Clinical Documentation Registered Nurse II - Document Integrity (Hiring Immediately)

Description Summary: This position is responsible for facilitating improvement in the overall quality and completeness of the medical record documentation. The clinical documentation RN will provide support and expertise through comprehensive assessment and review of inpatient medical records. The clinical documentation RN will facilitate accurate DRG assignment and obtain appropriate documentation through extensive interaction with physicians, patient caregivers and health information management coding staff to ensure that reimbursement is received for the level of services rendered to the patients. Responsibilities: Analyzes clinical status of patient, current treatment plan and past medical history and identifies potential gaps in physician documentation Communicates with attending physician either verbally or through written methodology to validate observations and suggest additional and/or more specific documentation Maintains positive open communication with physicians, nursing and all other disciplines involved in the care of the patient Works closely with HIM Coding staff to assure documentation of discharge diagnosis and any co-existing co-morbidities are a complete reflection of the patient's clinical status and care Maintains an electronic DRG worksheet to assist coders on identifying all documented diagnosis and procedures Updates DRG worksheet to reflect any changes inpatient status/procedure/treatment and confers with the physician to finalize diagnosis Consistently meets established productivity targets for record review Designs and implements in collaboration with physician leadership specific tools to support medical record physician documentation Develops and implements plans for both formal and informal education of physician, nursing, and other clinical staff on clinical documentation opportunities, coding and reimbursement as well as performance improvement methodologies Assists in collection and organization of data for analysis by appropriate medical and hospital committees Identifies strategies for sustained work process changes that facilitate complete, accurate clinical documentation Demonstrates competence to perform assigned responsibilities is a manner that meets the population-specific and developmental needs of the members served by the department Appropriately adapts assigned assessment, treatment, and/or service methods to accommodate the unique physical, psychosocial, cultural, age-specific and other developmental needs of each member served Takes personal responsibility to ensure compliance with all policies, procedures and standards as promulgated by state and federal agencies, the hospital, and other regulatory entities Performs all duties in a manner that protects the confidentiality of patients and does not solicit or disclose any confidential information unless it is necessary in the performance of assigned job duties Performs other duties as assigned Requirements: Associate's Degree in Nursing RN License in state of employment or compact Work Schedule: 8AM - 5PM Monday-Friday Work Type: Full Time

Occupational Therapist - Physical Therapy (Hiring Immediately)

Description 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. Summary: Provides Occupational 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 Occupational Therapy and Occupational Therapy Assistant Student programs. In addition, supervises Certified Occupational Therapy Assistants, Rehab Technicians, and Volunteers. Responsibilities: Performs comprehensive diagnostic evaluations to determine the status of the physical, cognitive and daily living abilities of inpatients and outpatients, considering diagnosis and age specific needs. Develops and implements, with patient/family participation, individualized treatment plans, as indicated, considering diagnosis and age specific needs, with measurable goals and methods to achieve goals. Adheres consistently to the P&Ps relating to documentation, to include: Initial Patient Evaluations, Daily and Weekly Progress notes as required, Discharge Summaries and other notations as appropriate. Participates in patient care conferences, family conferences, in-service programs, departmental, and interdepartmental meetings. Counsels both patient (if appropriate), family and other involved individuals regarding patient evaluation, care and treatment. Initiates and completes discharge planning in a timely manner and provides effective education and training. Assists with coordination and supervision of the Occupational Therapy and Occupational Therapy Assistant student programs, as well as the volunteer program. Actively assists with clinical aspects of the department including orientation of new associates, scheduling of patients to assure quality patient coverage and appropriate staff supervision, as necessary. Demonstrates adherence to the CORE values of CHRISTUS Santa Rosa Health System. Understands, supports and participates in Performance Improvement activities. Complies with and develops efficient and creative ways to maintain departmental productivity standards. Maintains an awareness of other agencies within the community in order to make appropriate referrals, when indicated, to network and to increase knowledge of community resources. Identifies and provides educational opportunities for self, department and community. Participates in research activities, as appropriate. Demonstrates competence to perform assigned patient care responsibilities in a manner that meets the age-specific and developmental, and population specific needs of patients served by the department. Appropriately adapts assigned patient assessment, treatment and/or care methods to accommodate the unique physical, psychological, cultural, age-specific, and other developmental needs of each patient served. Fosters and promotes positive and professional relationships with members of the medical staff, physicians, and referral sources. Performs other related duties as directed. Requirements: Education/Skills Bachelor’s, Master’s, Doctoral degree from an accredited college or university in the area of Occupational Therapy is required. All modalities/equipment used by an Occupational Therapy Assistant as outlined by the Texas Executive Council of Physical Therapy and Occupational Therapy Examiners. Experience None required. Licenses, Registrations, or Certifications Licensed as an Occupational Therapist by the State Board of Occupational Therapy Examiners of Texas. BLS certification is required. Work Schedule: 5 Days - 8 Hours Work Type: Full Time

