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Licensed Practical Nurse jobs at Texas Children's Hospital - 67 jobs

  • Registered Nurse (RN) - Hemoc/Oncology - Cancer Center

    Texas Children's Hospital 4.7company rating

    Licensed practical nurse job at Texas Children's Hospital

    We are searching for an Inpatient Staff Nurse -- someone who works well in a fast-paced setting. In this position, you will provide nursing care to patients by assessing, planning, educating, implementing, and evaluating age-appropriate care in a manner that incorporates family-centered principles and cost-effective care. Think you've got what it takes? Qualifications: Bachelor's degree, associate's degree in a related field accepted by the Texas Board of Nursing for the purposes of obtaining and maintaining an RN license, technical diploma in nursing with acceptance or current enrollment in a BSN program and signed agreement, or currently enrolled in a nursing bridge program working toward an MSN is required RN license from the Texas Board of Nursing or Nurse Licensure Compact required BLS from the American Heart Association required 1-year professional nursing experience required 1- year of nursing experience in Pediatrics, Hematology/Oncology, ICU or Critical Care preferred As part of our commitment to maintaining a safe and healthy workplace, all successful candidates will be required to undergo respiratory fit testing in compliance with occupational health and safety standards ESSENTIAL DUTIES AND RESPONSIBILITIES Performs and documents assessment of the patient/family including biophysical, psychosocial, developmental (age-appropriate), cultural, spiritual, and environmental needs in an organized and systematic manner Develops an individualized plan of care based upon the nursing assessment reflecting the bio-physical, psychosocial, developmental (age-appropriate), cultural, spiritual, and environmental needs of the patient/family and ensures plan is initiated, dated, and individualized by the RN within 24 hours of admission Executes therapeutic physician or nurse interventions according to established standards of practice and appropriate policies and procedures related to care delivery Identifies and documents changes in patient's condition and/or abnormal findings and uses appropriate problem solving and interventions Identifies actual/potential barriers to learning (emotional, physical, cognitive, etc.) and utilizes teaching strategies and materials as appropriate to the learning ability of the patient/family Ensures and participates in ongoing communication with other health care team members in order to provide timely performance of diagnostic examination and effective patient flow from admission to discharge Demonstrates appropriate delegation and prioritization skills related to patient interventions and therapies
    $46k-58k yearly est. 6d ago
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  • Licensed Vocational Nurse

    Texas Children's Hospital 4.7company rating

    Licensed practical nurse job at Texas Children's Hospital

    We are searching for a Licensed Vocational Nurse for our Texas Children's Pediatric Clinic- Rayford - someone who works well in a fast-paced setting. In this position, you will gather information, assess and provide direct care to patients. Works collaboratively with other members of the healthcare team to render age appropriate care. Think you've got what it takes? Job Duties & Responsibilities * Assists in the collection of patient/family data that may include biophysical, psychosocial, developmental, cultural, and environmental information per practice protocol. * Collects and documents vital signs, BMI, height/weight and reason for visit with 100% accuracy. Updates documentation to include if patient has received care at any other location since last visit. * Prepares patient for examination per practice protocol. * Assists provider, as directed, during treatments, examinations and testing as directed by provider and within scope of practice. * Completes treatments as directed by provider and within scope of practice. * Documents all interventions per practice protocol. * Administers medication and immunizations as directed by provider per practice protocol. * Documents administration of medication and immunizations in the electronic health record per practice protocol. * Provides patient/family education as instructed by the provider or practice protocol. * Documents such education in the electronic health record. * Tasks are measured by observation of evaluator, feedback of provider and review of electronic health record. * Provides patient/family education as instructed by the provider or practice protocol. * Documents such education in the electronic health record. * Tasks are measured by observation of evaluator, feedback of provider and review of electronic health record. * Assesses patient's eligibility for referral by verifying coverage with payer prior to initiating referral. * Collects specimens and performs laboratory test * Verifies provider order and patient per practice protocol. * Demonstrates Creating SMILES and AIDET philosophies to patients, families and co-workers * As part of our commitment to maintaining a safe and healthy workplace, all successful candidates will be required to undergo respiratory fit testing in compliance with occupational health and safety standards. Skills & Requirements * H.S. Diploma or GED And Other Diploma or Certificate from a school of vocational nursing Required OR Documentation from the Texas Board of Nursing verifying an exception to the requirement for a diploma from a school of vocational nursing * LVN - Lic-Licensed Vocational Nurses State of Texas And * BLS - Cert-Basic Life Support American Heart Association
    $33k-44k yearly est. Auto-Apply 9d ago
  • Registered Nurse (RN), Inpatient - Labor and Delivery, LDRP

