Cook Children's Health Care System

Summary The Insurance Precertification Specialist will obtain insurance verification, referral authorization, processing and follow up of insurance claims and collections as required. Expected to have knowledge of all front office procedures and adhere to all policies and procedures. Education & Experience: High School Diploma 2 Years Billing and Insurance Experience 2 Years Front Office Practice Operations Experience Understanding of General Accounting Principles Cook Children's is an EOE/AA, Minority/Female/Disability/Veteran employer. Additional Information CCMC

Summary The Barista ensures service standards are met and surpassed by creating the Starbucks Experience for your customers by providing customers with prompt service, quality beverages and products, and maintaining a clean and comfortable store environment. Responsible for processing transactions through the cash register and accurately maintaining daily cash drawer. Responsible for preparing area to include setting up the equipment in the front-of-the-house of the restaurant for service. Maintain excellent customer service to ensure optimal customer satisfaction. Education & Experience: High school diploma or equivalent. 1 year customer service experience; cashier experience preferred. Effective verbal and written communication skills. Effective customer service skills. Ability to make at least 90% on the barista certification examination after completion of barista training. May have opportunity to take examination twice in order to preserve...

Summary This Registered Nurse position is located on a unique unit that is really two subspecialties in one - TCU/RCU. The TCU (Transitional Care Unit) cares primarily for graduates of the Neonatal Intensive Care Unit (NICU) whose caregivers will be taking them home with tracheostomies (many on ventilators). The RCU (Rehabilitative Care Unit) provides collaborative team care to children with traumatic brain injuries, near drownings, strokes and other diseases, disorders or injuries involving loss of function. The goal of the team is to maximize the return of function to these amazingly resilient children and support their caregivers on the journey. TCU/RCU offers an opportunity to develop relationships with patients and their caregivers since some have extended stays. Both TCU and RCU provide opportunities for education and teaching as caregivers learn to care for their child with medically complex needs. This is a unit where interdisciplinary team work is essential as you work...

Summary The Chaplain will provide spiritual leadership for the medical center in the areas of pastoral care, ethics, and bereavement. Education & Experience: Master's degree required, with significant coursework in Theology, Pastoral Care, Counseling, and Ethics. Licensure, and/or Certification: CPE (Clinical Pastoral Education) preferred. Ordination, or in process, as appropriate to candidate’s faith group. Chaplaincy Endorsement from candidates faith group. Cook Children's is an EOE/AA, Minority/Female/Disability/Veteran employer. Additional Information CCMC

Summary Registration is a twenty-four (24) hour seven (7) day a week operation functioning as the nucleus of accurate patient information, with direct public interface and timely service, therefore, the Patient Access Specialist must be detail oriented, personable, calm, flexible, honest, and capable of handling difficult situations with tact and diplomacy. The incumbent will assist in providing access to services provided at the hospital and/or clinic. Knowledge of all tasks performed in the various Patient Access Service areas is necessary to provide optimum internal and external customer satisfaction and provide the opportunity for accurate reimbursement. This position is primarily responsible for the registration information for the patient visit, obtaining patient demographic and third party information with a high degree of accuracy. This position also requires timely completion, preparation, and deployment of legal, ethical and compliance related documents that must be...

Summary The RN Case Manager uses a collaborative process to plan, assess, implement, monitor and evaluate the options and services required to meet the healthcare needs of the patients using the functions of Utilization Review using Interqual and Milliman Care Guidelines, Discharge Planning and Case Management in order to facilitate: (1) quality of patient care; (2) cost effective utilization and outcome management; (3) communication between patients, families, and members of the health care team; (4) expedition of the movement of patients through appropriate levels of care; and (5) information gathering for Quality & Risk Management utilizing Joint Commission Accreditation of Healthcare standards and clinical indicators. The Case Manager will assist with the identification of appropriate providers and facilities throughout the continuum of care, to ensure that resources of both CCMC and the patient are used in a timely and cost-effective manner to meet the healthcare needs...

Summary ABOUT COOK CHILDREN'S HEALTH PLAN: Cook Children’s Health Plan provides essential coverage to low-income people who qualify for government-sponsored programs such as Medicaid and the Children’s Health Insurance Program (CHIP). The Health Plan is a managed care organization established by Cook Children’s Health Care System in 1998 to help provide health insurance benefits to underinsured and uninsured children within our community. We've grown to more than 103,000 members, including children and expectant mothers who are eligible for CHIP or Medicaid coverage. Job Summary: The Behavioral Health Care Coordinator provides care management services to members with low to moderate health complexities. Activities include, but are not limited to outreach, assessment, service coordination, care management, care service planning, and member support. Education & Experience Requires a BS/BA of Social Work/Psychology/Mental Health or related field....