Dialysis Technician - Hemodialysis - Full Time (Hiring Immediately)

Description Summary: The Dialysis Technician is responsible for managing daily technical duties in the dialysis unit and supporting the safe operation and monitoring of dialysis equipment. This role contributes to the delivery of high-quality, family-centered, and developmentally appropriate patient care under the supervision of a registered nurse. Responsibilities: Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders. Maintains clinical competency by ensuring that the physiological, psychosocial, and developmental needs of the patient are met within a family-centered care environment. Prepares and disassembles hemodialysis equipment daily or as needed, according to procedure and dialysis prescription, with 100% accuracy. Monitors the water purification system each patient shift for compliance with standards for water treatment used for dialysis described by AAMI standards (American Association of Medical Instrumentation), with 100% accuracy. Assists with the treatment of hemodialysis patients as assigned by the supervisory nursing staff in compliance with departmental standards. Maintains dialysis equipment according to prescribed procedures and with accountability for cost-effective management while helping to ensure that the department achieves patient care goals. Maintains water treatment system by inspecting daily and ensuring that safety and quality control are in compliance with the standards for water treatment used for dialysis as described by the American Association of Medical Instrumentation and the Texas Department of Health. Prepares purchase orders within one week of request. Monitors par levels of supplies for the Central Distribution and Dialysis equipment and supply rooms at least weekly and ensures that adequate levels of supplies are stored appropriately. Maintains daily records on water treatment systems, machines, and dialysis equipment. Demonstrates effective communication skills with the health care team and other hospital departments. Consults, as directed, with various hospital departments and outside vendors as directed by supervisory personnel to help maintain continuity of unit and departmental operational standards. Continuously maintains professional conduct and good communication skills and confidentiality in patient care that help to promote quality assurance and continuous quality improvement activities as related to patient care and unit operations. Supports patient education goals of the unit by demonstrating adherence to patient care policies and procedures as outlined by IDS and unit standards of care. Assists with educational activities, at least quarterly, that support unit's annual educational goals. Manages time so that workflow is efficient and consistent. Performs tasks daily that help to maintain unit organization. Consolidates non-stat errands off the unit to minimize workflow interruption. Maintains an orderly work area. Submits copies of completed pharmacy requisitions, purchase order forms, machine quality control reports, and Biomed reports by the first of the month to the Nurse Manager. Perform other duties as assigned. Job Requirements: Education/Skills High school diploma or equivalent preferred Experience 2 years of dialysis-related experience required Licenses, Registrations, or Certifications BLS required One of the following is required within 1 year of hire Certified Hemodialysis Technologist/Technician (CHT) by BONENT Certified Clinical Hemodialysis Technician (CCHT) by NNCC Certified Clinical Hemodialysis Technician - Advanced (CCHT-A) by NNCC In accordance with the CHRISTUS Health License, Certification and Registration Verification Policy, all Associates are required to obtain the required certifications for their respective positions within the designated time frame. Work Schedule: 7AM - 7PM Work Type: Full Time

Multi Modality Technologist - Imaging CAT Scan (Hiring Immediately)

