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
$53k-96k yearly est. 4d ago
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Director External Affairs - Communications
Christus Health 4.6
Christus Health job in Irving, TX
The Director of External Affairs will lead the development and execution of CHRISTUS Health's external communications strategy, including public relations, media relations, crisis communications, social media, foundation communications, and community engagement across the Catholic, faith-based, not-for-profit health system. This role is responsible for providing strategic guidance and direction to regional and ministry operations and serving as one of the lead advocates for CHRISTUS Health. Partners with the Internal Communications Leader and team to ensure collaboration in consistent messaging to all stakeholders. This role will play a vital role in advancing a system-wide brand communications strategy and supporting the One CHRISTUS initiative, in alignment with our mission and strategic priorities. The Director will maintain positive partnerships and relationships with all publics, including media, community leaders, patients, and other influencers and stakeholders, oversee the reputation of CHRISTUS among these audiences, and monitor the effectiveness and appropriateness of all external communications efforts.
Responsibilities:
* Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
* Builds a cohesive, coordinated strategy for all proactive and reactive external and foundation communications, public relations/media relations, public affairs activities, and reputation-building initiatives.
* Develops, maintains, and manages relationships with key external partners, stakeholders, and constituents in support of system, regional, and ministry public affairs goals.
* Leads multiple direct reports across a department in a highly collaborative, fast-paced environment, working directly with leaders across the organization.
* Advances and protects the CHRISTUS Health reputation, including broadcast and verbal identity, ensuring communications reflect the organization's mission and values with key audiences.
* Partners closely with CHRISTUS Health marketing and corporate affairs to ensure consistent messaging and establish and meet benchmarks for increasing share of voice, brand, and audience expansion.
* Acts as a key strategic resource and advisor for leaders across the health system, translating stakeholder activity, strategic initiatives, and developments to ensure consistent messaging, support direction setting, and protect the overall brand and reputation.
* Provides visible leadership and effectively engages in change management processes by involving teams and building support.
* Develops Associates in their professional growth, leads by example, and actively seeks and responds well to feedback.
* Demonstrates the leadership and courage to communicate difficult messages, give candid feedback, and make hard decisions.
* Maintains consistency with Administrative and Departmental policies with appropriate behavior, dress, attitude, attendance, confidentiality, professionalism, and reliability.
* Represents enterprise in strategic community activities as a means of promoting CHRISTUS Health and its mission, as evidenced by: Membership in civic organizations such as Chambers of Commerce, etc.
* Collaborates with the Risk Management team in implementing an organized Crisis Communications program across all systems and regional ministries and serves as the designated Public Information Officer, when appropriate.
* Active participation in local professional chapters or other industry involvement to demonstrate commitment to professional development.
* Exercises discretion, sensitivity, tact, and respect for confidentiality at all times.
* Perform other related duties as assigned.
Job Requirements:
Education/Skills
* Bachelor's degree in communications, journalism, public relations, or related field required
Experience
* 8 years of experience in driving the creation and execution of complex external communications and public relations plans required
* 5 years of Leadership/management experience required
* Healthcare public relations experience preferred
* Exceptional and persuasive written, oral, and interpersonal communication skills required
* Ability to make decisions in a rapidly changing environment and perform in high-pressure, deadline-driven situations with multiple stakeholders, including senior leaders, is required
* A track record of working with local and national media and crafting communications strategies that have delivered strong, positive media coverage and brand awareness required
* Demonstrated critical thinking skills, working collaboratively with others to solve problems and achieve positive outcomes required
Licenses, Registrations, or Certifications
* None required
In accordance with the CHRISTUS Health License, Certification and Registration Verification Policy, all Associates are required to obtain the required certifications for their respective positions within the designated time frame.
Work Schedule:
8AM - 5PM Monday-Friday
Work Type:
Full Time
$121k-173k yearly est. 9d ago
Claims Examiner Senior - HP Claims Processing
Christus Health 4.6
Christus Health job in Irving, TX
The Claims Examiner Senior is responsible for reviewing, analyzing, researching, and resolving complex medical claims in accordance with claims processing guidelines and desktops, as well as, ensuring compliance with federal regulations. This role works in conjunction with Business Configuration, Network Management, Provider Data, Complaints, Appeals and Grievances as well as other operational departments to ensure validation and quality assurance of claims processing.
Responsibilities:
* Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
* Analyze medical claim information and take appropriate action for payment resolution in accordance with policies and procedures, desktops, processing guidelines, and federal regulations.
* Process medical claims submitted on CMS-1500 and CMS-1450/UB-04 claim forms from facilities, physicians, Home Health, Durable Medical Equipment providers, laboratories, etc.
* Work claim projects resulting from overpayments or underpayments related to manual processing errors, benefit updates, and/or contract, fee schedule changes.
* Process provider refunds, reconsiderations, and direct member reimbursements.
* Process medical claim adjustments, recovery of claim overpayments, and execution of claim batch adjudication.
* Solve moderately complex claims and escalate issues to the Claims Team Lead, Supervisor or Manager.
* Assist with database improvements and testing for system upgrades, conversions, or implementation of new processes.
* Serves as a resource to assist with training new associates, retraining current associates on new/updated desktops/policies and reports staff progress, deficiencies, and training needs to management.
* Sets high standards of performance and promotes teamwork to achieve established team goals, while maintaining a positive, professional attitude.
* Contacting/responding to internal and external customers for resolution on claim issues.
* Assist claims leadership to identify claim trends, gaps in workflow and create/update desktops and policies and procedures.
* Collaborate with and maintain open communication with all departments within CHRISTUS Health to ensure effective and efficient workflow and facilitate completion of tasks/goals.
* Must be able to organize and prioritize work to meet deadlines.
* Have good judgment, initiative, and problem-solving abilities.
* Attention to detail is critical to ensure timely and accurate processing of claims.
* Consistently meet established productivity and quality standards.
* Follow CHRISTUS Guidelines related to the Health Insurance Portability and Accountability Act (HIPAA), designed to prevent, or detect unauthorized disclosure of Protected Health Information (PHI).
* Performs other duties as assigned by management to support claims functions, which are focused on achieving both departmental and organizational objectives.
* Must be knowledgeable about medical terminology, CPT, HCPCS, ICD-10, Revenue Codes, CMS-1500 and CMS-1450/UB-04 claim forms and reimbursement methodologies.
* Must have excellent written, verbal, organizational and interpersonal communication skills.
* Must be proficient in Microsoft Office, Power Point, Excel, Word, Outlook, spreadsheet, and database skills.
Job Requirements:
Education/Skills
* Associate's degree or equivalent job-related experience required.
Experience
* Minimum of 3 years' experience processing medical claims in the healthcare industry.
* Prior experience working with managed care, Medicare, Medicare Advantage, Health Exchange, and TRICARE are highly desirable.
Licenses, Registrations, or Certifications
* None required.
Work Schedule:
5 Days - 8 Hours
Work Type:
Full Time
$40k-57k yearly est. 55d ago
Risk Adjustment Education Specialist - HP Network Documentation Integrity
Christus Health 4.6
Christus Health job in Irving, TX
This Job will report to the Risk Adjustment Manager of Coding Operations. Responsibilities will include provider medical record audits, analysis of practice coding patterns, education, and training regarding risk adjustment. You will also analyze data to identify patterns and development of interventions at the provider level.
Responsibilities:
* Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
* Subject matter experts for proper risk adjustment coding and CMS data validation.
* Work in conjunction with other departments, including Provider Relations, Quality, and the Medical Director, to ensure compliance with CMS risk adjustment guidelines.
* Analyze MRA data to identify patterns and development of provider and market-level interventions to coordinate an educational work plan for providers.
* Conduct provider education and training regarding risk adjustment to help ensure accurate CMS payment and improve care quality.