    Texas Children's Hospital 4.7company rating

    Licensed practical nurse job at Texas Children's Hospital

    We are searching for Staff Nurses for our Labor & Delivery Team in North Austin! We are looking for someone who works well in a fast-paced setting. In this position you'll provide quality nursing care to patients by assessing, planning, educating, implementing, and evaluating age appropriate care in a manner that incorporates family-centered principles and cost-effective care. We need someone who can collect and analyze data from the medical record in order to coordinate patient care. Think you've got what it takes? QUALIFICATIONS Bachelor's degree in nursing or other degree in nursing with acceptance or current enrollment in a BSN program and signed agreement Current licensure with the Board of Nursing for the State of Texas or Nurse Licensure Compact and BLS certification are required 1 year of professional nursing experience The ability to demonstrate positive and appropriate interpersonal skills, good time and resource management skills, flexibility, strong oral and written communication skills, knowledge of unit-specific equipment, and knowledge of the nursing process, critical thinking skills, and interdisciplinary collaboration Previous L&D and LDRP experience highly preferred! As part of our commitment to maintaining a safe and healthy workplace, all successful candidates will be required to undergo respiratory fit testing in compliance with occupational health and safety standards. RESPONSIBILITIES Perform and document assessments of the patient/family including biophysical, psychosocial, developmental, cultural, spiritual, and environmental needs Collect and analyze data from the medical record in order to coordinate patient care Analyze situations, anticipate potential problems, and detect changes in patient status Identify each patient's needs pertaining to patient teaching, discharge planning, growth and development, nutritional screening, functional status, and pain management Develop an individualized plan of care based upon the nursing assessment and re-prioritize and change as necessary Determine which standards of care and practice apply to the patient and coordinate among other health team members as appropriate Participate in interdisciplinary rounds and/or patient care conferences Execute therapeutic physician or nurse interventions according to established standards Evaluate and document the patient's response to the care provided and recognize their progress towards the desired outcome Identify actual/potential barriers to learning and utilize various teaching strategies to overcome them as appropriate Maintain confidentiality concerning patient/family issues Act as a resource in educating new employees/team members Participate in achieving hospital/unit goals, structures, and priorities
    $32k-57k yearly est. 6d ago
  • Licensed Vocational Nurse (LVN) - TCP Palm Center

    Texas Children's Hospital 4.7company rating

    Licensed practical nurse job at Texas Children's Hospital

    We are searching for a Licensed Vocational Nurse (LVN) TCP Palm Center-- someone to gather information, assess and provide direct care to patients. Works collaboratively with other members of the healthcare team to render age-appropriate care. Think you've got what it takes? * Knowledge of pediatric assessment and treatment * Vaccination and triage experience Qualifications: * High school graduate, GED, or equivalent * Diploma or Certificate from a school of vocational nursing OR Documentation from the Texas Board of Nursing verifying an exception to the requirement for a diploma from a school of vocational nursing * Licensed Vocational Nurse (LVN) by the State of Texas Board of Nurse Examiners or Compact * Basic Life Support (BLS) certification required from the American Heart Association "As part of our commitment to maintaining a safe and healthy workplace, all successful candidates will be required to undergo respiratory fit testing in compliance with occupational health and safety standards. " Demonstrates SMILES and AIDET philosophies to patients, families and coworkers * Acknowledges the customer * Identifies self * Gives customer a time expectation * Keeps customers informed by explaining all tasks, processes and procedures * Thank the customer * Adheres to Standards of Behavior * Tasks are measured by observation of evaluator Responsibilities: * Assists with the collection of patient/family data * Provides general patient care * Administers medication and immunizations * Supports patient/families in self-management of their health through assisting with education * Triages patients * Coordinates referrals * Collects specimens and performs laboratory test
    $33k-44k yearly est. Auto-Apply 23d ago
  • Utilization Management Denial Coordinator LVN

    Texas Children's Hospital 4.7company rating

    Licensed practical nurse job at Texas Children's Hospital

    We are searching for a UM Denial Coordinator Licensed Vocational Nurse -- someone who works well in a fast-paced setting. In this position, using a collaborative approach, the licensed vocational nurse (LVN) denial coordinator will work with Texas Children's Health Plan (TCHP) medical directors/physician reviewers, network physicians, and network facilities to ensure consistent clinical evaluation and processing of cases not meeting TCHP medical necessity criteria for reasons of medical necessity decisions. Documentation of these decisions and precise record-keeping of notice to Members and network providers is essential in complying with the legal statute and accrediting standards supporting consumer rights. Think you've got what it takes? Job Duties & Responsibilities Create understandably worded letters, with added citation and criteria as applicable Ensure member letters are grammatically correct, with appropriate punctuation Ensure letters are sent in a timely manner to stay in regulatory compliance Generates letters as appropriate (approval, denial, appeal, peer to peer) Reviews cases sent by TCHP Utilization Reviewer to establish of criteria application and time frame of processing meet conditions for denial Teams with the physician team to identify a strategy for action and to be used as well as a choice of guideline citation/response based on the category of denial Validates that authorizations requests are complete and if not, collaborate with UM Reviewers and Medical Directors for correction Collaborates with nurse reviewers, medical directors, external physician reviewers, and network providers Established integrity of the review process of denial compliance and policies and procedures, managed care and Medicaid through informing and auditing practice Ensures the provision of continuity of care needs as required and serves as an advocate on behalf of members and families for out of network authorization approvals Identifies problems/barriers/opportunities in the process and provides for resolution, and revision of plans on an ongoing basis Analyzes requests against regulatory and decision-making guidelines and benefits allowance. Implements action in collaboration with physician reviewer panel and monitors decision making, timeliness, and processing of denials in accordance to regulatory and accrediting guidelines Serves as a Flex team - reviews authorization for inpatient and outpatient requests and processes per established criteria and or guidelines for the appropriate benefit, service, and level of care or setting for the delivery of care and or service Performs other duties, projects and actions as assigned Performs all necessary communication and documentation functions. Communicates with internal staff, physicians, hospital representatives, and other providers on status of case review and due process and explanation of rationale, process, and regulatory processing Ensures daily monitoring of the denial inquiries Re-fax denial notifications or letters, respond to the provider or interdepartmental emails, and document in the referral notes as needed Documents all activities and interactions in the electronic and event tracking systems Handles inquiries from providers and other departments in a professional manner. Collaborates with other reviewers, medical directors, external physician reviewers, and network providers Communicates on each case with physicians to establish the best course of action Serves as a liaison with the Texas Department of Insurance for independent review requests Provides community education for other reviewers on guideline application, changes, and updates Maintains flexible schedule for some evenings and weekends to address potential pharmacy denials Educates physician reviewers and nursing staff on policies and procedures of the Texas Children's Health Plan managed care and Medicaid Conducts staff and medical director(s) audits on denial activities Established integrity of the review process of denial compliance and policies and procedures of the Texas Children's Health Plan, managed care, and Medicaid through informing and auditing practice Performs audits at least annually and quarterly for new hires Provides audits on physician and nursing staff based upon audit findings, developing coaching plans based upon findings Daily updates denial log information Assesses trends in denial types or sources quarterly Reports denial activity type and resolution as well as achievement of timely communication standards Develops and analyzes quarterly reports for the Clinical Advisory Committee, Quality Improvement Committee, and TCHP Leadership to address outcome data to assist in the identification of improvement opportunities Skills & Requirements Graduation from an accredited School of Vocational Nursing LVN - Lic-Licensed Vocational Nurses by the State of Texas Required 5 years of Utilization Management experience and a preferred 3 years of Denial or Appeal experience
    $33k-44k yearly est. Auto-Apply 36d ago
  • Licensed Vocational Nurse- TCP Braeswood

