Utilization review nurse jobs in Irving, TX

We're looking for Labor and Delivery RNs for an immediate travel nurse opening in Dallas, TX. The right RN should have 3 years' recent acute care experience. Read below for more requirements. L&D Travel Nurses provide care and support for women before, during and after delivery of a baby. L&D RNs must ensure that the medical as well as emotional needs of their patients are met at all times throughout the birthing process. As an L&D RN, you'll be responsible for assisting physicians when epidurals or pain medications are administered, episiotomies are performed, or when the patient requires preparation for a cesarean delivery. As an L&D Travel Nurse, you should be prepared to perform the following tasks: Stay with and monitor patient throughout labor. Monitor contractions and help patients with breathing techniques. Check cervix periodically to monitor progression/lack of dilation. Ensure beds are kept clean and dry; clean up bodily fluids expelled before and after birthing process. Aid physician with drapes, gloves, gowns, delivery instruments, etc. Immediate care of newborn. L&D Travel Nurses should be able to stand and walk for long periods of time, as well as bend, lean and stoop without difficulty. RNs should be able to easily lift 20 pounds. Moving or lifting of patients may require lifting of up to 50 pounds at times. Because of the fast-paced environment, L&D RNs must possess good skills for coping with stress and be able to relate to people of all ages and backgrounds. Requirements*: BLS, AWHONN, NRP, 3 Years * Additional certifications may be required before beginning an assignment.

The LPN MDS Nurse is responsible to complete and submit accurate and timely MDS Assessments, CCAs, and Care Plans according to CMS RAI Manual Regulations and in accordance with all applicable laws, regulations, and Life Care standards. Education, Experience, and Licensure Requirements Attended an accredited LPN program Currently licensed/registered in applicable State. Must maintain an active Licensed Practical/Vocational Nurse (LPN/LVN) license in good standing throughout employment. Two (2) years' nursing experience. Geriatric nursing experience preferred. CRN C Certification (clinical compliance) CPR certification upon hire or obtain during orientation. CPR certification must remain current during employment. Specific Job Requirements Advanced knowledge in field of practice Make independent decisions when circumstances warrant such action Knowledgeable of practices and procedures as well as the laws, regulations, and guidelines governing functions in the post acute care facility Implement and interpret the programs, goals, objectives, policies, and procedures of the department Perform proficiently in all competency areas including but not limited to: patient rights, and safety and sanitation Maintains professional working relationships with all associates, vendors, etc. Maintains confidentiality of all proprietary and/or confidential information Understand and follow company policies including harassment and compliance procedures Displays integrity and professionalism by adhering to Life Care's Code of Conduct and completes mandatory Code of Conduct and other appropriate compliance training Essential Functions Complete and submit accurate and timely MDS Assessments, CCAs, and Care Plans according to CMS RAI Manual Regulations Report any changes in a patient's condition identified by the MDS Assessment to the DON Provide education to direct care associates regarding updates or changes to the CMS RAI Manual or Skilled Nursing Facility Regulations that impact documentation Assist with review of the Interdisciplinary Comprehensive Care Plan Review Final Validation Reports and ensure all assessments have been accepted into the CMS QIES system prior to billing and notify the Business Office when assessments are not ready to bill Review CMS Reports to identify assessments completed or submitted late and develop systems and processes to prevent reoccurrence Attend and participate in the Daily PPS Meeting, Monthly Triple Check, and other meetings upon request in the absence of the RN MDS Coordinator Perform functions of a staff nurse as required Exhibit excellent customer service and a positive attitude towards patients Assist in the evacuation of patients Demonstrate dependable, regular attendance Concentrate and use reasoning skills and good judgment Communicate and function productively on an interdisciplinary team Sit, stand, bend, lift, push, pull, stoop, walk, reach, and move intermittently during working hours Read, write, speak, and understand the English language An Equal Opportunity Employer

Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered if candidates reside within a commuting distance from an office. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. Work Schedule: Monday through Friday, 9:30 AM - 6:00 PM CST or PST (Local Time) A proud member of the Elevance Health family of companies, Carelon Medical Benefits Management, formerly AIM Specialty Health, is a benefit-management leader in Illinois. Our platform delivers significant cost-of-care savings across an expanding set of clinical domains, including radiology, cardiology and oncology. The Nurse Reviewer I is responsible for conducting preauthorization, out of network and appropriateness of treatment reviews for diagnostic imaging services by utilizing appropriate policies, clinical and department guidelines. * Collaborates with healthcare providers, and members to promote the most appropriate, highest quality and effective use of diagnostic imaging to ensure quality member outcomes, and to optimize member benefits. * Works on reviews that are routine having limited or no previous medical review experience requiring guidance by more senior colleagues and/or management. * Partners with more senior colleagues to complete non-routine reviews. * Through work experience and mentoring learns to conduct medical necessity clinical screenings of preauthorization requests to assess the medical necessity of diagnostic imaging procedures, out of network services, and appropriateness of treatment. How you will make an impact: * Conducts initial medical necessity clinical screening and determines if initial clinical information presented meets medical necessity criteria or requires additional medical necessity review. * Conducts initial medical necessity review of exception preauthorization requests for services requested outside of the client health plan network. * Notifies ordering physician or rendering service provider office of the preauthorization determination decision. * Follows-up to obtain additional clinical information. * Ensure proper documentation, provider communication, and telephone service per department standards and performance metrics. Minimum Requirements: * Requires AS in nursing and minimum of 3 years of clinical nursing experience in an ambulatory or hospital setting or minimum of 1 year of prior utilization management, medical management and/or quality management, and/or call center experience; or any combination of education and experience, which would provide an equivalent background. * A current unrestricted RN license in applicable state(s) required. Preferred Experience, Skills, and Capabilities: * Familiarity with Utilization Management Guidelines, ICD-9 and CPT-4 coding, and managed health care including HMO, PPO and POS plans strongly preferred. * BA/BS degree preferred. * Previous utilization and/or quality management and/or call center experience preferred. For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $33.12 to $ 54.41. Locations: California; Illinois; Nevada In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws. * The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