* This includes training venues such as provider offices, hospitals, webinars, conference calls, email correspondence, etc.
* Responsible for building positive relationships with assigned Physicians and serving as a contact for any questions or concerns that may arise.
* Identify those Practices that need initial or ongoing additional training.
* Must be proficient in Prospective, Retrospective, and Concurrent review processes.
* This Job does require the ability to have reliable transportation to conduct ongoing face-to-face interactions with Providers.
* Must have strong clinical knowledge of disease pathology and ability to identify clinical indicators related to chronic disease.
* Must be self-motivated: energetic, self-starter; can work autonomously with limited direction.
* Must be results-oriented: bias for action; demonstrated track record of achievement; drive for attainment of superior outcomes.
* Must be analytical: vital research, writing, analytical, and critical reasoning skills.
* Must be a good communicator: conveys thoughts and expresses ideas concisely and effectively both verbally and in writing; strong presentation skills.
* Must be a good collaborator: orientation to team-based work product and results, open to change and process enhancement.
* Perform other duties as necessary.
Job Requirements:
Education/Skills
* Associate degree or equivalent experience required.
Experience
* 5 years of experience in a hospital, a physician setting, or a Managed Care Organization as a medical coder required.
* 2 years of experience in coding with knowledge of Medicare risk adjustment (HCC Coding) required.
* Other experience in teaching, training, or an educator/instructor role is needed, but provider education experience is preferred.
* Must have experience in creating effective training materials and presentations (PowerPoint, Adobe, etc.)
Licenses, Registrations, or Certifications
* Certified Professional Coder (CPC) from AAPC is required.
* Certified Risk Adjustment Coder (CRC) from AAPC is preferred.
* An RN or LVN must obtain both CPC and CRC within 12 months of hire.
Work Schedule:
8AM - 5PM Monday-Friday
Work Type:
Full Time
$34k-55k yearly est. 45d ago
Manager Managed Care - Managed Care
Christus Health 4.6
Christus Health job in Irving, TX
This position is responsible for managing daily activities as assigned by System Director or Director related to providing operational support on managed care contracts. The candidate will be responsible for working directly with managed care payers and PFS to resolve claim payment and administrative escalations occurring with managed care contracts. Responsible for the mentoring and training of team members as needed, providing subject matter expertise to improve efficiencies and results. The candidate will work collaboratively with Vice President Managed Care, Managed Care Team, Revenue Integrity, and PFS management.
Responsibilities:
* Assists the point person to the hospital leadership teams and business offices for the assigned CHRISTUS region(s) for all managed care related aspects, including contract performance and operational issues Carries out appropriate managed care related education and training including roll out of new payor contracts
* Assists in payor/plan dispute resolution projects or any other special projects
* Responsible for coordinating payer credentialing & re-credentialing activities
* Works with the hospital business offices with regard to tracking and reducing managed care denials and underpayments, including restitution or other prompt pay penalties
* Knowledge of Federal and Texas general regulatory environment related to managed care and participates in legislative advocacy activities as appropriate
* Monitor implementation managed care contracts for all CHRISTUS Health Providers
* Develop payer performance and monitoring tools
* Conduct data analyses/reports to the assigned System Director or Director on payments and operational issues associated with Managed Care contract language
Requirements:
* Bachelor's Degree preferred
Work Schedule:
5 Days - 8 Hours
Work Type:
Full Time
$110k-142k yearly est. 17d ago
Accounts Payable Specialist Lead - Accounting
Christus Health 4.6
Christus Health job in Irving, TX
The Accounts Payable (AP) Specialist Lead is responsible for overseeing and optimizing the accounts payable processes to ensure accurate and timely processing of invoices, payments, and reconciliations. Acting as a key point of contact between vendors, internal departments, and the AP team, the AP Lead will play a critical role in maintaining strong controls, improving efficiencies, and supporting AP team members. This role serves as a bridge between AP specialists and management, providing guidance, training, and problem-solving expertise.
Responsibilities:
* Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
* Lead and support a team of Accounts Payable professionals, providing guidance, training, and mentoring.
* Assist manager in compiling and preparing reports required by leadership.
* Partner with the AP Managers to create an effective organization while prioritizing functions and routines.
* Address escalated items in a timely and efficiently while multitasking and maintaining a sense of urgency to resolve critical matters.
* Perform daily audits to validate completeness and accuracy of invoices.
* Foster a culture of accountability and demonstrate good teamwork through actions and job performance.
* Manage and maintain relationships with internal and external stakeholders by ensuring a timely response.
* Demonstrate strong customer service while upholding CHRISTUS Health's core values.
* Provide support for month-end close processes and projects.
* Ensure efficient operation and compliance with CHRISTUS policies, healthcare industry regulations (i.e., HIPAA), and internal controls.
* Coordinate and support internal and external audits.
* Participate in required leadership and development courses.
* Collaborate with colleagues across departments to contribute to a positive work environment.
* Analyze exceptions and resolve internal/external stakeholder concerns.
* Utilize Excel and technology tools effectively to manage spreadsheets, financial software, and automation processes.
* Apply basic accounting knowledge to maintain accurate financial records.
* Adapt to process changes, system upgrades, and evolving business needs with a willingness to learn.
* Maintain confidentiality and integrity when handling sensitive financial information with professionalism and ethical responsibility.
* Manage time effectively to balance daily responsibilities, meet deadlines, and maintain efficiency.
* Effective written and verbal communication and interpersonal skills.
* Ability to work independently and meet deadlines in a fast-paced environment.
* Perform other duties and responsibilities as assigned.
Job Requirements:
Education/Skills
* High School diploma or equivalent required.
* Business, Finance, or Accounting degree preferred.
* Proficient in Microsoft Office (Excel, Word, Outlook, PowerPoint)
* Bilingual (Spanish/English) is preferred
Experience
* 4+ years of AP or Procurement experience is required.
* Healthcare experience is preferred.
* Infor/Lawson or other large ERP Systems.
* Previous ServiceNow exposure is a plus.
Licenses, Registrations, or Certifications
* The following professional certifications are preferred:
* APM (Accounts Payable Manager)
* CAPP (Certified Accounts Payable Professional)
* CAPA (Certified Accounts Payable Associate)
* CPA (Certified Public Accountant)
* APPM (Accredited Procure-to-Pay Manager)
Work Schedule:
5 Days - 8 Hours
Work Type:
Full Time
$31k-37k yearly est. 1d ago
Community Health Worker VBC Senior - Population Health
Christus Health 4.6
Christus Health job in Irving, TX
The Certified Community Health Worker Senior plays a key leadership and operational support role within the CHRISTUS Health Value Based Care Management Team. The Community Health Worker Senior is responsible for leading field-based and telephonic interventions focused on addressing Social Determinants of Health (SDoH), mitigating health inequities, and improving clinical and quality outcomes for attributed populations under value-based contracts.
In addition to providing direct client support, the Community Health Worker Senior serves as a mentor to CHW, supports program planning and process improvement, and acts as a subject matter expert for community-based resource coordination. The role also contributes to performance analytics, partnership development, and health equity initiatives across the region.
Responsibilities:
* Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
* Build trusting relationships with Value Based Care patients and their families to identify and address SDoH barriers impacting health and well-being.
* Assist patients in setting personal health goals and navigating care plans.
* Provide hands-on support in accessing healthcare services, social services, transportation, housing, food assistance, and other key resources.
* Encourage patient self-management, including attendance at medical appointments and participation in care planning and education.
* Advocate for patients and communicate patient needs and concerns to the care team and community partners.
* Conduct advanced outreach, need assessments, and care navigation services for high-risk Value Based Care populations.
