Come live and practice in Houston, TX. It is known for attractions that include a world-famous historic park, professional sports, and the largest rodeo in the country. You will enjoy restaurants of every cuisine and incomparable shopping venues.Your specialty-specific CompHealth rep places your best interests at the heart of everything they do and pays careful attention to the things that matter to you, from the big, hard-to-solve problems to the tiniest details.Contact Tina Oko .<ul><li>100% outpatient</li><li>Make an impact in the lives of the patients you work with</li><li>Practice primary care for HIV+ patients</li><li>Manage common primary care conditions, such as diabetes, hypertension, asthma, and COPD</li><li>Monday through Friday work schedule from 8 am - 5 pm</li><li>Large sign-on bonus; ample bonuses and incentives</li><li>Robust benefits package</li><li>Must be board certified</li><li>Our services are free for you</li><li>We help negotiate your salary and contract</li><li>We coordinate interviews and help with licenses</li><li>Specialized recruiters match your career preferences</li><li>Experienced support teams take care of every detail</li></ul> <img src="https://www.jobg8.com/Tracking.aspx?QXmTq%2bTLcYvMesTSM6rdQgx" width="0" height="0" />

**Primary Care Physician**

Come live and practice in Houston, TX. It is known for attractions that include a world-famous historic park, professional sports, and the largest rodeo in the country. You will enjoy restaurants of every cuisine and incomparable shopping venues.

**Job Description**

- 100% outpatient
- Make an impact in the lives of the patients you work with
- Practice primary care for HIV+ patients
- Manage common primary care conditions, such as diabetes, hypertension, asthma, and COPD
- Monday through Friday work schedule from 8 am - 5 pm
- Large sign-on bonus; ample bonuses and incentives
- Robust benefits package
- Must be board certified
- Our services are free for you
- We help negotiate your salary and contract
- We coordinate interviews and help with licenses
- Specialized recruiters match your career preferences
- Experienced support teams take care of every detail



Primary Care Physician Needed in Downtown Houston, Texas

Observation Medicine - Medical Director Houston Methodist Hospital Observation Unit <ul> <li>OBS Volume: 13,000</li> <li>OBS Beds: 28</li> <li>Staffing Model: 36 hours of APP coverage </li> <li>Seasoned nursing staff</li> <li>Top 5 Health System in the Nation</li> </ul> Hospital Houston Methodist Hospital is the flagship hospital within the Houston Methodist system. Ranked as one of the top 20 hospitals in the country and the No. 1 hospital in Texas by U.S. News & World Report, the hospital takes pride in providing patient-centered care for not only Texans but international patients as well. Houston Methodist Hospital has also been a national leader throughout the COVID-19 pandemic in research and offerings of innovative treatments. community The style-savvy residents of the country s fourth-largest city and third-largest county (Harris) know there s no place quite like Houston. With more than 2.2 million residents, the city attracts visitors and transplants with a wonderful mix of world-class arts, booming business, pro sports, and award-winning cuisine. As the rest of the country discovers what locals have known all along, Houston is finally enjoying the recognition it deserves. Other USACS services at this location Emergency Department <ul> <li>ED Volume: 51,000</li> <li>ED Beds: 67 <ul> <li>8 intake-dedicated beds</li> </ul> </li> <li>Staffing Model: <ul> <li>50 hours of physician coverage (M-F); 44 hours Sat/Sun</li> <li>38 hours of APP coverage (M-F); 18 hours Sat/Sun</li> <li>9- or 10-hour APP shifts</li> </ul> </li> <li>Scribe coverage available</li> <li>Separate psych ED </li> <li>Academic/General Medical and Surgical</li> <li>EMR: Epic</li> </ul> Details <ul> <li>1099 Employment</li> </ul> About USACS As an Observation Medicine Medical Director with USACS, you ll be responsible for managing observation medicine services by collaborating with the hospital and nursing leadership while offering support to your physician staff. As a leader for both the hospital and US Acute Care Solutions, you will influence broad company decisions and help facilitate the development of new leaders. Job Details <ul> <li>Oversee day-to-day management of the unit</li> <li>Provide leadership in the operations of the unit</li> <li>Responsible for peer review, quality assurance, provider staffing</li> <li>Assure quality patient experience by managing protocols and complaints</li> <li>Practice Clinically</li> </ul> Administrative Responsibilities <ul> <li>Lead and organize all meetings to represent the Observation Unit</li> <li>Responsible for the supervision on the onsite Physician Staff by managing the day to day responsibilities of these clinicians</li> <li>Report to the National Director of Observation Services</li> <li>Maintain improvement plans for any area not meeting expected benchmarks</li> <li>Investigate quality referrals from the hospital quality committee</li> </ul> Requirements <ul> <li>Board certified in Emergency Medicine</li> <li>A minimum of 3 years experience caring for hospital based patients</li> <li>Previous administrative experience desirable</li> </ul><img src="https://www.jobg8.com/Tracking.aspx?s9C9mpSRxCjt8%2bC0xGjxDAi" width="0" height="0" />