The Utilization Review Registered Nurse (RN) provides a clinical review of cases using medical necessity criteria to determine the medical appropriateness of inpatient and outpatient services. Provides feedback and assistance to other members of the healthcare team regarding the appropriate use of resources and timely follow-through with the plan of care. Provides ongoing communication with the health plan, provider utilization and/or care coordination departments regarding medical necessity for prospective, concurrent, and retrospective reviews. Collaborates as a team to ensure that medical records support the level of services being delivered. ESSENTIAL FUNCTIONS OF THE ROLE Performs initial, concurrent, discharge and retrospective reviews. Uses evidence-based medical guidelines to determine the medical appropriateness of inpatient and outpatient services; Assesses patient needs; Uses knowledge of the nursing process and pathophysiology to interpret the needs or requirements of patients; Identifies, escalates and resolves complex cases or issues as required. Reviews medical records to verify that the content supports an appropriate level of care (inpatient, observation, bedded outpatients) or type of service. Alerts and collaborates with appropriate Utilization Review, Physician leadership and/or Provider Team personnel concerning patients who do not meet medical appropriateness criteria. Coordinates with necessary parties when there are potential or actual denials. Facilitates appeals or the delivery of appeal instructions when denials occur. Facilitates authorization process for admissions and continued stays. Uses knowledge of nursing process and pathophysiology to anticipate discharge needs. May participate in discharge planning through discussions with the care team as needed. Communicates issues or trends with specific entities, providers or payors to the appropriate leadership. Provides support to complex cases or escalations within scope of licensure or refers them to appropriate leadership. Identifies, documents and communicates potential quality assurance or risk management issues as appropriate. Participates in process improvement projects, including the evaluation, development and implementation of protocols, policies, and procedures to continuously enrich care coordination efforts and ensure evidence-based processes are utilized. Performs service recovery efforts to support provider and member satisfaction. KEY SUCCESS FACTORS Advanced understanding of health care modalities, pathophysiology, therapies, terminology and equipment. Advanced understanding of health care modalities, pathophysiology, therapies, terminology and equipment. Ability to understand the customer's point of view and take ownership of creating a solution to their issues. Knowledge and use of discharge planning, case management referral criteria, utilization review and levels of care. Knowledge of applicable federal and state regulatory requirements, including TDI, CMS, DOL, HHSC and NCQA standards and requirements. Must be able to communicate thoughts clearly; both verbally and in writing. Interpersonal skills to interact with a wide-range of constituencies. Must have critical thinking and problem-solving skills. Ability to balance multiple demands and respond to time constraints. Ability to analyze, understand and act on detailed clinical care documentation. General computer skills, including but not limited to Microsoft Office, information security, scheduling and payroll systems, electronic medical documentation, and email. Certified Case Manager (CCM), Accredited Case Manager (ACM), or Certified Managed Care Nurse (CMCN) preferred. BENEFITS Our competitive benefits package includes the following * Immediate eligibility for health and welfare benefits * 401(k) savings plan with dollar-for-dollar match up to 5% * Tuition Reimbursement * PTO accrual beginning Day 1 Note: Benefits may vary based upon position type and/or level QUALIFICATIONS * EDUCATION - Associate's * MAJOR - Nursing * EXPERIENCE - 3 Years of Experience * CERTIFICATION/LICENSE/REGISTRATION - Registered Nurse (RN)

Job Description The Itemization Review Nurse provides a summary and analysis of items by reviewing all charges on a UBIB submitted by a medical facility to determine accuracy of billed charges. This is a remote role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Collects supporting data and analyzes information to make decisions regarding accuracy of billing Appropriately documents work and final conclusions in designated computer program Understanding of Surgical Implants Meets department's expectations and standards Additional duties as assigned KNOWLEDGE & SKILLS: Understanding of Itemization Review for designated clients Understanding of CERIS systems and Data Base informatics Understanding of HIPAA regulations Exceptional organizational skills with the ability to handle stressful situations and adapt accordingly Demonstrated leadership skills; ability to work with Leadership Team(s) within a positive team environment Strategic problem solving, analytical, and critical thinking skills Effective written and verbal communication skills Ability to work independently and within a team environment Proficiency with Microsoft Office Suite, including Excel, Outlook, Teams EDUCATION & EXPERIENCE: Must maintain current licensure as a Registered Nurse in the state of employment Must have a minimum of 5 years' experience in the O.R., ICU, or E.R. as an R.N. Associate Degree in Nursing or higher Experience in medical bill auditing preferred but not mandatory PAY RANGE: CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time. For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process. Pay Range: $59,681 - $96,123 A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first. ABOUT CERIS: CERIS, a division of CorVel Corporation, a certified Great Place to Work Company, offers incremental value, experience, and a sincere dedication to our valued partners. Through our clinical expertise and cost containment solutions, we are committed to accuracy and transparency in healthcare payments. We are a stable and growing company with a strong, supportive culture along with plenty of career advancement opportunities. We embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!). A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off. CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable. #LI-Remote

PRN Utilization Review RN - M-F Days - (869123) Description Utilization Review RN with Acute Care Experience - PRN - Monday-Friday DaysEpic/MCG Experience RequiredThree (3) years of utilization review experience in hospital/acute care setting required JOB SUMMARYConduct medical certification review for medical necessity for acute care facility and services. Use nationally recognized, evidence-based guidelines approved by medical staff to recommend level of care to the physician and serve as a resource to the medical staff on issues related to admission qualifications, resource utilization, national and local coverage determinations and documentation requirements. ESSENTIAL FUNCTIONS Job DutiesCollaborates with the Central Scheduling Department (CSD) team to provide accurate and complete clinical information in order to obtain authorization. Conducts admission reviews for Medicare and Medicaid beneficiaries as well as private insurance members and self-pay patients utilizing evidence-based guidelines. New admission reviews are done concurrently at the point of entry when the admission order is placed and necessary clinical information is available in the medical record. Communicate with admitting physicians and physician advisors when documentation does not appear to support hospital level of care. Use hospital approved medical necessity tool to determine level of care for inpatient or observation/outpatient services based on physician documentation, H&P, treatment plan, potential risks, and basis for expectation of a two-midnight stay. Keeps current on all Federal, State and local regulatory changes that affect delivery or reimbursement of acute care services within the scope of Utilization Management. Uses knowledge of national and local coverage determinations to appropriately advise physicians. Proactively collaborates with admitting physician to provide accurate level of care determination at the time of review. Escalates identified progression-of-care/patient flow barriers to appropriate departments. Actively participates in daily huddles, departmental meetingsand education offerings. Identifies and records episodes of preventable delays or avoidable days due to failure of progression-of-care processes. Educates members of the patient's care team on the appropriate access to and use of various levels of care. Promotes use of evidence-based protocols and/or order sets to influence high-quality and cost-effective care. Serves as a resource person to physicians, care coordinators, physician offices and billing office for coverage and compliance issues. Completes all reviews within department established policies and best practice standards. Meets department quality standards as established for the department, ie: Inter-rater Reliability audits, completing all initial reviews within established time frames, completes concurrent and discharge reviews to meet department and industry standards. Performs other duties as assigned. QUALIFICATIONS Education and Experience RequiredEducationGraduate of accredited nursing program and holds an active unrestricted RN license in the State of Texas. Experience5 years experience to include 2 years of clinical experience and minimum of 3 years of recent utilization review experience. Prior experience with Epic CCM. Licenses and Certifications(RN) REGISTERED NURSE holds an active unrestricted RN license in the State of Texas. PreferredExperienceAcute care experience preferred. Knowledge, Skills and AbilitiesActively participates in the department's performance improvement initiatives. Basic computer skills and knowledge. Expert knowledge of hospital approved, evidence based medical necessity tool and knowledge of local and national coverage determinations. Identifies avoidable days (quality and risk issues), makes appropriate referrals. Confers with Manager and/or Medical Director as appropriate. Identifies the need for professional growth and seeks out appropriate development opportunities. Evaluates outcomes data to identify trends and areas for improvement (i. e. avoidable days, denial information). General good health and stress coping ability. Ability to speak and hear, to allow discussions with physicians, patients, and other members of the healthcare team. Possess near vision acuity for accurate reading of computer screens and recording on patient charts. PHYSICAL DEMANDS/WORKING CONDITIONSPhysical DemandsTalkingWorking ConditionsOffice Setting SecurityThis position is security-sensitive and subject to Texas Education Code 51. 215, which authorizes UT Southwestern to obtain criminal history record information. EEO StatementUT Southwestern Medical Center is committed to an educational and working environment that provides equal opportunity to all members of the University community. As an equal opportunity employer, UT Southwestern prohibits unlawful discrimination, including discrimination on the basis of race, color, religion, national origin, sex, sexual orientation, gender identity, gender expression, age, disability, genetic information, citizenship status, or veteran status. Primary Location: Texas-Dallas-5323 Harry Hines BlvdWork Locations: 5323 Harry Hines Blvd 5323 Harry Hines Blvd Dallas 75390Job: NursingOrganization: 844106 - Decision SupportSchedule: Per Diem - PRNShift: Day JobEmployee Status: RegularJob Type: StandardJob Posting: Nov 12, 2025, 9:45:31 PM

