Ambulatory care coordinator jobs in Brownsville, TX

Who We Are We are a community built on care. Our caregivers and supporting staff extend compassion to those in need, helping to improve the health and well-being of those we serve, and provide comfort and healing. Your community is our community. Our Story We started out as a small operation in California. In May 1969, we acquired four hospitals, some additional care facilities and real estate for the future development of hospitals. Over the years, we've grown tremendously in size, scope and capability, building a home in new markets over time, and curating those homes to provide a compassionate environment for those entrusting us with their care. We have a rich history at Tenet. There are so many stories of compassionate care; so many "firsts" in terms of medical innovation; so many examples of enhancing healthcare delivery and shaping a business that is truly centered around patients and community need. Tenet and our predecessors have enabled us to touch many different elements of healthcare and make a difference in the lives of others. Our Impact Today Today, we are leading health system and services platform that continues to evolve in lockstep with community need. Tenet's operations include three businesses - our hospitals and physicians, USPI and Conifer Health Solutions. Our impact spreads far and deep with 65 hospitals and approximately 510 outpatient centers and additional sites of care. We are differentiated by our top notch medical specialists and service lines that are tailored within each community we serve. The work Conifer is doing will help provide the foundation for better health for clients across the country, through the delivery of healthcare-focused revenue cycle management and value-based care solutions. Together as an enterprise, we work to save lives and can accept nothing less than excellence from ourselves in service of our patients and their families, every day. Collaborates with physicians, nurses, allied health professionals, social work, and others to ensure appropriate tests and treatments are delivered in a timely fashion. Advocates for the patient. Balances care needs and financial considerations to ensure efficient and effective treatments are achieved. Position Summary The Registered Nurse Coordinator coordinates the care needs of assigned patients and develops comprehensive plans to manage care delivery across the patient care continuum. Partners with patients and their primary physicians to develop customized care plans based on their individual needs and preferences. Education: Required: Academic degree in nursing.Preferred: Bachelor's or master's degree. Experience: Required: 2 years nursing experience. Certifications: Required: Currently licensed, certified, or registered to practice profession as required by law, regulation in state of practice or policy. AHA BLS. Tenet complies with federal, state, and/or local laws regarding mandatory vaccination of its workforce. If you are offered this position and must be vaccinated under any applicable law, you will be required to show proof of full vaccination or obtain an approval of a religious or medical exemption prior to your start date. If you receive an exemption from the vaccination requirement, you will be required to submit to regular testing in accordance with the law. Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship. Tenet participates in the E-Verify program. Follow the link below for additional information. E-Verify: ***************************** The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations. ********** Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.

/RESPONSIBILITIES At the front door of University Health, this role serves to screen patients needing placement in acute or observation beds for the purposes of correct status determinations, and the coordination of appropriate diversions to home or other level of care more appropriate for the services needed to be rendered. This position requires assertive clinical acumen and communication skills for serving in the liaison roles with medical staff, nursing, and patients and families. EDUCATION/EXPERIENCE Graduation from an accredited school of nursing with current RN licensure in the State of Texas, BSN preferred. National certification (e.g. CCRN, RNC, CEN, CNOR, OCN, ANCC, CAN, CPAN, CFRN, etc.) in related field is preferred. Three years recent, full-time hospital experience preferred. Work experience in case management, utilization review or hospital quality assurance experience is preferred. Must complete a Clinical Documentation Improvement Course within specified time of hire date. LICENSURE/CERTIFICATION Current license from the Board of Nurse Examiners of the State of Texas to practice as a registered nurse is required. National certification in related field is preferred. Case Manager Certification (CCM or ANCC) is highly desirable.