Summary A Medical Laboratory Scientist (MLS) uses education, experience and analytical judgment to perform the duties of clinical laboratory testing commensurate with the specialty and subspecialty assigned, recognizing technical and process problems and ensuring test systems are functioning properly and within expected parameters before reporting patient test results. A MLS will also work independently to resolve technical problems within scope of authority, making decision to notify and seek advice of next level of management or designee when indicated. A MLS will staff hours, rotate temporary on-call, as appropriate, and perform other duties as assigned to meet Laboratory, CCMC and CCHCS goals. Schedule is dependent on patient and laboratory need. Laboratory and Corporate Compliance, as outlined by the OIG and CMS, is an important aspect of our laboratory’s environment. Each employee is expected to be knowledgeable of, and behave in accordance with the Laboratory and Medical...

Summary Provides accurate, prompt, and courteous service to all Cook Children’s Health Plan Members and Providers in a fast-paced call center. Delivers quality service by responding to every inquiry immediately and directly when possible or by collaborating with other CCHP team members involved in the delivery of care to our Members and Providers. Education & Experience: Minimum High School Diploma or equivalent. 2 Years’ experience working with hospital and/or Government sponsored Programs or Community-Based Organizations (CBOs) 2 years’ experience working in a Call Center Environment or Medical setting Excellent verbal, communication, and grammatical skills Fluent bilingual in English/Spanish and Medical/insurance terminology Able to work independently Computer literate with working knowledge and proficiency with Microsoft Outlook, Excel, Word, and Internet Explorer Ability to manage priorities and complete tasks in a timely manner...

Summary The Wound Care/Plastic Surgery Advanced Practice Provider functions in a collaborative practice with physician(s) in the outpatient and inpatient setting. Autonomously performs patient assessment, diagnosis, and intervention according to approved protocols. Develops and maintains own volume of patients under the supervision of a physician. Provides practice/clinic coverage and may round for physician(s) during periods of absence. Prescribes a variety of modalities to meet wellness and illness needs, including prescriptive authority. Education & Experience Advanced Practice Registered Nurses Master’s Degree in Nursing as Advanced Practice Registered Nurse. Minimum 1 year of pediatric nursing experience or related specialized area strongly preferred. Physician Assistants Master’s Degree in Physician Assistant Studies. Minimum 1 year of experience in related specialized area strongly preferred. Licensure, Registration, and/or Certification Advanced...

Summary Provides accurate, prompt, and courteous service to all Cook Children’s Health Plan Members and Providers in a fast-paced call center. Delivers quality service by responding to every inquiry immediately and directly when possible or by collaborating with other CCHP team members involved in the delivery of care to our Members and Providers. Education & Experience: Minimum High School Diploma or equivalent . 6 months experience in a Call Center Environment or Medical setting, or three months as a CCHP call center contractor. Excellent verbal, communication, and grammatical skills Fluent bilingual in English/Spanish Medical terminology Computer literate with working knowledge and proficiency with Microsoft Outlook, Excel, Word, and Internet Explorer Ability to manage priorities and complete tasks in a timely manner within outlined timeframes. Cook Children's is an EOE/AA, Minority/Female/Disability/Veteran employer. Additional...

Summary The STAR Kids Member Advocate will serve as a Liaison between the STAR Kids Members and Cook Children’s Health Plan (CCHP). The Member Advocate will help Members and their Legally Authorized Representatives (LARs) navigate through the complexities of the healthcare system. The Member Advocate will guide and educate Members on their benefits, Member Rights & Responsibilities, Complaints and Appeals all while maintaining cultural sensitivity and confidentiality. The Member Advocate will deliver a highly satisfactory customer experience by responding to every inquiry immediately and directly, when possible, or by collaborating with other CCHP team members involved in the delivery of care to our STAR Kids Members. Education & Experience : Minimum High School Diploma. Fluent in English/Spanish a requirement. Must have at least 2 years of experience handling a large call-volume in a fast-paced office setting. Must have 1-2 years’ experience...

Summary Instrument Technician II is responsible for performing and monitoring a variety of duties in relation to decontamination, preparation / assembly, sterilization, and distribution of trays and sets, equipment, and supplies in the sterile processing without direct supervision. Performs routine cleaning and preventative maintenance of department equipment. Participates in and monitors distribution of supplies to customers maintaining excellent customer service. Maintains and prevents cross contamination by observing dress codes, environmental policies and traffic control. Education & Experience: High school graduate or equivalent is required, some college education or advanced training (certified instrument specialist, etc...) is desired. Experience as an instrument technician of a minimum 2 years is mandatory. Knowledge of aseptic technique, proper sterilization procedures, decontamination and assembly procedures per IAHCSMM, AAMI, AORN, AST, OSHA,...