HIRING RANGE: $21.74 - $26.62 HOURLY FULL SALARY RANGE: $21.74 - $31.52 HOURLY THIS POSTING MAY CLOSE AT ANY TIME ONCE A SUFFICIENT NUMBER OF APPLICATIONS HAVE BEEN RECEIVED The City: With over 100,000 residents, the City of Allen is a dynamic and welcoming community. The City of Allen's strong economy, diverse population, great educational institutions and quality of life makes it the ideal place to work, live, and play. The City of Allen has something to offer for everyone. The City's Mission, is "To achieve excellence in managing development of the community and in providing city services so that conditions of living and public confidence are continually enhanced". Our employees serve the citizens of Allen with the PRIDE values. We do "Work that MATTERS!" * People First- Giving priority to others * Respect- Treating others with courtesy and dignity * Integrity- Serving with honesty, trust and hard work * Deliver- Following through on commitments while exceeding expectations * Excel- Creating an innovative and improving work environment The purpose of this position is to assist with the operations of utility billing. This is accomplished by overseeing and participating in the work of staff responsible for providing customer assistance in the Utility Billing area, cross training staff, providing customer service and support, resolving escalated problems, and fulfilling the preparation of weekly billing cycle duties. Other duties may include assisting in the supervision of staff cash drawers, daily cash deposits, processing of returned checks and draft payments, payment reversals, chargebacks, and reporting bad debt to credit agencies finalizing budget billing reconciliation at year-end. This position may provide direction to other employees and fills in for the Utility Billing Supervisor. The following duties ARE NOT intended to serve as a comprehensive list of all duties performed by all employees in this classification, only a representative summary of the primary duties and responsibilities. Incumbent(s) may not be required to perform all duties listed and may be required to perform additional, position-specific duties. * Assists the Utility Billing Supervisor with the operations of the utility billing division including the review of the work plan for assigned customer service representatives and activities, works closely with the supervisor to schedule staff workload, schedules and allocating resources for staff; participates in interviewing and selecting staff. * Monitors workflow; evaluates work products, methods, and procedures; works with employees to correct deficiencies; provides and/or coordinates employee cross training. Works with supervisor in maintaining billing policies and procedures to ensure standardization and generate efficiencies. * Assists the public by completing cashiering duties by receiving, receipting, and recording payments, processing cash collections for other departments, receiving deposits and fees, balancing the cash drawer, and preparing the bank deposit. * Enters, processes, and updates all final bills, runs, and verifies billing reports for accuracy and corrects errors; reports bad debt to credit agencies. * Assists in resolving higher level customer complaints and issues. Generates reports for use in rate studies. Education & Experience Work requires broad knowledge in a general professional or technical field. A typical way to obtain the required qualifications would be: * High School diploma or equivalent plus two (2) years of relevant work experience Other combinations of education and experience may be considered. Certification and Other Requirements * Valid Class C Driver's License. Knowledge of: * Utility billing operations, policies, and procedures. * Cash handling, cashiering practices, and daily reconciliation methods. * Customer service principles and conflict-resolution techniques. * Billing cycles, account adjustments, final bill processing, and reporting requirements. * Credit agency reporting standards and bad-debt processes. * Office administration practices and workflow coordination. * Data entry standards, financial recordkeeping, and audit requirements. * Municipal operations and departmental interdependencies. Skilled in: * Coordinating and monitoring staff workload, training, and performance. * Reviewing and verifying billing reports for accuracy and resolving discrepancies. * Handling escalated customer issues with professionalism and tact. * Processing payments, balancing cash drawers, and preparing bank deposits. * Managing returned checks, payment reversals, chargebacks, and draft payments. * Preparing reports for rate studies and internal analysis. * Communicating clearly and effectively with staff, customers, and supervisors. * Using billing systems, financial software, and standard office applications. Physical Demands / Work Environment: This list is intended to describe the general nature and level of work being performed; it does not address the potential for accommodation. * Work is primarily performed in a standard, climate-controlled office setting. * Requires prolonged periods of sitting, standing, and walking. * Frequent use of hands and fingers to operate computers and other office equipment. * Visual acuity to read printed materials and computer screens. * Verbal and auditory ability to communicate effectively in person and by phone. * Occasional bending, kneeling, reaching, pushing, or pulling to access materials or equipment. * Ability to lift up to 10 lbs. occasionally or negligible weights frequently. * May require travel between job sites or attendance at off-site meetings or events. The job description does not constitute an employment agreement between the employer and employee and is subject to change by the employer as needed.