**Observation Medicine - Medical Director**

Join our team as the Medical Director for the Observation Unit at Houston Methodist Hospital. This position offers the opportunity to lead a high-volume observation unit within a top-ranked hospital known for its patient-centered care.

**Job Description**

- Oversee day-to-day management of the unit
- Provide leadership in the operations of the unit
- Responsible for peer review, quality assurance, and provider staffing
- Assure quality patient experience by managing protocols and complaints
- Practice clinically

**Requirements**

- Board certified in Emergency Medicine
- A minimum of 3 years experience caring for hospital-based patients
- Previous administrative experience desirable

**Community Overview**

The style-savvy residents of the country’s fourth-largest city and third-largest county (Harris) know there’s no place quite like Houston. With more than 2.2 million residents, the city attracts visitors and transplants with a wonderful mix of world-class arts, booming business, pro sports, and award-winning cuisine. As the rest of the country discovers what locals have known all along, Houston is finally enjoying the recognition it deserves.

**Details**

- OBS Volume: 13,000
- OBS Beds: 28
- Staffing Model: 36 hours of APP coverage
- Seasoned nursing staff
- Top 5 Health System in the Nation

**Other USACS Services at This Location**

- ED Volume: 51,000
- ED Beds: 67
  - 8 intake-dedicated beds
- Staffing Model:
  - 50 hours of physician coverage (M-F); 44 hours Sat/Sun
  - 38 hours of APP coverage (M-F); 18 hours Sat/Sun
  - 9- or 10-hour APP shifts
- Scribe coverage available
- Separate psych ED
- Academic/General Medical and Surgical
- EMR: Epic

**Administrative Responsibilities**

- Lead and organize all meetings to represent the Observation Unit
- Responsible for the supervision of the onsite Physician Staff by managing the day-to-day responsibilities of these clinicians
- Report to the National Director of Observation Services
- Maintain improvement plans for any area not meeting expected benchmarks
- Investigate quality referrals from the hospital quality committee

Medical Director Physician

Observation Medicine - Physician Houston Methodist Hospital Observation Unit <ul> <li>OBS Volume: 13,000</li> <li>OBS Beds: 28</li> <li>Staffing Model: 36 hours of APP coverage </li> <li>Seasoned nursing staff</li> <li>Top 5 Health System in the Nation</li> </ul> Hospital Houston Methodist Hospital is the flagship hospital within the Houston Methodist system. Ranked as one of the top 20 hospitals in the country and the No. 1 hospital in Texas by U.S. News & World Report, the hospital takes pride in providing patient-centered care for not only Texans but international patients as well. Houston Methodist Hospital has also been a national leader throughout the COVID-19 pandemic in research and offerings of innovative treatments. community The style-savvy residents of the country s fourth-largest city and third-largest county (Harris) know there s no place quite like Houston. With more than 2.2 million residents, the city attracts visitors and transplants with a wonderful mix of world-class arts, booming business, pro sports, and award-winning cuisine. As the rest of the country discovers what locals have known all along, Houston is finally enjoying the recognition it deserves. Other USACS services at this location Emergency Department <ul> <li>ED Volume: 51,000</li> <li>ED Beds: 67 <ul> <li>8 intake-dedicated beds</li> </ul> </li> <li>Staffing Model: <ul> <li>50 hours of physician coverage (M-F); 44 hours Sat/Sun</li> <li>38 hours of APP coverage (M-F); 18 hours Sat/Sun</li> <li>9- or 10-hour APP shifts</li> </ul> </li> <li>Scribe coverage available</li> <li>Separate psych ED </li> <li>Academic/General Medical and Surgical</li> <li>EMR: Epic</li> </ul> Details <ul> <li>1099 Employment</li> </ul> About USACS You got into medicine to do one thing: care for patients. You've come to the right place. Ours is a physician-owned group, the largest in the nation, meaning we have built a model that allows our physicians to focus on our mission: to care for patients. It also means we are built to last, with the size, resources, and opportunities of a national company. At US Acute Care Solutions you will get ownership in the group, access to the very best post-residency continuing medical education in the nation, and a culture devoted to constant improvement by practicing evidence-based medicine. But most importantly, you ll get colleagues who, as leaders of their own destiny, are committed to a culture of shared ownership over our common goal: outstanding patient care.<img src="https://www.jobg8.com/Tracking.aspx?PcZn9qjsmAwLAbn6%2bT2m%2bQh" width="0" height="0" />