Monteith Abstract & Title Company, Inc., established in 1876 by A.M. Monteith, has a long-standing reputation for excellence. Since 1951, it has been owned and operated by the Turner family, maintaining a tradition of providing reliable services. The company offers abstracting, closing, and title insurance services to buyers, sellers, realtors, mortgage lenders, and builders. Dedicated to serving the Central Texas area, Monteith Abstract & Title Company prides itself on its commitment to professionalism and client satisfaction. Position Summary The Level 1 Funder is responsible for ensuring that all financial aspects of the real estate transaction are handled accurately, efficiently, and in compliance with company policies and industry regulations. This role plays a critical part in the closing process by reviewing final closing documents, verifying lender instructions, disbursing funds, and balancing files. Responsibilities Review lender funding instructions for accuracy and completeness. Verify wire instructions and communicate with lenders to confirm receipt and disbursement approval. Review and balance settlement statements (CD/ALTA/HUD-1) and reconcile disbursement ledgers. Ensure all conditions for funding are met prior to disbursement. Prepare wire transfers and checks for the disbursement of funds in accordance with escrow instructions and regulatory compliance. Coordinate with escrow officers, lenders, and internal accounting to ensure timely funding and disbursement. Maintain accurate and complete file documentation in accordance with company policy and regulatory standards. Respond to inquiries regarding wire confirmations and funding status. Perform post-closing audits related to funding and disbursements. Assist with daily funding logs, file tracking, and other administrative tasks as needed. Ability to fully disburse a funded file. Prepare lender post-closing packages. Adheres to company policies and guidelines Undertake various job-related tasks as assigned, demonstrating flexibility and willingness to support the team's objectives. Qualifications EDUCATION High school diploma or equivalent required. Some college coursework in Business, Finance, or related fields is preferred. EXPERIENCE Minimum 1-2 years in a title company, escrow, or financial services environment preferred. Strong understanding of escrow and title processes. Familiarity with ALTA statements, HUD-1s, Closing Disclosures. Knowledge of RESPA, TRID, and wire fraud prevention. SKILLS Job Knowledge/Technical Knowledge: Demonstrates a sound working knowledge of current role and the technical systems, applications and equipment used in performing this role, and understands the impact this role has on other business functions within the organization. Communication: The ability to write and speak effectively using appropriate conventions based on the situation; actively listens to others, asks questions to verify understanding, and uses tact and consideration when delivering feedback to others. Organization: Uses time efficiently by prioritizing and planning work activities. Ability to prioritize and handle multiple projects. Integrity and Respect: Demonstrates the utmost level of integrity in all instances and shows respect towards others and towards company principles. Judgment: Demonstrates ability to make independent and sound decisions in all situations. Teamwork: Shares key information with others involved in a project or effort, works in harmony to accomplish objectives, responds with enthusiasm to directives, and shows support for departmental and organizational decisions. Quality: Sets high standards and measures of excellence to ensure quality assurance in every aspect of work performed. Accountability: Takes personal responsibility and ownership for adhering to all company policies and procedures while also completing work timely and in accordance with performance expectations. Customer Service: The ability to demonstrate a series of activities designed to enhance the level of customer satisfaction. Interpersonal Communication: Writes and speaks effectively based on the psychological, relational, situational, environmental and cultural dynamics within the situation. Manages Change: Demonstrates effectiveness and flexibility with changing environments, responsibilities, tasks, and people. Attention to Detail: Follows detailed procedures to ensure accuracy in the entry and reporting of data. Problem Solving: Identifies and resolves issues timely by gathering and analyzing information skillfully. Work Hours/Schedule Monday through Friday 8:00 am to 5:00 pm In-office position Up to one hour lunch at approved time by manager Overtime may be required as necessary for business

As a Coordinator you will assist the Immigration Program Manager with day-to-day activities regarding nonimmigrant and immigrant visas, and ensuring compliance with immigration laws and business policies. You have knowledge of the nonimmigrant (ex. H-1B, F-1, L-1, B-1) and immigrant (PERM) process. You provide immigration case preparation by preparing forms, letters, documents, and correspondence. You submit immigration cases as needed to outside counsel. You support PERM recruitment by assisting with active recruitment preparation, job postings, and resume screenings. You ensure immigration compliance and record keeping with H-1B posting notices, Public Access files, and PERM Audit files. You maintain the immigration share point page. You work with HR Operations and Talent Acquisition to request immigration job descriptions. You coordinate the F-1 STEM OPT Form I-983 process. You assist with immigration event scheduling. You track and maintain accurate reports. You create and update immigration related forms as needed. You provide other administrative support as needed. Requirements 1-2+ years of experience with a Bachelor's Degree in International Relations, Legal Studies, International Business, or equivalent or an Immigration Paralegal certificate from ABA approved program Successful candidates will possess strong writing skills, excellent attention to detail, the ability to multitask, and the ability to work independently toward team goals. Outstanding organizational skills are required. Experience with INSZoom, Visatrax, or Connect systems is a plus.

About Us Every moment of every day, people around the world rely on the energy they access through infrastructure built by Quanta. Comprising the largest skilled-labor force in North America, our employees are highly skilled and innovative, continually working to connect people and power. We're building the infrastructure that supports the energy transition, and there are more opportunities than ever to be part of our team. Join us and build your career building a brighter future. Imagine what you could do here. We encourage, inspire, and support our people to seize opportunities in our corporate office and with hundreds of our operating companies worldwide that provide solutions for the utility, renewable energy, electric power, industrial, and communications industries. Quanta actively promotes and maintains a culture of belonging where all employees can be themselves, live their values, and find opportunities to succeed. When you join our team, you join a dynamic organization in which career development is encouraged, excellence is rewarded, and diversity is prized. Come find out how our people power modern life. About this role: This role supports insurance and claims administration, including processing claims in Origami, reviewing OCIP documentation, and managing third-party insurance verification. Responsibilities include maintaining subcontractor insurance compliance in VISTA and ICA, processing OCP applications and certificates, resolving non-compliance issues, and preparing required reports. The position works closely with Legal and Risk Management and performs additional insurance-related tasks as needed. What You'll Do Claims entry and close out in Origami. Assist in managing minor claims. OCIP manual review, certificates, and calculations. Manage third-party insurance verification accounts. Request Owner Insurance certificates. Process and manage OCP applications, quotes and policies. Enforce and track all subcontractor insurance requirements and maintain current certificates of insurance, consultants and/or vendors in VISTA and ICA. Review weekly subcontractor non-compliance and clear discrepancies. Work closely with Legal and Risk Management regarding insurance requirements. Produce and publish reports as required. Comfortable operating in a team -oriented, collaborative work environment. Produce accurate and timely results while maintaining a customer service attitude. Various other assignments related to insurance. What You'll Bring Education: Associates degree or higher preferred (insurance related) 3 to 5 years of experience in an insurance related support role Claims administration experience Origami data entry familiarity Advanced MS Word and MS Excel Solid understanding of commercial insurance terminology and concepts Attention to detail and ability to identify errors and inconsistencies Strong verbal and written skills, and ability to convey complex information in a way that others can readily follow Ability to communicate effectively both internally and externally Ability to prioritize multiple projects, strong multi-tasking and organizational skills Critical reasoning, good work ethics and flexibility Proactive and self-motivated with ability to take direction Equal Opportunity Employer All qualified applicants will receive consideration for employment and will not be discriminated against on the basis of race, color, religion, national origin or ancestry, sex (including gender, pregnancy, sexual orientation, and/or gender identity), age, disability, genetic information, veteran status, and/or any other basis protected by applicable federal, state or local law. We are an Equal Opportunity Employer, including disability and protected veteran status. We prohibit all types of discrimination and are committed to providing access and equal opportunity for individuals with disabilities. For additional information or if reasonable accommodation is needed to participate in the job application, interview, or hiring processes or to perform the essential functions of a position, please contact us the Company's Human Resources department.

