-
Registered Nurse Clinical Reviewer
2 weeks ago
HCA Houston Healthcare Northwest Houston, United States***Introduction** · **Do you have the career opportunities as a(an) Registered Nurse Clinical Reviewer you want in your current role? We invest in what matters most to nurses like you - at home, at work, and at every stage in your career. We have an exciting opportunity for you t ...
-
Medical Director Clinical Coverage Review
2 weeks ago
Optum Houston, United StatesOptum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel ...
-
Clinical Review Nurse I
1 week ago
Elevance Health Houston, United States Full timeJob Description · : Clinical Review Nurse I - Medicare Part A · National Government Services is a proud member of Elevance Health's family of brands. We administer government contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform fe ...
-
Clinical - Chart Reviewer 1
2 weeks ago
Axelon Houston, United StatesLocation: Field base employees -All of Houston. · SHIFT: 9 to 5, OT possible · Job Title: Medical Recorder chart auditor · Job Description: · Will be driving to practices and will be in the clinic pulling charts and sending to vendor daily. This will be all over the Houston Ma ...
-
Registered Nurse Clinical Reviewer
3 weeks ago
HCA Healthcare Houston, United States Full timeDescription · Introduction · Do you have the career opportunities as a(an) Registered Nurse Clinical Reviewer you want in your current role? We invest in what matters most to nurses like you – at home, at work, and at every stage in your career. We have an exciting opportunity f ...
-
Medical Director Clinical Coverage Review
2 weeks ago
UnitedHealth Group Houston, United StatesOptum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel ...
-
Director, Outpatient Services
3 weeks ago
SUN Behavioral Houston Houston, United States**Position Summary**: · Responsible for the oversight of all clinical treatment programs of patients receiving treatment for psychiatric, and substance abuse issues in outpatient settings. The Director assures that high quality clinical care is provided and that the clinical func ...
-
Clinical Documentation Specialist
1 week ago
Dr. MobiCare Houston, United StatesThis is not a remote position. This is work from the Houston Office. · A Clinical Documentation Improvement specialist (CDIS) reviews wound care, skilled · nursing facilities, long-term care, office visits, laboratory tests, and home health records · simultaneously to ensure that ...
-
Clinical Documentation Specialist
2 weeks ago
MD Anderson Cancer Center Houston, United StatesThe Clinical Documentation Specialist position in the department of HIM Administration at MD Anderson Cancer Center in Houston, TX promotes appropriate clinical documentation through collaboration with MD Anderson staff by reviewing patient documents, assessing for accuracy and e ...
-
Christus Health Houston, United StatesSummary: · Responsible for the management and communication of denials/appeals received from third party payers, managed care companies, and/or government entities/auditors related to medical necessity and/or level of care. This associate will be a liaison and point of contact fo ...
-
Case Manager Concurrent Review
2 weeks ago
KS Management Services, LLC Houston, United States**Responsibilities** · The Concurrent Review Case Manager is responsible for telephonic monitoring and the documentation of medical treatment and comparing it to established criteria to determine if treatment meets established guidelines. In addition, the Concurrent Review Case M ...
-
Clinical Documentation Specialist Outpatient
2 weeks ago
KS Management Services, LLC Houston, United States**Responsibilities** · The Managed Care Analytics department exists to monitor and improve the financial performance of Kelsey-Seybold's (KS) product lines and health plans. The MCA Risk Adjustment Clinical Documentation Specialist team is a highly-skilled team of Clinical Docume ...
-
Billing Supervisor
1 week ago
Abel HR Inc Houston, United StatesWe have a dynamic opportunity for an experienced Medical Billing Supervisor to join our team. · **Responsibilities**: · - Work with and lead daily collaboration and supervision of Billing Representative in vertical. · - Ensure monthly invoices are submitted to clients in a timely ...
-
Field Clinical Representative
1 week ago
Inspire Medical Systems I Houston, United States**FIELD CLINICAL REPRESENTATIVE** · **ABOUT INSPIRE MEDICAL SYSTEMS** · - Inspire is the first of its kind medical device designed to make a difference in the lives of those living with Obstructive Sleep Apnea (OSA). We are revolutionizing the sleep industry with our FDA-approved ...
-
Financial Clearance Coordinator
3 weeks ago
MD Anderson Cancer Center Houston, United States**Mission Statement** · The mission of The University of Texas MDAnderson Cancer Center is to eliminate cancer in Texas, the nation, and the world through outstanding programs that integrate patient care, research and prevention, and through education for undergraduate and gradua ...