Description CHRISTUS Santa Rosa Hospital - New Braunfels (CSRH-NB), nestled in the heart of downtown New Braunfels, is a full-service, 94-private bed facility that continues to expand to meet the needs of New Braunfels’ strong population growth. Innovative equipment and procedures are utilized, including an Outpatient Imaging Center, orthopedic and surgical services, rehabilitation, a renovated birthing center, including 24/7 neonatal coverage, emergency care, wound care/hyperbaric center, 3D mammography, and comprehensive heart care, from diagnostics to open-heart surgery. Summary: With minimum supervision, the Multi-Modality Technologist will competently function in two (2) or more modalities within the Imaging Department. This can include Diagnostic Radiology, MRI, CT, Ultrasound, Special Procedures, Nuclear Medicine, or Mammography. Performs various technical procedures requiring independent judgment and is responsible for designated areas or procedures as needed or assigned in two (2) or more modalities. Responsibilities: Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders. Performs a variety of diagnostic procedures, some of a more complex nature, utilizing state-of-the-art computerized imaging equipment in more than one (1) modality. Requires flexibility to work competently within assigned modalities as needed or assigned. Interacts appropriately with patients and all care providers by coordinating and prioritizing procedures during the workday to maintain a high level of patient care and continuity. Possesses the ability and willingness to rotate within departments and clinics for proper coverage as needed or assigned. Upon completion of procedures, program the computer to ensure completion of the exam and all scan data is correctly stored in PACS. Ensures exam rooms are neat, clean, and adequately stocked before exams are performed and acts to ensure compliance with Infection Control standards. Coordinates and prioritizes procedures during the workday to maintain a high level of patient care and continuity. Ensures all charges are correctly coded and entered in the billing system. Performs all duties in a manner that protects the confidentiality of patients and does not solicit or disclose any confidential information unless necessary in the performance of assigned job duties. Ability to communicate effectively, both verbally and in writing. Excellent customer service skills required. Adapt assigned patient assessment, treatment, and/or care methods to accommodate the unique physical, psychosocial, cultural, spiritual, age-specific, and other developmental needs of each patient served. Ensures compliance with all policies, procedures, and standards as outlined by State and Federal agencies, the hospital, and other regulatory entities. Demonstrates adherence to the Core values of CHRISTUS Health Performs other duties as assigned. Job Requirements: Education/Skills Graduate of an accredited school of Radiology Technology or other accepted and approved equivalent required Experience 1 year of experience in a medical setting required Basic computer experience required Excellent customer service experience required Licenses, Registrations, or Certifications One of the following primary modality registries/certifications (active) is required: Radiography (R) (ARRT) Nuclear Medicine Technology (N) (ARRT or NMTCB) Sonography (S) (ARRT or ARDMS) One of the following postprimary modality registries/certifications (active) is required: Mammography (M) (ARRT) CT (ARRT) MRI (ARRT) Bone Densitometry (BD) (ARRT) Vascular Interventional Radiography (VI) (ARRT) Breast Sonography (ARRT) Vascular Sonography (VS) (ARRT) State Licensure required based on modality Texas: MRT by TMB Louisiana: LRT (R), (N), or (F) by LSRTBE New Mexico: RRT, DMS, NMT, CT, FUS, MRT, or VS by MIRTP NMED BLS required Work Schedule: 7AM - 5PM Work Type: Per Diem As Needed

Application System Analyst Lead - Converge Revenue Cycle (Hiring Immediately)