Licensing & Prequalifications Coordinator - Oline Construction (Fort Worth, TX) Oline Construction is growing fast, and we're looking for a Licensing & Prequalifications Coordinator to join our Fort Worth office. This role is perfect for someone who is organized, deadline-driven, and enjoys being the go-to person for getting things done behind the scenes. As we expand into new states and partner with developers and GCs across the country, this person will manage all licensing requirements and contractor prequalification submissions - keeping us compliant, approved, and ready to build. You'll also support our preconstruction team with administrative and documentation needs during early project phases. If you love checklists, processes, and working across multiple departments, this is a great opportunity to grow with a rapidly scaling GC. 📈 🛠️ What You'll Do 📋 Licensing & State Compliance Research and manage contractor licensing requirements for multiple states Prepare, submit, and track license applications, renewals, and supporting documents Maintain organized digital records and a master calendar of deadlines Work with state agencies to resolve questions and ensure compliance 📁 Developer & GC Prequalifications Complete prequalification packages for owners, developers, and general contractors Gather documents including financials, insurance, safety data, resumes, contracts and more Update and manage client portals (BuildingConnected, ISN, Avetta, etc.) Track approvals, renewals, and pending submissions 🏗️ Preconstruction Support Assist with subcontractor qualification documents Help prepare proposals, project info sheets, and RFQ/RFP materials Support estimating with document organization, vendor communication, and file management Assist with project start-up documentation when needed 🔑 What We're Looking For 2+ years in construction admin, licensing, compliance, or a related role Highly organized and detail-oriented with strong follow-through Excellent communication skills across teams and departments Experience with prequalification platforms is a plus (BuildingConnected, ISN, Avetta, etc.) Familiarity with preconstruction/estimating environments is helpful but not required 🚀 Why Join Oline Construction? We're a fast-growing GC backed by Goldenrod Companies, giving us the ideal mix of pipeline stability, financial strength, and entrepreneurial energy. You'll have direct access to leadership, the ability to shape new processes, and a ground-floor opportunity in our expanding Fort Worth office. If you want to grow with a team that's building something big, we'd love to connect. 🤝✨

