- Elevance Health (Grand Prairie, TX)
- …members and providers. + 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
- Molina Healthcare (San Antonio, TX)
- …to learn new programs. Preferred Qualifications * Experience with utilization/ quality program management. * Managed care experience. * Peer review ... programs within specific markets/regions. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties * Provides… 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 ... activities of the department staff, ensuring quality , productivity, functional excellence and efficiency to accomplish strategic and operational objectives. In… more
- Texas A&M University System (College Station, TX)
- …producers, as well as the commercial poultry industry, with challenges related to quality and safety of poultry products. Potential research could include but is not ... methods and equipment, value-added consumer poultry products, poultry product quality , microbiology and food safety, sustainable production practices, organic… more
- HCA Healthcare (Conroe, TX)
- …utilization, and quality profiling. Serves as a member of hospital's peer review committees as requested. Business Development and Payer Relations: + ... environment of quality and cost improvement and develops systems to review utilization of resources and objectively measure outcomes of care in the inpatient… more
- Houston Methodist (Houston, TX)
- …Manager Pharmacy Services position is responsible for providing and assuring quality pharmaceutical care in accordance with accepted ethical and professional ... the daily work activities of the work unit/department staff, ensuring quality , productivity, functional excellence and efficiency while assisting management in… more
- Houston Methodist (Sugar Land, TX)
- …development, implementation, evaluation and revision based on outcomes of high- quality , innovative, and timely educational programs that further the leadership ... include overseeing the activities of the department staff, ensuring quality , productivity, functional excellence and efficiency to accomplish strategic and… more
- Houston Methodist (Houston, TX)
- …oversight of the activities within the assigned functional area(s), ensuring quality , productivity, functional excellence, and efficiency to accomplish strategic and ... oversight of the activities within the assigned functional area(s), ensuring quality , productivity, functional excellence, and efficiency to accomplish strategic and… more
- Sam Houston State University (Huntsville, TX)
- …state or national professional organizations. Assists the Director with clinical quality review , policy development, and crisis response coordination. Maintains ... trainings to enhance clinical practice and promote staff development. Contributes to quality assurance, policy development, and program evaluation efforts within… more
- HCA Healthcare (Kingwood, TX)
- … standards, policies, procedures and protocols. + Identify and refer appropriate cases to Quality for peer review process. + Develop evidence-based policies ... to the development, implementation and evaluation of the stroke program directed towards the provision of quality ...stroke program directed towards the provision of quality services for patients who are experiencing stroke from… more