviewed Cantex Senior Communities Clinical Policies and Procedures
for Abuse Prevention and knows the employee's responsibility to enforce it.
<ul><li>Responsible for assuring patient/resident safety</li><li>
Performs other duties as assigned by supervisor.</li></ul>
e are an Equal opportunity employer; We offer an excellent benefit plan to include 401K with match, CEU reimbursement, vacation, sick, holidays, medical, dental, and supplemental insurance Plans as well as a Highly competitive compensation package.</div>

Wound Care Treatment Nurse- Solera West Houston

Komen Graduate Training Program UT MDACC

<div>
 As a
 
 Nurse Defense Auditor
 
 in our
 
 Hospital Billing &amp; Collections
 
 department, your expertise ensures accurate reimbursement and supports patient access to life-saving care. This role combines clinical knowledge, insurance expertise, and critical thinking to resolve complex denials and audits-making a direct impact on patient outcomes and organizational success.
 
 
 
 MD Anderson Offers Our Employees
 
 
 
 <ul>
 <li>
 Paid Medical Benefits for employees and eligible dependents
 </li>
 <li>
 Generous Paid Time Off (PTO) for work-life balance
 </li>
 <li>
 Retirement Plans with employer contributions
 </li>
 <li>
 Career Development Opportunities and tuition assistance
 </li>
 <li>
 Additional perks such as wellness programs, employee discounts, and more
 
 
 </li>
 </ul>
 The primary purpose of the
 
 Nurse Defense Audit Coordinator
 
 position within the
 
 Hospital Billing &amp; Collections department
 
 is to utilize clinical expertise, insurance knowledge, business acumen, and strong communication skills to analyze patient accounts and invoices for retrospective approval of denied services and potential continued access needs. This role also includes conducting retrospective reviews and audits of patient accounts to complete Defense Audits.
 
 
 
 Ideal Candidate:
 
 A
 
 Registered Nurse (RN)
 
 with experience in
 
 appeals
 
 and
 
 nurse defense auditing
 
 .
 
 
 
 Key Functions
 
 
 
 <ul>
 <li>
 Analyze invoices and accounts in the patient accounting system to prepare for appeals of third-party payer denials. Utilize Explanation of Benefits (EOB) and Remittance Advices to verify denials and identify possible avenues of appeal.
 </li>
 <li>
 Contact third-party payers, insurance medical directors, case management, and utilization review to request reconsideration and/or appeal of claims requiring clinical intervention, ensuring comprehensive data is provided to justify appeals.
 </li>
 <li>
 Evaluate and audit medical records to support Defense Audits, confirming services were provided and billed accurately. Review for overcharges and missing charges, and discuss findings with outside auditors.
 </li>
 <li>
 Collaborate with Case Management and providers to ensure all medical necessity documentation is captured.
 </li>
 <li>
 Coordinate appeal or audit processes and maintain appropriate follow-up on appealed/audited claims.
 </li>
 <li>
 Update and document patient accounting system accurately and efficiently, including insurance, demographics, notations, and service codes.
 </li>
 <li>
 Communicate with leadership regarding issues impacting future care needs and contract performance.
 </li>
 <li>
 Demonstrate thorough knowledge of third-party payer claim requirements, UB04, HCFA1500, EOBs, and appeal timelines.
 </li>
 <li>
 Maintain understanding of insurance guidelines for medical necessity review, including M&amp;R and InterQual, and working knowledge of ICD-10 and CPT codes.
 </li>
 <li>
 Stay current on oncology clinical processes and outcomes, including clinical trials and related resources.
 </li>
 <li>
 Perform related business office responsibilities with minimal supervision, demonstrating innovation, good judgment, and adherence to ethical and legal billing procedures.
 </li>
 <li>
 Follow hospital and department policies and maintain confidentiality in all matters.
 </li>
 <li>
 Actively contribute to a team approach, offering positive suggestions and ideas for improved revenue recovery and team success.
 
 
 </li>
 </ul>
 
 EDUCATION
 
 
 
 <ul>
 <li>
 Required: Graduation from an accredited school of nursing.
 </li>
 <li>
 Preferred: Bachelor's Degree Nursing.
 
 
 </li>
 </ul>
 
 Work Experience
 
 
 
 <ul>
 <li>
 Required: 5 years Experience in clinical nursing and 1 year Experience in utilization review.
 </li>
 <li>
 May substitute preferred degree for two years of the five clinical nursing experience.
 </li>
 <li>
 Preferred: Nurse Defense Audit experience, experience with insurance appeals, prior case management or business office experience.
 