Job Details Windsor Arbor View - Edinburg, TX Full Time NurseDescription Primary Responsibilities Responsible for the coordination of the Resident Assessment Instrument (RAI) process to ensure accurate and timely completion of resident assessments in accordance with Medicare, Medicaid, OBRA and other payer program requirements. Ensures assessments accurately reflect the physical, mental and psychosocial status of each resident; ensures appropriate documentation to report and support services provided and assessment accuracy. Communicates effectively with other members of the interdisciplinary team. Follows all RIHS policies and procedures. Essential Functions Ensures timely, accurate, and complete assessment of the resident's health and functional status during the entire assessment period. ** Participates in the pre-admission process to ensure essential information needed for MDS/Case Mix optimization is obtained from the referral source(s). Ensures accurate and timely completion of all Medicare/Medicaid case-mix documents to assure appropriate reimbursement for services provided within the facility. Works in collaboration with the facility Director of Rehab to ensure the most appropriate assessment reference date (ARD) is utilized for Medicare/Managed Care Assessments. Tracks Skilled (MRA/MCO/MCG/MMP) customers utilizing Case Management Tools to determine continued and appropriate Medicare/Managed Care eligibility and benefit period through regular communications with Regional Care Management Specialist, Business Office and external Case Managers. Gathers information needed for Managed Care Utilization Reviews throughout the resident's stay and communicates this with the Managed Care organization's Case Manager as required. Ensures that additional requirements of the Medicare Program are met, such as Physician certification and re-certification. Performs concurrent MDS review to assure appropriate RUGs category is achieved through the capture of appropriate clinical information. Participates in the interdisciplinary team process to communicate opportunities, facilitate efficient and effective care plan development and management. Ensures the accurate and timely completion of all MDS assessments including PPS, Unscheduled, Admission, Quarterly, Annual, and Significant Change in compliance with RAI guidelines.** Collaborates with the interdisciplinary team to identify significant change in status and implementation of Significant Change in Status MDS. ** Maintains an accurate schedule of all MDS assessments to include the proper reference dates throughout the resident's stay. Tracks, records, and analyzes all default days and rectifies if appropriate. Implements corrective action to prevent further default action. Performs Modification/Inactivation of assessments in accordance with CMS Correction Policy and collaboration with Regional Care Management Specialist. Conducts regular audit of MDS process including validation of coding documentation, evaluating outcomes, and utilization of Data Integrity Audit reports (Point Right) per company policy. Ensures the timely electronic submission of all Minimum Data Sets and secures back-up personnel to complete this process. Reviews the Validation reports and ensures that appropriate follow-up action is taken. Reviews Late/Missed assessment reports monthly and addresses issues as appropriate. Reviews QM and SNF QRP reports monthly and ensures that appropriate follow up action is taken. Communicates with the Business Office Manager and Administrator on a regular basis regarding RUG distribution, default days/unassigned days, case mix index (if applicable) and their reimbursement impact. Participates in daily Case Management, weekly Level of Care, monthly Triple Check, and other meetings per RIHS policy. Assists in the preparation and timely submission of any Additional Development Requests (ADRs), Reconsideration and Administrative Law Judge (ALJ). Functions as an RAI and Care Management resource to the facility staff. Utilizes AIS as annual competency training as well as for educational resource as needed. Assists in the orientation and training of new associates on the RAI process and ensures the dissemination of any new or updated materials regarding the RAI and/or Federal and State regulations. Other Duties The Care Management Specialist manages the day to day operations of the department. Maintains current knowledge of reimbursement regulations. Maintains data in an organized, easily retrievable manner. Maintains good personal hygiene and follows dress code requirements. Communicates regularly with the Regional Care Management Specialist to discuss identified clinical reimbursement issues. Ability to work flexible work hours to support business requirements. Ability to utilize both local and corporate resources in the execution of job responsibilities. Must possess superior clinical assessment and documentation skills. Must demonstrate strong interpersonal skills and ability to work well in a team environment. Other duties as assigned or needed. Key Competencies Analytical reasoning Logical reasoning Problem solving Time management Organizational skills Research skills Language Skills Must possess excellent verbal and written communication and presentation skills Qualifications Educational/Training Requirements Must be a graduate of an accredited school of nursing with current R.N. or L.V.N. ** Position may be filled by LVN, however specific job functions denoted by "**" will require an RN to Coordinate the process as stipulated by Federal Regulations. Complete and pass all RIHS specific MDS/RUGs training modules (AIS) within the first 90 days of employment and ongoing per company policy. Competency with standard office software applications as well as software applications related to MDS/RAI processes. High initiative and ability to efficiently and effectively lead interdisciplinary teams and coordinate and manage RAI process. Licensing Requirements Licensure in the state in which employment occurs. Experience Requirements Minimum of two years health care experience. Experience with MDS completion, reimbursement, clinical resource utilization and/or case management is highly desirable. Physical Demands The physical demands described here are representative but not necessary all inclusive, of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to effectively communicate. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Action Rarely Occasionally Frequently Lifting - 1-25 lbs X Lifting - 25-50 lbs X Lifting - 50+ lbs X Carrying - 1-25 lbs X Carrying - 25-50 lbs X Carrying - 50+ lbs X Pushing/Pulling - 1-25 lbs X Pushing/Pulling - 25-50 lbs X Pushing/Pulling - 50+ lbs X Sliding/Transferring - 1-25 lbs X Sliding/Transferring - 25-50 lbs X Sliding/Transferring - 50+ lbs X Standing X Sitting X Walking X Speaking X Driving X Balancing/Climbing X Stooping/Kneeling X Crouching/Crawling X Reaching X Hearing/Listening X Seeing X Turning/Twisting/Leaning X Regency Integrated Health Services is an Equal Opportunity Employer. Regency does not discriminate on the basis of race, religion, color, sex, gender identity, sexual orientation, age, disability status, national origin, veteran status or any other basis covered by appropriate law. All employment decisions are based on legitimate, non-discriminatory criteria.

