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Pain Management Physician Salary in San Antonio, TX

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Solid job skills in business planning/consulting and territory financial analysis; preferred knowledge of managed care Experience / knowledge of Physiology/clinical therapies Experience with / knowledge of Implantable devices Excellent interpersonal, communication, negotiation skills Team oriented Conceptual/consultative sales skills Understanding of all quality policy/system items that are personally applicable Ability to follow all work/quality procedures to ensure quality system compliance and high quality work Proven leadership abilities and experience in selling value-added program Thrives in an environment of variety and rapid growth & change Excellent communication and presentation skills Accustomed to working independently with a high degree of accountability About MedtronicTogether, we can change healthcare worldwide. At Medtronic, we push the limits of what technology, therapies and services can do to help alleviate pain, restore health and extend life. 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respond to change with flexibility and adaptability; demonstrate the ability to work together for change.• Translate strategies into action steps; monitor progress and achieve results. • Demonstrate the confidence, drive, and ability to face and overcome challenges and obstacles to achieve organizational goals.• Demonstrate competence to perform assigned responsibilities in a manner that meets the population-specific and developmental needs of patients served by the department.• Possess negotiating skills that support the ability to interact with physicians, nursing staff, administrative staff, discharge planners, and payers.• Excellent verbal and written communication skills, knowledge of clinical protocol, normative data, and health benefit plans, particularly coverage and limitation clauses.• Must adjust to frequently changing workloads and frequent interruptions.• May be asked to work overtime or take calls.• May be asked to travel to other facilities to assist as needed.• Actively participates in Multidisciplinary/Patient Care Progression Rounds.• Escalates cases as appropriate and per policy to Physician Advisors and/or CM Director.• Documents in the medical record per regulatory and department guidelines.• May be asked to assist with special projects.• May serve as a preceptor or orienter to new associates.• Assumes responsibility for professional growth and development.• Must have familiarity with criteria sets including InterQual and MCG preferred.• Must have excellent verbal and written communication.• Must have critical and analytical thinking skills.• Must have demonstrated clinical competency.• Other duties as assigned.Requirements:BSN required or demonstrated success as a Registered Nurse in the Utilization Management Nurse II role for at least five years at CHRISTUS Health on top of the required experience to include:Demonstrated leadership skills – formal or informalDemonstrated willingness to mentor team members including onboarding and orienting new associatesDemonstrated problem-solving skills Demonstrated positive approach in difficult and challenging situationsDemonstrated agent for change and change management5 years of experience in the clinical setting with at least 3 years in the acute care setting required.B. Licenses, Registrations, or CertificationsRN License in state of employment or compact required.Certification in Case Management preferred.BLS preferred. Work Schedule:8AM - 5PM Monday-FridayWork Type:Full TimeEEO is the law - click below for more information: https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12ScreenRdr.pdfWe endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact us at (844) 257-6925.
Utilization Management Nurse III - Case Management
CHRISTUS Health, San Antonio, TX, US
DescriptionSummary:The Utilization Management Nurse III is responsible for determining the clinical appropriateness of care provided to patients and ensuring proper hospital resource utilization of services. This Nurse is responsible for performing a variety of pre-admission, concurrent, and retrospective UM related reviews and functions. They must competently and accurately utilize approved screening criteria (InterQual/MCG/Centers for Medicare and Medicaid Services “CMS” Inpatient List). They effectively and efficiently manage a diverse workload in a fast-paced, rapidly changing regulatory environment and are responsible for maintaining current and accurate knowledge regarding commercial and government payors and Joint Commission regulations and guidelines related to UM. This Nurse effectively communicates with internal and external clinical professionals, efficiently organizes the financial insurance care of the patients, and relays clinical data to insurance providers and vendors to obtain approved certification for services. The Utilization Management Nurse collaborates as necessary with other members of the health care team to ensure the above according to the mission of CHRISTUS.CHRISTUS Santa Rosa Hospital - Westover Hills (CSRH-WH) is a 150-bed hospital serving the fastest growing area of San Antonio. Specialized care includes orthopedic and surgical services, ICU, women’s services, a newborn nursery, comprehensive cardiovascular care from diagnostics to open heart surgery, vascular lab, sleep center, emergency services, the CHRISTUS Weight Loss Institute, wound care, rehabilitation, and more. The campus also boasts an Outpatient Imaging Center and three medical plazas, one of which houses our CHRISTUS Santa Rosa Family Medicine Residency Program and CHRISTUS Santa Rosa Family Health Center.Responsibilities:• Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.• Applies demonstrated clinical competency and judgment in order to perform comprehensive assessments of clinical information and treatment plans and apply medical necessity criteria in order to determine the appropriate level of care.• Resource/Utilization Management appropriateness: Assess assigned patient population for medical necessity, level of care, and appropriateness of setting and services. Utilizes MCG/InterQual Care Guidelines and/or health system-approved tools to track impact and variance.• Uses appropriate criteria sets for admission reviews, continued-to-stay reviews, outlier reviews, and clinical appropriateness recommendations.• Coordinate and facilitate correct identification of patient status.• Analyze the quality and comprehensiveness of documentation and collaborate with the physician and treatment team to obtain documentation needed to support the level of care.• Facilitates joint decision-making with the interdisciplinary team regarding any changes in the patient status and/or negative outcomes in patient responses.