About us: Good things are happening at Berkshire Hathaway GUARD Insurance Companies. We provide Property & Casualty insurance products and services through a nationwide network of independent agents and brokers. Our companies are all rated A+ “Superior” by AM Best (the leading independent insurance rating organization) and ultimately owned by Warren Buffett's Berkshire Hathaway group - one of the financially strongest organizations in the world! Headquartered in Wilkes-Barre, PA, we employ over 1,000 individuals (and growing) and have offices across the country. Our vision is to be a leading small business insurance provider nationwide. Founded upon an exceptional culture and led by a collaborative and inclusive management team, our company's success is grounded in our core values: accountability, service, integrity, empowerment, and diversity. We are always in search of talented individuals to join our team and embark on an exciting career path! Benefits: We are an equal opportunity employer that strives to maintain a work environment that is welcoming and enriching for all. You'll be surprised by all we have to offer! Competitive compensation Healthcare benefits package that begins on first day of employment 401K retirement plan with company match Enjoy generous paid time off to support your work-life balance plus 9 ½ paid holidays Up to 6 weeks of parental and bonding leave Hybrid work schedule (3 days in the office, 2 days from home) Longevity awards (every 5 years of employment, receive a generous monetary award to be used toward a vacation) Tuition reimbursement after 6 months of employment Numerous opportunities for continued training and career advancement And much more! Responsibilities The Utilization Review Nurse's duties will include, but are not limited to: Support internal claims adjusting staff in the review of workers' compensation claims Review records and requests for UR, which may arrive via mail, e-mail, fax, or phone Meet required decision-making timeframes Clearly document all communication and decision-making within our insurance software system Establish collaborative relationships and work as an intermediary between clients, patients, employers, providers, and attorneys Utilize good clinical judgment, careful listening, and critical thinking and assessment skills Track ongoing status of all UR activity so that appropriate turn-around times are met Maintain organized files containing clinical documentation of interactions with all parties of every claim Send appropriate letters on each completed UR Qualifications Active Licensed Practical Nurse and/or Registered Nurse License 1+ years of utilization review experience at a managed care plan or provider organization 2 + years' clinical experience preferably in case management, rehabilitation, orthopedics, or utilization review Excellent oral and written communication skills, including outstanding phone presence Strong interpersonal and conflict resolution skills Experience in a fast-paced, multi-faceted environment The ability to set priorities and work both autonomously and as a team member Well-developed time-management and organization skills Excellent analytical skills Working knowledge of: Microsoft Word, Excel, and Outlook