Who We Are We are a community built on care. Our caregivers and supporting staff extend compassion to those in need, helping to improve the health and well-being of those we serve, and provide comfort and healing. Your community is our community. Our Story We started out as a small operation in California. In May 1969, we acquired four hospitals, some additional care facilities and real estate for the future development of hospitals. Over the years, we've grown tremendously in size, scope and capability, building a home in new markets over time, and curating those homes to provide a compassionate environment for those entrusting us with their care. We have a rich history at Tenet. There are so many stories of compassionate care; so many "firsts" in terms of medical innovation; so many examples of enhancing healthcare delivery and shaping a business that is truly centered around patients and community need. Tenet and our predecessors have enabled us to touch many different elements of healthcare and make a difference in the lives of others. Our Impact Today Today, we are leading health system and services platform that continues to evolve in lockstep with community need. Tenet's operations include three businesses - our hospitals and physicians, USPI and Conifer Health Solutions. Our impact spreads far and deep with 65 hospitals and approximately 510 outpatient centers and additional sites of care. We are differentiated by our top notch medical specialists and service lines that are tailored within each community we serve. The work Conifer is doing will help provide the foundation for better health for clients across the country, through the delivery of healthcare-focused revenue cycle management and value-based care solutions. Together as an enterprise, we work to save lives and can accept nothing less than excellence from ourselves in service of our patients and their families, every day. Collaborates with physicians, nurses, allied health professionals, social work, and others to ensure appropriate tests and treatments are delivered in a timely fashion. Advocates for the patient. Balances care needs and financial considerations to ensure efficient and effective treatments are achieved. Position Summary The Registered Nurse Coordinator coordinates the care needs of assigned patients and develops comprehensive plans to manage care delivery across the patient care continuum. Partners with patients and their primary physicians to develop customized care plans based on their individual needs and preferences. Education: Required: Academic degree in nursing.Preferred: Bachelor's or master's degree. Experience: Required: 2 years nursing experience. Certifications: Required: Currently licensed, certified, or registered to practice profession as required by law, regulation in state of practice or policy. AHA BLS. Tenet complies with federal, state, and/or local laws regarding mandatory vaccination of its workforce. If you are offered this position and must be vaccinated under any applicable law, you will be required to show proof of full vaccination or obtain an approval of a religious or medical exemption prior to your start date. If you receive an exemption from the vaccination requirement, you will be required to submit to regular testing in accordance with the law. Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship. Tenet participates in the E-Verify program. Follow the link below for additional information. E-Verify: ***************************** The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations. ********** Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.

/RESPONSIBILITIES Perform expert leadership skills in the management of staff and coordination of patient care activities. Work collaboratively with all healthcare providers and non-health care providers. Serves as a mentor and role model for all staff. Reports to a Nursing Director or Executive Director. EDUCATION/EXPERIENCE Graduation from an accredited school of nursing with current RN licensure in the State of Texas. BSN is required. National certification (e.g., CCRN, RNC, CEN, CNOR, OCN, ANCC, CAN, CPAN, CFRN, etc.) in related fields is required. Three (3) years of recent, full-time hospital or clinic experience are required. Verification of course completion in accordance with all American Heart Association Basic Cardiac Life Support and Health Care Provider guidelines is required. External applicants must have at least two (2) years in an equivalent management capacity. LICENSURE/CERTIFICATION A current license from the Board of Nurse Examiners of the State of Texas to practice as a registered nurse is required. Must have a current AHA BLS Healthcare Provider or AHA BLS Instructor Provider card.