-
Clinical Specialist
3 weeks ago
Regency Integrated Health Services Houston, United States**Primary Responsibilities** · The Clinical Specialist will serve as an advisor, trainer, educator and auditor and will assist and support the facility Administrator and Director of Nursing. The Clinical Specialist is responsible for reviewing the operational systems of the facil ...
-
Director of Clinical Services
2 weeks ago
Constellation Health Services Houston, United StatesConstellation Hospice is seeking a **Director of Clinical Services - RN** for our hospice program in Houston. · **Job Summary**: · The Director of Clinical Services - RN is responsible for ensuring that patient care is coordinated and managed appropriately. The Director of Clinic ...
-
Director of Operations
3 weeks ago
HCA Houston Healthcare Houston, United StatesThis position is incentive eligible. · **Introduction**: · Last year our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a Director of Operations with HCA Houston Healthcare you can be a part of an organization that is devoted to giving b ...
-
Mri Technician
2 weeks ago
Medical Clinic of Houston, L.L.P. Houston, United States**SUMMARY**: · Coordinate and participate in complex technical activities associated with the operation of medical imaging equipment in Radiology, CT, and MRI. Coordinate activities in the department ensuring accuracy and completeness of work, proper staffing, cross-training of e ...
-
PAM Health Houston, United States**Patient Assessment Coordinator** · Using discretion and independent judgment, the Patient Assessment Coordinator coordinates the process of providing accurate and timely data to the appropriate entities involved in the Prospective Payment System and quality reporting program fo ...
Registered Nurse Clinical Reviewer - Houston, United States - HCA Houston Healthcare Northwest
Description
IntroductionDo you have the career opportunities as a(an) Registered Nurse Clinical Reviewer you want in your current role? We invest in what matters most to nurses like you – at home, at work, and at every stage in your career.
We have an exciting opportunity for you to join HCA Houston Healthcare Northwest which is a part of the nation's leading provider of healthcare services, HCA Healthcare.
BenefitsHCA Houston Healthcare Northwest, 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 wellbeing401(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.
Learn more about Employee Benefits
Note:
Eligibility for benefits may vary by location.
Do you want to work where you have a voice? Nurses are at the forefront of our commitment to the care and improvement of human life.
At HCA Healthcare, there are many ways for nurses to have a voice through professional practice councils, advisory councils, vital voices surveys, and units of distinction.
We learn from our multi-generational nursing family. We partner with our Nurses at HCA Houston Healthcare NorthwestJob Summary and Qualifications
The Quality Review Nurse position encompasses multiple responsibilities including Core Measure chart abstraction, Stroke & STEMI chart review and coordination; performs concurrent chart reviews & is proactive in working with departments on timely corrective actions.
Educates staff and physicians on Core Measures and documentation requirements. Develops reports. Will assist in assigned functions and/or reviews, as delegated by the Administrative Quality/PS/RM Director. This position is a M-F, 40 hours a week role, this is NOT A REMOTE position.What qualifications you will need:
Registered Nurse, prefer at least one year of experience
Registered Nurse Diploma
Previous experience working with Meditech desired.
CPPS certification preferred.
A sense of the hospital-wide functions. Computer experience, including Microsoft Office.
Experience working with data & reports and surveys helpful.
HCA Houston Healthcare Northwest
is a 415+ bed acute care hospital that has been serving the north Houston communities for more than 40 years, providing a wide range of medical services including cardiology, maternity care, Level III NICU, pediatrics, bariatrics and neurology.
We comprehensively serve our community by employing expert physicians, specialists, nurses and support staff who work together as a unified team to offer a range of diagnostic treatment and support services.
From our 24-hour emergency department with Level II Trauma capabilities, to women's services, to cardiology, we are dedicated to improving the health of our community by delivering exceptional, personalized healthcare.
We are members of HCA Houston Healthcare, the most comprehensive family of hospitals in the region and part of the leading provider of healthcare in the country, HCA Healthcare.
Together we are stronger, smarter and more accessible in providing the patient-centered care you need close to home.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.
"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
Join a family that cares about every stage in your career We are interviewing candidates for our Registered Nurse Infection Control Coordinator opening.
We are an equal opportunity employer and value diversity at our company.
We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
Registered Nurse Clinical Reviewer professionals in Houston
-
Ana Cerros
Registered Nurse
-
Paul Cruz Jr
Nurse Graduate
-
Joann Campbell
Registered Nurse