Since 1980, CobbFendley has been committed to providing innovative engineering and surveying solutions with the goal of bettering communities. Our multi-discipline approach allows for the efficient completion of projects through experienced staff who focus on client communication. We are always seeking talented and qualified professionals to enhance our ability to provide clients with exceptional service. Are you ready to Join Our Block and advance your career? At CobbFendley, people are our most valued resource. We offer a(n): New Hire Program // We understand changing jobs can be intimidating, CobbFendley has established a program geared specifically to the successful onboarding and integration of new hires into the firm Development Opportunities // Professional and personal growth through innovative in-house training and collaborative resources Compensation + Benefits // Competitive compensation package with comprehensive benefits including 401(k) Matching and Profit-sharing Contributions; Employee Stock Ownership Plan (ESOP); Health, Vision, and Dental Insurance; Short-Term and Long-Term Disability Insurance; Employer Funded and Voluntary Life Insurance; Tuition Reimbursement; and Continuing Education Programs Paid Parental Leave // FMLA-eligible employees will receive fully paid leave in the amounts of eight (8) weeks for maternity cases and two (2) weeks for paternity or adoptions cases Winter Holiday // Extended office closure from December 25 through January 1 to relax and enjoy the holidays Community Engagement // CobbFendley Cares focuses on STEM Education, Hunger Relief, and Sustainable Solutions CobbFendley is seeking an experienced Utility Coordinator in our Frisco, Texas office. Requirements QUALIFICATIONS The successful candidate's most important qualifications include the following. 4+ years of Utility Coordination experience. High School Diploma or GED required. Experience with TxDOT ROW and Utility policies/procedures. Proficient in Excel, Word, and PDF. Experience with SmartSheets is a plus. Ability to read and interpret applicable plans, schematics, blueprints, and maps. Familiarity with the TxDOT ROW Utility Manual and Texas Administrative Code Utility Accommodation Rules, knowledge of principles of utility coordination and associated terminology. Strong Communication and organizational skills and attention to detail. Motivation to work in a dynamic environment with strict deadlines. Desire to collaborate with professionals and clients to increase your industry knowledge and grow in your career. Commitment to perform responsibilities consistent with industry standards to achieve department and company goals. Interest in developing relationships with clients, partners, and local organizations to remain a trusted resource in the community. ESSENTIAL FUNCTIONS Provide Utility Coordination and Oversight services for projects to CobbFendley clients. Schedule and attend Utility Meetings, Public Utility Meetings, One-to-One Utility Meetings, TxDOT / Municipality coordination meetings. Prepare agendas and meeting minutes. Follow-up on action items. Prepare Utility Agreement Assembly packages. Review plans and estimates to evaluate compliance with guidelines, rules, and regulations. Determine eligibility and betterment ratios. Prepare documents required by 23 CFR Section 645. Conduct meetings with individual utility companies and on-site field visits, working with major utility companies such as AT&T, Verizon, Spectrum, FiberLight, Lumen, Astound, OneGas, Austin Energy, Oncor, Pedernales Electric, and various pipeline companies, as well as state agencies and municipalities. Review and/or process utility estimates and/or budgets. Monitor and track utility relocation status. Actively engage and follow-up with utility owners. Travel to CobbFendley offices and project locations as needed. Represent CobbFendley at client meetings and performing client coordination. Apply technical expertise and be able to work with a project team on conventional and unconventional projects. Perform independent research and delegate changing priorities. Work with minimal supervision and deliver accurate work product that is error free. Adhere to CobbFendley's safety standards to uphold a safe and efficient environment. Maintain a professional attitude and fulfill responsibilities with integrity. If and when the duties and responsibilities change and develop, the job description will be reviewed and subject to changes of business necessity. COBBFENDLEY CHARACTERISTICS We Collaborate // with a professional attitude making communication a priority. We Commit // to maintaining a safe and inclusive work environment, with a focus on accountability. We Build Communities // by fulfilling our responsibilities with integrity that is consistent with industry standards. PHYSICAL/COGNITIVE REQUIREMENTS + ENVIRONMENTAL FACTORS Most work is performed in a professional office environment. Some trips to client offices and outdoor environments for observations will be required. Seated and Standing Position. Extended periods of sitting and standing in an upright position at a workstation. Mobility. Movement within the office and job sites, including navigating between floors, workstations, and outdoor environments with potential for uneven surfaces. Neck Movement. Forward flexion, extension, or lateral rotation of the head and neck while using multiple computer screens. Repetitive Motion. Repetitive finger movements for operating a computer mouse and typing on a keyboard. Arm Movement. Extending hands and arms in various directions, such as overhead, below the waist, forward, or laterally. Object Handling. Raising or lowering objects from one level to another and transporting objects by holding them in the hands, arms, or over the shoulder. Cognitive Requirements. Selective attention, oral comprehension, oral expression, speech recognition, speech clarity, written comprehension, written expression, problem sensitivity, deductive reasoning, inductive reasoning, number facility, information ordering, category flexibility, flexibility of closure, fluency of ideas, and originality. Office Conditions. Includes extensive use of electronic devices such as computers, printers, copiers, scanners, plotters, and telephones. Additionally, tasks may involve the use of cutting tools and equipment like rotary paper cutters and plotting devices. Outdoor Conditions. Includes walking and climbing on uneven surfaces, confined spaces, and exposure to extreme weather conditions (heat and freezing temperatures). Potential exposure to high noise levels and various allergens, including poison ivy, sumac, dust, pollen, and cedar. Potential exposure to wildlife hazards such as animals, insects, and plants. Safety and Equipment Use. Regular use of personal protective equipment (PPE) is required, along with use of hand and power tools. Driving and Vehicle Use. May involve driving large pick-up trucks with attached trailers, potentially operating watercraft, and for extended periods of time. EXPECTED WORK HOURS This is a full-time position, generally 40 hours per week, however, hours may fluctuate depending on department needs including the use of overtime. CobbFendley's standard operating hours are Monday through Friday, 7:30 AM to 4:30 PM CST. Generally, employees receive a 1-hour unpaid lunch break free of duty. Please note, operating hours and lunch hours may differ based on project workload, primarily for field staff. WORK LOCATION FLEXIBILTY This position is eligible for a hybrid schedule once the training period is complete as established by the department. EQUAL EMPLOYMENT OPPORTUNITY Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, pregnancy, genetic information, disability, status as a protected veteran, or any other protected category under applicable federal, state, and local laws. EEO is the Law (English) EEO is the Law (Spanish) EEO is the Law - Poster Supplement MISCELLANEOUS Pre-Employment Screenings. All offers of employment at CobbFendley are contingent upon the prospective employee passing a drug screening, physical exam (if applicable), and various background verifications (including but not limited to 10-year history of the county, state, federal, and a 5-year history of motor vehicle records). CobbFendley complies with all applicable state and federal laws regarding said screenings. Unless and only to the extent state or federal law limits CobbFendley's drug-testing requirements for initial hiring, all candidates for employment are subject to pre-employment drug screening verification which may include a panel drug test for use of marijuana and other substances that may be lawful under state law but unlawful under federal law. A positive result may lead to disqualification of candidacy or termination from employment to the extent permitted by law. CobbFendley reserves all rights with respect to its drug-testing, other pre-employment screenings, and workplace policies and procedures. External Recruiting Agencies. CobbFendley does not and will not accept unsolicited resumes under any circumstances from independent recruiters, recruiting agencies, or similar entities. Recruiting activity on behalf of a candidate does NOT constitute CobbFendley's acceptance of terms and conditions without prior contractual agreements signed by authorized CobbFendley personnel. Unsolicited resumes through any channels including cold calling, emails, applications, social media messaging, etc., will not be reviewed. Work Authorization + Sponsorship. Cobb, Fendley & Associates, Inc. participates in E-Verify. E-Verify is an Internet-based system operated by the Department of Homeland Security (DHS) in partnership with the Social Security Administration (SSA). The E-Verify system uses federal databases to rapidly validate individual identities and work eligibility from the information gathered in the Form I-9. CobbFendley will not sponsor applications of work visas. We understand that this could affect your decision to apply with these conditions in mind. Applicant Accommodations. Consistent with the Americans with Disabilities Act (ADA) it is the policy of CobbFendley to provide reasonable accommodation when requested by a qualified applicant or candidate with a disability, unless such accommodation would cause an undue hardship for the Company. The policy regarding requests for reasonable accommodation applies to all aspects of the hiring process. If reasonable accommodation is needed, please contact the HR Department at ************ or ******************. Drug-Free Workplace Conditions Medication Disclosure: Employees and job applicants shall receive notice of the most common medications, either by brand name, common name, or chemical name, that may alter or affect a drug test. A list of such medications shall be developed by the Agency for Health Care Administration. Contesting Positive Results: An employee or job applicant who receives a positive confirmed drug test result may contest or explain the result to the employer within 14 days after written notification of the positive test result. Responsibility to Notify the Laboratory: The employee or job applicant has the responsibility to notify the testing laboratory of any administrative or civil actions brought pursuant to this section. List of Drugs for Testing: A list of all drugs for which the employer will test can be supplied upon request, described by brand names or common names, as applicable, as well as by chemical names. Right to Consult the Testing Laboratory: Employees and job applicants are notified of their right to consult the testing laboratory for technical information regarding prescription and nonprescription medication.

Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. Hours: Monday - Friday 9:00am to 5:30pm EST and 1-2 late evenings 11:30am to 8:00pm EST. * This position will service members in different states; therefore, Multi-State Licensure will be required. This position requires an on-line pre-employment skills assessment. The assessment is free of charge and can be taken from any PC with Internet access. Candidates who meet the minimum requirements will be contacted via email with instructions. In order to move forward in the process, you must complete the assessment within 48 hours of receipt and meet the criteria. The Telephonic Nurse Case Manager II is responsible for care management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing, coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum. Performs duties telephonically. How you will make an impact: * Ensures member access to services appropriate to their health needs. * Conducts assessments to identify individual needs and a specific care management plan to address objectives and goals as identified during assessment. * Implements care plan by facilitating authorizations/referrals as appropriate within benefits structure or through extra-contractual arrangements. * Coordinates internal and external resources to meet identified needs. * Monitors and evaluates effectiveness of the care management plan and modifies as necessary. * Interfaces with Medical Directors and Physician Advisors on the development of care management treatment plans. * Negotiates rates of reimbursement, as applicable. * Assists in problem solving with providers, claims or service issues. * Assists with development of utilization/care management policies and procedures. Minimum Requirements: * Requires BA/BS in a health-related field and minimum of 5 years of clinical experience; or any combination of education and experience, which would provide an equivalent background. * Current, unrestricted RN license in applicable state required. * Multi-state licensure is required if this individual is providing services in multiple states. Preferred Capabilities, Skills and Experiences: * Case Management experience. * Certification as a Case Manager. * Minimum 2 years' experience in acute care setting. * Managed Care experience. * Ability to talk and type at the same time. * Demonstrate critical thinking skills when interacting with members. * Experience with (Microsoft Office) and/or ability to learn new computer programs/systems/software quickly. * Ability to manage, review and respond to emails/instant messages in a timely fashion. For candidates working in person or virtually in the below locations, the salary* range for this specific position is $76,944 to $126,408. Locations: Colorado; New York; New Jersey In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws. * The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law. Job Level: Non-Management Exempt Workshift: Job Family: MED > Licensed Nurse Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

