RN Clinical Reviewer

3 weeks ago

Houston, United States HCA Full time

Description

Introduction

Are you looking for a work environment where diversity and inclusion thrive? Submit your application for our RN Clinical Reviewer opening with HCA Houston Healthcare Northwest today and find out what it truly means to be a part of the HCA Healthcare team.

Benefits

HCA 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 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.

Learn more about Employee Benefits

Note: Eligibility for benefits may vary by location.

We are seeking a(an) RN Clinical Reviewer for our team to ensure that we continue to provide all patients with high quality, efficient care. Did you get into our industry for these reasons? We are an amazing team that works hard to support each other and are seeking a phenomenal addition like you who feels patient care is as meaningful as we do. We want you to apply

Job Summary and Qualifications

We are seeking a RN Clinical Reviewer in Quality Management for our facility to ensure that we continue to provide all patients with high quality, efficient care. We are an amazing team that works hard to support each other and we are seeking a phenomenal addition like you who feels patient care is as meaningful as we do. We want you to apply now

What you will do in this role:

* Promotes a culture that is positive, that values individual strengths, takes risks, and is committed to optimal patient care, and compliance with regulatory standards.
* Facilitates the growth of hospital knowledge regarding quality and high reliability, including the dissemination and implementation of "best practices" across the facility.
* Participates in and coordinates activities for Performance Improvement committees, including meeting preparation, setting agendas, writing minutes, and following-up with action items.
* Proficient in use of Medictech and able to utilize for reporting, abstraction, and trending purposes.
* Demonstrates advanced skill sets in spreadsheet, word processing, and presentation software applications.
* Assists with proactive patient safety activities to help create facilitates that are high reliability organizations, as reflected in reduced errors, elimination of unsafe processes, and increased involvement of staff and physicians toward a culture of safety.
* Utilizes problem-solving methodology; serious event analysis (SEA)/root cause analysis (RCA); and/or Failure, Mode, Effects & Critically Analysis (FMECA) as appropriate.
* Performs regular analysis of facility quality and risk performance data, and plan steps based on data analysis for ongoing involvement.
* Supports clinical process improvement teams as needed to achieve quality and performance improvement goals.
* Executes special projects and other duties as assigned.

What qualification you will need:

* Graduate of an accredited school of professional nursing is required.
* Bachelor's Degree in Nursing required.
* Current Registered Nurse License in the State of Texas or Multi-State Compact License (Employees with RN Compact License are required to obtain Texas RN License within 90 days of hire date)
* Three year's recent clinical experience in an Acute Care Stroke/Neuroscience Unit
* BLS, ACLS required
* Excellent computer skills, including Microsoft Excel, PowerPoint, Word and Office
* Ability to apply critical thinking skills for process improvement and decision making.

HCA Houston Healthcare Northwest is a415+ 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.

"Across HCA Healthcare's more than 2,000 sites of care, our nurses and colleagues have a positive impact on patients, communities and healthcare.

Together, we uplift and elevate our purpose to give people a healthier tomorrow."- Jane Englebright, PhD, RN CENP, FAAN

Senior Vice President and Chief Nursing Executive

If you find this opportunity compelling, we encourage you to apply for our Stroke Coordinator opening. We promptly review all applications. Highly qualified candidates will be directly contacted by a member of our team. We are interviewing apply today

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.

  • RN Clinical Reviewer

    2 months ago

    Houston, United States HCA Houston Healthcare Northwest Full time

    Description IntroductionAre you looking for a work environment where diversity and inclusion thrive? Submit your application for our RN Clinical Reviewer opening with HCA Houston Healthcare Northwest today and find out what it truly means to be a part of the HCA Healthcare team.BenefitsHCA Houston Healthcare Northwest, offers a total rewards package that...

  • RN Clinical Reviewer

    2 months ago

    Houston, United States HCA Houston Healthcare Northwest Full time

    Description IntroductionAre you looking for a work environment where diversity and inclusion thrive? Submit your application for our RN Clinical Reviewer opening with HCA Houston Healthcare Northwest today and find out what it truly means to be a part of the HCA Healthcare team.BenefitsHCA Houston Healthcare Northwest, offers a total rewards package that...

  • Clinical Utilization Review Specialist

    1 month ago

    Houston, Texas, United States St. Joseph's Medical Center Full time

    Job Summary:The Utilization Review Specialist is a key member of our healthcare team, responsible for ensuring the medical necessity of patient admissions and continued stays. This role requires a strong clinical background, excellent communication skills, and the ability to work collaboratively with physicians and other healthcare professionals.Key...

  • Clinical Review Nurse

    2 weeks ago

    Houston, United States Spectraforce Technologies Full time

    Title: Clinical Review Nurse - Prior Authorization Duration: 03 Months (Contract to Hire) Location: Remote - Nationally Sourced Shift: Monday - Friday. (Can be EST (highly preferred), CST (second preference). (We can negotiate schedules. If someone is willing to work weekends that would be in the future. On the weekends we have a skeleton crew and generally...

  • Clinical - Clinical Review Nurse - Prior Authorization

    2 weeks ago

    Houston, United States Axelon Full time

    Location: Remote - sourced nationally. SHIFT: Monday - Friday (8 hours) In the beginning they will not have a set weekend commitment. Once the new hire is fully trained, they are going to have to work (8) hours per day Monday - Friday. (Can be EST (highly preferred), CST (second preference). ( Client will negotiate schedules. If someone is willing to work...

  • Clinical - Clinical Review Nurse - Prior Authorization

    2 weeks ago

    Houston, United States Axelon Services Corporation Full time

    Location: Remote sourced nationally. SHIFT: Monday Friday (8 hours) In the beginning they will not have a set weekend commitment. Once the new hire is fully trained, they are going to have to work (8) hours per day Monday Friday. (Can be EST (highly preferred), CST (second preference). (Client will negotiate schedules. If someone is...

