- Molina Healthcare (San Antonio, TX)
- …NCQA accreditation surveys and federal/state QI compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Manager , Health Plan Quality Interventions is ... responsible for developing, implementing, and monitoring the success of quality improvement interventions . The Manager works to coordinate resources and… more
- Vighter Medical Group (San Antonio, TX)
- Licensed Clinical Social Worker (LCSW), Local, San Antonio, Texas Job Details Job Location San Antonio, TX - San Antonio , TX Position Type Full Time Education Level ... to 25% Job Shift Any Job Category Health Care Description Title:Licensed Clinical Social Worker (LCSW) Location: San Antonio, Texas Position Type:Full time (30-40+… more
- San Antonio Behavioral Health (San Antonio, TX)
- … practice and identify opportunities to increase effectiveness and efficiency. + Identify clinical indicators to measure and evaluate quality care. Assure that ... The Nurse Manager is a registered nurse who has expertise...Adult for a given shift; record of consistently high quality of clinical and interpersonal skills to… more
- Molina Healthcare (San Antonio, TX)
- …plan to achieve performance goals. + Direct management of QS HPP program manager . Coordination with health plan quality staff. Ensure organization with other ... years of experience in Managed Care and/or health plan quality . Clinical experience is needed for positions...for positions that are focused on Accreditation, Compliance, HEDIS Interventions , Potential Quality of Care issues, and… more
- Molina Healthcare (San Antonio, TX)
- …or Licensed Behavioral Health professional in Texas to join Molina as a Case Manager working with our Medicaid members in the San Antonio service delivery area. Part ... HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of… more
- Molina Healthcare (San Antonio, TX)
- …HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of ... timelines and determines who may qualify for case management based on clinical judgment, changes in member's health or psychosocial wellness, and triggers identified… more
- Molina Healthcare (San Antonio, TX)
- …HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of ... ongoing monitoring of the care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly. + Promotes integration… more
- Molina Healthcare (San Antonio, TX)
- …accuracy of abstracted records as required by specifications. + Assists the quality improvement staff with physician and member interventions and incentive ... **Job Description** **Job Summary** Molina's Quality Improvement Lead Overreader conducts oversight and audits...off of the audit and chart review. + Assists Manager and Supervisor(s) in leading the training and mentoring… more
- Fresenius Medical Center (Marble Falls, TX)
- …professional support, and career development. + Superior training, UltraCare- quality control, and certification procedures ensure your potential to succeed ... applicable in order to maximize the patient's nutritional status and improve clinical outcomes. Functions as a member of the interdisciplinary healthcare team,… more
- HCA Healthcare (Fredericksburg, TX)
- …BSW for our team to ensure that we continue to provide all patients with high quality , efficient care. Did you get into our industry for these reasons? We are an ... the timely implementation of discharge plans and arranges post-acute interventions identified in the plan of care. The BSW...+ You will obtain input from the RN case manager to ensure the discharge plan is appropriate and… more