    Texas Children's Hospital 4.7company rating

    Licensed practical nurse job at Texas Children's Hospital

    We are searching for a Licensed Vocational Nurse (LVN) at Texas Children's Pediatric Clinic-Braeswood - someone who works well in a fast-paced setting. In this position, you will gather information, assess and provide direct care to patients. Works collaboratively with other members of the healthcare team to render age appropriate care. Think you've got what it takes? Job Duties & Responsibilities Assists in the collection of patient/family data that may include biophysical, psychosocial, developmental, cultural, and environmental information per practice protocol. Collects and documents vital signs, BMI, height/weight and reason for visit with 100% accuracy. Updates documentation to include if patient has received care at any other location since last visit. Prepares patient for examination per practice protocol. Assists provider, as directed, during treatments, examinations and testing as directed by provider and within scope of practice. Completes treatments as directed by provider and within scope of practice. Documents all interventions per practice protocol. Administers medication and immunizations as directed by provider per practice protocol. Documents administration of medication and immunizations in the electronic health record per practice protocol. Provides patient/family education as instructed by the provider or practice protocol. Documents such education in the electronic health record. Tasks are measured by observation of evaluator, feedback of provider and review of electronic health record. Provides patient/family education as instructed by the provider or practice protocol. Documents such education in the electronic health record. Tasks are measured by observation of evaluator, feedback of provider and review of electronic health record. Assesses patient's eligibility for referral by verifying coverage with payer prior to initiating referral. Collects specimens and performs laboratory test Verifies provider order and patient per practice protocol. Demonstrates Creating SMILES and AIDET philosophies to patients, families and co-workers As part of our commitment to maintaining a safe and healthy workplace, all successful candidates will be required to undergo respiratory fit testing in compliance with occupational health and safety standards. Skills & Requirements H.S. Diploma or GED And Other Diploma or Certificate from a school of vocational nursing Required OR Documentation from the Texas Board of Nursing verifying an exception to the requirement for a diploma from a school of vocational nursing LVN - Lic-Licensed Vocational Nurses State of Texas And BLS - Cert-Basic Life Support American Heart Association
    $33k-44k yearly est. Auto-Apply 42d ago
  • Licensed Vocational Nurse (LVN) - TCP EAST

    Texas Children's Hospital 4.7company rating

    Licensed practical nurse job at Texas Children's Hospital

    We are searching for a Licensed Vocational Nurse (LVN) TCP EAST-- someone to gather information, assess and provide direct care to patients. Works collaboratively with other members of the healthcare team to render age-appropriate care. Think you've got what it takes? Knowledge of pediatric assessment and treatment Vaccination and Triage experience Qualifications: High school graduate, GED, or equivalent Diploma or Certificate from a school of vocational nursing OR Documentation from the Texas Board of Nursing verifying an exception to the requirement for a diploma from a school of vocational nursing Licensed Vocational Nurse (LVN) by the State of Texas Board of Nurse Examiners or Compact Basic Life Support (BLS) certification required from the American Heart Association "As part of our commitment to maintaining a safe and healthy workplace, all successful candidates will be required to undergo respiratory fit testing in compliance with occupational health and safety standards. " Demonstrates SMILES and AIDET philosophies to patients, families and coworkers Acknowledges the customer Identifies self Gives customer a time expectation Keeps customers informed by explaining all tasks, processes and procedures Thank the customer Adheres to Standards of Behavior Tasks are measured by observation of evaluator Responsibilities: Assists with the collection of patient/family data Provides general patient care Administers medication and immunizations Supports patient/families in self-management of their health through assisting with education Triages patients Coordinates referrals Collects specimens and performs laboratory test
    $33k-44k yearly est. Auto-Apply 25d ago
  • Licensed Vocational Nurse (LVN) - TCP Fannin Clinic

