- Molina Healthcare (Fort Worth, 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
- HCA Healthcare (Dallas, TX)
- …programs. This includes monitoring patient medication regimens and providing appropriate interventions . The Clinical Specialist shall also assist in mentoring ... that we continue to provide all patients with high quality , efficient care. Did you get into our industry...and mentor antimicrobial management program (AMP). + Documents all clinical activities and interventions accurately and completely.… more
- HCA Healthcare (Dallas, TX)
- …and will be on weekdays *_ Our RN Case Managers raise the bar by providing clinical expertise and the highest quality care in the most compassionate way. The RN ... established criteria and in conjunction with the multidisciplinary team. The RN Case Manager will coordinate activities that promote quality outcomes and patient… more
- Molina Healthcare (Fort Worth, 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 (Fort Worth, 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 (Dallas, 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 (Grand Prairie, TX)
- …for TX licensed RN interested in joining our LTSS Team as a Case Manager working with our Medicaid members in the Grand Prairie, TX service delivery area. ... 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 (Fort Worth, 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
- HCA Healthcare (Irving, TX)
- …patient care. Performs in accordance with physician's orders and under the supervision of the Clinical Manager . What you will do in this role: + Assesses home ... and patient/family/caregiver. + Communicates significant findings, problems and changes to Clinical Manager and physician, and documents all findings,… more
- Fresenius Medical Center (Fort Worth, TX)
- …applicable in order to maximize the patient's nutritional status and improve clinical outcomes. Functions as a member of the interdisciplinary healthcare team, ... supporting the FMCNA commitment to the Quality Enhancement Program (QEP) and Quality Assessment and Performance Improvement (QAI) activities. Actively… more
- Elevance Health (Grand Prairie, TX)
- …Appeals Associate** is responsible for supporting the development and implementation of quality improvement interventions and audits. **How you will make an ... Carelon Health is a proud member of the Elevance Health family of brands, offering clinical programs and primary care options for seniors. We are a team of committed… more
- Methodist Health System (Dallas, TX)
- …data and monitors for acute and chronic care management * Assist the Office Manager in developing and implementing clinical policies and procedures. * Advise ... assesses disease condition. * Executes prescribed treatments and medical interventions , administers prescribed medications, and monitors and documents treatment… more