• Demonstrates, maintains, and applies current knowledge of regulatory requirements relative to the work process in order to ensure compliance, i.e. IMM, Code 44.• Demonstrate adherence to the CORE values of CHRISTUS.• Utilize independent scope of practice to identify, evaluate, and provide utilization review services for patients and analyze information supplied by physicians (or other clinical staff) to make timely review determinations, based on appropriate criteria and standards.• Take appropriate follow-up action when established criteria for utilization of services are not met.• Proactively refer cases to the physician advisor for medical necessity reviews, peer-to-peer reviews, and denial avoidance.• Effectively collaborate with the Interdisciplinary team including the Physician Advisor for secondary reviews.• Proactively review patients at the point of entry, prior to admission, to determine the medical necessity of a requested hospitalization and the appropriate level of care or placement for the patient.• Review surgery schedule to ensure planned surgeries are ordered in the appropriate status and that necessary authorization has been obtained as required by the payor or regulatory guidance (ie., CMS Inpatient Only List, Payor Prior Authorization matrix, etc.)• Regularly review patients who are in the hospital in Observation status to determine if the patient is appropriate for discharge or if conversion to inpatient status is appropriate.• Proactively identify and resolve issues regarding clinical appropriateness recommendations, coverage, and potential or actual payor denials. • Maintain consistent communication and exchange of information with payors as per payor or regulatory requirements to coordinate certification of hospital services.• Coordinate and facilitate patient care progression throughout the continuum and communicate and document to support medical necessity at each level of care.• Evaluate care administered by the interdisciplinary health care team and advocate for standards of practice.• Analyze assessment data to identify potential problems and formulate goals/outcomes.• Follows the CHRISTUS Guidelines related to the Health Insurance Portability and Accountability ACT (HIPPA) designed to prevent or detect unauthorized disclosure of Protected Health Information (PHI).• Attend scheduled department staff meetings and/or interdepartmental meetings as appropriate.• Possesses and demonstrates technology literacy and the ability to work in multiple technology systems.• Act as a catalyst for change in the organization; respond to change with flexibility and adaptability; demonstrate the ability to work together for change.• Translate strategies into action steps; monitor progress and achieve results. • Demonstrate the confidence, drive, and ability to face and overcome challenges and obstacles to achieve organizational goals.• Demonstrate competence to perform assigned responsibilities in a manner that meets the population-specific and developmental needs of patients served by the department.• Possess negotiating skills that support the ability to interact with physicians, nursing staff, administrative staff, discharge planners, and payers.• Excellent verbal and written communication skills, knowledge of clinical protocol, normative data, and health benefit plans, particularly coverage and limitation clauses.• Must adjust to frequently changing workloads and frequent interruptions.• May be asked to work overtime or take calls.• May be asked to travel to other facilities to assist as needed.• Actively participates in Multidisciplinary/Patient Care Progression Rounds.• Escalates cases as appropriate and per policy to Physician Advisors and/or CM Director.• Documents in the medical record per regulatory and department guidelines.• May be asked to assist with special projects.• May serve as a preceptor or orienter to new associates.• Assumes responsibility for professional growth and development.• Must have familiarity with criteria sets including InterQual and MCG preferred.• Must have excellent verbal and written communication.• Must have critical and analytical thinking skills.• Must have demonstrated clinical competency.• Other duties as assigned.Requirements:BSN required or demonstrated success as a Registered Nurse in the Utilization Management Nurse II role for at least five years at CHRISTUS Health on top of the required experience to include:Demonstrated leadership skills – formal or informalDemonstrated willingness to mentor team members including onboarding and orienting new associatesDemonstrated problem-solving skills Demonstrated positive approach in difficult and challenging situationsDemonstrated agent for change and change management5 years of experience in the clinical setting with at least 3 years in the acute care setting required.RN License in state of employment or compact required.Certification in Case Management preferred.BLS preferred. Work Schedule:VariesWork Type:Full TimeEEO is the law - click below for more information: https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12ScreenRdr.pdfWe endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact us at (844) 257-6925.
Physical Therapist - Physical Therapy
CHRISTUS Health, San Antonio, TX, US
DescriptionSummary:Provides Physical Therapy Services to patients referred, including assessment, treatment plan development and implementation with the follow-up and discharge planning. Actively assists with clinical aspects of the department, including program development, department operations and Performance Improvement activities. Assists with supervising and coordinating the Physical Therapy and Physical Therapy Assistant student programs. In addition, supervises Licensed Physical Therapy Assistants, Rehab Technicians, and Volunteers.CHRISTUS Santa Rosa is proud to bring more than 145 years of Catholic, faith-based, health care excellence to Alamo Heights, an area known for its rich history and quality. Overlooking the Quarry Golf Course, the 36-bed short stay surgical hospital provides state-of-the-art technology including electronic medical records complemented by highly specialized services, physicians, and clinical care teams. Requirements:Bachelor’s, Master’s, or entry level Doctorate of Physical Therapy degree from an accredited college or university in the area of Physical Therapy is required. All modalities/equipment used by a Physical Therapist as outlined by the Executive Council of Physical Therapy and Occupational Therapy Examiners.Licensed as a Physical Therapist by the Texas Executive Council of Physical and Occupational Therapy Examiners.BLS certification is required. Must also successfully complete the pre-employment/post job offer health screening examination and the annual screening, each year thereafter as an employee.Work Type: Full TimeEEO is the law - click below for more information: https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12ScreenRdr.pdfWe endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact us at (844) 257-6925.