- Veterans Affairs, Veterans Health Administration (San Antonio, TX)
- …FPPE/OPPE process. Adheres to employee health requirements. Participate in Clinical Pertinence Reviews (routine medical record reviews). 4. Time/Leave Management: ... Duties, timely requests for leave in VISTA and for clinic cancellations. 5. Clinical Management: includes indirect patient care; accurate and timely open encounter &… more
- Molina Healthcare (Austin, TX)
- …Director for Specialty Medical Services & Market Performance will provide clinical expertise and support to the enterprise. Primary responsibilities will include ... other areas of the organization for their area of clinical specialization. **Job Duties** + Provides medical oversight and...IT and data analysts to produce tools to report, monitor and improve Utilization Management. + Actively participates in… more
- Immigration and Customs Enforcement (Los Fresnos, TX)
- …of the local risk management program including develop, coordinate, implement, and monitor associated tasks and duties. Assists HSA and AHSA with the investigation ... oversight of the local QI program including develop, coordinate, implement, and monitor national and local performance measures, associated tasks, and duties. Chairs… more
- BrightSpring Health Services (Irving, TX)
- …& DailyPay*401k *Pet Insurance Responsibilities As a Pharmacist, you will + Evaluate and monitor drug therapy relative to the total needs of the home care patient in ... information to identify real and potential drug-related problems or needs. + Monitor the outcomes of drug therapy by collecting, evaluating and interpreting the… more
- Catholic Health Initiatives (Houston, TX)
- …performance and adherence to regulatory and organizational standards. 6. Monitor staff performance continuously, identify training needs, and implement development ... concern in utilization management activities, patient outcomes, and resource utilization. 10. Monitor , analyze, and report on the efficacy of UM activities to inform… more
- CenterWell (Dallas, TX)
- …medical interpretation, reviews, and decisions as required for plan administration. + Monitor medical performance and provide guidance to ensure that the quality of ... all departments providing medical guidance and expertise. + Develop, implement and monitor the outcomes of utilization review and disease management programs to meet… more
- Methodist Health System (Dallas, TX)
- …evaluation. * Ensure the integrity and standardization of data. * Continually monitor the external environment and provide information that will impact the strategic ... strongly preferred. * Record of success in operations administration or clinical leadership involving programmatic development and planning experience will be given… more
- Baylor Scott & White Health (College Station, TX)
- …injury. Plans and directs programs and activities which may include clinical practice guidance, clinical rotations, utilization, quality, productivity, ... practice and ensures alignment with overall BSWH business aims. Joins with clinical operations, physician leadership, and nursing leadership to drive improvement in… more
- Scottish Rite for Children (Dallas, TX)
- …validate, and monitor reports and dashboards to track key healthcare clinical quality, operational, and financial data. + Design, develop, and automate ... claims, and administrative systems to discover meaningful analytical insights for clinical , business, and strategic initiatives. + Analyze business requirements and… more
- Houston Methodist (Cypress, TX)
- …clinician, functions at the Competent to Proficient stage of Benner's model of clinical practice. The RN II position provides professional nursing care to a diverse ... of desired treatment outcomes. The RN II position demonstrates clinical competence when providing care, using technology, administering medications, performing… more