Summary Instrument Technician, Lead responsibilities include assisting the coordinator / supervisor in the daily flow of work in the department. This includes maintaining adequate reserve inventory for assembly of instrument sets and equipment. Serves as a liaison for surgery (OR) to expedite high priority surgical procedures and or instruments. Provides mentoring to all staffs on the unit as needed. Participates in Sterile processing leadership and planning for department. Maintains and prevents cross contamination by observing dress codes, environmental policies and traffic control. Education & Experience: High school graduate or equivalent is required. Experience as an instrument technician of a minimum 5 years is recommended. Knowledge of aseptic technique, proper sterilization procedures, decontamination and assembly procedures per IAHCSMM, AAMI, AORN, AST, OSHA, JCAHO, The Joint commission, safety standards, hospital and departmental policies and...

Summary Instrument Technician, Lead responsibilities include assisting the coordinator / supervisor in the daily flow of work in the department. This includes maintaining adequate reserve inventory for assembly of instrument sets and equipment. Serves as a liaison for surgery (OR) to expedite high priority surgical procedures and or instruments. Provides mentoring to all staffs on the unit as needed. Participates in Sterile processing leadership and planning for department. Maintains and prevents cross contamination by observing dress codes, environmental policies and traffic control. Education & Experience: High school graduate or equivalent is required. Experience as an instrument technician of a minimum 5 years is recommended. Knowledge of aseptic technique, proper sterilization procedures, decontamination and assembly procedures per IAHCSMM, AAMI, AORN, AST, OSHA, JCAHO, The Joint commission, safety standards, hospital and departmental policies and...

Summary The CCHP Accountant, Staff, assists the VP and Accounting Manager in all functions related to financial operations of CCHP. Education & Experience: Bachelor’s degree required- Accounting preferred . Relevant work experience or one to two years public accounting experience is a plus. Licensure, Registration, and/or Certification: None Required at time of hire,prefer if CPA license obtained within three years of hire Cook Children's is an EOE/AA, Minority/Female/Disability/Veteran employer. Additional Information CCHP

Summary Working within the Health Plan finance department, this position is responsible for the analysis of financial reports, cost and utilization reports, trends and producing a summary of those trends as well as other business opportunities. In addition, responsible for the monitoring and evaluation of new business opportunities and associated financial regulations and guidelines of those opportunities. Additional duties will include gathering, interpreting, and evaluating financial information, generating forecasts and analyzes, creating financial models for future business planning and decision in areas such as new product development and new market strategies. Education & Experience: Bachelor's Degree in Accounting, Finance or related field required. 3+ years’ experience in healthcare finance or accounting role. Advanced training or experience in healthcare analytics. Superior analytical skills Strong presentation and communication skills...

Summary Responsible for performing all physician, hospital and ancillary provider orientation, training and ongoing educational activities for CCHP network providers and their staffs. Responsible for the tracking of concerns, complaints and issues raised by network providers, and results reporting. Facilitates resolution of all complaints/issues raised by network providers related to members, claims, operational policies and organizational procedures. Responsible for ensuring the accuracy and completeness of CCHP provider directory information. Coordination of the development and publication of the CCHP provider newsletter. Development & maintenance of the CCHP provider reference guide. Develops and implements additional communications required to assure that CCHP providers are knowledgeable regarding CCHP operations and programs. Education & Experience: High School graduate with advanced training in healthcare, business, or a related field required. Five...

Summary Patient Care Technicians (PCT) deliver competent and skilled care to patients and families as supervised and delegated by the RN/LVN. PCTs deliver care with a team-oriented approach and an emphasis on good customer relations. Education & Experience: High School diploma or equivalent, plus one of the following: Completion of certified Nurse Assistant program or hold an active CNA. Completion of Medical Assistant program. Completion of first clinical semester in accredited nursing program with continued enrollment in nursing program. Completion and current certification of Emergency Medical Technician Program. Completion of Patient Care Technician training program. License/Certifications: Current BLS Cook Children's is an EOE/AA, Minority/Female/Disability/Veteran employer. Additional Information CCMC

Summary The Registered Nurse will deliver competent and skilled care to patients and families according to their identified needs. Nursing care is based on the nursing process and augments the medical plan of treatment. The Registered Nurse will deliver care with a team-orientation, an emphasis on good customer relations, sound clinical judgment and appropriate decision-making abilities that take into consideration evidenced based practice. Education & Experience Graduate of an accredited nursing program or has completed requirements for BSN en route to MSN. 1 year of nursing experience. Licensure, Registration, and/or Certification Current license to practice professional nursing in the State of Texas. Current BLS. PALS or NRP certification required. Certification as necessary in certain areas in the Medical Center. Cook Children's is an EOE/AA, Minority/Female/Disability/Veteran employer. Additional Information CCMC