* Address complex or escalated SDoH cases involving housing instability, food insecurity, mental health, transportation barriers, or multi-system involvement.
* Develop person-centered care plans and reinforce patient self-efficacy through motivational interviewing and health coaching techniques.
* Lead group education sessions or community events that align with population health goals.
* Serve as a mentor and lead preceptor to CHW-level staff, supporting onboarding, training, and field shadowing activities.
* Coach CHWs on effective client engagement strategies, resource navigation, and documentation practices.
* Assist with standardization and development of workflows, toolkits, and quality improvement initiatives in collaboration with Care Management leadership.
* Collaborate with the Value Based Care Leadership to support community health strategies that reduce disparities and improve total cost of care, HEDIS and STARS measures.
* Participate in the design and execution of outreach campaigns, health equity pilots, and process improvement initiatives aligned with value-based contract objectives.
* Work closely with care coordinators, nurse navigators, social workers, and providers to support interdisciplinary care planning.
* Participate in care team huddles and value-based case reviews.
* Document encounters and follow-up actions in the Epic Electronic Health Record (EHR) or other platforms in accordance with Value Based Care documentation standards.
* Accurately document encounters, progress notes, and interventions in Epic EHR or care management platforms, ensuring alignment with compliance and reporting standards.
* Assist with metric development and reporting for grant-funded initiatives, community health assessments, or value-based payment arrangements.
* Conduct internal audits on SDoH team for documentation accuracy.
* Excellent communication, organization, and project management skills.
* Perform other duties as assigned.
Job Requirements:
Education/Skills
* High school diploma or equivalent required.
* Associate or bachelor's degree in Public Health, Social Work, Health Education, or health related field preferred.
* Must have skills in trauma-informed care, health coaching, and culturally competent engagement.
Experience
* Minimum of 3 years of CHW experience, including direct patient navigation or case management for underserved populations.
* Experience working within value-based care, managed care, or VALUE BASED CARE settings is strongly preferred.
* Demonstrated ability to mentor, coach, or lead peers in a professional or community-based setting.
* Strong technical proficiency with care management systems, Microsoft Office, and health information systems (e.g., Epic).
* Deep understanding of SDoH domains and available local/regional resources.
Licenses, Registrations, or Certifications
* Current Community Health Worker certification required.
In accordance with the CHRISTUS Health License, Certification and Registration Verification Policy, all Associates are required to obtain the required certifications for their respective positions within the designated time frame.
Work Schedule:
5 Days - 8 Hours
Work Type:
Full Time
$28k-37k yearly est. 45d ago
Project Manager Information Technology I - IM Project Management Office
Christus Health 4.6
Christus Health job in Irving, TX
Under the direction of the Manager, Director or other senior personnel, the Project Manager determines user demands, establishes work priorities, and plans; directs and monitors project work. Supports Information System related business planning requirements including, but not limited to, budgeting, scheduling, and workload planning. Maintains project issues and reports to Information System management and local steering teams on progress of critical path items. Reports project status and accomplishments. Relies on experience and judgment to plan and accomplish goals. The Project Manager will gather and evaluate information concerning a user's conceptual needs, estimate and schedule project activities and associated costs, coordinate and participate in analysis/design/coding activities, ensure that system changes are fully tested, ensure users are fully trained and prepared, associated guideline and procedure requirements are met, and coordinate implementation of the changes.
Responsibilities:
* Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
* Follow PMO methodology, processes to lead and manage projects end to end.
* Responsible to manage multiple, small to medium size projects.
* Responsible for creating and managing project scope, resource, and budget.
* Responsible for analyzing, understanding business requirements, vendor statement of works and other form of requirement documents to clearly outline project artifacts.
* Responsible for creating Charter, Project Plan, Budget Tracker, RACI, Weekly Status Reports, Project Steering Committee, and presentation materials, GLRA and Change Management processes.
* Responsible for establishing critical path milestones and reporting the status to the executive leadership on a regular basis.
* Must develop concrete project plan before moving project to implementation. Lead and track the project progress by the project plan. Not acceptable to manage projects without project plan.
* Adhere to PPMO department policies, procedures, and documentation requirements. All projects and documentations are subject to internal/external audits, must need to maintain meticulous documentation.
* Responsible for facilitating planning & design sessions to iron out clear in-scope, out of scope and designs of the projects.
* Expected to manage multiple projects at the same time while maintaining the same quality. Projects can be from simple to complex type.
* Training: Works with IS Training and Vendors on the following:
* Planning for and ensuring preparation and maintenance of documentation pertaining to programming, systems operation, and user documentation.
* Translating business specifications into user documentation.
* Planning, writing, and overseeing user support documentation efforts, including online help screens.
* Insuring training of users in the operation and functionality of computer applications and the related business processes.
* Validating competency of users in utilization of information systems prior to systems go-live or major changes.
* Ensuring super-users or other support personnel are in place at go-live, and succession planning is documented to insure ongoing competency support in facilities and departments affected by new systems being implemented or upgraded.
Job Requirements:
Education/Skills
* Bachelor's degree in related field or relevant experience in an Information Systems environment required.
Experience
* Working experience in large multi-hospital system is preferred
* Clinical project implementation and management is required, Epic or Meditech specific experience is preferred.
* Previous experience managing projects of small to medium scope and complexity.
* Must have two years previous experience working on information technology project teams and in obtaining customer requirements and other analysis activities.
* Clinical education background is a preferred
Licenses, Registrations, or Certifications
* PMI Certification strongly preferred.
Work Schedule:
8AM - 5PM Monday-Friday
Work Type:
Full Time
$86k-113k yearly est. 3d ago
Licensed Nurse Care Coordinator - Population Health Admin
Christus Health 4.6
Christus Health job in Irving, TX
An LVN/ LPN plays a crucial role in managing patient care and ensuring continuity of services. The Care Coordinator is responsible for making telephonic outreaches to members attributed to our value-based contacts. They support the ACO and CIN network providers and practices in successfully meeting quality improvement initiatives, monitoring standards of care and managing high risk multi morbidity patient populations across CHRISTUS Health ministries. The role focuses on improving quality care gaps, promoting preventive care, and improving patient outcomes.
Responsibilities:
* Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
* Identify quality gaps. Participate in Quality Improvement Programs as indicated.
* Support Primary Care Providers and assist patients in scheduling preventative screenings and appropriate appointments. Maintain ongoing communication with healthcare providers through various tools and meetings.
* Value-based care quality performance and pulls reports to identify open care gaps. Conducts telephonic outreach on behalf of providers to close care gaps & address medication adherence to facilitate star rating and quality performance.
* Providing counseling and health education to patients and families, using appropriate materials and standardized protocols. Serve as a subject matter expert in care transitions & quality metrics. Assist in educating practice staff on quality, payor, and government program requirements
* Communicate resources and services available to patients through the continuum of care.
* Escalate health concerns to Primary Care providers and place referrals to appropriate care team members, i.e., Nurse Navigation, CHW, etc. Develop professional working relationships with ACO and CIN network providers, practice managers, and their staff to collaboratively manage follow-up care and improve overall health and wellness
* Document relevant, comprehensive information and data using standard assessment tools. Maintain patient chart compliance through proper documentation and updated: preventative screenings, medical history, medication, and immunizations.
* Unburden primary care providers by placing approved orders for labs and other screenings as per the Standing Delegated orders.
* Perform Transition of Care calls on patients transitioning from an inpatient stay to home, or emergency department encounter to identify the need for a follow-up appointment, community resource needs, scheduling follow-up appointments, reviewing discharge instructions, and medications. Utilizing clinical judgment and problem-solving skills to coordinate appropriate care with physicians and Nurse Navigation.
* Must have exceptional oral communication skills, strong organizational skills, and ability to adapt to change.
* Perform other duties as assigned.
