- Centene Corporation (Austin, TX)
- …for issue resolution. Drive optimal performance in contract incentive performance, quality , and cost utilization. + Serve as primary contact for providers ... and act as a liaison between the providers and the health plan +...in the following areas: Risk/P4Q, Health Benefit Ratio (HBR), HEDIS/ quality , cost and utilization, etc. + Completes special projects… more
- Fresenius Medical Center (Houston, TX)
- …support for designated initiatives, ensuring alignment with the Medical Quality Agenda and broader enterprise transformation goals. Responsibilities include ... clinical insight and subject matter expertise to support the effective delivery of quality patient care and improved outcomes, in alignment with the Medical … more
- Humana (Austin, TX)
- …million Medicare members. You will also facilitate the delivery of high quality , appropriate, and consistent clinical decision making to ensure appropriate outcomes ... and drive better quality health outcomes for our members. To succeed in...directors performing Medicare utilization management processes and be the liaison for the Medicare Market Provider Experience Clinician. This… more
- ICF (San Antonio, TX)
- …be versed in a wide variety of strategies for ensuring quality services, supporting data informed decision making, demonstrated understanding of unaccompanied ... attendance, hours worked, call protocol adherence, documentation compliance, and call quality expectations. + Communicate with PRS Providers regarding case needs. +… more
- Houston Methodist (Cypress, TX)
- …assists with department correspondence. Provides other administrative assistance as directed. ** QUALITY /SAFETY ESSENTIAL FUNCTIONS** + Serves as a liaison for ... communication skills (verbal, non-verbal, written) to facilitate providing the highest quality service during every patient, physician, guest, employee, or other… more
- Fresenius Medical Center (Houston, TX)
- …and efficiently utilizing supplies and equipment to prevent wastage. + Provides outstanding quality of patient care by supporting and driving USV quality ... standards through meeting regulatory requirements and the practiceof Continuous Quality Improvement (CQI), including use of USV/FMS CQI tools. + Assists with… more
- MTC (Houston, TX)
- …a crucial leadership role in ensuring the delivery and diagnosis of high- quality patient care, managing nursing staff, and maintaining compliance with medical and ... tasks and ensuring appropriate staffing levels. 2. Responsible for ensuring high- quality , safe, and efficient patient care while addressing operational needs,… more
- Southern Glazer's Wine and Spirits (Dallas, TX)
- …opportunities for SAP ECC and S/4 Hana FICO Modules + Serve as liaison between Divisions/Functions and IT on projects and enhancements + Responsible for data ... business and technical process documentation and training materials + Assist the Quality Assurance Team with testing, strategy and planning + Communication of… more
- HCA Healthcare (Lewisville, TX)
- …Our RN Case Managers raise the bar by providing clinical expertise and the highest quality care in the most compassionate way. The RN Case Manager is responsible for ... The RN Case Manager will coordinate activities that promote quality outcomes and patient throughput while supporting a balance...a safe discharge / transition + Acts as a liaison through effective and professional communications between and with… more
- Houston Methodist (Cypress, TX)
- …systems and processes. The MPD position identifies cutting edge nursing quality indicators, developmental needs, performance improvement and research initiatives and ... requirements and opportunities for improvement supported by external benchmarking. ** QUALITY /SAFETY ESSENTIAL FUNCTIONS** + Collaborates with key stakeholders to… more