**Observation Medicine - Physician**

Join our dynamic team at Houston Methodist Hospital Observation Unit, where we handle an observation volume of 13,000 patients with 28 observation beds and a staffing model that includes 36 hours of Advanced Practice Provider (APP) coverage. Our seasoned nursing staff is dedicated to providing exceptional care in one of the top health systems in the nation.

**Job Description**

- Manage a high volume of observation patients in a collaborative environment
- Work alongside a seasoned nursing staff in a top-ranked hospital

**Community Overview**

The style-savvy residents of the country’s fourth-largest city and third-largest county (Harris) know there’s no place quite like Houston. With more than 2.2 million residents, the city attracts visitors and transplants with a wonderful mix of world-class arts, booming business, pro sports, and award-winning cuisine. As the rest of the country discovers what locals have known all along, Houston is finally enjoying the recognition it deserves.

**Other USACS Services at This Location**

- Emergency Department
  - ED Volume: 51,000
  - ED Beds: 67
    - 8 intake-dedicated beds
  - Staffing Model:
    - 50 hours of physician coverage (M-F); 44 hours Sat/Sun
    - 38 hours of APP coverage (M-F); 18 hours Sat/Sun
    - 9- or 10-hour APP shifts
  - Scribe coverage available
  - Separate psych ED
  - Academic/General Medical and Surgical
  - EMR: Epic

**Details**

- 1099 Employment

**About USACS**

You got into medicine to do one thing: care for patients. You've come to the right place. Ours is a physician-owned group, the largest in the nation, meaning we have built a model that allows our physicians to focus on our mission: to care for patients. It also means we are built to last, with the size, resources, and opportunities of a national company.

At US Acute Care Solutions, you will get ownership in the group, access to the very best post-residency continuing medical education in the nation, and a culture devoted to constant improvement by practicing evidence-based medicine. But most importantly, you’ll get colleagues who, as leaders of their own destiny, are committed to a culture of shared ownership over our common goal: outstanding patient care.

Aerospace Medicine Physician

_ Caring.Committed.Compassionate.Complete _ _ Certified Occupational Therapy Assistant _ Full Time Century provides Physical Therapy, Occupational Therapy and Speech-Language Pathology to patients in skilled nursing and out-patient facilities. We are founded on the principles of "doing the right thing" daily for our patients, employees and client partners. _ Why Century _ Licensure Reimbursement Unlimited Free Online CEU's for Full-Time employee's Lucrative PTO Plan Excellent Clinical Support team Great work/life balance Full Benefits to include: Medical-Dental-Vision-Life Insurance-Disability-and more Privately owned rehabilitation company _ Job details/Responsibilities: _ The staff therapist evaluates and treats patients utilizing a variety of therapeutic techniques per physicians orders. Provides documentation, prognosis, goals, responses, education, and establishes communication with interdisciplinary team. Consults with other health care professionals, including Physicians, to offer patients the best, most holistic care possible. _ Qualifications: _ Duties and responsibilities of the employee are governed by licensure regulations and practice acts of the state in which they are employed. Selected candidate must have graduated from an approved therapy program and hold a current therapist license or be eligible to receive licensure. We are seeking dedicated therapists that want to provide caring, committed, compassionate, and complete care. EOE INDTHERAPY Job Type: Full-time Pay: $32.00 - $36.00 per hour Benefits: Dental insurance Health insurance Life insurance Paid time off Vision insurance Medical Specialty: Geriatrics Schedule: Monday to Friday License/Certification: Occupational Therapy Assistant License (Required) Ability to Relocate: Houston, TX 77099: Relocate before starting work (Required) Work Location: In person<img src="https://www.jobg8.com/Tracking.aspx?s9C9mpSRxCjsplSaui5HwAi" width="0" height="0" />