    Texas Children's Hospital 4.7company rating

    Licensed practical nurse job at Texas Children's Hospital

    We are searching for a LVN at our TCP Fannin - someone who works well in a fast-paced setting. In this position, you will gather information, assess and provide direct care to patients. Works collaboratively with other members of the healthcare team to render age appropriate care. Think you've got what it takes? Job Duties & Responsibilities Assists in the collection of patient/family data that may include biophysical, psychosocial, developmental, cultural, and environmental information per practice protocol. Collects and documents vital signs, BMI, height/weight and reason for visit with 100% accuracy. Updates documentation to include if patient has received care at any other location since last visit. Prepares patient for examination per practice protocol. Assists provider, as directed, during treatments, examinations and testing as directed by provider and within scope of practice. Completes treatments as directed by provider and within scope of practice. Documents all interventions per practice protocol. Administers medication and immunizations as directed by provider per practice protocol. Documents administration of medication and immunizations in the electronic health record per practice protocol. Provides patient/family education as instructed by the provider or practice protocol. Documents such education in the electronic health record. Tasks are measured by observation of evaluator, feedback of provider and review of electronic health record. Provides patient/family education as instructed by the provider or practice protocol. Documents such education in the electronic health record. Tasks are measured by observation of evaluator, feedback of provider and review of electronic health record. Assesses patient's eligibility for referral by verifying coverage with payer prior to initiating referral. Collects specimens and performs laboratory test Verifies provider order and patient per practice protocol. Demonstrates Creating SMILES and AIDET philosophies to patients, families and co-workers As part of our commitment to maintaining a safe and healthy workplace, all successful candidates will be required to undergo respiratory fit testing in compliance with occupational health and safety standards. Skills & Requirements H.S. Diploma or GED And Other Diploma or Certificate from a school of vocational nursing Required OR Documentation from the Texas Board of Nursing verifying an exception to the requirement for a diploma from a school of vocational nursing LVN - Lic-Licensed Vocational Nurses State of Texas And BLS - Cert-Basic Life Support American Heart Association
    $33k-44k yearly est. Auto-Apply 39d ago
  • Supervisor, Clinical LVN- TCP Woodlands

    Texas Children's Hospital 4.7company rating

    Licensed practical nurse job at Texas Children's Hospital

    We're searching for a Licensed Vocational Nurse, Clinical Supervisor at Texas Children's Pediatrics- The Woodlands! We are looking for someone who's ready to be part of the best ranked children's hospital in Texas, and among the best in the nation. In this position, you will supervise and direct clinical staff and gather information, assess, and provide direct care to patients. Think you've got what it takes? Job Duties & Responsibilities * Supervises, coaches, counsels, and evaluates clinical staff to ensure optimal level of job performance, adherence to policies and procedures, and the consistent delivery of quality patient care and customer service. * Schedules staff based on practice need and budget. Assures appropriate staffing to provide coverage for patient volume. * Monitors and ensures patient flow. * Maintains appropriate inventory control of medical supplies and medications. * Assures compliance with regulatory requirements, i.e., CLIA/COLA and OSHA. * Presents professional image, manner and behavior at all times. * Shares relevant information with staff via staff meetings, memos, posting or other effective forms of communication. * Orients staff, as appropriate, and submits paperwork in accordance with TCP policies and established timeframes. * Conducts or delegates educational In-service on a regular basis and as needed. Maintains documentation of content and attendance. * Tasks are measured by observations of evaluator, feedback of provider and review of budget variances in staff and supplies. Also reviewed are CLIA reports, customer satisfaction surveys, employee surveys and any other survey or evaluation available. * Provides general patient care. * Assists with the collection of patient/family data. * Administers medication. * Supports patients/families in self-management of their health through assisting with education. * Demonstrates Creating SMILES and AIDET philosophies to patients, families, and co-workers. * Collects Specimens and Performs Laboratory Test. * Triage patients. * Coordinates referrals. * As part of our commitment to maintaining a safe and healthy workplace, all successful candidates will be required to undergo respiratory fit testing in compliance with occupational health and safety standards. Skills & Requirements * Required H.S. Diploma or GED or Diploma from a school of vocational nursing or documentation from the Texas Board of Nursing verifying an exception to the requirement for a diploma from a school of vocational nursing. * Required BLS - Cert-Basic Life Support by the American Heart Association and LVN - Lic-Licensed Vocational Nurses by the State of Texas * Required 1-year Clinical experience with a preferred 1-year Supervisory experience
    $33k-44k yearly est. Auto-Apply 42d ago
  • RN - Ob/Gyn

    Medical City Children's Hospital Dallas 4.7company rating

    Dallas, TX jobs

    MedSource Travelers offers assignments nationwide and is currently seeking a qualified RN OB/GYN with 1-2 year's experience for a travel assignment in Dallas, Texas. Please have resume, skills checklist and 2-3 references within the last 12 months. Contact us today about job details. The benefits of MedSource Travelers include, Weekly Pay Holiday Pay Continuing Education Referral Bonus Medical Benefits Dental Benefits Vision Benefits Let's get started!
    $65k-83k yearly est. 36d ago
  • RN - PCU

    Medical City Children's Hospital Dallas 4.7company rating

    Dallas, TX jobs

    MedSource Travelers offers assignments nationwide and is currently seeking a qualified RN PCU with 1-2 year's experience for a travel assignment in Dallas, Texas. Please have resume, skills checklist and 2-3 references within the last 12 months. Contact us today about job details. The benefits of MedSource Travelers include, Weekly Pay Holiday Pay Continuing Education Referral Bonus Medical Benefits Dental Benefits Vision Benefits Let's get started!
    $65k-83k yearly est. 1d ago
  • Licensed Vocational Nurse