Job Requirements:
Education/Skills
* High school diploma required.
Experience
* Minimum of 3 years of clinical or home health experience required.
* Knowledge of government programs (CMS), accountable care organizations (ACOs), HEDIS, and experience with payor cost sharing initiatives preferred.
* Knowledge of physician office practice operations and one year of experience in physician practice is preferred.
* Proficiency in keyboarding and EHR systems, primarily Epic.
Licenses, Registrations, or Certifications
* LVN/LPN in the state of employment and/or compact licensure required.
In accordance with the CHRISTUS Health License, Certification and Registration Verification Policy, all Associates are required to obtain the required certifications for their respective positions within the designated time frame.
Work Schedule:
8AM - 5PM Monday-Friday
Work Type:
Full Time
The associate is responsible for the duties and services that are of a support nature to the Revenue Cycle division of CHRISTUS Health. The associate ensures that all processes are performed in a timely and efficient manner. The primary purpose of these positions is to ensure account resolution and reconciliation of outstanding balances for CHRISTUS Health patient accounts. The Job works in a cooperative team environment to provide value to internal and external customers.
The associate carries out his/her duties by adhering to the highest standards of ethical and moral conduct, acts in the best interest of CHRISTUS Health, and fully supports CHRISTUS Health's Mission, Philosophy, and core values of Dignity, Integrity, Compassion, Excellence and Stewardship.
Responsibilities:
* Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
* Performs Revenue Cycle functions in a manner that meets or exceeds CHRISTUS Health's key performance metrics.
* Ensures PFS departmental quality and productivity standards are met.
* Collects and provides patient and payor information to facilitate account resolution.
* Maintains an active working knowledge of all Government Mandated Regulations as it pertains to claims submission. Responsible to perform the necessary research in order to determine proper governmental requirements prior to claims submission.
* Responds to all types of account inquires through written, verbal, or electronic correspondence.
* Maintains payor-specific knowledge of insurance and self-pay billing and follow-up guidelines and regulations for third-party payers. Maintains working knowledge of all functions within the Revenue Cycle.
* Responsible for professional and effective written and verbal communication with both internal and external customers in order to resolve outstanding questions for account resolution.
* Meets or exceeds customer expectations and requirements, and gains customer trust and respect.
* Compliant with all CHRISTUS Health, payer, and government regulations.
* Exhibits a strong working knowledge of CPT, HCPCS, and ICD-10 coding regulations and guidelines.
* Appropriately documents patient accounting host system or other systems utilized by PFS in accordance with policy and procedures.
* Provide continuous updates and information to the PFS Leadership Team regarding errors, issues, and trends related to activities affecting productivity, reimbursement, payment delays, and/or patient experience.
* Professional and effective written and verbal communication required.
* Billing
* Review and work on claim edits.
* Works payor rejected claims for resubmission.
* Works reports and billing requests.
* Demonstrates strong knowledge of standard bill forms and filing requirements.
* Exhibits and understanding of electronic claims editing and submission capabilities.
* Correct claims in RTP status in the designated claim system per Medicare guidelines.
* Maintains an active knowledge of all governmental agency requirements and updates.
* Collections
* Collect balances due from payors ensuring proper reimbursement for all services.
* Identifies and forwards proper account denial information to the designated departmental liaison. Dedicated efforts to ensure a proper denial resolution and timely turnaround.
* Maintain an active knowledge of all governmental agency requirements and updates.
* Works collector queue daily utilizing appropriate collection system and reports.
* Demonstrates knowledge of standard bill forms and filing requirements.
* Identify and resolve underpayments with the appropriate follow-up activities within payor timely guidelines.
* Identify and resolve credit balances with the appropriate follow-up activities within payor timely guidelines.
* Identify and communicate trends impacting account resolution.
* Corrects claims in RTP status in the designated claim system per Medicare guidelines.
* Initiates Medicare Redetermination, Reopening and/or Reconsideration as needed.
* Working knowledge of the CMS 838 credit balance report.
* Vendor Coordinator
* Acts as liaison between external vendors and Revenue Cycle departments to monitor external vendor activities and ensures accounts placed for collection are received timely and acknowledged as received by the vendor.
* Manages account transfers between CHRISTUS Health and the various contracted vendors.
* Coordinates with Revenue Cycle Managers (Collections, Billing, Cash Applications, etc.) to review of selected accounts prior to transfer and placement with an external third party.
* Ensures accounts deemed as closed or uncollectible by the vendors are properly reflected in applicable AR systems.
* Maintains department reports measuring agency performance, which includes account placements, collections, returns, and performance metrics.
* Advises vendors of CHRISTUS Health billing and collection procedures and ensures accounts identified with third-party coverage are properly billed by the entities as requested by the vendor.
* Audits all vendor remittances and ensures all fees billed to CHRISTUS Health are in accordance with the contract and include supporting documentation of payments posted to the account on the patient accounting systems.
* Recalls accounts incorrectly placed and/or as requested by Revenue Cycle Managers with the external vendor and returns accounts to open receivables as appropriate.
* Creates tools, reports, or documentation that enables Revenue Cycle Leadership to understand, manage, and measure their vendor's performance and to prioritize important relationships.
* Performs account reconciliation between CHRISTUS Health system and vendor system.
Job Requirements:
Education/Skills
* HS Diploma or equivalent years of experience required.
* Post HS education preferred.
Experience
* 1-3 years of experience preferred.
* Experience working within a multi-facility hospital business office environment preferred.
* College education, previous Insurance Company claims experience, and/or health care billing trade school education may be considered in lieu of formal hospital experience.
* Experience working with inpatient and outpatient billing requirements of UB-04 and HCFA 1500 billing forms preferred.
* Experience with Medicare & Medicaid billing processes and regulations preferred.
* Understanding of Medicare language.
* Knowledge in locating and referencing CMS and/or Medicare Regulations preferred.
Licenses, Registrations, or Certifications
* None required.
Work Schedule:
MULTIPLE SHIFTS AVAILABLE
Work Type:
Full Time
The Credentialed Trainer I is responsible for training delivery, support, and all related tasks associated with their assigned application(s). The Credentialed Trainer works with the Principal Trainers, Clinical Informatics Analysts, Clinical Informaticists, Health System leaders and Education to assure end users can use the system. They identify individuals who may need additional support or training and provide support, as needed. They ensure that students can use the designated application effectively and efficiently. The Credentialed Trainer is credentialed in assigned application(s) and maintains proficiency.
Responsibilities:
* Help plan, organize, and teach classes required for the successful implementation and adoption of the electronic health record
* Collaborate with end users and Principal Trainers to ensure build, training, and support is aligned with approved workflows
* Collaborate with Principal Trainers to ensure coverage for all scheduled classes and support
* Responsible for classroom preparation, making sure materials are printed and available, classrooms are organized and clean
* Provide assistance in the maintenance of classroom information on online learning modules, assuring accuracy and completeness
* Provide onsite end user support through rounding, attending associate fairs and other support activities; proactively seek out support needs and provide innovative ideas
* Work with the provisioning team to assure associates have completed the appropriate training before access is granted
* Ability to review Visio workflows and articulate the process as it relates to documentation in the EHR (Electronic Health Records)
* Customize and create job aides as assigned, using approved templates, and adhering to standardized style-guides
* Attend meetings, produce deliverables on time, and escalate issues or concerns appropriately
* Complete job shadows, deliver training, support, and build confidence for end users
* Function as an advocate for end users by relaying issues or opportunities for improvement to Principal Trainers
* Ability to test and troubleshoot the Training and build environment
* Training delivery including workflow-based and role-specific class content, eLearning, job aides, and Learning Home Dashboards
* Work under minimal supervision
* Elevate questions, problems, and significant challenges to more senior team members for direction or subject matter expertise on new or unprecedented assignments
* Require minimal instruction on day-to-day work and detailed instructions on new assignments
* Make decisions regarding own work on primarily routine cases
* Strong organizational and communication skills
* Other duties as assigned by Principal Trainers or Management
Requirements:
* High School diploma required; Associate degree preferred
* One+ year of experience with education. Healthcare industry education preferred.