Description Summary: The Information Services Lead is responsible for leading and coordinating the efforts and content within the designated focus area. This position is the most senior level and will require coordination and consistency across related IS teams. Specific responsibilities include providing oversight for applications support including Incident, Problem, Request and Change Management. This position requires a self-starter with the ability to work with minimal oversight. Responsibilities: Acts as primary representation in phases of implementation including build, configuration, testing, go-live support, and optimization. Serves as escalation for the focus area in the support and optimization of team activities. Demonstrates leadership for team to consistently provide strong, high-quality outcomes to end users and stakeholders. Ensures team members adhere to quality standards. Demonstrates an expert level of application understanding, and applies expertise to help meet customer goals and outcomes and set standards. Able to influence operational and clinical project outcomes. Coaches team members to tackle new problems using experimentation, including successes and failure experiences. Inspire creative problem solving beyond standard recommendations and practice. Applies expert level understanding of assigned clinical/business operations, processes, and workflows; and accurately documents, discusses, and identifies dependencies with project team members and stakeholders. Prepares and provides clear and organized project status reporting to all stakeholders. Coordinates team members to gather information and prepare organized, consistent, and accurate reporting. Escalates issues appropriately through the chain of command. Leads process and requirement analysis, including process mapping through current flowcharts, documenting plans, requirements elicitation, stakeholder analysis, and specification gathering on complex projects. Develops business relationships with key client administrators based on trust. Leverages relationships to gain new project insight and new business opportunities for the Portfolio team. Identifies potential areas of conflict or roadblocks and works with appropriate leadership to remove or resolve. Organizes and distributes work load to ensure deliverables meet customer expectations; Mentor assigned Analysts; Facilitates cross training of team members. Proactively escalates issues and/or concerns with customer/system service expectations. Maintains knowledge of Epic including Nova release notes, User Forum, Galaxy, and other documentation published through the Epic User Web. Able to independently understand, analyze, and communicate complex integrated design and configuration. Able to independently analyze, design, and configure the application. Ability to teach team members complex design, configuration. Works collaboratively with application and compliance teams to design system processes. Acts as customer liaison, working with end-users or business contacts to understand business needs and communicate the requirements and timelines. Leads the focus area workgroups, providing oversight for related processes. Manages communication between the application teams as appropriate; facilitates application and cross-application work sessions. Strong communicator able to adapt message from baseline project team members to senior leadership. Independently develops internal and external communication and articulates project strategy ideas. Ability to coach in a positive and constructive way to increase self-awareness in others. Demonstrates highest ability to produce design, configuration and deliverables for executive leadership with no superior review. Manages large and/or sensitive projects/requests throughout the project lifecycle. Works collaboratively with all team members to assign tasks, provides oversight and guidance to lower-level staff. Develop and maintain documentation, remain informed of the latest features and functionality to enhance the focus area to gain efficiency. Maintains expert knowledge of all technologies applicable to specific job responsibilities. Work with Application teams including Application Development, and Business Process Owners to design, develop, and maintain application aspects within prescribed policies and requirements. Pursues professional growth and development through personal reading, seminars, workshops, and professional affiliations to keep abreast of the trends in his/her field of expertise. Leads and coordinates across applications for high impact vendor changes. May be required to travel to perform duties. May be required to work additional hours as needed during critical problems. Proactively plans projects and tasks across applications. Performs other duties as assigned. Requirements: Education/Skills Associates or Bachelor’s degree preferred with a focus in healthcare, business, or information systems. Ability to present complex data in meaningful method, i.e., charts, graphs Ability to adjust to and implement change Problem Solving skills Multitasking skills Work as a team member Proficient in Microsoft applications including Word, Excel, and PowerPoint Excellent customer service skills Highly effective written and verbal communication and interpersonal skills to establish working relationships that foster optimal quality teamwork and education Strong organizational skills in managing multiple priorities Experience 5-7 years of experience within supported healthcare, business, or information systems Supervisory experience preferred Preferred 2 years project management experience or equivalent Requires minimal instruction on day-to-day work and general direction on more complex tasks and projects Develops new functionality for requests with little to no direction and leads multidisciplinary teams throughout project Regularly serves as mentor or knowledge resource to peers across community May have functional supervision responsibilities of other team members May provide input into performance reviews and corrective actions for team members May recommend and coordinate scheduling of work assignments, daily priorities, and directing the work of team members Makes decisions regarding daily priorities for a work group; provides guidance to and/or assists team members on non-routine or escalated issues Works in a team setting, sharing information and assisting other junior team members Possesses and demonstrates detailed healthcare knowledge and systems expertise Excellent project management and communication skills, both verbal and written Able to independently coordinate and lead projects Licenses, Registrations, or Certifications Associated certifications on area of focus, preferred For Epic Analysts: Must be proficient in the assigned Epic module or certified upon employment date. Certifications or Proficiencies must stay current by maintaining new version training. Work Schedule: 8AM - 5PM Monday-Friday Work Type: Full Time