Job Details DFW - Dallas, TX Full Time $40000.00 - $50000.00 Salary/year The Utility Coordinator plays a crucial role in managing utility services for rehabs, turnovers, and new tenant move-ins, ensuring all utilities are properly set up and ready in a timely manner. This position involves coordinating with various teams, including Property Management, Make Ready, and Construction, to resolve utility and maintenance discrepancies, mitigate resident complaints, and ensure smooth transitions. The Utility Coordinator serves as a liaison between third-party utility vendors, residents, and internal staff, while also managing utility-related documentation, reports, and correspondence. Summary of Responsibilities: Proactively coordinate utility setups for rehabs and turns , utilizing diverse communication channels (phone, email, text) to ensure timely and efficient service activation and a seamless transition. Monitor acquisitions of new properties to ensure all utility-related compliance is met, identifying and resolving any potential violations prior to move-in or project completion. Develop and maintain professional correspondence, reports, and detailed documentation for utility vendors, property management teams, and residents, ensuring clear communication and smooth processes. Act swiftly to address resident concerns regarding utility issues, investigating and resolving discrepancies in charges, coordinating repairs, and scheduling necessary maintenance to ensure customer satisfaction. Work closely with cross-functional teams, including Property Management and Make Ready, to identify and implement effective solutions for utility-related challenges, improving operational efficiency and resident experience. Serve as the primary point of contact between third-party utility vendors and internal teams (Make Ready, Acquisitions, Property Management) to facilitate smooth coordination, resolve issues, and ensure all utility needs are met during project phases. Cultivate and maintain strong, professional relationships with third-party utility providers, residents, and internal staff, ensuring effective communication and a cooperative approach to resolving utility-related matters. Ensure timely communication with residents and team members regarding compliance requirements related to utilities and other property-related matters, proactively notifying them of any actions required for adherence to community standards. Maintain a strong commitment to complying with Fair Housing laws and regulations, ensuring all interactions, documentation, and procedures are aligned with legal requirements and promote an inclusive and non-discriminatory environment. Perform any additional tasks or responsibilities as delegated by management. Required Qualifications, Skills & Experience: Minimum 1 year of administrative and scheduling experience Minimum 1 year of customer service experience, with proven ability to deliver exceptional support Property management experience (1+ year preferred) Strong attention to detail with a commitment to producing accurate, consistent results Ability to prioritize tasks, manage time effectively, and perform well under pressure Excellent written and verbal communication skills Strong analytical and problem-solving abilities High School Diploma or equivalent required Proficiency in Google Suite (Docs, Sheets, Calendar, Gmail, etc.) Familiarity with Salesforce and Propertyware preferred, but not required Physical Requirements: Prolonged periods of sitting at a desk and working on a computer. Must be able to lift up to 15 pounds at times. All candidates must be legally authorized to work in the United States. Employment is contingent upon the successful completion of a background check, drug screening, and motor vehicle record search. A final offer of employment from Open House Realty & Investments will only be extended after all required screenings have been completed and cleared. Open House Texas/Atlanta Realty & Investments is committed to providing equal employment opportunities to all employees and applicants. We prohibit discrimination and harassment of any kind based on race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws. This policy applies to all aspects of employment, including recruitment, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.

Substitute/Nurse Additional Information: Show/Hide Garland Independent School District is seeking qualified candidates for the position of substitute nurse. The appointee will report directly to the Principal/Director of Health Services and will be responsible for performing duties when the regular school nurse is absent. The person will work closely with students, parents, and campus staff. Qualifications: The Substitute Nurse will hold a valid license to practice nursing in the State of Texas. Preference will be given to applicants who: * Have successful experience in the nursing field * Demonstrate effective communication, public relations and interpersonal skills * Possess strong assessment skills * Exhibit the ability to work well with students * Have a service oriented personality * Such alternatives to the above qualifications as the administration may find appropriate and acceptable. Daily Rate: $225/day (Tuesday thru Thursday) | $235/day (Friday and Monday) Employment begins: As soon as possible, on an as-needed basis All interested parties should contact Health Services at ************** The Garland Independent School District is an equal opportunity employer and does not discriminate on the basis of ethnicity, religion, gender, age, national origin, disability, military status, genetic information or for any other reason prohibited by law.