* Preferred experience with adult learners, in-person, and virtual training
* Previous experience as a Credentialed Trainer, End User, Informaticist, Analyst, Logistics Coordinator, or Facilitator for one or more Epic applications is strongly preferred
* Experience in instructional design, training, using Epic system
* Experience with multiple full-cycle implementations, post-live support, and quarterly upgrade experience is preferred
* Experience with Microsoft Office suite including Outlook, SharePoint, PowerPoint, and Word
* Experience or willingness to learn Excel, Teams, Shifts, Tasks, and Lists required
* Experience with any industry LMS (Learning Management System) is preferred
* Proven track-record of successfully delivering projects on time and within budget
* Achieve designated Epic Credentialed status within 6 months of hire (or as agreed upon with manager)
* Cross-training in one or more Epic applications with Credentialed status is expected within one year of hire (or as agreed upon with manager)
Work Schedule:
8AM - 5PM Monday-Friday
Work Type:
Full Time
$92k-120k yearly est. 17d ago
Cyber Security Analyst I - IM Security
Christus Health 4.6
Christus Health job in Irving, TX
The Cyber Security Analyst I is responsible for the review and implementation of IT Governance and Risk and Compliance (GRC) aspects of the business. This role will work closely with business stakeholders and junior Cyber Analysts during contract negotiations and will conduct Vendor Risk Assessments (VRA) and Application Risk Assessments (ARA) using industry NIST/ISO best practices. This role should have a strong understanding of Security Governance frameworks/standards such as HIPAA, PCI/DSS, NIST and ISO. Additionally, the ability to work with structure policies and procedures along with keeping such documents current is critical. Further, this job requires exceptional customer service skills with the ability to communicate with many internal/external customers at different levels within the organizational hierarchy. The Cyber Security Analyst II is also responsible for supporting the business goals and objectives for the Department, the Information Management Organization, and the organization as a whole.
Responsibilities:
* Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
* Reviews contracts; identifies and classifies Information Security Risks.
* Performs Vendor Risk Assessments; works with business stakeholders to classify and mitigate identified security risks.
* Provides daily support of Business Stakeholders as assigned by the Security Assurance ticketing system and peer reviews of other Cyber Team Members work.
* Researches and understands emerging information security threats and vulnerabilities.
* Performs other risk assessments, such as HIPAA, PCI/DSS, etc., under the guidance of the Director of Information Security.
* Assists with the selection and implementation of tools which enforce or monitor compliance with information security policies, standards and requirements.
* Provides after-hours coverage for security event monitoring and incident response.
* Maintains and demonstrates the ability to work well on assigned tasks through actions and job performance. Collaborates with and assists IM leaders, directors and staff in the fulfillment of corporate objectives and goals.
* Follows approved mechanisms to document and report on all incidents/events. Escalates issues appropriately. Assists in the development of the security plan.
Requirements:
Education/Skills:
* Associate's Degree in related field, or equivalent years of experience, preferred
Experience:
* 0-1 years of IT, Audit/Compliance, Cyber Security, or security assurance experience preferred
Licenses, Registrations, or Certifications:
* One or more of the following basic Cyber Security certifications is preferred:
* CYSA
* Security+
* Network+
In accordance with the CHRISTUS Health License, Certification and Registration Verification Policy, all Associates are required to obtain the required certifications for their respective positions within the designated time frame.
Work Schedule:
5 Days - 8 Hours
Work Type:
Full Time
$85k-109k yearly est. 1d ago
Supervisor Care Management Population Health - Population Health
Christus Health 4.6
Christus Health job in Irving, TX
The Supervisor Care Management Population Health will support the Director of Care Management in the overall vision for the Population Health and Care Management, including planning, organizing, and coordinating the activities of the Population Health Care Management programs. Requirements include working knowledge of Population Health, Accountable Care Organizations, Clinical Integrated Networks, EMRs, Value-based Contracts, CMS guidelines, Quality Measures including definition, interpretation, and documentation of inclusions and exclusions, Transitions of Care, Post-Acute Home Health Recertification, MCG Chronic Care Guidelines and Home Care Guidelines, Clinical Workflow in Primary Care Setting with ability to work with Primary Care Clinics to implement Nurse Navigation and/or Care Coordination without interruption of workflow or impacting clinician/staff satisfaction.
Responsibilities:
* Supports leadership with the selection, training, development, appraisal, work assignments, performance management, staffing, and productivity of Associates within Population Health Care Management.
* Understands and supports "Triple Aim" objectives of Population Health and promotes these objectives in concert with organizational Core Values when supervising and leading the teams.
* Provides formal, structured orientation/training process for new Associates with regular opportunity for feedback and assessment of competency upon completion.
* Collaborates with Primary Care Clinics to implement Care Coordination and/or Nurse Navigation for value-based contracts; has experience with ambulatory clinic workflow with ability to partner and troubleshoot with ambulatory clinical team to develop and refine operational workflows within the practice and specific EHR; familiar with order sets, appointment templates, scheduling of procedures, and pre-authorization.
* Capable of learning to navigate EHRs to thoroughly research the patient medical record to locate and identify documentation for completion of quality measures; has or can develop expertise regarding clinical knowledge of quality measures with ability to interpret definitions regarding inclusions and exclusions.
* Collaborates with Primary Care Clinical Team to develop and test operational workflows within specific EHR to communicate/document appropriate Home Health Case Conference information and recertification recommendations to the clinician
* Ability to develop collaborative relationships with Home Health Agencies to coordinate 485 plan of care process and Case Conference scheduling.
* Collaborates with Primary Care Clinics to implement Transitions of Care Program with expertise and understanding the CMS requirements for timely outreach, and necessary components of telephonic encounter/documentation for prevention of readmissions and billing higher revenue TOC codes.
* Develops expertise in Epic Healthy Planet/Compass Rose EMR and documentation platform with ability to provide appropriate monthly reporting and dashboards for leadership.
* Has working knowledge and expertise of all associate roles in the department and can step in to assist as needed.
* Oversees RN and/or LVN performance evaluations, time, and attendance
* At direction from the manager, supervises daily RN and/or LVN activities of Population Health Care Management clinical staff, individually and as a team to ensure the following objectives are met:
* Maintains appropriate staffing ratios and team assignments based on volumes
* Responsible for development and maintenance of policies and procedures for department.
* Responsible for HIPAA and Integrity compliance within department
* Works closely with department Manager and Director to identify and plan for opportunities for improvement within areas of responsibility
Requirements:
Education/Skills
* Graduate of an accredited Registered Nursing program
* Bachelor's Degree in Nursing preferred
* Excellent computer skills needed
* Experience with word processing/spreadsheets, including Excel.
* Excellent verbal and written skills
Experience
* Minimum of five years clinical experience
* Three years Case Management experience preferred
Licenses, Registrations, or Certifications
* Active RN Licensure in state of employment
* CCM preferred
Work Schedule:
5 Days - 8 Hours
Work Type:
Full Time
$42k-60k yearly est. 3d ago
Manager Information Services - Service Now
Christus Health 4.6
Christus Health job in Irving, TX
The Manager Information Services will manage the implementation, support, lifecycle management and strategy for content within the designated programs. The Manager will assist with the following: * Train, mentor, and coach IS associates, as well as lead projects and initiatives as assigned.