Nurse Practitioner - Entada Contenta (Hiring Immediately)

Description Summary: We're seeking a fulltime NP to provide outpatient primary care. This is a dynamic job opportunity that will provide prenatal, some acute, same day visits for the clinician group, follow-up visits from the ER/hospital and a small panel of primary care patients. The NP will be responsible for obtaining an accurate medical history, performing appropriate examinations, ordering laboratory and radiologic tests if needed, establishing a diagnosis, and implementing a treatment plan which may include prescribing medications. Responsibilities: Practice Highlights: Monday-Friday eight-hour day work schedule, or four days per week, ten-hour days Family medicine provider call rotation, limited to telephone call only. Patient volume about 18 patients per day We offer a competitive salary and benefits package. Join our team and discover why people who work with us have voted us as one of New Mexico's Best Places to Work and designated CHRISTUS St. Vincent a Family Friendly business for the last six consecutive years. Organization & Culture Summary: CHRISTUS St. Vincent is a not-for-profit integrated health system located in the beautiful mountain-west city of Santa Fe, New Mexico. Our 200-bed facility is a level III trauma center providing the region's 300,000 residents with compassionate, high-quality care. Our 2,500 associates and providers work through hospital and regional outpatient clinics to offer 39 major medical services and lines of specialty care. As a member of the Mayo Clinic Care Network, we are part of a select group of independent health systems which have been granted special access to Mayo Clinic's expertise and resources. This membership allows our physicians to combine their understanding of unique medical needs with Mayo Clinic expertise so that our patients get exactly the care they need right here, close to home. CHRISTUS St. Vincent is a compassionate family of healthcare providers who care deeply about making a positive, healthy impact in our community. Santa Fe Living: Enjoy 300 sunny days per year, short commute times, as well as a thriving cultural, art, and music scene.Livibility.com ranked Santa Fe 4 for The Best Home Base Cities for Adventure Enthusiasts. With 300 miles of bike trails, an extensive wilderness trail, the legendary Santa Fe Margarita Trail and five ski areas, streams and lakes, all within two or less hours of the historic downtown plaza, Santa Fe offers ample outdoor opportunities to enjoy year-round. We are New Mexico's Capitol City and have earned national and international recognitions. To learn much more about Santa Fe living, visit: https://www.santafechamber.com/the-best-of-santa-fe.html Requirements: NP certified (two or more years of experience required but preferred) and state medical license Work Schedule: MULTIPLE SHIFTS AVAILABLE Work Type: Full Time Interested candidates please send CV with contact information to Megan Varela-Lujan, Manager Provider Recruitment, at [email protected]

Speech Pathologist - Rehabilitation Hospital Physical Therapy Rehab - Full Time (Hiring Immediately)

Description Summary: The staff Speech Pathologist is legally and ethically responsible for evaluating, planning and implementing programs for the communicatively handicapped population. Responsibilities: Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders. Maintains consistency with Administrative and Departmental policies with appropriate behavior, dress, attitude, attendance, confidentiality, professionalism, and reliability. Plans and administers diagnostic evaluations/treatment programs for clients and completes required documentation such as case history, evaluation report, initial treatment plan, daily progress notes, and quarterly progress notes in a timely manner. Involves the client and family members or significant others in therapeutic planning, goal setting and recommendations for therapeutic interventions. Performs professional duties related to patient care in order to restore the patient to his or her optimal level of independence and function. Participates in established intra-departmental and inter-departmental communication systems and methods to achieve departmental and hospital goals. Is responsible for insuring productive and efficient delivery of services through coordinated scheduling. Maintains required records/documentations as specified in department policy and procedures manual. Participates in medical chart peer review, case records review and utilization review as deemed necessary by management. Performs all other duties as assigned. Requirements: Education/Skills Masters level degree in Speech Language Pathology is required Basic computer knowledge Ability to communicate effectively, both verbally and written Experience New graduate entry level or any amount of experience in speech therapy is acceptable. Licenses, Registrations, or Certifications SLP License in state of employment SLP Intern license is accepted as long as all requirements are met. Full license with American Speech and Hearing Association within one year of hire BLS required In accordance with the CHRISTUS Health License, Certification and Registration Verification Policy, all Associates are required to obtain the required certifications for their respective positions within the designated time frame. Work Schedule: 5 Days - 8 Hours Work Type: Full Time