Who We Are JPS Health Network is a $950 million, tax-supported healthcare system in North Texas. Licensed for 582 beds, the network features over 25 locations across Tarrant County, with John Peter Smith Hospital a Level I Trauma Center, Tarrant County's only psychiatric emergency center, and the largest hospital-based family medical residency program in the nation. The health network employs more than 7,200 people. Acclaim Multispecialty Group is the medical practice group featuring over 300 providers serving JPS Health Network. Specialties range from primary care to general surgery and trauma. The Acclaim Multispecialty Group formed around a common set of incentives and expectations supporting the operational, financial, and clinical performance outcomes of the network. Our goal is to provide high quality, compassionate clinical care for every patient, every time. Why JPS? We're more than a hospital. We're 7,200 of the most dedicated people you could ever meet. Our goal is to make sure the people of our community get the care they need and deserve. As community stewards, we abide by three Rules of the Road: 1. Own it. Everyone who wears the JPS badge contributes to our journey to excellence. 2. Seek joy. Every day, every shift, we celebrate our patients, smile, and emphasize positivity. 3. Don't be a jerk. Everyone is treated with courtesy and respect. Smiling, laughter, compassion - key components of our everyday experience at JPS. When working here, you're surrounded by passion, diversity, and dedication. We look forward to meeting you! For more information, visit ********************* To view all job vacancies, visit ********************* ***************************** or ******************** Job Title: Nurse Case Manager - Inpatient Requisition Number: 41646 Employment Type: Full Time Division: CLINICAL INTEGRATION Compensation Type: Hourly Job Category: Nursing / LVN Hours Worked: 7:30a-4:00p (M-F) Location: John Peter Smith Hospital Shift Worked: Day Job Description: Description: The Nurse Case Manager - Inpatient is responsible for coordinating the care and service of assigned patients with physicians, nurses, social workers and other members of the healthcare team to facilitate the progression of care from hospital admission through discharge. The Nurse Case Manager- Inpatient is also responsible for ensuring that the patient is placed in the appropriate level of care while monitoring the utilization of healthcare resources and discharge planning to achieve the desired clinical, financial, and resource utilization outcomes. Typical Duties: * Provides an assessment for all observation status patients prior to observation placement. The patient is to be assessed throughout the shift to determine discharge readiness or the need to convert to an inpatient status by using the approved medical appropriateness criteria and all third-party payer regulatory requirement. * Performs initial status review and level of care placement on all patients in an inpatient status using approved medical appropriate criteria in addition to third-party payer regulatory requirements. * Conducts an initial clinical assessment on assigned patients as well as discharge planning assessment prior to admission, at the time of admission, or at discharge. * Meets directly with the patient, family, and/or representative to assess needs and develop an individualized discharge plan based on the patient's medical diagnosis, treatment plan, financial resources, and psychosocial issues, etc. * Reassesses the discharge plan throughout the patient's hospitalization with input from the healthcare team and patient, family, and/or representative and modifying as needed. * Collaborates with the multi-disciplinary care team to ensure all needed clinical information is provided to the appropriate entities for the assigned level of care and supports the concurrent appeal process for any reduction in level of care or denial as requested. * Maintains active communication with the patient, family, and/or representative, physicians, nursing and other members of the multi-disciplinary care team to effect timely, appropriate patient management; documents each component of the case management process and related activities. * Identifies appropriate services not related to admission and assists in arrangement of services on an outpatient basis. * Leads the Unit's daily interdisciplinary rounds to ensure a comprehensive plan of care is developed, including identification of patient needs, assignment of tasks to resolve clinical issues, review of discharge barriers, and identification of discharge planning options. * Generates referrals to the Case Management Physician Advisor according to departmental policies. * Serves as an educational resource for physician, nursing staff and others concerning case management strategies essential in meeting the organization's quality, utilization, financial and customer satisfaction objectives. * Performs other related job duties as assigned. Qualifications: Required Education and Experience: * Bachelor's Degree in Nursing from an accredited college or university. * 3-5 years of clinical experience and/or case management, utilization review, and/or discharge planning experience in an acute care setting. Required Licensure/Certification/Specialized Training: * RN licensure through the Texas State Board of Nurse Examiners. Preferred Education and Experience: * Master's Degree in Nursing from an accredited college or university. Preferred Licensure/Certification: * ACM Certification. Location Address: 1500 S. Main Street Fort Worth, Texas, 76104 United States

Quintairos, Prieto, Wood & Boyer, P.A., a multi-office national firm has an immediate opening for a full-time Nurse Paralegal to work with our growing medical negligence practice in Dallas, TX Office. This is a full-time position, competitive salary and benefits package offered. The individual in this role primarily supports attorneys with a busy defense litigation practice with an emphasis on medical negligence. This is a hands-on position that involves working collaboratively with clients and employees of the firm. Responsibilities • Support legal team by requesting, analyzing and summarizing medical records for clients, attorneys and experts. • Conduct medical journal research via Internet or through local libraries. • Abstract medical records, organize and prepare both outline and narrative summaries of the records for internal use and for presentation to the client. • Analyze medical records and billings to evaluate the strengths and weaknesses of the medical evidence including pre-existing or co-existing medical conditions. Prepare case analysis. Identify issues, omissions and discrepancies. • Identify and provide information regarding medical experts and physicians; coordinate medical expert deposition preparation. • Assist attorneys with medical evidence preparation and organization for hearing or trial. • Compose and type document production including case analysis memoranda for attorneys, outline and narrative summaries, and chronologies of medical records, correspondence, and reports. • Compile data for exhibits. • Conduct preliminary legal research as necessary. • Other job related duties as assigned. Qualifications • Bachelor's Degree in Nursing required. Paralegal Certification preferred. • 6+ years as registered nurse. 2+ years of law firm consultant/paralegal experience preferred. • Proficient understanding and utilization of medical terminology, anatomical drawings, laboratory tests, and medications. Possess thorough understanding of medical condition to explain or illustrate a diagnosis. Proficient proofreading, redlining, and editing of documents. Must ensure accuracy, comprehension, and overall grammar and punctuation. • Has full understanding HIPPA compliance. Understands and complies with all other related regulatory mandates. • Research, analytical, organizational and critical thinking skills required. • Proficiency in MS Word, Excel, Power Point and Outlook and knowledge and application of legal research tools (Westlaw). • Superior written and oral communication skills; excellent interpersonal skills to communicate with court personnel, attorneys and their staff, clients, witnesses and outside vendors. #LI-AR1

Community Healthcare of Texas has provided Hospice and Palliative Care Services since 1996. Community Healthcare of Texas has cared for patients with serious and terminal illnesses throughout North Central Texas. Providing compassionate care for those living with an illness while supporting those caring for a loved one is the mission of Community Healthcare of Texas. Co mmunity Healthcare of Texas is currently recruiting for an Admission Nurse. $3,000 Sign-On Bonus POSITION SUMMARY Meet with patients and families to explain the scope of hospice services and coordinate admission of patients. ESSENTIAL FUNCTIONS Conducts consultations for admission of patient services including education of hospice services to patients and family. Completes thorough assessment of patient at the time of admission; establishes/arranges initial frequency of nursing visits, DME/RX needs, and assesses the need for bereavement, social work, chaplain, volunteer services. Attends and reports to Interdisciplinary Team regarding the patient. Completes paperwork and charting thoroughly and accurately according to Policy. May conduct nursing or 'tuck-in' visits. May train other admission staff on admission processes. May conduct supervisory visits on LVN or CNA staff. QUALIFICATIONS Must be a Registered Nurse in the state of Texas Hold a valid driver's license 1 year of nursing experience required Case Management experience required Strongly prefer 2+ years of experience in hospice case management Must have proficient computer skills and Microsoft Office suite experience BENEFITS Competitive Pay Generous Paid Time Off Programs Company provided Life Insurance, Short- and Long-Term Disability Medical, Dental, Vision Flexible Spending Account and Health Savings Account Employee Assistance Program Retirement Savings Plan Mileage reimbursement for work-related travel Reasonable Accommodations Statement To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable Accommodations may be made to enable qualified individuals with disabilities to perform essential functions.