* Apply strong knowledge of healthcare operations, proven communication, problem-solving, critical thinking, and management skills to guide design, development, and deployment of critical systems.
* Drive continual process improvement in the delivery of application services throughout CHRISTUS Health.
* Maintain knowledge of current and emerging trends in healthcare technology, actively seeking information to stay abreast of best practices, application solutions and services, striving to incorporate innovation in a practical, cost-effective manner.
* Ensure that areas of responsibility and projects are within scope and where applicable
Responsibilities:
* Monitors, manages, and reports day-to-day operations to the System Director to support efficient and effective planning for resource utilization and prioritization of the body of work for which IS is accountable and responsible.
* Successfully manages a full workload across multiple-projects, while leading a team of assigned associates.
* Recruits, onboard, train, mentors, and develop direct reports to deliver high quality services.
* Conducts performance reviews for assigned direct reports.
* Manage assigned associate's time and attendance/payroll.
* May be required to travel to perform duties.
* May be required to work outside of normal working hours.
* May be required to work long hours during critical problems or implementations.
* Other related duties as assigned.
Requirements:
* Bachelor's Degrees in Computer Science, Management Information Systems, business or related field
* Financial skills related to budgeting, forecasting, and managing multi-million-dollar departmental budgets.
* Strong knowledge of major healthcare information system(s).
* 3+ years of experience in Information Technology leadership role.
* Experience in providing and managing customer support in a highly matrixed organization.
* Ability to work on multiple and complex projects.
* Ability to consistently demonstrate positive communication style, strong critical thinking skills and a creative and collaborative approach to problem solving required.
* Adaptable and flexible style, ability to work if dynamic environment.
* Excellent written and oral communication skills including presentation skills.
* Excellent resource management including resource projection and budgeting skills.
* Ability to work in a collaborative way across a diverse, geographically, and culturally, organization.
Work Schedule:
8AM - 5PM Monday-Friday
Work Type:
Full Time
$101k-143k yearly est. 11d ago
Epic Analyst- Grand Central/Prelude/Real Time Eligibility
Christus Health 4.6
Christus Health job in Irving, TX
Summary: The Application System Analyst II serves as a liaison between system end-users (customers), operational leaders, additional support resources and vendors to design, build and optimize their assigned applications in a timely and high-quality manner. The Systems Analyst II will provide application support and optimization. They work closely with the Service Desk to assist in responding to service requests. The Application System Analyst II must be able to analyze business issues/requirements and workflows and apply their application knowledge to meet operational and organizational needs. Project implementation responsibilities include collaborating with customers contributing to the analysis, testing, and documentation and implementation of medium to high complexity activities of assigned software. This position must possess sufficient detailed healthcare knowledge and systems expertise to implement medium to high complexity assigned application with minimal guidance. The Associate must be a self-motivated individual with exceptional communication and interpersonal skills and the ability to work well in team environments. Responsibilities: * Analyze, develop, test, document, educate, implement, support, and maintain or optimize assigned applications, solutions and business processes to meet operational and technical requirements. * Collaborates across project borders with other teams. Thinks outside the box and proposes practical solutions to issues. Provides oversight and project management to assigned tasks. * Demonstrates a solid/working level of subject matter expertise in providing support to projects, customers, and other teams, while proactively working to improve and obtain new expertise in application/system in assigned areas. Utilizes application training, application web site and application resource materials regularly and effectively and is able guide newer team members in utilizing these resources. * Thorough knowledge and understanding of operations, can proactively identify opportunities to enhance customer usability, efficiency and/or experience. Represents user needs and expectations in larger, more complex system updates and enhancements. Provides clear and organized status reporting on key project areas to be used as external communications to stakeholders. * Performs working level process and requirement analysis, including process mapping though current flow charts, documents, future needs/plans, requirement elicitation, stakeholder analysis, and specification gathering to deliver cross team solutions. Responsible for completing working level gap analysis, and providing recommendations. * Able to clearly articulate complex design, configuration issues to end users and project stakeholders. Maintains relationship with end user leadership post-engagement. Proactively addresses end user conflicts. * Contributes to strategy discussions by identifying options with associated pros and cons with team members. Facilitates making timely decisions; makes sound decisions even in the absence of complete information. Recognizes when a quick 80% resolution will suffice. * Adhere to organization standards for system configuration and change control. * Strong technical proficiency in application-specific design and configuration. Ability to clearly articulate and communicate core design, configuration concepts to end users. Able to independently analyze, design, and configure the application. Able to teach design, configuration concepts to new team members. * Collaborate and develop strong relationships with end user communities, customers and business partners. * Collaborate with Operational Leaders to focus on standardized best practice workflow processes and content to ensure alignment across all ministries, to create efficiencies, and to ensure optimal operational processes. * Coordinates code changes with appropriate vendor related to financial and business application issues. * Collaborates with Technical Team to identify and infrastructure related issues that have resulted in application issues. * Share industry best practices from vendors with Operational Leaders. * Demonstrates increasing technical knowledge of the assigned application including relationships of infrastructure and impact to user if unavailable. * Serves as a liaison between business operations and providers, internal information technology, system users and vendors working within the defined project objectives for issue and problem resolution. * Follows strict change management processes ensuring proper approval, testing, and validation of system changes. * Written documentation delivered to end users and leadership shows consistency and attentive review. Is a team player and able to proactively communicate issues and concepts to project leadership. * Associate periodically reviews and auto-corrects his/her skills, habits, work ethic, and behaviors and manages his/her work in an effective and agreeable way among peers. Associate is sensitive and aware of how others perceive them and take care to ensure smooth and effective working relationships and environments. * Proactively and independently troubleshoot and resolve moderate incidents and requests without direction. * Maintains high standards for quality of work for self and others. Provides oversight and feedback on team member design, configuration and deliverables. * Manages medium complexity projects/requests. Collaborates with team members as needed. Proactively evaluates all new release and functionality of applications. * Complete in a timely manner assigned courses within Healthstream, other electronic tracking tools for educational related material or attend presentations in person as assigned. * Ensure the services that he/she provides contribute to the successful accomplishment of the primary mission of the department. * Escalates when SLAs are breached or appropriate vendor action is not occurring. * May be required to travel to perform duties. * May be required to work additional hours as needed during critical problems. * Assist in preparation and conducting of continuing formal or informal training session for users and co-workers. * Identifies and seizes new opportunities, displays can-do attitude in good and bad times and steps up to handle tough issues. * Performs other duties as assigned. Requirements: * Associates or Bachelor's degree preferred with a focus in healthcare, business, or information systems. * Ability to present complex data in meaningful method, i.e., charts, graphs * Ability to adjust to and implement change * Problem Solving skills * Multitasking skills * Work as a team member * Proficient in Microsoft applications including Word, Excel, and PowerPoint * Excellent customer service skills * Highly effective written and verbal communication and interpersonal skills to establish working relationships that foster optimal quality teamwork and education * Strong organizational skills in managing multiple priorities * 3+ Years of experience * 2+ years within healthcare, business, or information systems * Solves moderate incidents without direction * Develops new functionality for requests with little direction * Works in a team setting, sharing information and assisting other junior level team members * Possesses detailed healthcare knowledge and systems expertise * Makes decisions regarding own work on primarily routine cases * Works under minimal supervision, uses independent judgment requiring analysis of variable factors * Collaborates with senior team members to develop approaches and solutions * Mentors and may train team members within own functional or application * Associated certifications on area of focus, preferred * For Epic Analysts: *
Certified or proficient in assigned Epic module (must be obtained within 6 months of employment date) * Certifications or Proficiencies must stay current by maintaining new version training Work Type: Full Time
$58k-79k yearly est. 60d+ ago
Specialty Clinical Pharmacist II -Outpatient Oncology
Christus Health 4.6
Christus Health job in Irving, TX
The Specialty Clinical Pharmacist is responsible and accountable for the provision of safe, effective, and prompt medication therapy. Specialty Clinical Pharmacists provide proficient direct patient-centered care in a decentralized practice setting. In this clinical role, Specialty Clinical Pharmacists participate in all necessary aspects of the medication-use system while providing comprehensive and individualized pharmaceutical care to the patients in their assigned areas. Pharmaceutical care services include but are not limited to assessing patient needs, incorporating age and disease-specific characteristics into drug therapy and patient education, adjusting care according to patient response, and providing clinical interventions to detect, mitigate, and prevent medication adverse events. Specialty Clinical Pharmacists serve as departmental resources and liaisons to other departments, or external groups. They also conduct clinical research and practice advancement projects as well as patient care quality and regulatory compliance initiatives designed to improve medication-use processes or pharmacy practice. Specialty Clinical Pharmacists provide medication and practice-related education/training and actively serve as preceptors for Doctor of Pharmacy students and pharmacy residents. The Specialty Clinical Pharmacists will participate in the quality management program with the goal of improving services by monitoring processes, analyzing data, implementing interventions to improve, and evaluating the effectiveness of those interventions.