  • Clinical Review Nurse

    2 weeks ago

    Houston, TX, United States Centene Full time

    You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. ****NOTE: This is a fully remote role. Preference will be given to applicants...

  • Utilization Review Nurse

    2 months ago

    Houston, United States Nexus Health Systems Full time

    POSITION SUMMARY: The Utilization Review Nurse ensures the delivery of cost-effective quality care within an appropriate length of stay.JOB SPECIFIC RESPONSIBILITIES:General Responsibilities:•Maintains PHI and HIPAA for each patient in accordance with hospital policy and federal regulations.•Promotes safety in the workplace and a safe patient environment...

  • Registered Nurse

    1 month ago

    Houston, United States St. Joseph's Medical Center Full time

    POSITION SUMMARY: The Utilization Review Specialist is responsible for assisting in the facilitation of critical criteria reviews on patients for behavioral medicine admissions and continued stays, completion of certifications/interfaces with managed care organizations, external reviewers and other payers. JOB DETAILS: Full time day shift PRINCIPAL DUTIES...

  • PACU Clinical Nursing Manager

    3 weeks ago

    Houston, United States Clinical Management Consultants Full time

    Job DescriptionElevate your nursing career in the Greater Houston Area as a PACU Clinical Nursing Manager with this exciting opportunity. Join a dynamic team and make a meaningful impact in patient care today!The facility is a community medical center committed to providing exceptional healthcare services. Renowned for cutting-edge medical technology,...

  • PACU Clinical Nursing Manager

    3 weeks ago

    Houston, United States Clinical Management Consultants Full time

    Elevate your nursing career in the Greater Houston Area as a PACU Clinical Nursing Manager with this exciting opportunity. Join a dynamic team and make a meaningful impact in patient care today!The facility is a community medical center committed to providing exceptional healthcare services. Renowned for cutting-edge medical technology, comprehensive...

  • PACU Clinical Nursing Manager

    3 weeks ago

    Houston, United States Clinical Management Consultants Full time

    Elevate your nursing career in the Greater Houston Area as a PACU Clinical Nursing Manager with this exciting opportunity. Join a dynamic team and make a meaningful impact in patient care today! The facility is a community medical center committed to providing exceptional healthcare services. Renowned for cutting-edge medical technology, comprehensive...

  • PACU Clinical Nursing Manager

    3 weeks ago

    Houston, United States Clinical Management Consultants Full time

    Elevate your nursing career in the Greater Houston Area as a PACU Clinical Nursing Manager with this exciting opportunity. Join a dynamic team and make a meaningful impact in patient care today!The facility is a community medical center committed to providing exceptional healthcare services. Renowned for cutting-edge medical technology, comprehensive...

  • PACU Clinical Nursing Manager

    3 weeks ago

    Houston, United States Clinical Management Consultants Full time

    Elevate your nursing career in the Greater Houston Area as a PACU Clinical Nursing Manager with this exciting opportunity. Join a dynamic team and make a meaningful impact in patient care today! The facility is a community medical center committed to providing exceptional healthcare services. Renowned for cutting-edge medical technology, comprehensive...

  • RN Clinical Supervisor

    6 months ago

    Houston, United States The Pediatric Connection Full time

    Do you have a passion for helping medically fragile children grow and flourish to their full potential? Do you enjoy training, mentoring and coaching clinicians and caregivers? Are you looking for your next role and want a career with growth potential, not just a job? If you said yes to these questions, we are growing and we need YOU! Thrive SPC is seeking...

  • RN - Clinical Supervisor

    5 months ago

    Houston, United States Thrive Skilled Pediatric Care Full time

    Do you have a passion for helping medically fragile children grow and flourish to their full potential? Do you enjoy training, mentoring and coaching clinicians and caregivers? Are you looking for your next role and want a career with growth potential, not just a job? If you said yes to these questions, we are growing and we need YOU! Thrive SPC is seeking...

  • RN Clinical Supervisor

    6 months ago

    HOUSTON, United States Thrive Skilled Pediatric Care LLC Full time

    Do you have a passion for helping medically fragile children grow and flourish to their full potential? Do you enjoy training, mentoring and coaching clinicians and caregivers? Are you looking for your next role and want a career with growth potential, not just a job? If you said yes to these questions, we are growing and we need YOU!  Thrive SPC is...

  • RN Clinical Supervisor

    1 month ago

    Houston, United States Thrive Skilled Pediatric Care LLC Full time

    Do you have a passion for helping medically fragile children grow and flourish to their full potential? Do you enjoy training, mentoring and coaching clinicians and caregivers? Are you looking for your next role and want a career with growth potential, not just a job? If you said yes to these questions, we are growing and we need YOU! Thrive SPC is...

  • RN Clinical Supervisor

    3 months ago

    Houston, United States The Pediatric Connection Full time

    Do you have a passion for helping medically fragile children grow and flourish to their full potential? Do you enjoy training, mentoring and coaching clinicians and caregivers? Are you looking for your next role and want a career with growth potential, not just a job? If you said yes to these questions, we are growing and we need YOU! Thrive SPC is seeking...

  • RN Clinical Supervisor

    3 months ago

    HOUSTON, United States Thrive Skilled Pediatric Care LLC Full time

    Do you have a passion for helping medically fragile children grow and flourish to their full potential? Do you enjoy training, mentoring and coaching clinicians and caregivers? Are you looking for your next role and want a career with growth potential, not just a job? If you said yes to these questions, we are growing and we need YOU!  Thrive SPC is...