    Texas Children's Hospital 4.7company rating

    Licensed practical nurse job at Texas Children's Hospital

    We are searching for a Licensed Vocational Nurse for our Texas Children's Pediatric Clinic- Rayford - someone who works well in a fast-paced setting. In this position, you will gather information, assess and provide direct care to patients. Works collaboratively with other members of the healthcare team to render age appropriate care. Think you've got what it takes? Job Duties & Responsibilities Assists in the collection of patient/family data that may include biophysical, psychosocial, developmental, cultural, and environmental information per practice protocol. Collects and documents vital signs, BMI, height/weight and reason for visit with 100% accuracy. Updates documentation to include if patient has received care at any other location since last visit. Prepares patient for examination per practice protocol. Assists provider, as directed, during treatments, examinations and testing as directed by provider and within scope of practice. Completes treatments as directed by provider and within scope of practice. Documents all interventions per practice protocol. Administers medication and immunizations as directed by provider per practice protocol. Documents administration of medication and immunizations in the electronic health record per practice protocol. Provides patient/family education as instructed by the provider or practice protocol. Documents such education in the electronic health record. Tasks are measured by observation of evaluator, feedback of provider and review of electronic health record. Provides patient/family education as instructed by the provider or practice protocol. Documents such education in the electronic health record. Tasks are measured by observation of evaluator, feedback of provider and review of electronic health record. Assesses patient's eligibility for referral by verifying coverage with payer prior to initiating referral. Collects specimens and performs laboratory test Verifies provider order and patient per practice protocol. Demonstrates Creating SMILES and AIDET philosophies to patients, families and co-workers As part of our commitment to maintaining a safe and healthy workplace, all successful candidates will be required to undergo respiratory fit testing in compliance with occupational health and safety standards. Skills & Requirements H.S. Diploma or GED And Other Diploma or Certificate from a school of vocational nursing Required OR Documentation from the Texas Board of Nursing verifying an exception to the requirement for a diploma from a school of vocational nursing LVN - Lic-Licensed Vocational Nurses State of Texas And BLS - Cert-Basic Life Support American Heart Association
    $33k-44k yearly est. Auto-Apply 11d ago
  • Utilization Management Denial Coordinator LVN

    Texas Children's Hospital 4.7company rating

    Licensed practical nurse job at Texas Children's Hospital

    We are searching for a UM Denial Coordinator Licensed Vocational Nurse -- someone who works well in a fast-paced setting. In this position, using a collaborative approach, the licensed vocational nurse (LVN) denial coordinator will work with Texas Children's Health Plan (TCHP) medical directors/physician reviewers, network physicians, and network facilities to ensure consistent clinical evaluation and processing of cases not meeting TCHP medical necessity criteria for reasons of medical necessity decisions. Documentation of these decisions and precise record-keeping of notice to Members and network providers is essential in complying with the legal statute and accrediting standards supporting consumer rights. Think you've got what it takes? Job Duties & Responsibilities * Create understandably worded letters, with added citation and criteria as applicable * Ensure member letters are grammatically correct, with appropriate punctuation * Ensure letters are sent in a timely manner to stay in regulatory compliance * Generates letters as appropriate (approval, denial, appeal, peer to peer) * Reviews cases sent by TCHP Utilization Reviewer to establish of criteria application and time frame of processing meet conditions for denial * Teams with the physician team to identify a strategy for action and to be used as well as a choice of guideline citation/response based on the category of denial * Validates that authorizations requests are complete and if not, collaborate with UM Reviewers and Medical Directors for correction * Collaborates with nurse reviewers, medical directors, external physician reviewers, and network providers * Established integrity of the review process of denial compliance and policies and procedures, managed care and Medicaid through informing and auditing practice * Ensures the provision of continuity of care needs as required and serves as an advocate on behalf of members and families for out of network authorization approvals * Identifies problems/barriers/opportunities in the process and provides for resolution, and revision of plans on an ongoing basis * Analyzes requests against regulatory and decision-making guidelines and benefits allowance. * Implements action in collaboration with physician reviewer panel and monitors decision making, timeliness, and processing of denials in accordance to regulatory and accrediting guidelines * Serves as a Flex team - reviews authorization for inpatient and outpatient requests and processes per established criteria and or guidelines for the appropriate benefit, service, and level of care or setting for the delivery of care and or service * Performs other duties, projects and actions as assigned * Performs all necessary communication and documentation functions. * Communicates with internal staff, physicians, hospital representatives, and other providers on status of case review and due process and explanation of rationale, process, and regulatory processing * Ensures daily monitoring of the denial inquiries * Re-fax denial notifications or letters, respond to the provider or interdepartmental emails, and document in the referral notes as needed * Documents all activities and interactions in the electronic and event tracking systems * Handles inquiries from providers and other departments in a professional manner. * Collaborates with other reviewers, medical directors, external physician reviewers, and network providers * Communicates on each case with physicians to establish the best course of action * Serves as a liaison with the Texas Department of Insurance for independent review requests * Provides community education for other reviewers on guideline application, changes, and updates * Maintains flexible schedule for some evenings and weekends to address potential pharmacy denials * Educates physician reviewers and nursing staff on policies and procedures of the Texas Children's Health Plan managed care and Medicaid * Conducts staff and medical director(s) audits on denial activities * Established integrity of the review process of denial compliance and policies and procedures of the Texas Children's Health Plan, managed care, and Medicaid through informing and auditing practice * Performs audits at least annually and quarterly for new hires * Provides audits on physician and nursing staff based upon audit findings, developing coaching plans based upon findings * Daily updates denial log information * Assesses trends in denial types or sources quarterly * Reports denial activity type and resolution as well as achievement of timely communication standards * Develops and analyzes quarterly reports for the Clinical Advisory Committee, Quality Improvement Committee, and TCHP Leadership to address outcome data to assist in the identification of improvement opportunities Skills & Requirements * Graduation from an accredited School of Vocational Nursing * LVN - Lic-Licensed Vocational Nurses by the State of Texas * Required 5 years of Utilization Management experience and a preferred 3 years of Denial or Appeal experience
    $33k-44k yearly est. Auto-Apply 36d ago
  • Licensed Vocational Nurse TCP Cinco Ranch