Job Details Hidalgo Nursing and Rehabilitation Center - Edinburg , TX Full Time NurseDescription Primary Responsibilities Responsible for the coordination of the Resident Assessment Instrument (RAI) process to ensure accurate and timely completion of resident assessments in accordance with Medicare, Medicaid, OBRA and other payer program requirements. Ensures assessments accurately reflect the physical, mental and psychosocial status of each resident; ensures appropriate documentation to report and support services provided and assessment accuracy. Communicates effectively with other members of the interdisciplinary team. Follows all RIHS policies and procedures. Essential Functions Ensures timely, accurate, and complete assessment of the resident's health and functional status during the entire assessment period. ** Participates in the pre-admission process to ensure essential information needed for MDS/Case Mix optimization is obtained from the referral source(s). Ensures accurate and timely completion of all Medicare/Medicaid case-mix documents to assure appropriate reimbursement for services provided within the facility. Works in collaboration with the facility Director of Rehab to ensure the most appropriate assessment reference date (ARD) is utilized for Medicare/Managed Care Assessments. Tracks Skilled (MRA/MCO/MCG/MMP) customers utilizing Case Management Tools to determine continued and appropriate Medicare/Managed Care eligibility and benefit period through regular communications with Regional Care Management Specialist, Business Office and external Case Managers. Gathers information needed for Managed Care Utilization Reviews throughout the resident's stay and communicates this with the Managed Care organization's Case Manager as required. Ensures that additional requirements of the Medicare Program are met, such as Physician certification and re-certification. Performs concurrent MDS review to assure appropriate RUGs category is achieved through the capture of appropriate clinical information. Participates in the interdisciplinary team process to communicate opportunities, facilitate efficient and effective care plan development and management. Ensures the accurate and timely completion of all MDS assessments including PPS, Unscheduled, Admission, Quarterly, Annual, and Significant Change in compliance with RAI guidelines.** Collaborates with the interdisciplinary team to identify significant change in status and implementation of Significant Change in Status MDS. ** Maintains an accurate schedule of all MDS assessments to include the proper reference dates throughout the resident's stay. Tracks, records, and analyzes all default days and rectifies if appropriate. Implements corrective action to prevent further default action. Performs Modification/Inactivation of assessments in accordance with CMS Correction Policy and collaboration with Regional Care Management Specialist. Conducts regular audit of MDS process including validation of coding documentation, evaluating outcomes, and utilization of Data Integrity Audit reports (Point Right) per company policy. Ensures the timely electronic submission of all Minimum Data Sets and secures back-up personnel to complete this process. Reviews the Validation reports and ensures that appropriate follow-up action is taken. Reviews Late/Missed assessment reports monthly and addresses issues as appropriate. Reviews QM and SNF QRP reports monthly and ensures that appropriate follow up action is taken. Communicates with the Business Office Manager and Administrator on a regular basis regarding RUG distribution, default days/unassigned days, case mix index (if applicable) and their reimbursement impact. Participates in daily Case Management, weekly Level of Care, monthly Triple Check, and other meetings per RIHS policy. Assists in the preparation and timely submission of any Additional Development Requests (ADRs), Reconsideration and Administrative Law Judge (ALJ). Functions as an RAI and Care Management resource to the facility staff. Utilizes AIS as annual competency training as well as for educational resource as needed. Assists in the orientation and training of new associates on the RAI process and ensures the dissemination of any new or updated materials regarding the RAI and/or Federal and State regulations. Other Duties The Care Management Specialist manages the day to day operations of the department. Maintains current knowledge of reimbursement regulations. Maintains data in an organized, easily retrievable manner. Maintains good personal hygiene and follows dress code requirements. Communicates regularly with the Regional Care Management Specialist to discuss identified clinical reimbursement issues. Ability to work flexible work hours to support business requirements. Ability to utilize both local and corporate resources in the execution of job responsibilities. Must possess superior clinical assessment and documentation skills. Must demonstrate strong interpersonal skills and ability to work well in a team environment. Other duties as assigned or needed. Key Competencies Analytical reasoning Logical reasoning Problem solving Time management Organizational skills Research skills Language Skills Must possess excellent verbal and written communication and presentation skills Qualifications Educational/Training Requirements Must be a graduate of an accredited school of nursing with current R.N. or L.V.N. ** Position may be filled by LVN, however specific job functions denoted by "**" will require an RN to Coordinate the process as stipulated by Federal Regulations. Complete and pass all RIHS specific MDS/RUGs training modules (AIS) within the first 90 days of employment and ongoing per company policy. Competency with standard office software applications as well as software applications related to MDS/RAI processes. High initiative and ability to efficiently and effectively lead interdisciplinary teams and coordinate and manage RAI process. Licensing Requirements Licensure in the state in which employment occurs. Experience Requirements Minimum of two years health care experience. Experience with MDS completion, reimbursement, clinical resource utilization and/or case management is highly desirable. Physical Demands The physical demands described here are representative but not necessary all inclusive, of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to effectively communicate. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Action Rarely Occasionally Frequently Lifting - 1-25 lbs X Lifting - 25-50 lbs X Lifting - 50+ lbs X Carrying - 1-25 lbs X Carrying - 25-50 lbs X Carrying - 50+ lbs X Pushing/Pulling - 1-25 lbs X Pushing/Pulling - 25-50 lbs X Pushing/Pulling - 50+ lbs X Sliding/Transferring - 1-25 lbs X Sliding/Transferring - 25-50 lbs X Sliding/Transferring - 50+ lbs X Standing X Sitting X Walking X Speaking X Driving X Balancing/Climbing X Stooping/Kneeling X Crouching/Crawling X Reaching X Hearing/Listening X Seeing X Turning/Twisting/Leaning X Regency Integrated Health Services is an Equal Opportunity Employer. Regency does not discriminate on the basis of race, religion, color, sex, gender identity, sexual orientation, age, disability status, national origin, veteran status or any other basis covered by appropriate law. All employment decisions are based on legitimate, non-discriminatory criteria.

Who We Are We are a community built on care. Our caregivers and supporting staff extend compassion to those in need, helping to improve the health and well-being of those we serve, and provide comfort and healing. Your community is our community. Our Story We started out as a small operation in California. In May 1969, we acquired four hospitals, some additional care facilities and real estate for the future development of hospitals. Over the years, we've grown tremendously in size, scope and capability, building a home in new markets over time, and curating those homes to provide a compassionate environment for those entrusting us with their care. We have a rich history at Tenet. There are so many stories of compassionate care; so many "firsts" in terms of medical innovation; so many examples of enhancing healthcare delivery and shaping a business that is truly centered around patients and community need. Tenet and our predecessors have enabled us to touch many different elements of healthcare and make a difference in the lives of others. Our Impact Today Today, we are leading health system and services platform that continues to evolve in lockstep with community need. Tenet's operations include three businesses - our hospitals and physicians, USPI and Conifer Health Solutions. Our impact spreads far and deep with 65 hospitals and approximately 510 outpatient centers and additional sites of care. We are differentiated by our top notch medical specialists and service lines that are tailored within each community we serve. The work Conifer is doing will help provide the foundation for better health for clients across the country, through the delivery of healthcare-focused revenue cycle management and value-based care solutions. Together as an enterprise, we work to save lives and can accept nothing less than excellence from ourselves in service of our patients and their families, every day. Collaborates with physicians, nurses, allied health professionals, social work, and others to ensure appropriate tests and treatments are delivered in a timely fashion. Advocates for the patient. Balances care needs and financial considerations to ensure efficient and effective treatments are achieved. Position Summary The Registered Nurse Coordinator coordinates the care needs of assigned patients and develops comprehensive plans to manage care delivery across the patient care continuum. Partners with patients and their primary physicians to develop customized care plans based on their individual needs and preferences. Education: Required: Academic degree in nursing.Preferred: Bachelor's or master's degree. Experience: Required: 2 years nursing experience. Certifications: Required: Currently licensed, certified, or registered to practice profession as required by law, regulation in state of practice or policy. AHA BLS. Tenet complies with federal, state, and/or local laws regarding mandatory vaccination of its workforce. If you are offered this position and must be vaccinated under any applicable law, you will be required to show proof of full vaccination or obtain an approval of a religious or medical exemption prior to your start date. If you receive an exemption from the vaccination requirement, you will be required to submit to regular testing in accordance with the law. Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship. Tenet participates in the E-Verify program. Follow the link below for additional information. E-Verify: ***************************** The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations. ********** Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.

