RN Clinical Reviewer PRN

Work Schedule: PRN/As Needed Schedule

The RN Clinical Reviewer for the Gulf Coast Division in Houston, TX plays a vital role in upholding medical necessity, patient safety, and regulatory compliance across our comprehensive network of acute care facilities, emergency centers, and specialized regional programs. This position is an exceptional opportunity for experienced RNs with a background in Utilization Review (UR), Utilization Management (UM), Case Management, Care Coordination, or Clinical Documentation Improvement (CDI) who excel at administrative oversight. Operating within a fast-paced and data-driven healthcare environment, the Clinical Reviewer is responsible for the systematic, electronic evaluation of physician orders and medical documentation to ensure clinical and technical accuracy. This position actively supports a diverse range of high-acuity medical and surgical services, including advanced cardiovascular care, stroke and neurological services, orthopedics, oncology treatments, and critical care units. Leveraging your clinical expertise and familiarity with industry-standard guidelines, you will utilize HCA Healthcare's integrated platforms—such as the Patient Keeper desktop and mobile physician interfaces—to audit real-time patient charts, validate clinical indicators, and ensure optimal resource management. By collaborating dynamically with multidisciplinary healthcare teams, the RN Clinical Reviewer directly impacts the delivery of superior, evidence-based care throughout the greater Houston area.

Job Summary and Qualifications

What You Will Do In Your Role:

• Apply strong critical thinking skills within the designated purpose and scope of healthcare services.

• Take personal ownership and accountability for maintaining a proactive, efficient daily workflow.

• Collaborate actively with the team to ensure resources and operational processes run smoothly.

• Electronically review physician orders for technical accuracy using the specialized Patient Keeper platform.

• Leverage HCA Healthcare's (https://hcahealthcare.com/) desktop and mobile Patient Keeper interface to maximize efficiency, protect patient safety, and deliver superior care.

What qualifications you will need:

• Graduate of an Accredited School of Nursing is required. BSN is preferred.

• Current Registered Nurse License in the State of Texas or Multi-State Compact License (Employees with RN Compact License are required to obtain Texas RN License within 90 days of hire date).

• Clinical, interpersonal, detail-oriented, customer-focused

• Ability to follow verbal and written instructions with ability to maintain confidential information is required

• Mature understanding of Meditech

• Ability to work independently

• Demonstrated ability to communicate effectively with clinical and information technology personnel verbally and in writing

• Demonstrated advanced computer skills

• Effective organizational skills

• Good problem solving, critical thinking, and analytical skills

• Existing knowledge of the facility’s clinical/operational processes, challenges and Meditech environment preferred

• Proficiency in Microsoft Office applications preferred

• Customer service orientation and/or training preferred

Benefits

HCA Houston Healthcare, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include some or all of the following:

• Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services

• Wellbeing support, including free counseling and referral services

• Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence

• Savings and retirement resources , including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling

• Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing

• Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts

Learn more about Employee Benefits (https://careers.hcahealthcare.com/pages/employee-benefits-and-rewards)

Note: Eligibility for benefits may vary by location and position.

HCA Gulf Coast Division is an affiliation of hospitals serving greater Houston area and South Texas. We share a mission, a commitment to the communities we serve and a standard of excellence for providing compassionate patient care. Serving such a large and diverse region requires HCA Gulf Coast Division to offer a range of programs that meets the needs of people of all ages with conditions ranging from acute to chronic illnesses. With 16 acute care and specialty hospitals, freestanding emergency rooms, ambulatory surgery centers, and more than 16,000 employees, HCA Gulf Coast Division offers patients access to a circle of care that is unique in the region. We bring comprehensive care close to home, including advanced medical care, education, and community outreach. By joining together as a network, hospitals are able to focus on improving outcomes and enhancing services for their own communities, while pooling resources for other functions like staffing and systems management.

HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.

"Bricks and mortar do not make a hospital. People do."- Dr. Thomas Frist, Sr.

HCA Healthcare Co-Founder

If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our RN Clinical Reviewer PRN opening. We review all applications. Qualified candidates will be contacted for interviews. Unlock the possibilities and apply today!

We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status

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