 
 </li>
 </ul>
 
 Work Schedule
 
 : This position is remote. Prefer Houston/local area.
 
 
 
 LICENSES AND CERTIFICATIONS
 
 
 
 <ul>
 <li>
 Required: RN - Registered Nurse - State Licensure State of Texas Professional Nursing License (RN). Upon Hire and
 </li>
 <li>
 Required: BLS - Basic Life Support Upon Hire or
 </li>
 <li>
 Required: CPR - Cardiac Pulmonary Resuscitation Upon Hire
 </li>
 <li>
 Preferred: CM - Case Management Upon Hire
 </li>
 <li>
 Preferred: ACLS - Advanced Cardiac Life Support Certification as required by patient care area. Upon Hire
 </li>
 <li>
 Preferred: PALS - Pediatric Advanced Life Support Certification as required by patient care area. Upon Hire
 
 
 </li>
 </ul>
 The University of Texas MD Anderson Cancer Center offers excellent benefits , including medical, dental, paid time off , retirement , tuition benefits, educational opportunities, and individual and team recognition.
 
 
 This position may be responsible for maintaining the security and integrity of critical infrastructure, as defined in Section 113.001(2) of the Texas Business and Commerce Code and therefore may require routine reviews and screening. The ability to satisfy and maintain all requirements necessary to ensure the continued security and integrity of such infrastructure is a condition of hire and continued employment.
 
 
 It is the policy of The University of Texas MD Anderson Cancer Center to provide equal employment opportunity without regard to race, color, religion, age, national origin, sex, gender, sexual orientation, gender identity/expression, disability, protected veteran status, genetic information, or any other basis protected by institutional policy or by federal, state, or local laws unless such distinction is required by law. http://www.mdanderson.org/about-us/legal-and-policy/legal-statements/eeo-affirmative-action.html
 
 
 Additional Information
 
 
 <ul>
 <li>
 Requisition ID: 177616
 </li>
 <li>
 Employment Status: Full-Time
 </li>
 <li>
 Employee Status: Regular
 </li>
 <li>
 Work Week: Days
 </li>
 <li>
 Minimum Salary: US Dollar (USD) 89,000
 </li>
 <li>
 Midpoint Salary: US Dollar (USD) 111,000
 </li>
 <li>
 Maximum Salary : US Dollar (USD) 133,000
 </li>
 <li>
 FLSA: exempt and not eligible for overtime pay
 </li>
 <li>
 Fund Type: Hard
 </li>
 <li>
 Work Location: Remote (within Texas only)
 </li>
 <li>
 Pivotal Position: Yes
 </li>
 <li>
 Referral Bonus Available?: No
 </li>
 <li>
 Relocation Assistance Available?: No
 </li>
 </ul>
</div>

Nurse Defense Auditor

MD Anderson Cancer Center

<div>The Center for Reconstructive Surgery at MD Anderson specializes in procedures that restore normal function and correct the physical changes caused by cancer-related treatments. The center takes a multidisciplinary approach to care and works closely with patients' primary care teams. Our clinical faculty is expert in state-of-the-art microvascular surgical techniques, helping us achieve the best possible outcomes. In most cases, reconstruction is performed immediately after the tumor has been removed. 
 
Our services include:
 
<ul><li>Pre-surgery consultation, evaluation and digital imaging</li><li>
General plastic surgery reconstruction</li><li>
Reconstructive surgery of defects in the head, neck, breast, torso and limbs</li><li>
Complex microsurgery reconstruction</li><li>
Complex wound management</li><li>
Reconstruction for melanoma and skin cancer patients</li></ul> 
The ideal candidate will have at least one year of Registered Nurse experience and demonstrate strong clinical assessment skills, sound clinical judgment and thrive in a collaborative environment, working seamlessly with Physicians, Advanced Practice Providers (APPs), Patient Care Assistants (PCAs), and nursing peers to deliver exceptional care. Experience with Epic electronic health record systems is highly preferred. 
 
The schedule will be Monday - Friday, 8am-4pm.
 