Ultrasound Technologist-Cardiology-PRN (Hiring Immediately)

Description Summary: The Ultrasound Technologist will perform a wide variety of routine and advanced imaging procedures, will provide support for other imaging technologists as needed, and help to facilitate smooth and efficient patient flow. The Ultrasound Technologist must be able to handle the movement, set-up, and operation of medical ultrasound equipment. The technologist will demonstrate flexibility by working other shifts and/or at other campuses as needed or required. The technologist must be able to troubleshoot basic maintenance, participate in QA, and resolve issues related to image processing and the image archiving system. Expectation to participate in ongoing education, safety, and technical advances within their scope of licensure. The technologist will adhere to, and maintain, the expected imaging competencies as outlined by management. Behavior and communication skills must align with the organization's mission, values, and culture. Responsibilities: Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders. Demonstrates adherence to the Core Values of CHRISTUS Health. Maintains consistency with Administrative and Departmental policies with appropriate behavior, dress, attitude, attendance, confidentiality, professionalism, and reliability. Promotes staff growth, development, and employee engagement by collaborating with management, coworkers, and physicians to create an optimal work environment. Promotes exceptional physician satisfaction by providing meaningful assistance to radiologists and referring physicians. Performs all duties in a manner that protects the confidentiality of patients and does not solicit or disclose any confidential information unless it is necessary in the performance of assigned job duties. Appropriately adapt assigned patient assessment, treatment, and/or care methods to accommodate the unique physical, psychosocial, cultural, spiritual, age-specific, and other developmental needs of each patient served. Ensures compliance with all policies, procedures, and standards of care as deemed appropriate by State and Federal agencies, the hospital, and other regulatory entities. Performs examinations/procedures as needed to assist in patient throughput within the scope of the Manager’s license(s), certification(s), and/or documented competencies. Demonstrates flexibility by working other shifts and at other campuses as needed or required. Ensures completed exams are scanned and stored correctly in PACS. Ability to follow PACS downtime procedures as a PACS Superuser and escalate any problem(s) or issue(s) to the PACS administrator or Designee if needed. Troubleshoots and reports any equipment malfunctions to the Director/Manager and/or Biomedical personnel; does appropriate follow-up. Performs other duties as assigned. Job Requirements: Education/Skills Graduate of an accredited school of Ultrasound Technology or other accepted and approved equivalent required Experience 1 year of ultrasound scanning experience preferred Basic computer experience required Licenses, Registrations, or Certifications Requires one of the following within 1 year of hire: Sonography (S) by ARRT Abdomen (AB) RDMS by ARDMS Obstetrics & Gynecology (OB/GYN) RDMS by ARDMS Prefers one of the following, along with the required: Vascular Sonography (VS) by ARRT Breast Sonography (BS) by ARRT Breast (BR) RDMS by ARDMS Adult Echocardiography (AE) RDCS by ARDMS Registered Vascular Technologist (RVT) by ARDMS State Licensure is required if in New Mexico DMS by MIRTP NMED BLS required In accordance with the CHRISTUS Health License, Certification and Registration Verification Policy, all Associates are required to obtain the required certifications for their respective positions within the designated time frame. Work Schedule: MULTIPLE SHIFTS AVAILABLE Work Type: Full Time