- Molina Healthcare (TX)
- **Job Description** **Job Summary** Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and ... 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
- Prime Healthcare (Weslaco, TX)
- …5. Good communication skills both verbally and written. 6. Certified professional in healthcare quality preferred. 7. EMR experience and Computer skills required ... Nurse Coordinator or Stroke Program Nurse Coordinator . Quality Assurance RN Coordinator for our Performance Improvement...and Level II Newborn Nursery. Knapp has been providing quality and compassionate healthcare to Mid-Valley residents… more
- Prime Healthcare (Weslaco, TX)
- …activities and enduring maintenance of hospital medical records while maintaining continuous quality improvement . The Manager maintains operations within ... acute care hospital, and a member of the Prime Healthcare Foundation. Located in Weslaco, TX, we provide exceptional...+ Centers For Medicare & Medicaid Services (CMS) Five-Star Quality Rated + LeapFrog Hospital Safety Grade Straight A's… more
- Molina Healthcare (Fort Worth, TX)
- …regulatory compliance adherence (in conjunction with functional counterparts) and quality metrics. Accountable for offering innovative guidance and solutions to ... maintains an effective, consistent Vendor Management function + Supervise Molina Healthcare vendor management staff + Ensures departmental and individual performance… more
- Molina Healthcare (Fort Worth, TX)
- …monitors Health Plan Scorable Action Items (SAIs) to ensure performance and quality levels exist in PI Business products and processes. Establishes procedures and ... payment integrity issues, and process gaps. + Applies understanding of healthcare regulations, managed care claims workflows, and provider reimbursement models to… more
- Molina Healthcare (TX)
- …monitors Health Plan Scorable Action Items (SAIs) to ensure performance and quality levels exist in PI Business products and processes. Establishes procedures and ... and relevant payment and medical policies, with a consistent focus on promoting the quality , accuracy, and efficiency of review services. + Serve as a resource and… more
- Sodexo (Austin, TX)
- …with key stakeholders including hospital leaders and physicians + Drive performance improvement and quality management projects as needed + Provide nutrition ... a **Registered Dietitian** to work as a **Clinical Nutrition Manager 2** for St. David's Heart Hospital of Austin,...better life for all. We believe in improving the quality of life for those we serve and contributing… more
- Molina Healthcare (Austin, TX)
- …oversight of data entered through both automated process and manual input + Ensure quality control of data entered into QNXT and sent to external vendors + Oversees ... state, federal, and internal audits as needed + Participate in process improvement initiatives to improve operations + Understands the compliance and regulatory… more
- Molina Healthcare (TX)
- …oversight of delegated functions. + Reports on Delegation Oversight activities to Quality Improvement and Corporate Compliance Committees as applicable. + ... + Knowledge of applicable state and federal law; National Committee for Quality Assurance (NCQA) standards. + Ability to independently manage multiple tasks or… more
- The Walsh Group (Dallas, TX)
- **OVERVIEW** We are currently seeking a ** Quality Manager I** for our Healthcare Division in Dallas, TX. The Quality Manager I is responsible for ... implementation, improvement and execution of the Quality management systems (QMS) and project specific quality program requirements. They ensure that the… more