**Certified Occupational Therapy Assistant**

Century provides Physical Therapy, Occupational Therapy, and Speech-Language Pathology to patients in skilled nursing and outpatient facilities. We are founded on the principles of "doing the right thing" daily for our patients, employees, and client partners.

**Job Description**

- The staff therapist evaluates and treats patients utilizing a variety of therapeutic techniques per physicians' orders.
- Provides documentation, prognosis, goals, responses, education, and establishes communication with the interdisciplinary team.
- Consults with other health care professionals, including physicians, to offer patients the best, most holistic care possible.

**Requirements**

- Selected candidate must have graduated from an approved therapy program and hold a current therapist license or be eligible to receive licensure.
- Duties and responsibilities of the employee are governed by licensure regulations and practice acts of the state in which they are employed.

**Benefits**

- Licensure reimbursement
- Unlimited free online CEUs for full-time employees
- Lucrative PTO plan
- Excellent clinical support team
- Great work/life balance
- Full benefits to include medical, dental, vision, life insurance, disability, and more

**Job Details**

- Job Type: Full-time
- Pay: $32.00 - $36.00 per hour
- Medical Specialty: Geriatrics
- Schedule: Monday to Friday
- Work Location: In person

**Community Overview**

Houston, TX 77099: Relocate before starting work (Required)

Certified Occupational Therapy Assistant (COTA) - Full Time - Houston, TX

AMAZING OBGyn Hospitalist OpportunityExciting opportunity for an OBGyn Hospitalist to join a growing facility in the sought-after Houston metro! This is an employed position in a market with huge demand for services and a quick ramp up for the incoming OBGyn. This full spectrum practice boasts work/life balance with only 6 shifts required per month. The ideal candidate is a BC/BE OBGyn MD/DO with 2+ years experience and an active TX license.- Income Guarantee- HUGE sign-on bonus- Lucrative Benefits package- Work/Life Balance at it's best!Ideally located in the Houston metro, you will enjoy tax free, below national average Texas living at it's best! Interested candidates, please call for more details & submit your CV to to be considered! Know someone looking? Call today to discuss our $2,000 referral bonus & pass the information along!<img src="https://www.jobg8.com/Tracking.aspx?tjTXx%2flKAG7InihcI6yk1wv" width="0" height="0" />

**OBGyn Hospitalist**

Exciting opportunity for an OBGyn Hospitalist to join a growing facility in the sought-after Houston metro! This is an employed position in a market with huge demand for services and a quick ramp up for the incoming OBGyn. This full spectrum practice boasts work/life balance with only 6 shifts required per month. The ideal candidate is a BC/BE OBGyn MD/DO with 2+ years experience and an active TX license.

**Job Description**

- Income guarantee
- Huge sign-on bonus
- Lucrative benefits package
- Work/life balance at its best!

**Community Overview**

Ideally located in the Houston metro, you will enjoy tax-free, below national average Texas living at its best!

