Jobs at Cook Children's Health Care System

Audits behavioral and medical claims for Texas Medicaid and CHIP programs, including post-payment reviews, claim sampling, high-dollar pre-audits, coding and system configuration validation, and payment integrity checks. Prepares structured audit reports, communicates findings to reimbursement and claims teams, and ensures compliance with regulatory standards, contracts, HIPAA, security rules, and required timelines.

Manages patient relations and serves as a neutral liaison between patients, families, and caregivers. Oversees complaints, grievances, patient rights, regulatory compliance, service recovery, and departmental staff. Leads process improvement, analyzes grievance trends, coordinates family meetings, maintains regulatory policies, and collaborates with hospital leadership, legal teams, and clinical stakeholders to resolve issues within required timeframes.

Analyzes healthcare claims data to identify recovery and cost-containment opportunities, audits provider contracts and delegated entities, and ensures claims payment configurations comply with Medicaid, CMS, Texas regulatory, and contractual requirements. Interprets business requirements, supports benefit and fee-schedule configuration, and collaborates with Claims, Provider Contracting, Compliance, Finance, and Information Systems teams.

Leads Cook Children’s enterprise data, analytics, and research IT strategy and execution. Oversees modernization of data engineering and advanced analytics, translating data into actionable intelligence for research and clinical operations. Establishes data governance, operational excellence, secure-by-design practices, and IT service management frameworks. Requires progressive IT leadership, expertise in modern data platforms and business intelligence tools, and research informatics knowledge.

Provides primary care and therapy support for pediatric patients in ABA programs. Delivers therapy protocols, maintains a safe environment, manages harmful behaviors, collects data, completes training, and collaborates with the care team. Requires a high school diploma and RBT certification within six months; CPR and CSC SCM training must be completed within 60 days.

Delivers competent, evidence-based nursing care to pediatric patients and families using the nursing process. Collaborates with the care team, supports the medical treatment plan, applies sound clinical judgment, makes appropriate decisions, and maintains positive customer relations. The assignment requires 24 hours weekly, completion of new-hire and patient-care orientation, and adherence to required nursing licenses and certifications.

Provides skilled, evidence-based nursing care to pediatric patients and families on a medical-surgical unit. Responsibilities include using the nursing process, supporting medical treatment plans, exercising clinical judgment, making appropriate care decisions, collaborating with the care team, and maintaining strong patient and family relationships during a winter-plan assignment.

Deliver skilled nursing care to pulmonary clinic patients and families using the nursing process, evidence-based practice, sound clinical judgment, and coordinated teamwork. Work Monday through Friday on a winter-plan assignment, complete orientation, and meet weekly hour requirements while maintaining required licensure and certifications.

The Registered Nurse provides skilled, evidence-based care to pediatric intensive care patients and their families using the nursing process. Responsibilities include clinical decision-making, collaboration with the care team, patient and family support, and adherence to medical treatment plans. This winter assignment requires 24 hours per week, completion of new-hire and patient-care orientation, and maintaining required nursing certifications and licensure.

Supports and evolves enterprise Identity and Access Management services, including authentication, authorization, provisioning, access certification, role models, and reauthorization. Gathers requirements, assists with IAM architecture, integrates applications, monitors infrastructure performance, troubleshoots issues, and supports compliance and risk mitigation. Collaborates with application, infrastructure, business, and security teams to implement IAM solutions and develop roadmaps.

Provide individualized nursing care to pediatric Renal/GI and Med/Surg overflow patients on a 7p–7a third shift, using nursing process and evidence-based judgment. Collaborate with the care team, advocate for patient safety, communicate with families, and maintain service excellence.

Obtains insurance verification and referral authorizations, processes and follows up on insurance claims and collections, and performs front office procedures in an outpatient cardiology clinic while following organizational policies.

The Business Finance Manager communicates key financial metrics and analyses, assists in budgeting and strategic planning, and collaborates with department leadership to improve operational efficiency.

Provide routine security patrols, respond to incidents and emergencies, maintain locked areas, report offenses, interact with police/fire officials, protect patients, staff, visitors and property, and represent the hospital professionally. Complete required health, psychological assessments, state commissioning, driving and BLS requirements.

Provides collaborative hospitalist care for pediatric patients in a short-stay unit. Responsibilities include assessment, diagnosis, care-plan development and adjustment, interventions, prescribing, admission or discharge decisions, and coordination with physicians and care-team members to manage patient needs and length of stay. This is a full-time, third-shift position requiring either qualified pediatric or family nurse practitioner credentials or physician assistant credentials, along with Texas licensure and BLS and PALS certification.

Ensures accurate billing transactions for uninsured patients with Good Faith Estimates, researches charges and coding, addresses No Surprises Act questions and disputes, determines reimbursement amounts, maintains documentation, and manages the Federal Independent Dispute Resolution process. Supports integrated self-pay collection, customer service, billing transparency, and patient experience across hospital and physician billing operations.

Provides skilled, patient-centered nursing care to pediatric patients and families in a medical/surgical setting. Uses the nursing process, sound clinical judgment, evidence-based practice, and collaborative teamwork. This winter-plan assignment requires 24 hours weekly, completion of orientation, and adherence to clinical, licensing, and certification requirements.

Provides individualized nursing care to pediatric patients and families before, during, and after gastrointestinal procedures. Collaborates with gastroenterologists and the medical team, applies evidence-based clinical judgment, supports patient safety, and maintains strong customer relations. Works Monday through Friday on the first shift and participates in on-call coverage three to five days monthly.

Collects and analyzes clinical and operational quality data, prepares statistical reports, facilitates improvement teams and leadership groups, addresses utilization management issues, and identifies and corrects regulatory and contractual compliance gaps. Works with specialty department leaders to monitor clinical service metrics and support continuous improvement across pediatric healthcare services.

Supervises and coordinates specialty clinic office functions, supports and guides staff, promotes efficient operations, and advises the Practice Manager on operational cost control. Assumes Practice Manager responsibilities during absences. The role requires healthcare clinical-setting experience, leadership, medical billing and insurance knowledge, coding expertise, office procedures, accounting fundamentals, and BLS certification.