/ RESPONSIBILITIES Apply fast, check the full description by scrolling below to find out the full requirements for this role. The Care Coordinator is responsible for coordinating and streamlining the care of patients referred to the Interventional Cardiology Clinic. In this role, you will work closely with multidisciplinary teams, triage referred patients, facilitate timely and appropriate provider scheduling, and ensure continuity of care across outpatient and inpatient settings. The coordinator also serves as a liaison between referring providers, the interventional team, and patients, while supporting program growth through outreach and data management. EDUCATION/EXPERIENCE Graduation from an accredited school of nursing with current RN licensure in the State of Texas, BSN preferred. Three years recent, full-time hospital experience preferred. Work experience in cardiovascular or interventional cardiology nursing preferred. Strong knowledge of cardiac procedures, terminology, and clinical workflow. Familiarity with catheterization lab operations, cardiovascular imaging, and post-procedure. Prior experience with patient navigation or care coordination in a cardiology setting preferred. Proficiency in Epic or other major EHR systems preferred. LICENSURE/CERTIFICATION Current license from the Board of Nurse Examiners of the State of Texas to practice as a registered nurse is required. National certification in related field is preferred. xevrcyc Case Manager Certification (CCM or ANCC) is highly desirable.

/RESPONSIBILITIES Not sure what skills you will need for this opportunity Simply read the full description below to get a complete picture of candidate requirements. Care Coordinator will be instrumental in assisting the department and clinicians in the Ambulatory setting by gathering information, coordinating utilization efforts, and reviewing HCC quality indicators, and RAF scores to eligible Medicare Advantage beneficiary. Will monitor opportunities within the Medicare managed group to enhance financial outcomes. Will coordinate the transition of care and the interdisciplinary treatment for Medicare managed patients across the healthcare continuum. Facilitates the delivery of services, evaluates effectiveness, tracks outcomes and functions as the patient advocate to identify and communicate health care needs. Works collaboratively with clinical staff, clinic leadership, and outside agencies in an effort to improve patient outcomes, compliance, and decrease complications. EDUCATION/EXPERIENCE Graduation from an accredited school of nursing with current RN licensure in the State of Texas, BSN preferred. Three years recent, full time hospital experience preferred. Work experience in case management, utilization review, or hospital quality assurance experience is preferred. LICENSURE/CERTIFICATION Current license from the Board of Nurse Examiners of the State of Texas to practice as a registered nurse is required. National certification in related field is desirable. Case Manager Certification (CCM, CPHQ, or ANCC) or Certified Diabetes Nurse Educator certification is highly desirable. xevrcyc Must have a current AHA BLS Healthcare Provider or AHA BLS Instructor Provider card.

/RESPONSIBILITIES Make sure to read the full description below, and please apply immediately if you are confident you meet all the requirements. At the front door of University Health, this role serves to screen patients needing placement in acute or observation beds for the purposes of correct status determinations, and the coordination of appropriate diversions to home or other level of care more appropriate for the services needed to be rendered. This position requires assertive clinical acumen and communication skills for serving in the liaison roles with medical staff, nursing, and patients and families. EDUCATION/EXPERIENCE Graduation from an accredited school of nursing with current RN licensure in the State of Texas, BSN preferred. National certification (e.g. CCRN, RNC, CEN, CNOR, OCN, ANCC, CAN, CPAN, CFRN, etc.) in related field is preferred. Three years recent, full-time hospital experience preferred. Work experience in case management, utilization review or hospital quality assurance experience is preferred. Must complete a Clinical Documentation Improvement Course within specified time of hire date. LICENSURE/CERTIFICATION Current license from the Board of Nurse Examiners of the State of Texas to practice as a registered nurse is required. National certification in related field is preferred. xevrcyc Case Manager Certification (CCM or ANCC) is highly desirable.

/RESPONSIBILITIES Apply fast, check the full description by scrolling below to find out the full requirements for this role. Perform expert leadership skills in the management of staff and coordination of patient care activities. Work collaboratively with all healthcare providers and non-health care providers. Serves as a mentor and role model for all staff. Reports to a Nursing Director or Executive Director. EDUCATION/EXPERIENCE Graduation from an accredited school of nursing with current RN licensure in the State of Texas. BSN is required. National certification (e.g., CCRN, RNC, CEN, CNOR, OCN, ANCC, CAN, CPAN, CFRN, etc.) in related fields is required. Three (3) years of recent, full-time hospital or clinic experience are required. Verification of course completion in accordance with all American Heart Association Basic Cardiac Life Support and Health Care Provider guidelines is required. External applicants must have at least two (2) years in an equivalent management capacity. LICENSURE/CERTIFICATION A current license from the Board of Nurse Examiners of the State of Texas to practice as a registered nurse is required. xevrcyc Must have a current AHA BLS Healthcare Provider or AHA BLS Instructor Provider card.