 
KEY FUNCTIONS 
 
Accountable for the management and provision of patient care in assigned area. 
Assesses patient's needs for nursing care and other services, using clinical skills and visual, aural and analytical abilities. 
Collaborates with physicians, other services, patient and patient's family to plan care and evaluate outcomes. 
Integrates knowledge of age-specific care needs, principles of oncology practice, institutional goals and standards and current professional practice standards in providing care for patients. 
Improves practice by integrating results and theories of research studies. 
Participates in data collection for current studies. 
Demonstrates clinical competency and compassion in providing care, using technology, administering medications, performing procedures and managing emergencies. 
Assures continuity of care through appropriate discharge planning, patient education and coordination of services. 
Acts as a patient and family advocate to uphold patient rights. 
Organizes and prioritizes work of patient care team; trains, coaches and assists team members to ensure optimum patient care and efficient use of resources. 
 
MD Anderson offers our employees:
 
 
<ul><li>Paid employee medical benefits (zero premium) starting on first day for employees who work 30 or more hours per week.</li></ul> 
<ul><li>Group Dental, Vision, Life, AD&amp;D and Disability coverage.</li></ul> 
<ul><li>Paid time off (PTO) and Extended Illness Bank (EIB) paid leave accruals.</li></ul> 
<ul><li>Paid institutional holidays, wellness leave, childcare leave, and other paid leave programs.</li></ul> 
<ul><li>Tuition Assistance Program after six months of service.</li></ul> 
<ul><li>Teachers Retirement System defined-benefit pension plan and two voluntary retirement plans.</li></ul> 
<ul><li>Employer paid life, AD&amp;D and an illness-related reduced salary pay program.</li></ul> 
<ul><li>Extensive wellness, recognition, fitness, employee health programs and employee resource groups.
</li></ul> 
<ul><li>Opportunities for professional growth through Career Development Center and Mentoring programs.</li></ul> 

EDUCATION 
<ul><li>
Required: Graduation from an accredited school of professional nursing.</li><li>
Preferred: Bachelor's Degree Nursing.</li></ul> 

WORK EXPERIENCE 
<ul><li>
Preferred: Minimum one year of RN experience.</li><li>
Preferred: Experience with Epic electronic health record system.</li></ul> 

LICENSES AND CERTIFICATIONS 
<ul><li>
Required: RN - Registered Nurse - State Licensure Current State of Texas Professional Nursing license. Upon Hire
</li><li>Required: BLS - Basic Life Support Upon Hire or Cardiopulmonary Resuscitation (CPR) Upon Hire
</li><li>Required: ACLS - Advanced Cardiac Life Support If working in the following department: ASC Post Anesthesia (600761). Upon Hire or PALS - Pediatric Advanced Life Support If working in the following departments: ASC Post Anesthesia (600761) or Pedi - Child &amp; Adolescent Center (113200).
</li><li>Preferred: OCN - Oncology Nurse Certification Certification in specialty practice area. Upon Hire</li></ul> 

OTHER REQUIREMENTS: All clinical nurses with less than one year of registered nurse (RN) work experience will be required to participate in the Clinical Nurse Residency Program. 
 
The University of Texas MD Anderson Cancer Center offers excellent benefits, including medical, dental, paid time off, retirement, tuition benefits, educational opportunities, and individual and team recognition. 
 
This position may be responsible for maintaining the security and integrity of critical infrastructure, as defined in Section 113.001(2) of the Texas Business and Commerce Code and therefore may require routine reviews and screening. The ability to satisfy and maintain all requirements necessary to ensure the continued security and integrity of such infrastructure is a condition of hire and continued employment. 
 
It is the policy of The University of Texas MD Anderson Cancer Center to provide equal employment opportunity without regard to race, color, religion, age, national origin, sex, gender, sexual orientation, gender identity/expression, disability, protected veteran status, genetic information, or any other basis protected by institutional policy or by federal, state, or local laws unless such distinction is required by law.http://www.mdanderson.org/about-us/legal-and-policy/legal-statements/eeo-affirmative-action.html 
 
Additional Information
 
<ul><li>Requisition ID: 177619
</li><li>Employment Status: Full-Time
</li><li>Employee Status: Regular
</li><li>Work Week: Days
</li><li>Minimum Salary: US Dollar (USD) 68,000
</li><li>Midpoint Salary: US Dollar (USD) 105,000
</li><li>Maximum Salary : US Dollar (USD) 142,000
</li><li>FLSA: exempt and eligible for overtime, paid at a time and a half rate
</li><li>Fund Type: Hard
</li><li>Work Location: Onsite
</li><li>Pivotal Position: Yes
</li><li>Referral Bonus Available?: Yes
</li><li>Relocation Assistance Available?: Yes
</li></ul> 
#LI-Onsite</div>

Clinical Nurse, Outpatient - Center for Reconstructive Surgery

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