- Molina Healthcare (Houston, 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
- Houston Methodist (Houston, TX)
- …knowledge to both nursing and general healthcare communities. The Manager Clinical Education position serves to implement quality evidence into nursing ... and timely programs for professional and nonprofessional staff. The Manager Clinical Education position closely monitors quality metrics to adjust areas of… more
- Houston Methodist (Houston, TX)
- …care activities and patient outcomes impacted by pharmaceutical care and clinical interventions . + Provides patient-specific and non-patient specific drug ... medication use evaluations, adverse drug reaction and medication error reporting, clinical interventions , medication center reviews, and inventory management… more
- Houston Methodist (Nassau Bay, TX)
- …physicians, clinical management, hospital leadership and staff to assess quality and safety of services provided by CPE students. Implements opportunities for ... At Houston Methodist, the Clinical Pastoral Education (CPE) Certified Educator position is...Education (ACPE). Under supervision of the Educator CPE and/or Manager CPE, this position performs activities towards the fulfillment… more
- Elevance Health (Houston, TX)
- … data related to pharmaceuticals to assist contracted providers in achieving cost and quality goals. + Serves as a clinical resource to other pharmacists and ... providers in areas such as prospective, inpatient, and retrospective DURs and clinical support for therapeutic interventions . + Prepares information for network… more
- Houston Methodist (Houston, TX)
- …care effectively and efficiently to research patients under the supervision of the Clinical Trials Manager and Principal Investigator. This position implements ... which includes active listening and teaching, to provide research interventions care to clinical research patients and...and orientation process for new staff in conjunction with Clinical Trials Manager . Precepts new clinical… more
- ChenMed (Houston, TX)
- …indicators. + Fosters growth and effectiveness of Pharmacy work teams to meet quality and clinical care standards/ + Assists Pharmacy leadership in ensuring ... rapidly expanding and we need great people to join our team. The Clinical Pharmacist specializing in Population Health is a skilled and proactive professional who… more
- Houston Methodist (Houston, TX)
- …EMR and applications or programs - elimination of discharge barriers ** QUALITY /SAFETY ESSENTIAL FUNCTIONS** + Documents assessment and interventions efficiently ... Case Manager -PRN + 18 shifts in a 6 week period...that operate at the system level to help enable clinical departments to provide high quality patient care.… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Manager Case Mgmt Social Svcs position is responsible for functional and operational aspects of the Case Mgmt./Social Work department, an ... integrated, interprofessional department which supports caregivers to provide the highest quality , most clinically appropriate care to patients and while promoting… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Case Manager (CM) position is a registered nurse (RN) responsible for comprehensively planning for case management, which includes care ... interprofessional health care team to facilitate and maintain compassionate, efficient, quality care and achievement of desired treatment outcomes. The CM position… more
- Houston Methodist (Houston, TX)
- …EMR and applications or programs - elimination of discharge barriers ** QUALITY /SAFETY ESSENTIAL FUNCTIONS** + Documents assessment and interventions efficiently ... At Houston Methodist, the Case Manager (CM) Certified position is a registered nurse...interprofessional healthcare team to facilitate and maintain compassionate, efficient quality care and achievement of desired treatment outcomes. The… more
- Houston Methodist (Houston, TX)
- …and collaborate with team to recommend opportunities for process improvement. ** QUALITY /SAFETY ESSENTIAL FUNCTIONS** + Documents assessment and interventions ... At Houston Methodist, the Case Manager PRN (CM) position is a licensed registered...health care team to facilitate and maintain compassionate, efficient quality care and achievement of desired treatment outcomes. The… more
- Molina Healthcare (Houston, 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 (Houston, 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 (Houston, 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
- Houston Methodist (Houston, TX)
- …ongoing priorities, seeking guidance and assistance from a licensed nurse or Clinical Trials Manager . ** QUALITY /SAFETY ESSENTIAL FUNCTIONS** + Reports ... (RPCA) supports research projects under the supervision of the Clinical Trials Manager which may include ...Manager including but not limited to performing research interventions in various hospital units and maintaining study … more
- Molina Healthcare (Houston, 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 (Humble, TX)
- …patient education programs, established social work theory and methods, social work focused interventions , and quality of life measurement instruments as part of ... to patients as permitted within the scope of their clinical training and state license. + Provides educational and...including documentation. + Documents based on MSW interaction and interventions provided to patient and/or family. + Quality… more
- Apex Health Solutions (Houston, TX)
- …to clinicians, care teams and their associated practices to drive improvement in clinical quality , risk adjustment and operational efficiency. The PTS is ... solutions for practices/health centers to consider in addressing barriers. Advise individual clinical sites on the implementation of the interventions and… more
- Elevance Health (Houston, TX)
- ** Clinical Operations Medical Director** **Carelon MBM** **Location:** Alternate locations may be considered. The ideal candidate will live within 50 miles of one of ... and providers. In this role, you will participate in pre-authorization and quality improvement solutions for both specialized cardiology and vascular surgery. This… more