The Specialty Clinical Pharmacists will be responsible for the clinical management of patients on a variety of specialty therapies for medical conditions including but not limited to Hepatitis C, inflammatory conditions (gastroenterology, dermatology, asthma, and allergy), pulmonary conditions (idiopathic pulmonary fibrosis, cystic fibrosis), neurology (multiple sclerosis, migraine headache), dyslipidemia, osteoporosis, and oncology.
Responsibilities:
* Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
* Leads assigned patient service lines, clinical areas, and therapeutic programs
* Facilitates pharmaceutical care services, direct patient care programs, and medication utilization systems within assigned services and care areas to ensure drug utilization activities are aligned with patient care needs, evidence-based best practices, and regulatory standards.
* Actively identifies practice-related issues that require evaluation and facilitate clinical research projects, quality improvement initiatives, or healthcare provider education as needed to advance practice.
* Assures pharmacy is an integral part of the healthcare delivery system and facilitates enhancement and expansion of pharmacy services/programs.
* Delivers direct patient care
* Maintains proficiency in the clinical pharmacy program.
* Works as an active member of the multidisciplinary team and collaborates with healthcare providers to provide patient-centered care.
* Identifies high-risk patients and implements interventions to improve quality and safety.
* Makes appropriate evidence-based, patient-centered medication recommendations.
* Oversees the liaisons' workflow to ensure timely review and processing of orders.
* Oversees the prior authorization and appeals process.
* Offers clinical assistance to the technician staff as needed.
* Performs and documents initial and follow-up assessments and consultations in line with program policies and procedures and URAC and ACHC accreditation requirements.
* Participates in a rotating after-hours on-call process.
* Provides pharmaceutical services throughout the health system
* Maintains proficiency in hospital computer systems and medication ordering systems.
* Provides accurate, safe, timely, and appropriate medication therapy based on patient age and needs.
* Completes critical patient monitoring and reviews patient profile/chart to identify, prevent, or mitigate drug-related problems, improper drug or dose selection, sub-therapeutic dosage, overdosage, adverse drug reactions, drug interactions, failure to receive drugs, untreated indications, medication use without an indication, and treatment failures.
* Communicates effectively and appropriately with healthcare providers and caregivers (physicians, nurses, etc.)
* Actively participates in stewardship activities and restricted medication programs.
* Participates in pharmacy operations and medication dispensing as assigned
* Maintains proficiency in and actively engages in operational programs and specialty pharmacy areas as appropriate for job assignment.
* Facilitates experiential education and practice advancement
* Maintains proficiency in preceptor roles and actively emulates education/mentorship skills.
* Develops student, resident, and staff training experiences/competencies and creates new relationships for teaching and training opportunities.
* Identifies, designs, and implements improvements in the medication-use system to advance patient safety, maximize therapeutic outcomes, or control costs.
Job Requirements:
Education/Skills
* Doctor of Pharmacy degree from an ACPE accredited school of Pharmacy is required.
* Must accrue American Society of Health-System Pharmacists (ASHP) Residency Preceptor status within 18 months of hire.
Experience
* PGY1 residency or 5 years of clinical practice (community, ambulatory care, PBM, or hospital) required.
* PGY2 residency preferred.
* Specialty pharmacy experience preferred.
* EPIC suite products experience preferred (EMR, Compass Rose, Willow Ambulatory)
* Significant knowledge and expertise in advanced pharmacy practice, specialty medication therapy management, and specialty evidence-based medicine in areas appropriate for clinical assignments required.
Licenses, Registrations, or Certifications
* Licensed pharmacist in the state of practice.
* Pharmacy preceptor license within 90 days of start date.
* Must obtain Certified Specialty Pharmacist (CSP) certification or other applicable board (e.g. BCOP, BCACP, BCPS, BCMTMS, BCGP) certification within 18 months of hire.
Work Schedule:
8AM - 5PM Monday-Friday
Work Type:
Full Time
$97k-143k yearly est. 17d ago
ServiceNow Developer Lead - IM Application Development
Christus Health 4.6
Christus Health job in Irving, TX
The Information Services Developer Lead reports directly to the Manager Information Services and is responsible for leading and coordinating the efforts and content within the designated focus area. This position is the most senior level and will require coordination and consistency across the development team. Specific responsibilities include providing oversight for applications support including Incident, Problem, Request and Change Management. This position requires a self-starter with the ability to work with minimal oversight.
Responsibilities:
* Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
* Acts as primary representation in phases of implementation including build, configuration, testing, go-live support, and optimization
* Leads the focus area workgroups, providing oversight for related processes. Manages communication between the application teams as appropriate; facilitates application and cross-application work sessions.
* Works collaboratively with application and compliance teams to design system processes.
* Acts as customer liaison, working with end-users or business contacts to understand business needs and communicate the requirements and timelines.
* Maintains knowledge of Epic including Nova release notes, User Forum, Galaxy, and other documentation published through the Epic User Web.
* Develop and maintains documentation, remain informed of the latest features and functionality to enhance the focus area to gain efficiencies.
* Maintains expert knowledge of all technologies applicable to specific job responsibilities.
* Work with Application teams including Application Development, and Business Process Owners to design, develop, and maintain application aspects within prescribed policies and requirements.
* Pursues professional growth and development through personal reading, seminars, workshops, and professional affiliations to keep abreast of the trends in his/her field of expertise.
* Provides technical development input and implementation of design as it relates to the existing applications that correspond with the architecture strategies at an enterprise level.
* Takes direction or may lead in some areas to assist in the execution of CHRISTUS' overall information systems strategy as it pertains to their vision of the organization in both strategic and tactical plans. Involved in team adoption, execution and integration of strategy to achieve optimal and efficient deliver
* Leads in the evaluation of proposed system acquisitions or solutions development and provides input to the decision-making process relative to compatibility, cost, resource requirements, operations, and maintenance
* Leads in development of standards, design and implementation of proactive processes to collect and report data and statistics on assigned systems
* Leads in the research, design, development, and implementation of application, database, and interface using technologies platforms provided.
* May be required to work outside of normal working hours.
* May be required to work long hours during critical outage events and on-call rotation.
* Performs other duties as assigned.
Requirements:
* Bachelor's degree in Computer Science, Engineering, Math or related field
* Strong technical knowledge of Enterprise Application/Integration Design and Development of systems, databases, operating systems and Information Services.
* Must have strong communication skills and ability to develop and lead technical teams
* Minimum of five (5) years development experience in a corporate environment required.
* 2+ years of supervisory experience and leading development teams are preferred.
* Working experience in Design and Coding.
