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Electrophysiology Nurse Manager
15 hours ago
Heart Hospital of Austin Austin, United States**Introduction**: · Want to join a team of daring managers who care without reservations or limits? Our Heart Hospital of Austin team is looking for a(an) Electrophysiology Nurse Manager. HCA Healthcare is an advanced healthcare network that has committed up to $300 million to ou ...
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Throughput Nursing Manager
1 week ago
St. David's North Austin Medical Center Austin, United States**Introduction**: · Are you ready to manage in a new era as a Throughput Nursing Manager where building a healthier tomorrow is more than a job? Our St. David's North Austin Medical Center team is committed to partnership, innovation, legacy and improving more lives in more ways. ...
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Registered Nurse Case Manager
5 days ago
St. David's North Austin Medical Center Austin, United States**Introduction**: · Do you have the career opportunities as a Registered Nurse Case Manager you want with your current employer? We have an exciting opportunity for you to join St. David's North Austin Medical Center which is part of the nation's leading provider of healthcare se ...
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Registered Nurse Case Manager
1 week ago
St. David's Medical Center Austin, United States**Introduction**: · Do you have the career opportunities as a(an) Case Manager you want with your current employer? We have an exciting opportunity for you to join St. David's Medical Center which is part of the nation's leading provider of healthcare services, HCA Healthcare. · ...
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Registered Nurse Case Manager
3 days ago
St. David's South Austin Medical Center Austin, United States**Introduction**: · 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 a Registered Nurse Case Manager today with St. David's South Austin Medical Ce ...
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Hospice Nurse Case Manager
1 week ago
Aspen Hospice and Palliative Care North Austin, United StatesResponsibilities: · - Provide compassionate and comprehensive care to patients in hospice settings · - Conduct patient assessments and develop individualized care plans · - Collaborate with interdisciplinary team members to coordinate and implement patient care · - Educate patien ...
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Registered Nurse Case Manager Prn
1 week ago
St. David's Medical Center Austin, United States**Introduction**: · Do you have the PRN career opportunities as a(an) Case Manager PRN you want with your current employer? We have an exciting opportunity for you to join St. David's Medical Center which is part of the nation's leading provider of healthcare services, HCA Health ...
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Hospice Registered Nurse Case Manager
1 week ago
SUMMIT HOME HEALTH & HOSPICE Austin, United StatesSummit Home Health and Hospice is looking for a self-disciplined and team-oriented Full Time RN for the Austin areas with exceptional customer service skills. · **Summit Offers**: · - Competitive pay · - Work-life balance · - Supportive and collaborative environment · - Regularly ...
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SUMMIT HOME HEALTH & HOSPICE Austin, United StatesSummit Home Health and Hospice is looking for a self-disciplined and team-oriented Home Health RN Case Manager with exceptional customer service skills. · **We Offer**: · - Competitive pay · - Exceptional benefits · - Fleet vehicle program and mileage reimbursement. · - Work-life ...
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Nurse Manager
2 weeks ago
Urrly Austin, United StatesSeeking a RN/NP Supervisor · Your New Mission: Lead and inspire a dedicated nursing team in our Austin, TX facility. · Ensure exceptional health services and professional nursing care for all clients. · Master the art of nursing supervision, enhancing team performance and clie ...
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Nurse Manager
36 minutes ago
Central Health Austin, United StatesOverview · The Nurse Manager is responsible for the development, performance, and management of clinical patient care for nursing, medical assistants and other team members in clinical support roles. · Responsibilities · Essential Duties: · • Manages the clinical support team. ...
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Nurse Manager
13 hours ago
TeamHealth Austin, TX, United StatesTeamHealth has an excellent full-time opportunity for a nurse practitioner to join our emergency department team at St. David's Main emergency department (ED) in Austin, Texas. We ask that you have a minimum of 2 years of emergency medicine experience to apply. ...
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registered nurse manager
5 days ago
Next GenHealth Staffing Austin, United StatesJob Description · Job DescriptionJOB RESPONSIBILITIES- · Registered Nurse Manager - Surgical Services · RN MGR - OR · Full-Time · Registered Nurse candidates for the Manager position of the Surgical Services Department will have the following job responsibilities: · We are seekin ...
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Registered Nurse Manager
1 week ago
Ascension Seton Northwest Austin, United StatesRegistered Nurse Manager - Wound Care Clinical Program · Details · * Department: Wound Care · * Schedule: 8 am-5:00 pm, Full-time · * Hospital: Dell Seton Medical Center · * Location: 1500 Red River St, Austin, TX · Benefits · Paid time off (PTO) · Various health insurance optio ...
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registered nurse manager
5 days ago
Next GenHealth Staffing Austin, United StatesJob Description · Job Description · JOB RESPONSIBILITIES- · Registered Nurse Manager - Emergency Department · RN MGR - ED · Full-Time NIGHTS · Registered Nurse Manager candidates for the Emergency Department will have the following job responsibilities: · Supports the mission, ...