Obstetrics & Gynecology Physician

Description Villa de Matel Center Please note that this position is with the Congregation of the Sisters of Charity of the Incarnate Word at Villa de Matel Center located in Houston, Texas. The Villa de Matel Center is the home for the Sisters of Charity of the Incarnate Word. It is also used as a central gathering place for the Sisters and their ministries, a retirement center for the Sisters and a retreat center for the public. You can learn more about the Sisters and all of their ministries at their website, . Summary: The Registered Nurse (RN) is responsible for rendering professional nursing care across the wellness-illness continuum for the comfort and well-being of healthy retired Sisters and those Sisters in the acute, chronic, and terminal phases of illness. The RN is expected to utilize knowledge of infection control, safety, body mechanics, effective communication skills, interpersonal skills, and age-related differences when providing or delegating care. Requirements: Associate degree required, bachelor's degree preferred Graduate from an accredited school of nursing Communication skills - both verbal and written Ability to understand medical records, physician orders and nursing care plans Ability to communicate effectively with Sisters, staff and other health care professionals. Minimum of one year previous gerontology experience preferred Previous supervisory experience preferred Knowledge of psychotropic drugs in current use and drugs commonly used in geriatric practice Current RN permits or licensure issued by the Board of Nurse Examiners in the State of Texas to practice nursing. Work Type: Full Time<img src="https://www.jobg8.com/Tracking.aspx?C0GW9s3P3XcM3A%2fJr3Z5VAs" width="0" height="0" />

**Registered Nurse (RN)**

Please note that this position is with the Congregation of the Sisters of Charity of the Incarnate Word at Villa de Matel Center located in Houston, Texas. The Villa de Matel Center is the home for the Sisters of Charity of the Incarnate Word. It is also used as a central gathering place for the Sisters and their ministries, a retirement center for the Sisters, and a retreat center for the public.

**Job Description**

- Responsible for rendering professional nursing care across the wellness-illness continuum for the comfort and well-being of healthy retired Sisters and those Sisters in the acute, chronic, and terminal phases of illness.
- Expected to utilize knowledge of infection control, safety, body mechanics, effective communication skills, interpersonal skills, and age-related differences when providing or delegating care.

**Requirements**

- Associate degree required, bachelor's degree preferred
- Graduate from an accredited school of nursing
- Communication skills - both verbal and written
- Ability to understand medical records, physician orders, and nursing care plans
- Ability to communicate effectively with Sisters, staff, and other health care professionals
- Minimum of one year previous gerontology experience preferred
- Previous supervisory experience preferred
- Knowledge of psychotropic drugs in current use and drugs commonly used in geriatric practice
- Current RN permits or licensure issued by the Board of Nurse Examiners in the State of Texas to practice nursing

**Work Type**

Full Time

RN Lead - PRN

Description Villa de Matel Center Please note that this position is with the Congregation of the Sisters of Charity of the Incarnate Word at Villa de Matel Center located in Houston, Texas. The Villa de Matel Center is the home for the Sisters of Charity of the Incarnate Word. It is also used as a central gathering place for the Sisters and their ministries, a retirement center for the Sisters and a retreat center for the public. You can learn more about the Sisters and all of their ministries at their website, . Summary: This position with the direction of the Director of Nursing (DON) directs and coordinates the operations of the nursing department related to quality and efficiency of patient care; visits all nursing units daily to evaluate nursing care; advises and assists charge nurses with nursing and managerial problems/issues, demonstrates professional accountability for competency and growth. The Registered Nurse Clinical Supervisor assists the DON in some administrative duties, provides per diem coverages for Charges Nurses, assists Charge Nurses on clinic days, and on the floor. Requirements: A. Education/Skills: Graduate from an accredited school of nursing Communication skills - both verbal and written Ability to understand medical records, physician orders and nursing care plans Ability to communicate effectively with residents, Congregational Leadership, staff and other health care professionals. Understanding of Catholic Health Care Directives B. Experience Minimum of two years previous nursing management experience preferred Previous human resources management experience preferred Previous financial management experience preferred Knowledge of drugs and treatment modalities used in geriatric practice. C. Licenses, Registrations, or Certifications: Current RN permits or licensure issued by the Board of Nurse Examiners in the State of Texas to practice nursing. BSN preferred. Current certification in gerontological nursing or will obtain in one year after employment. Work Type: Full Time<img src="https://www.jobg8.com/Tracking.aspx?C0GW9s3P3XfbxJlZcIlkQAs" width="0" height="0" />

**Registered Nurse Clinical Supervisor**

Villa de Matel Center is the home for the Sisters of Charity of the Incarnate Word, located in Houston, Texas. It serves as a central gathering place for the Sisters and their ministries, a retirement center for the Sisters, and a retreat center for the public.

