Operated as a joint venture between Texas Health Resources and Adventist Health System, we believe that total health is achieved through a balance of physical, mental, social and spiritual well-being. With each patient’s unique circumstances in mind, our multi-disciplinary care teams provide a vast array of services, combining state-of-the-art technology with a personal commitment to creating an exceptional patient experience.
Our team members also enjoy outstanding care in the form of comprehensive health benefits, a friendly, faith-based work environment, and plenty of opportunities to learn and grow. In addition to earning the Gallup Great Workplace Award six years in a row, we were also recognized as one of “150 Great Places to Work” by Becker’s Hospital Review.
Our 224-bed hospital includes a medical ICU, cardiovascular ICU, PCU, open heart surgery center and behavioral health. In addition, we have accredited programs in orthopedics, chest pain, and inpatient diabetes, plus an award-winning emergency department.
Shift: PRN / Weekends
You will be responsible for:
Performs a variety of general office duties daily.
Performs concurrent patient reviews related to appropriateness, level of care, diagnostics and procedures performed.
Applies appropriate screening criteria(s) in a timely manner to determined initial admission and continued stay necessity.
Initiates appropriate activities when patients do not meet criteria or when alternative care is needed.
Communicates findings to insurance companies in a timely and accurate manner.
Determines appropriate admission status and communicates with appropriate individuals.
Reviews case for appropriate documentation which supports the patients intensity of service and severity of illness.
Performs quality indicators reviews. Screens cases for required monitors.
Identifies clinical risk issues and reports to appropriate department.
Collaborates with members of the healthcare team in developing discharge plans in a timely manner.
Develops discharge plans based upon a family and patient’s needs assessment, capabilities, limitations and availability of community resources.
Assists with and arranges referrals and/or transfers to outside agencies/facilities.
Participates actively in LOS and Patient Care Conferences.
Actively participates in Performance Improvement Teams.
Knows the Performance Improvement (PI) Model – the Plan, Do, Check, Act (PDCA) Model.
Able to describe process that was improved by using the PDCA Model concepts.
Knows the organization-wide Performance Improvement Priorities for the current year.
.What will you need?
Registered Nurse (RN) in Texas
Must have a minimum of 3 continuous years’ experience in an acute care setting, preferably hospital, or at least 2 years’ experience in case management / utilization review with managed care company and 2-3 years’ experience in an acute care setting.
At AdventHealth, Extending the Healing Ministry of Christ is our mission. It calls us to be His hands and feet in helping people feel whole. Our story is one of hope — one that strives to heal and restore the body, mind and spirit. Our more than 80,000 skilled and compassionate caregivers in hospitals, physician practices, outpatient clinics, urgent care centers, skilled nursing facilities, home health agencies and hospice centers are committed to providing individualized, wholistic care.