Substitute Additional Information: Show/Hide Job Title: Substitute Nurse Reports To: Director of Health Services/ Campus Principal Primary Purpose Crandall Independent School District is seeking qualified candidates for the position of substitute nurse. The appointee will report directly to the Principal/Director of Health Services and will be responsible for performing duties when the regular school nurse is absent. The person will work closely with students, parents, and campus staff. Qualifications * The Substitute Nurse will hold a valid license to practice nursing in the State of Texas ( LVN, EMT's also accepted ) * Have successful experience in the nursing field * Demonstrate effective communications, public relation and interpersonal skills * Possess strong assessment skills * Exhibit the ability to work well with students * Have a service oriented personality * Such alternatives to the above qualifications as the administration may find appropriate and acceptable

Provides preventative health services to facilitate the student's optimal physical, mental, emotional and social growth and development. Identifies problems and disabilities and provides such services as case finding, health education, referring and care in order to help prevent serious health problems which would later be more difficult and costly to address. Supports the education process by working to assure the health of the students. Qualifications: Education/Certification: Qualified to practice as a licensed or registered nurse in the State of Texas and holds an unrestricted license. Certified in CPR or BLS (or obtain in the first 6 months) Experience: Minimum of one (1) year experience in public health nursing, community health nursing, school health nursing or pediatric nursing Required Knowledge, Skills, and Abilities (KSAs): Knowledge of principles and practices underlying the special field of school health. Knowledge of current trends in nursing and of literature in the fields of school health. Knowledge of organization and administration of other cooperating agencies. Knowledge of state and local laws relating to health and social issues. Ability to participate cooperatively in a program of school health nursing. Ability to exercise professional judgment in making decisions. Ability to communicate appropriately and effectively with students, parents, administrators, other school personnel, etc… Demonstrate a genuine interest in the student population and its health needs Responsibilities and Duties: Promotes and protects the optimal health status of school-age children Provides health assessments Obtains a health history Screens and evaluates findings of the deficit in vision, hearing, scoliosis, growth, etc. Observes the child for development and health patterns in making nursing assessments. Identifies abnormal health findings. Develops and implements a student health plan Interprets the health status of students to parents and school personnel. Initiates referral to parents, school personnel or community health resources for intervention, remediation and follow through. Utilizes existing health resources to provide appropriate care of students. Provides ongoing health counseling with students, parents, school personnel or health agencies. Maintains, evaluates and interprets cumulative health data to accommodate individual needs of students Plans and implements school health management protocols Participates in home visits to assess the family needs as related to the child's health. Develops procedures and provides for emergency nursing management for injuries/illnesses Promotes and assists in the control of communicable diseases. Provides health education and anticipatory guidance Provides direct health education, and health counseling to assist students and families in making decisions on health and lifestyles that affect health. Participates in health education directly and indirectly for the improvement of health by teaching persons to become more assertive health consumers and to assume greater responsibility for their own health. Counsels with students concerning problems such as pregnancy, sexually transmitted diseases and substance abuse in order to facilitate responsible decision-making practices. Serves as a resource person to the school staff members in health instruction. Coordinates school and community health activities and serves as a liaison health professional between the home, school and community. Acts as a resource person in promoting health careers. Engages in research and evaluation of school health services to act as a change agent for school health programs and school nursing practices. Provides consultation in the formation of health policies, goals and objectives for the school district. Where applicable, participates in the IEP plan development. Travel as required. Equipment Used: All equipment required to perform jobs duties and task previously described Physical / Environmental Factors: The physical demands are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Responsive Education Solutions considers applicants for all positions without regards to race, color, national origin, age, religion, sex, marital status, veteran or military status, disability, or any other legally protected status. ResponsiveEd is an Equal Opportunity Employer. Salary: $100.00 per day

We're looking for Labor and Delivery RNs for an immediate travel nurse opening in Arlington, TX. The right RN should have 3 years' recent acute care experience. Read below for more requirements. L&D Travel Nurses provide care and support for women before, during and after delivery ofa baby. L&D RNs must ensure that the medical as well as emotional needs of their patients are met at all times throughout the birthing process. As an L&D RN, you'll be responsible for assisting physicians when epidurals or pain medications are administered, episiotomies are performed, or when the patient requires preparation for a cesarean delivery. As an L&D Travel Nurse, you should be prepared to perform the following tasks: Stay with and monitor patient throughout labor. Monitor contractions and help patients with breathing techniques. Check cervix periodically to monitor progression/lack of dilation. Ensure beds are kept clean and dry; clean up bodily fluids expelled before and after birthing process. Aid physician with drapes, gloves, gowns, delivery instruments, etc. Immediate care of newborn. L&D Travel Nurses should be able to stand and walk for long periods of time, as well as bend, lean and stoop without difficulty. RNs should be able to easily lift 20 pounds. Moving or lifting of patients may require lifting of up to 50 pounds at times. Because of the fast-paced environment, L&D RNs must possess good skills for coping with stress and be able to relate to people of all ages and backgrounds. Requirements*: ACLS, BLS, AWHONN, NRP, 3 Years * Additional certifications may be required before beginning an assignment.

**Telephonic Nurse Case Manager I** **Virtual:** This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. _Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law._ **Work schedule: Monday-Friday, 10 - 6:30 pm EST.** **Federal Employee Program - FEP** , a proud member of the Elevance Health, Inc. family of companies, it is a powerful combination, and the foundation upon which we are creating greater access to care for our members, greater value for our customers, and greater health for our communities. Join us, and together we will drive the future of health care The **Telephonic Nurse Case Manager I** is responsible for performing care management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing, coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum. Performs duties telephonically or on-site such as at hospitals for discharge planning. **How you will make an Impact:** + Ensures member access to services appropriate to their health needs. + Conducts assessments to identify individual needs and a specific care management plan to address objectives and goals as identified during assessment. + Implements care plan by facilitating authorizations/referrals as appropriate within benefits structure or through extra-contractual arrangements. + Coordinates internal and external resources to meet identified needs. + Monitors and evaluates effectiveness of the care management plan and modifies as necessary. + Interfaces with Medical Directors and Physician Advisors on the development of care management treatment plans. + Negotiates rates of reimbursement, as applicable. + Assists in problem solving with providers, claims or service issues. **Minimum Requirements:** + Requires BA/BS in a health related field and minimum of 3 years of clinical experience; or any combination of education and experience, which would provide an equivalent background. + Current, unrestricted RN license in applicable state(s) required. + Multi-state licensure is required if this individual is providing services in multiple states. **Preferred Skills, Capabilities, and Experiences:** + Certification as a Case Manager is preferred. + BS in a health or human services related field is preferred. + Strong oral, written, and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills. + Knowledge of the medical management process and the ability to interpret and apply member contracts, member benefits, and managed care products are strongly preferred. + Prior managed care experience is strongly preferred. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.