    Texas Children's Hospital 4.7company rating

    Licensed practical nurse job at Texas Children's Hospital

    We are searching for a Licensed Vocational Nurse (LVN) TCP Cinco Ranch-- someone to gather information, assess and provide direct care to patients. Works collaboratively with other members of the healthcare team to render age-appropriate care. Think you've got what it takes? TCP Cinco Ranch - 24022 Cinco Village Center Blvd Ste. 100 Suite 100, Katy, TX Qualifications: High school graduate, GED, or equivalent Diploma or Certificate from a school of vocational nursing OR Documentation from the Texas Board of Nursing verifying an exception to the requirement for a diploma from a school of vocational nursing Licensed Vocational Nurse (LVN) by the State of Texas Board of Nurse Examiners or Compact Basic Life Support (BLS) certification required from the American Heart Association Knowledge of pediatric assessment and treatment Knowledge of related OSHA and CLIA/COLA guidelines and requirements, general office tasks, confidentiality and filing system Proficiency with treatments such as nebulizer, ear irrigation and dressing changes "As part of our commitment to maintaining a safe and healthy workplace, all successful candidates will be required to undergo respiratory fit testing in compliance with occupational health and safety standards. " Responsibilities: Assists with the collection of patient/family data Provides general patient care Administers medication and immunizations Supports patient/families in self-management of their health through assisting with education Triages patients Coordinates referrals Collects specimens and performs laboratory test Demonstrates Creating SMILES and AIDET philosophies to patients, families, and co-workers Acknowledges the customer Identifies self Gives customer a time expectation Keeps customers informed by explaining all tasks, processes and procedures Thank the customer Adheres to Standards of Behavior Tasks are measured by observation of evaluator
    $33k-44k yearly est. Auto-Apply 54d ago
  • Registered Nurse (RN) Adult Congenital Heart Unit- Acute Care

    Texas Children's Hospital 4.7company rating

    Licensed practical nurse job at Texas Children's Hospital

    We are searching for an Acute Care Registered Nurse - someone who work well in a fast-paced setting. In this position, you will provide nursing care to adult and pediatric patients with acute care needs. Working in a Cross Coverage Care Model will afford you with the unique opportunity to provide continuity care to patients with complex congenital heart disease at various stages within our Heart Center of Excellence. We care for patients with congenital heart disease that need life-long cardiac care from pediatrics to adulthood. Apply today to be a part of their journey as a member of this specialized care team. The learning opportunities are endless beginning with training on a variety of Ventricular Assist Devices (VAD's), multiple infusions like Heparin and Diuretics, hemodynamic monitoring, early mobilization, and respiratory therapy management. Think you've got what it takes? Minimum Qualifications: * Bachelor's degree in nursing, or an associate's degree in nursing and current enrollment in a nursing bridge program is required * Current licensure with the Board of Nursing for the State of Texas or Nurse Licensure Compact * 9 months of professional nursing experience required, * BLS certification from the American Heart Association is required Preferred Qualifications: * 2 yrs nursing experience * Experience in Cardiology, Acute Care, or Intermediate (IMU/Stepdown) As part of our commitment to maintaining a safe and healthy workplace, all successful candidates will be required to undergo respiratory fit testing in compliance with occupational health and safety standards. Responsibilities: * Performs and documents assessment of the patient/family including biophysical, psychosocial, developmental (age-appropriate), culture, spiritual, and environmental needs in an organized and systematic manner * Analyzes situations, anticipates potential problems, and detects changes in patient status • Re-prioritizes and updates plan of care based on new information and changes to the patient's condition; communicates this information to other health care team members and documents in the medical record * Participates in interdisciplinary rounds and/or patient care conferences and documents in the medical record * Assists patients/family in implementing their role in the plan of care as appropriate * Assess patient family learning needs capabilities, preferences, and readiness to learn prior to teaching * Demonstrates positive and effective interpersonal skills when dealing with patients/families, visitors, peers, and other health care team members * Administers and documents medications and treatments in a timely manner * Demonstrates willingness and ability to acquire new knowledge and utilize new skills needed to improve individual, team, and organizational performance * Participate in unit performance improvement initiatives
    $31k-57k yearly est. Auto-Apply 25d ago
  • Registered Nurse Inpatient PICU

    Texas Children's Hospital 4.7company rating

    Licensed practical nurse job at Texas Children's Hospital

    We are in search of a Registered Nurse for the PICU at Main Campus for NIGHTSHIFT. Someone who excels in fast-paced learning with dynamic flexibility in a critical care setting. This position encompasses direct nursing care to critically ill patients, while ensuring safety and comfort, within our family centered care model. Our PICU is divided into 4 cohorts for better patient outcomes. The 4 cohorts are: * 9 LT: Surgical and Neuro-surgical ICU that encompasses post liver & kidney transplants, trauma patients, seizure disorder patients, and post-operative patients * 10 LT: MICU focusing on pulmonary/pulmonary hypertension patients, bone marrow transplant/hematology/oncology patients * 11 LT: MICU that encompasses a mix of medical-surgical patients. * 12 LT: Transitional ICU is a unique cohort that focuses on our chronic, technology dependent patients who need intense education with the patient and family before discharging home. As a PICU nurse, you will work with patients in each cohort. Qualifications: * Bachelor's degree in nursing or an associate's degree, technical diploma, or current enrollment in a nursing bridge program is required +signed agreement * Current licensure with the Board of Nursing for the State of Texas or Nurse Licensure Compact and BLS American Heart Association certification are required * 9 months of professional nursing experience * The ability to demonstrate positive and appropriate interpersonal skills * Demonstrate good time and resource management skills * Demonstrate flexibility * Demonstrate strong oral and written communication skills * Operate unit specific equipment * Able to work nights * Knowledge of the nursing process, critical thinking skills, PALS, ACLS and interdisciplinary collaboration "As part of our commitment to maintaining a safe and healthy workplace, all successful candidates will be required to undergo respiratory fit testing in compliance with occupational health and safety standards." Responsibilities: * Performs and documents assessment of the patient/family including biophysical, psychosocial, developmental ( age - appropriate), culture, spiritual, and environmental needs in an organized and systematic manner. * Analyzes situations, anticipates potential problem, and detects changes in patient status * Re-prioritizes and updates plan of care based on new information and changes to the patient's condition; communicates this information to other health care team members and documents in the medical record. * Participates in interdisciplinary rounds and/or patient care conferences and documents in the medical record * Assists patients/family in implementing their role in the plan of care as appropriate * Assess patient family learning needs capabilities, preferences, and readiness to learn prior to teaching. * Demonstrates positive and effective interpersonal skills when dealing with patients/families, visitors, peers, and other health care team members. * Administers and documents medications and treatments in a timely manner. * Demonstrates willingness and ability to acquire new knowledge and utilize new skills needed to improve individual, team, and organizational performance. * Participate in unit performance improvement initiatives.
    $31k-57k yearly est. Auto-Apply 30d ago
  • Registered Nurse (RN) - ACHD Acute Care