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Emergency Nurse Manager
1 week ago
All Med Search Austin, United StatesJob Description · Job Description · As Nurse Manager in the Emergency Department, you will be responsible for overseeing both the clinical and financial outcomes of the unit. · This entails managing day-to-day operations to ensure optimal patient care, adherence to established ...
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REGISTERED NURSE MANAGER
6 days ago
Next GenHealth Staffing Austin, United StatesJob Description · Job DescriptionJOB RESPONSIBILITIES- · Registered Nurse Manager - Surgical Trauma / Surgical Trauma Intensive Care Unit · RN MGR - SURG TRAUMA/STICU · Full-Time · Candidates for the Manager position in the Surgical Trauma Unit and STICU will have the following j ...
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Emergency Nurse Manager
5 days ago
All Med Search Austin, United StatesJob Description · Job DescriptionAs Nurse Manager in the Emergency Department, you will be responsible for overseeing both the clinical and financial outcomes of the unit. · This entails managing day-to-day operations to ensure optimal patient care, adherence to established prot ...
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Registered Nurse Manager
6 days ago
Ascension Austin, United States Full timeDetailsDepartment: Wound Care · Schedule: 8 am-5:00 pm, Full-time · Hospital: Dell Seton Medical Center · Location: 1500 Red River St, Austin, TX · Benefits Paid time off (PTO) · Check all associated application documentation thoroughly before clicking on the apply button at the ...
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Registered Nurse Manager
4 days ago
Ascension Austin, TX, United States Full timeWound Care · Schedule: 8 am-5:00 pm, Full-time · Hospital: Dell Seton Medical Center · Location: 1500 Red River St, Austin, TX Benefits Paid time off (PTO) Check all associated application documentation thoroughly before clicking on the apply button at the bottom of this descr ...
QA Nurse Manager - Austin, United States - Texas Department of Aging & Disability Services
Description
Job Description:
Under the general supervision of the High Needs/Quality Assurance Director, the Quality Assurance (QA) Nurse Manager is responsible for managing the effective and efficient reviews conducted by the QA Nurses.
Core functions of the QA Nurses include routine case reading functions and analysis to assess the accuracy of the MCO performance outcomes from the Managed Care Utilization Reviews.
This involves examining and reviewing UR outcomes to determine compliance with program regulations, internal policies and procedures, state and federal statutes, identifying inaccuracies, and correcting such inaccuracies.
The QA Nurse Manager ensures consistent and accurate review of UR oversight of MCO performance. This position plans, assigns, and manages the work of the QA nurses.The UR Nurse Manager works under limited supervision, with considerable latitude for use of initiative and independent nursing judgment in the oversight of UR nursing activities for the Quality Assurance unit.
Essential Job Functions:
Attends work on a regular and predictable schedule in accordance with agency leave policy.
Oversees, guides, and evaluates utilization review and quality assurance activities in the development of UR strategies, program protocols, review procedures and tools to ensure Medicaid and CHIP managed care programs are delivered efficiently and effectively and are in compliance with federal and state laws, regulations, policies, and HHSC contracts and guidance.
Ensures all Managed Care Utilization Reviews are conducted, recorded and reported correctly. 40%Manages a business unit with functions including planning, and assigning work to unit staff, and providing leadership in the development, coordination, and evaluation of program activities and working closely with MCUR Operations and UR Review teams and other agency departments to accomplish goals.
Hires and develops professional nursing and non-nursing staff and holds them accountable for achieving performance expectations and program goals. 35%Oversees the analysis of data from reporting outcomes and identifies internal data errors and provides feedback to OMD/UR management for process improvements in the UR review, quality assurance activities and data collection process.
Also works with cross divisional staff in development of training and providing technical assistance for staff to address the data errors.
20%Other duties as assigned including creation and presentation of materials, information, and review findings to internal and external stakeholders.
Develops and implements techniques for evaluating program activities, and reports findings and recommendations for improvements to management 5%Knowledge Skills Abilities:
Knowledge of:
Management principles; managed care laws; nursing techniques and procedures; health care laws, rules, standards, and regulations; medical diagnoses and procedures; accepted medical treatment programs; community health and nursing care principles, practices and procedures; Medicaid and managed care regulations and procedures; utilization management and review principles and practices; and health care needs and services for the aged and disabled as well as pediatric special needs.
Skill in:
written and verbal communication; managing and motivating staff; development and maintenance of unit policies, rules, and guidelines; using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions, or approaches to problems; consulting, teaching, and providing clear and concise direction; and developing reports resulting from complex data analysis
Ability to:
manage department activities; to establish goals and objectives; to devise solutions to administrative problems; to communicate effectively identify appropriate nursing care and other health care services; prepare, maintain, and present reports; explain and interpret applicable health laws, rules, standards, and regulations; organize, coordinate and evaluate nursing activities and delivery of public health services; recognize patterns of medical necessity treatment, fraud, abuse, and neglect; use a personal computer, fax machine and copier, telephone conferencing functions, and components of the Microsoft Office suite and Outlook e-mail; travel independently throughout the state as necessary.
Ability to gather, assemble, correlate, and analyze facts; to devise solutions to problems; to develop and evaluate policies and procedures; and to prepare reports.