**Job Description**

- Direct and coordinate the operations of the nursing department related to quality and efficiency of patient care.
- Visit all nursing units daily to evaluate nursing care.
- Advise and assist charge nurses with nursing and managerial problems/issues.
- Demonstrate professional accountability for competency and growth.
- Assist the Director of Nursing (DON) in some administrative duties.
- Provide per diem coverages for Charge Nurses.
- Assist Charge Nurses on clinic days and on the floor.

**Requirements**

- Graduate from an accredited school of nursing.
- Communication skills - both verbal and written.
- Ability to understand medical records, physician orders, and nursing care plans.
- Ability to communicate effectively with residents, Congregational Leadership, staff, and other health care professionals.
- Understanding of Catholic Health Care Directives.
- Minimum of two years previous nursing management experience preferred.
- Previous human resources management experience preferred.
- Previous financial management experience preferred.
- Knowledge of drugs and treatment modalities used in geriatric practice.
- Current RN permits or licensure issued by the Board of Nurse Examiners in the State of Texas to practice nursing.
- BSN preferred.
- Current certification in gerontological nursing or will obtain within one year after employment.

**Work Type**

Full Time

RN Clinical Supervisor

Description Summary: Provides general nursing care to patients in a clinic or medical office. Administers medication, prepares equipment and aids physicians in treatment of patients. RN license required. Responsibilities: Participates as primary nurse, associate nurse, a team member or team leader in the planning and implementing of patient care. Directs and assists in carrying out safe aseptic technique and procedures. Offers leadership and direction to all support staff within department. Requirements: Associate's Degree in Nursing RN License in state of employment or compact BLS Work Type: Full Time EEO is the law - click below for more information: We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact us at .<img src="https://www.jobg8.com/Tracking.aspx?xxL7uR1uYxk7U45hxcmxuQo" width="0" height="0" />

**Nursing Position**

Provides general nursing care to patients in a clinic or medical office. Administers medication, prepares equipment, and aids physicians in the treatment of patients. RN license required.

**Job Description**

- Participates as primary nurse, associate nurse, a team member, or team leader in the planning and implementing of patient care.
- Directs and assists in carrying out safe aseptic technique and procedures.
- Offers leadership and direction to all support staff within the department.

**Requirements**

- Associate's Degree in Nursing
- RN License in state of employment or compact
- BLS

**Work Type**

- Full Time

RN, Registered Nurse Clinic - Gulf Coast Primary Mobile Clinic

Description Summary: The Registered Nurse (RN) is responsible for rendering professional nursing care across the wellness-illness continuum for the comfort and well-being of healthy retired Sisters and those Sisters in the acute, chronic, and terminal phases of illness. The RN is expected to utilize knowledge of infection control, safety, body mechanics, effective communication skills, interpersonal skills, and age-related differences when providing or delegating care. Requirements: Associate degree required, bachelor's degree preferred Graduate from an accredited school of nursing Communication skills - both verbal and written Ability to understand medical records, physician orders and nursing care plans Ability to communicate effectively with Sisters, staff and other health care professionals. Minimum of one year previous gerontology experience preferred Previous supervisory experience preferred Knowledge of psychotropic drugs in current use and drugs commonly used in geriatric practice Current RN permits or licensure issued by the Board of Nurse Examiners in the State of Texas to practice nursing. Work Type: Full Time<img src="https://www.jobg8.com/Tracking.aspx?s9C9mpSRxCiT%2f8Jn1Wu5egi" width="0" height="0" />

**Registered Nurse (RN)**

The Registered Nurse (RN) is responsible for rendering professional nursing care across the wellness-illness continuum for the comfort and well-being of healthy retired Sisters and those Sisters in the acute, chronic, and terminal phases of illness. The RN is expected to utilize knowledge of infection control, safety, body mechanics, effective communication skills, interpersonal skills, and age-related differences when providing or delegating care.

**Job Description**

- Render professional nursing care across the wellness-illness continuum for the comfort and well-being of healthy retired Sisters and those Sisters in the acute, chronic, and terminal phases of illness.
- Utilize knowledge of infection control, safety, body mechanics, effective communication skills, interpersonal skills, and age-related differences when providing or delegating care.