/ RESPONSIBILITIES Apply fast, check the full description by scrolling below to find out the full requirements for this role. The Care Coordinator is responsible for coordinating and streamlining the care of patients referred to the Interventional Cardiology Clinic. In this role, you will work closely with multidisciplinary teams, triage referred patients, facilitate timely and appropriate provider scheduling, and ensure continuity of care across outpatient and inpatient settings. The coordinator also serves as a liaison between referring providers, the interventional team, and patients, while supporting program growth through outreach and data management. EDUCATION/EXPERIENCE Graduation from an accredited school of nursing with current RN licensure in the State of Texas, BSN preferred. Three years recent, full-time hospital experience preferred. Work experience in cardiovascular or interventional cardiology nursing preferred. Strong knowledge of cardiac procedures, terminology, and clinical workflow. Familiarity with catheterization lab operations, cardiovascular imaging, and post-procedure. Prior experience with patient navigation or care coordination in a cardiology setting preferred. Proficiency in Epic or other major EHR systems preferred. LICENSURE/CERTIFICATION Current license from the Board of Nurse Examiners of the State of Texas to practice as a registered nurse is required. National certification in related field is preferred. xevrcyc Case Manager Certification (CCM or ANCC) is highly desirable.

/RESPONSIBILITIES Not sure what skills you will need for this opportunity Simply read the full description below to get a complete picture of candidate requirements. Care Coordinator will be instrumental in assisting the department and clinicians in the Ambulatory setting by gathering information, coordinating utilization efforts, and reviewing HCC quality indicators, and RAF scores to eligible Medicare Advantage beneficiary. Will monitor opportunities within the Medicare managed group to enhance financial outcomes. Will coordinate the transition of care and the interdisciplinary treatment for Medicare managed patients across the healthcare continuum. Facilitates the delivery of services, evaluates effectiveness, tracks outcomes and functions as the patient advocate to identify and communicate health care needs. Works collaboratively with clinical staff, clinic leadership, and outside agencies in an effort to improve patient outcomes, compliance, and decrease complications. EDUCATION/EXPERIENCE Graduation from an accredited school of nursing with current RN licensure in the State of Texas, BSN preferred. Three years recent, full time hospital experience preferred. Work experience in case management, utilization review, or hospital quality assurance experience is preferred. LICENSURE/CERTIFICATION Current license from the Board of Nurse Examiners of the State of Texas to practice as a registered nurse is required. National certification in related field is desirable. Case Manager Certification (CCM, CPHQ, or ANCC) or Certified Diabetes Nurse Educator certification is highly desirable. xevrcyc Must have a current AHA BLS Healthcare Provider or AHA BLS Instructor Provider card.

/RESPONSIBILITIES Perform expert leadership skills in the management of staff and coordination of patient care activities. Work collaboratively with all healthcare providers and non-health care providers. Serves as a mentor and role model for all staff. Reports to a Nursing Director or Executive Director. EDUCATION/EXPERIENCE Graduation from an accredited school of nursing with current RN licensure in the State of Texas. BSN is required. National certification (e.g., CCRN, RNC, CEN, CNOR, OCN, ANCC, CAN, CPAN, CFRN, etc.) in related fields is required. Three (3) years of recent, full-time hospital or clinic experience are required. Verification of course completion in accordance with all American Heart Association Basic Cardiac Life Support and Health Care Provider guidelines is required. External applicants must have at least two (2) years in an equivalent management capacity. LICENSURE/CERTIFICATION A current license from the Board of Nurse Examiners of the State of Texas to practice as a registered nurse is required. Must have a current AHA BLS Healthcare Provider or AHA BLS Instructor Provider card.

/RESPONSIBILITIES Not sure what skills you will need for this opportunity Simply read the full description below to get a complete picture of candidate requirements. Care Coordinator will be instrumental in assisting the department and clinicians in the Ambulatory setting by gathering information, coordinating utilization efforts, and reviewing HCC quality indicators, and RAF scores to eligible Medicare Advantage beneficiary. Will monitor opportunities within the Medicare managed group to enhance financial outcomes. Will coordinate the transition of care and the interdisciplinary treatment for Medicare managed patients across the healthcare continuum. Facilitates the delivery of services, evaluates effectiveness, tracks outcomes and functions as the patient advocate to identify and communicate health care needs. Works collaboratively with clinical staff, clinic leadership, and outside agencies in an effort to improve patient outcomes, compliance, and decrease complications. EDUCATION/EXPERIENCE Graduation from an accredited school of nursing with current RN licensure in the State of Texas, BSN preferred. Three years recent, full time hospital experience preferred. Work experience in case management, utilization review, or hospital quality assurance experience is preferred. LICENSURE/CERTIFICATION Current license from the Board of Nurse Examiners of the State of Texas to practice as a registered nurse is required. National certification in related field is desirable. Case Manager Certification (CCM, CPHQ, or ANCC) or Certified Diabetes Nurse Educator certification is highly desirable. xevrcyc Must have a current AHA BLS Healthcare Provider or AHA BLS Instructor Provider card.