- Elevance Health (TX)
- …+ Provides guidance for clinical operational aspects of a program. + Conducts peer -to- peer clinical reviews with attending physicians or other providers to ... discuss review determinations, and patients' office visits with providers and...visits with providers and external physicians. + May conduct peer -to- peer clinical appeal case reviews with attending… more
- Elevance Health (Houston, TX)
- …and providers. **How you will make an impact:** + Perform physician-level case review , following initial nurse review , of Medical Oncology regimens and ... supportive care. + Perform physician-level case review , following initial nurse review , of chemotherapy regimens. + Determine medical necessity of requests using… more
- Catholic Health Initiatives (Houston, TX)
- …Completes all necessary documentation as outlined by departmental policy and documentation review . This includes, but is not limited to patient care charting, charge ... entry, completing peer chart and peer reviews, and documenting...necessary documentation as outlined by departmental policy and documentation review . This includes, but is not limited to, patient… more
- Houston Methodist (Houston, TX)
- …towards improvement of department scores for turnover/retention/employee engagement, ie peer -to- peer accountability. **SERVICE ESSENTIAL FUNCTIONS** + Screens ... treatment. + Performs preliminary screening examinations, excluding ocular, for physician review including, but not limited to, central and peripheral visual field… more
- Houston Methodist (Houston, TX)
- …accounts receivable valuation and is also responsible for governmental policy review and research. The Director position responsibilities include overseeing the ... competent and engaged employee group by conducting regular department meetings to review policies and procedures and operational matters, rounding on all employees,… more
- Houston Methodist (Katy, TX)
- …and commercial payer audits. + Oversee case intake, documentation collection, quality review , and timely submission. + Track and analyze audit trends, denials, and ... competent and engaged employee group by conducting regular department meetings to review policies and procedures and operational matters, rounding on all employees,… more
- Houston Methodist (Houston, TX)
- …with various hospital departments and team members to provide data analysis, process review , and goal setting to achieve a "best practice" value analysis system. The ... competent and engaged employee group by conducting regular department meetings to review policies and procedures and operational matters, rounding on all employees,… more
- Houston Methodist (Houston, TX)
- …while facilitating the critical events of recovery and transplantation. Uses peer -to- peer accountability towards improvement of department score for ... drive improvement of department score for patient satisfaction, through peer -to- peer accountability, for service standards. **QUALITY/SAFETY ESSENTIAL… more
- Houston Methodist (Houston, TX)
- …Manager. Precepts new clinical research staff in clinical setting. Uses peer -to- peer accountability towards improvement of department score for ... drive improvement of department score for patient satisfaction, through peer -to- peer accountability to service standards. **QUALITY/SAFETY ESSENTIAL FUNCTIONS**… more
- Houston Methodist (Houston, TX)
- …the Organization. The Quality Resource Nurse position will oversee and routinely review clinical support practices to identify educational and process needs in an ... + Contributes towards improvement of department scores for employee engagement, ie peer -to- peer accountability. **SERVICE ESSENTIAL FUNCTIONS** + Functions as a… more