- Houston Methodist (Houston, TX)
- …on any concerns or issues identified by stakeholders. + Supports the hospital and system quality intiatives through effective review and implementation of ... with the clinical and administrative leadership across the Houston Methodist System to drive accountability for quality goods and services that are… more
- Evolent (Austin, TX)
- …Evolent for the mission. Stay for the culture. **What You'll Be Doing:** As a Clinical Reviewer , Nurse, you will be a key member of the utilization management ... while providing better health outcomes. **Collaboration Opportunities:** As a Clinical Reviewer , Nurse, you will routinely interact...**What You Will Be Doing:** + Functions in a clinical review capacity to evaluate all cases,… more
- CommonSpirit Health at Home (Houston, TX)
- …and direction of clinical services provided. Oversees the coordination, continuity, and quality of clinical care as well as the supervision of client ... of quality care. Monitors, evaluates, and takes action on clinical measures of performance. Has responsibility for performance, development and coaching of… more
- San Antonio Behavioral Health (San Antonio, TX)
- …are utilized; developing new models of treatment . Monitors regulatory and clinical standards; productivity and quality assurance efforts, meet contractual ... The Clinical Services Director oversees inpatient clinical ...be primarily responsible for overseeing the operational efficiency and quality of clinic services, including direct supervision of licensed… more
- Elevance Health (Grand Prairie, TX)
- …state(s). + Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement, and a minimum of 5 years ... **Diagnosis Related Group Clinical Validation Auditor-RN** **Virtual:** This role enables associates...the conditions and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims. **How… more
- Sam Houston State University (Huntsville, TX)
- …college, the clinical enterprise, and the student doctors we teach. Teaches clinical portions of various systems courses and help course directors with ... papers; supervising independent study projects and supervising or teaching clinical internships or programs. Professional peer review ...on campus and within the clinical sites. Clinical Care - provide high quality patient… more
- HCA Healthcare (Houston, TX)
- …Focuses on improvement opportunities and prioritization within the framework of HCA's enterprise clinical systems . + Ensures that information systems are ... of education plans, tools, and resources focused on the EHR and other clinical quality informatics initiatives. + Resolves complex issues and requests escalated… more
- CenterWell (Fort Worth, TX)
- … clinical performance in patient experience, quality of care, clinical outcomes, and avoidable utilization *Periodically review clinician charts to ... clinical teams to staff and develop a high- quality clinical team with strong engagement, patient-first...analysis of care opportunities from both individual, team, and systems perspectives and partner with clinical and… more
- CenterWell (Arlington, TX)
- … clinical performance in patient experience, quality of care, clinical outcomes, and avoidable utilization + Periodically review clinician charts to ... clinical teams to staff and develop a high- quality clinical team with strong engagement, patient-first...analysis of care opportunities from both individual, team, and systems perspectives and partner with clinical and… more
- Banner Health (TX)
- …documentation completed by the health care team for the health record(s) and for quality assurance in the alignment of clinical documentation and billing codes. ... Works with clinical documentation improvement and quality management staff to: align diagnosis coding to documentation...demonstrate the ability to understand the Medicare Prospective Payment System , and the clinical coding data base… more