    Texas Children's Hospital 4.7company rating

    Licensed practical nurse job at Texas Children's Hospital

    We are searching for Acute Care Registered Nurses, to work in our Adult Congenital Heart Unit - nurses who work well in a fast-paced setting. In this position, you will provide nursing care to adult and pediatric patients with acute care needs. Working in a Cross Coverage Care Model will afford you a unique opportunity to provide continuity care to patients with complex congenital heart disease at various stages within our Heart Center of Excellence. We care for patients with congenital heart disease that need life-long cardiac care from pediatrics to adulthood. Apply today to be a part of their journey as a member of this specialized care team. The learning opportunities are endless beginning with training on a variety of Ventricular Assist Devices (VAD's), multiple infusions like Heparin and Diuretics, hemodynamic monitoring, early mobilization, and respiratory therapy management. Think you've got what it takes? * 2 yrs nursing experience * Experience in Cardiology and/or IMU/Stepdown Minimum Qualifications: * Bachelor's degree in nursing, or an associate's degree in nursing and current enrollment in a nursing bridge program is required * Current licensure with the Board of Nursing for the State of Texas or Nurse Licensure Compact * 9 months of professional nursing experience required, * BLS certification from the American Heart Association is required As part of our commitment to maintaining a safe and healthy workplace, all successful candidates will be required to undergo respiratory fit testing in compliance with occupational health and safety standards. Responsibilities: * Performs and documents assessment of the patient/family including biophysical, psychosocial, developmental (age-appropriate), culture, spiritual, and environmental needs in an organized and systematic manner * Analyzes situations, anticipates potential problems, and detects changes in patient status • Re-prioritizes and updates plan of care based on new information and changes to the patient's condition; communicates this information to other health care team members and documents in the medical record * Participates in interdisciplinary rounds and/or patient care conferences and documents in the medical record * Assists patients/family in implementing their role in the plan of care as appropriate * Assess patient family learning needs capabilities, preferences, and readiness to learn prior to teaching * Demonstrates positive and effective interpersonal skills when dealing with patients/families, visitors, peers, and other health care team members * Administers and documents medications and treatments in a timely manner * Demonstrates willingness and ability to acquire new knowledge and utilize new skills needed to improve individual, team, and organizational performance * Participate in unit performance improvement initiatives
    $31k-57k yearly est. Auto-Apply 17d ago
  • Registered Nurse (RN) Urgent Care - Medical Center

    Texas Children's Hospital 4.7company rating

    Licensed practical nurse job at Texas Children's Hospital

    We are searching for a Registered Nurse (RN) Urgent Care at our Medical Center location -- someone who works well in a fast-paced setting. In this position, you will gather information, assess and provide direct care to patients. Works collaboratively with other members of the healthcare team to render age-appropriate care. Think you've got what it takes Job Duties & Responsibilities * Assists with the collection of patient/family data. Assists in the collection of patient/family data that may include biophysical, psychosocial, developmental, cultural, and environmental information per site protocol. Collects and documents vital signs, height/weight and reason for visit. Graphs data per site protocol. Documents current medications, allergies and other information per site protocol with 100% accuracy. * Provides general patient care. Prepares patient for examination per site protocol. Assists provider, as directed, during treatments, examinations and testing as directed by provider and within scope of site. Completes treatments as directed by provider and within scope of site. * Administers medication and immunization. Administers medication and immunizations as directed by physician per site protocol. Documents administration of medication and immunizations in the medical record per site protocol. Reports all medication and immunization errors to supervisor immediately after becoming aware of the error. * Assists with education of patient/family. Provides patient/family education as instructed by the physician or site protocol. Documents such education in the medical record. Coordinates referrals. Assures family has contact information for referral. Assures family has documentation needed for referral. * Triages patients. Triages presenting patient complaint per site protocol. Triages phone calls per site protocol and within scope of site standards. Documents all clinical patient phone calls per organization recommendations. * Collects Specimens and Performs Laboratory Test. Verifies provider order and patient per site protocol. Collects and processes specimen according to manufacturer's instructions and using proper technique. Follows site protocol in reporting and documenting results. * Demonstrates service philosophies to patients and families. Identifies self. Explains visit process. Provides information regarding length of visit. * As part of our commitment to maintaining a safe and healthy workplace, all successful candidates will be required to undergo respiratory fit testing in compliance with occupational health and safety standards. Skills & Requirements Required Diploma in Nursing Or Associate's degree in a related field accepted by the Texas Board of Nursing for the purposes of obtaining and maintaining an RN license. Preferred Bachelor's Degree in Nursing. Licenses/Certifications: RN - Lic-Registered Nurses by the Texas Board of Nursing or Nursing Licensure Compact BLS - Cert-Basic Life Support by the American Heart Association
    $31k-57k yearly est. Auto-Apply 60d+ ago
  • Registered Nurse - Surgical Ortho Trauma unit