* Knowledge of industry-standard WEB platforms (JAVA, NET/C#), Integration Middleware, Automation (RPA and Test Automation), Microsoft Internet Information Server, Linux, Apache, Unix, Microsoft Foundation Server.
* Experience working with Internal or External customers for an organization in coordinating work and designing solutions.
* Experience utilizing the Software Development Lifecycle (SDLC), Agile/Waterfall Methodologies preferred.
Work Schedule:
8AM - 5PM Monday-Friday
Work Type:
Full Time
$106k-127k yearly est. 31d ago
Credentialing Auditor - Staff Credentialing
Christus Health 4.6
Christus Health job in Irving, TX
Responsible for auditing all complete credentialing applications and to build sound, effective and efficient audit processes. Responsibilities: * Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
* Coordinate and conduct credentialing audits analyzing provider files for completeness, accuracy, consistency, gaps in work history, relevant references, etc.
* Prepare credentialing audit reports tracking and trending auditor findings and assist in the formulation of staff training guides, policies and procedures Manages multiple concurrent audits, plan audits and related projects ensuring all audit tools comply with NCQA, TJC and CMS requirements Coordinates the credentialing and re-credentialing process for assigned providers
Requirements:
Education/Skills
* Bachelor's Degree preferred
* High School or equivalent required
Experience
* 3 years of experience in medical staff and/or managed care credentialing preferred
Licenses, Registrations, or Certifications
* Certified Provider Credentialing Specialist (CPCS) preferred
Work Schedule:
8AM - 5PM Monday-Friday
Work Type:
Full Time
$56k-65k yearly est. 31d ago
Director Career Development - Talent Development and Culture
Christus Health 4.6
Christus Health job in Irving, TX
The Director of Career Development works alongside the Talent leadership team to develop strategies and programs that guide CHRISTUS Leaders and Associates in in their career journeys. This individual is an expert in the CHRISTUS Competency model, and uses the model to help develop a comprehensive development program portfolio. Additionally, this leader will partner with stakeholder to help define career paths, and align the appropriate education necessary to navigate them.
Responsibilities:
Capability and Competency Management
* Own and maintain competency framework, including core and role-based competencies across the System
* Define behaviors and experiences required to succeed for various roles and job profiles across CHRISTUS
* Develop metrics and reports to track success, including internal and external benchmarking
* Develop communications and implementation plan to bring continued awareness to the OneCHRISTUS Competency Model
Program Management
* Own and manage Associate education and development strategy
* Design and manage pipeline development programs (e.g. Associate Hi-Po programs, CHRISTUS Summer Internship Program, CHRISTUS RISE Mentorship program) aimed at growing and retaining key talent within the organization.
* Integrate best-practice learning technologies to ensure all programs are accessible and engaging for participants
* Develop metrics and reports to track success of programs, including internal and external benchmarks.
* Partner with Succession Management to conduct bench strength assessment of critical roles across the System and skills gaps
* Develop metrics and reports to track success, including internal and external benchmarking
* Develop communications and implementation plan; collaborate with HR Strategy partners to disseminate information to respective stakeholders as needed
General Leadership
* Set design direction for career development policies, programs, process development and continuing improvement
* Advise the COE leader, HR leadership, and other stakeholders with respect to issues and needs within career development
* Evaluate opportunities to enhance the delivery of such services, including directing the development of service scope, resource requirements, process and role impacts, and business case or justification
* Partner with Talent Leadership Team to ensure a consistent talent management experience for employees across their lifecycle at CHRISTUS
* Design and implement programs and tools to improve organizational effectiveness and increase individual, team, COE and business unit performance
* Lead strategic planning and research and communicating the company point of view in career development
* Maintain subject-area expertise and assure quality of policy/program design
* Ensure that the work performed and the services provided are consistent with the required quality levels and established standards and metrics
* Ensure alignment of all programs to Mission and Core Values of CHRISTUS
* Managing budget allocated and cost for content area effectively
* Guide team members and managing their performance and development
* Keeping team members informed of the team's overall direction, strategy and goals
* Participate in the development of Diversity & Inclusion strategy and action planning
* Ensuring stakeholder participation and involvement
Requirements:
* Bachelor's Degree required
Work Schedule:
8AM - 5PM Monday-Friday
Work Type:
Full Time
$54k-74k yearly est. 1d ago
RN, Registered Nurse - ECC Emergency Care
Christus Health 4.6
Christus Health job in Kaufman, TX
The competent Nurse, in the same or similar clinical setting, practices independently and demonstrates an awareness of all relevant aspects of a situation. Provides routine and complex care, with the ability to on long-range goals or plans. Continues to develop the ability to cope with and manage contingencies of clinical nursing. Makes appropriate assignments and delegates to other care providers as a means to help manage the clinical situation.
Responsibilities:
Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
Consistent with the ANA Scope and Standards of Practice, provides nursing care utilizing the nursing process, including assessment, diagnosis, planning, intervention and evaluation for assigned patients.
Addresses increasingly complex psychological, emotional, cultural, and social needs of patient and families in accordance with their level of practice.
Using the appropriate protocol, administers medications and treatments; monitors for side-effects and effectiveness of the treatment prescribed.
Documents patient history, symptoms, medication, and care given.
Assess learning needs and provides education to patients, family members and/or care givers; identify issues and resources.
Job Requirements:
Education/Skills
Bachelor of Science Degree in Nursing, preferred
Experience
1 year of experience in the related nursing specialty preferred
Licenses, Registrations, or Certifications
BLS required
RN License in state of employment or compact
Position Requirements:
Education/Skills
All newly hired experienced RNs must attend New Nurses Orientation within the first 30 days of hire.
New hires are precepted by a designated trained staff member and initial on-boarding requirements are validated through successful completion of the designated organizational entry competency validation and an Emergency Department- specific competency validation.
All newly licensed RNs may participate in a residency program or other specific orientation. Skills completion and competency completion will be achieved with the preceptor at the bedside and documented through the program's tracking software.
Completion of all annual competency verification requirements.
Experience
One year of experience in a related nursing specialty preferred.
Licenses, Registrations, or Certifications
Current ACLS certification required
Current PALS certification required
Current TNCC certification required
In accordance with the CHRISTUS Health License, Certification and Registration Verification Policy, all Associates are required to obtain required certifications for their respective positions within the designated time frame.
Credential Grace Periods:
If additional credentials are required per the Position Requirements section, a grace period to obtain the certification will apply, dependent on your experience level.
Any Candidate/Associate with at least one year of acute care clinical experience in a similar service line within the past three years is considered an Experienced Associate.
Any Candidate/Associatewho doesnothave at least one year of full-time acute care clinical experience in the same service line within the past three years is considered an Experienced Associate New to the Specialty.
Credential
Grace Periods for
Experienced Associates
Grace Periods for
New Graduates & Experienced Associates New to the Specialty
Basic Life Support (BLS) No grace period. AHA or Red Cross accepted at time of hire. No grace period. AHA or Red Cross accepted at time of hire. Advanced Cardiac Life Support (ACLS) Within 30 days of hire. Within 90 days of hire. Pediatric Life Support (PALS) Within 30 days of hire. Within 90 days of hire. Trauma Nurse Core Curriculum (TNCC) Within 60 days of hire. Within 18 months of hire. Trauma Care After Resuscitation (TCAR) Within 60 days of hire. Within 18 months of hire. Neonatal Resuscitation Program (NRP) Within 30 days of hire. Within 60 days of hire. AWHONN INTERMEDIATE FHM (Fetal Heart Monitoring) Within 30 days of hire. Within 60 days of hire. STABLE (Neonatal Education) Within 30 days of hire. Within 60 days of hire.
Work Schedule:
PRN
Work Type:
Per Diem As Needed