**Requirements**

- Associate degree required, bachelor's degree preferred
- Graduate from an accredited school of nursing
- Communication skills - both verbal and written
- Ability to understand medical records, physician orders, and nursing care plans
- Ability to communicate effectively with Sisters, staff, and other health care professionals
- Minimum of one year previous gerontology experience preferred
- Previous supervisory experience preferred
- Knowledge of psychotropic drugs in current use and drugs commonly used in geriatric practice
- Current RN permits or licensure issued by the Board of Nurse Examiners in the State of Texas to practice nursing

**Work Type**

Full Time

RN Lead

Description Summary: 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 for clinical denials and appeal inquiries. The Clinical Appeals Nurse will review each case identified/referred for appeal based on Milliman Care Guidelines (MCG), InterQual, and/or other relevant guidelines, determined the viability of the appeal, and manage the appeal process. The Clinical Appeals Nurse is responsible for appealing all inappropriate denials through all possible levels of the appeal process. The RN Clinical Appeals Nurse will actively manage, maintain and communicate denial/appeal activity to appropriate stakeholders, and report suspected or emerging trends related to payer denials. Working with Case Management leadership, this individual will orchestrate education and other performance improvement initiatives to impact clinical quality, improve efficiency and mitigate lost revenue related to medical necessity denials. Key Performance and trends related to denials/appeals will be reported to the facility. Responsibilities: Focuses on the review and analysis of governmental denial rationales and provides appropriate medical necessity appeal services Review governmental contractors response letter in comparison to the medical records Communicates with facility regarding missing or insufficient medical documentation Review medical documentation for adherence to Medicare guidelines relating to inpatient services (or other Medicare issues) and draft appropriate appeal letters based upon professional clinical opinion as to the medical necessity of the services provided Research issues using federal or law, federal regulations, and relevant CMS policies Communicates with members of the healthcare team identifying root causes for potential denials Communicates with the CMO/VPMA regarding appeals and obtain signature for appeals Assures all discussions and appeals are filed timely Completes data entry in the Denial database for tracking, trends, and analysis Requirements: Associate's Degree in Nursing RN License in state of employment or compact Work Type: Full Time EEO is the law - click below for more information: We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact us at .<img src="https://www.jobg8.com/Tracking.aspx?18sjO48iuT1S7SRi%2fEJLIwa" width="0" height="0" />

**Clinical Appeals Nurse**

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 for clinical denials and appeal inquiries. The Clinical Appeals Nurse will review each case identified/referred for appeal based on Milliman Care Guidelines (MCG), InterQual, and/or other relevant guidelines, determine the viability of the appeal, and manage the appeal process. The Clinical Appeals Nurse is responsible for appealing all inappropriate denials through all possible levels of the appeal process. The RN Clinical Appeals Nurse will actively manage, maintain, and communicate denial/appeal activity to appropriate stakeholders and report suspected or emerging trends related to payer denials. Working with Case Management leadership, this individual will orchestrate education and other performance improvement initiatives to impact clinical quality, improve efficiency, and mitigate lost revenue related to medical necessity denials. Key performance and trends related to denials/appeals will be reported to the facility.

**Job Description**

- Focuses on the review and analysis of governmental denial rationales and provides appropriate medical necessity appeal services
- Reviews governmental contractors' response letters in comparison to the medical records
- Communicates with the facility regarding missing or insufficient medical documentation
- Reviews medical documentation for adherence to Medicare guidelines relating to inpatient services (or other Medicare issues) and drafts appropriate appeal letters based upon professional clinical opinion as to the medical necessity of the services provided
- Researches issues using federal law, federal regulations, and relevant CMS policies
- Communicates with members of the healthcare team identifying root causes for potential denials
- Communicates with the CMO/VPMA regarding appeals and obtains signature for appeals
- Assures all discussions and appeals are filed timely
- Completes data entry in the denial database for tracking, trends, and analysis

**Requirements**

- Associate's Degree in Nursing
- RN License in state of employment or compact

**Work Type**

Full Time

Healthcare Jobs in Sugar Land, Texas