    Texas Children's Hospital 4.7company rating

    Licensed practical nurse job at Texas Children's Hospital

    We are searching for a Registered Nurse for our Surgical/Ortho/Trauma unit - someone who works well in a fast-paced setting. 11WT is a 36 bed surgical/orthopedic/trauma unit. The unit consists of 32 general admission beds and 4 designated trauma beds. 11WT receives a wide array of surgical patients from a variety of surgical services. * General Surgery: appendectomies, hernia repairs, pectus repairs, tumor resections * Orthopedic Surgery: spinal fusions, bone fractures, osteotomies * Urology Surgery: ureteral re-implants, nephrectomies, bladder augmentations * Plastic Surgery: cleft lip and/or palate repairs, rhinoplasties, brachial plexus repairs * ENT Surgery: Tonsillectomy, adenoidectomy, PE Tube placement, cochlear implants The 4 trauma beds are used for patients who have sustained a multisystem or severe injury from some sort of trauma. You may also see minor trauma patients throughout the unit. Some of the types of trauma that we see are motor vehicle accidents, auto-pedestrian accidents, ATV accidents, gunshot wounds, sports injuries, and child abuse. The nurses who care for these patients in the trauma rooms have received additional training on how to care and manage these types of patients. The trauma nurse is an expanded role that is offered on 11WT. The goal of 11WT is to create a unit that patients, families, and prospective employees strongly desire to be a part of because we are the best at what we do. Think you've got what it takes? Requirements: * Bachelor's degree in nursing or an associate's degree, technical diploma, or current enrollment in a nursing bridge program is required * Current licensure with the Board of Nursing for the State of Texas or Nurse Licensure Compact and BLS certification with American Heart Association are required * 9 months of professional nursing experience * The ability to demonstrate positive and appropriate interpersonal skills * Demonstrate good time and resource management skills * Demonstrate flexibility * Demonstrate strong oral and written communication skills * Operate unit specific equipment * Able to work nights * Knowledge of the nursing process, critical thinking skills, PALS, ACLS and interdisciplinary collaboration As part of our commitment to maintaining a safe and healthy workplace, all successful candidates will be required to undergo respiratory fit testing in compliance with occupational health and safety standards. Responsibilities: * Performs and documents assessment of the patient/family including biophysical, psychosocial, developmental ( age - appropriate), culture, spiritual, and environmental needs in an organized and systematic manner. * Analyzes situations, anticipates potential problem, and detects changes in patient status * Re-prioritizes and updates plan of care based on new information and changes to the patient's condition; communicates this information to other health care team members and documents in the medical record. * Participates in interdisciplinary rounds and/or patient care conferences and documents in the medical record * Assists patients/family in implementing their role in the plan of care as appropriate * Assess patient family learning needs capabilities, preferences, and readiness to learn prior to teaching. * Demonstrates positive and effective interpersonal skills when dealing with patients/families, visitors, peers, and other health care team members. * Administers and documents medications and treatments in a timely manner. * Demonstrates willingness and ability to acquire new knowledge and utilize new skills needed to improve individual, team, and organizational performance. * Participate in unit performance improvement initiatives.
    $31k-57k yearly est. Auto-Apply 38d ago
  • Registered Nurse (RN) - Acute Care

    Texas Children's Hospital 4.7company rating

    Licensed practical nurse job at Texas Children's Hospital

    We are searching for Inpatient Acute Care Nurses to work at our Woodlands location - applicants who work well in a fast-paced hospital setting. In this position you'll provide quality nursing care to patients by assessing, planning, educating, implementing, and evaluating age-appropriate care in a manner that incorporates family centered principles and cost-effective care. We need someone who can collect and analyze data from medical records to coordinate patient care. Think you've got what it takes? Qualifications: * Bachelor's Degree in nursing Or Associates Degree in nursing with acceptance or current enrollment in a BSN program and signed agreement * Or Technical diploma in nursing with acceptance or current enrollment in a BSN program and signed agreement * Or Must be currently enrolled in a nursing bridge program working toward an MSN. * Verified BSN-equivalency or a signed agreement is required. * Current licensure with the Board of Nursing for the State of Texas is required * Current BLS from the American Heart Association is required * (1) year of professional nursing experience As part of our commitment to maintaining a safe and healthy workplace, all successful candidates will be required to undergo respiratory fit testing in compliance with occupational health and safety standards Responsibilities: * Performs and documents assessment of the patient/family including bio-physical, psychosocial, developmental (age-appropriate), cultural, spiritual, and environmental needs in an organized and systematic manner * Collects and analyzes data from the medical record in order to coordinate patient care * Identifies patient's needs pertaining to patient teaching, discharge planning, growth and development, nutritional screening, functional status, and pain management * Re-prioritizes and updates plan of care based on new information and changes in the patient's condition; communicates this information to other health care team members and documents in the medical record * Discusses the patient's plan of care with family and/or significant individuals and documents in the medical record as appropriate * Evaluates and documents patient's response to the care provided and recognizes the patient's progress toward meeting the desired outcomes and discusses with the patient/family * Formulates, implements, and documents individualized teaching plan based on patient/family assessment * Serves as a patient/family advocate while caring for patients and collaborating with other health care team members * Administers and documents medications and treatments in a timely manner
    $31k-56k yearly est. Auto-Apply 3d ago

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