Top 60 Quality assurance lead Jobs in Port Arthur Tx

Physician Advisor
Christus Health —Beaumont, TX
- Full-time
- Medicine
- Hospital
- 5 years
- Relocation assistance
Project Manager
Walters Group —Texas
- $110,000 - $130,000 a year
- Full-time
- Remote
- 7 years
- Heavy lifting
- Construction site
- Paid holidays
- Dental insurance
Quick Apply
7d
Electrical & Mechanical Project Manager - per diem
Superior Skilled Trades —Texas
- $70 - $85 an hour
- 8 hour shift
- Background check
- Construction site
- 5 years
- Health insurance
- Dental insurance
Quick Apply
Coding Quality Auditor
Houston Methodist —Texas
- Full-time
- Anatomy knowledge
- English
- Mid-level
3d
Quality Assurance Engineer IV – Golden Pass LNG | Sabine Pass / Port Arthur, TX
Tarpon Specialty Services —Port Arthur, TX
- $95.39 an hour
- Full-time
- Construction site
- 8 years
- Welding
QA Lead Coordinator
CDI Engineering Services —Port Neches, TX
- Online Application
- High school diploma or GED
- US work authorization
- Senior level
Database Administrator
Alliance Technical Group —Sabine Pass, TX
- From $22 an hour
- Microsoft Word
- Microsoft Excel
- Customer service
- Travel reimbursement
- Profit sharing
Quick Apply
Capital Vegetation Field Coordinator
Entergy Corporation —Beaumont, TX
- Extended hours
- Hybrid work
- Writing skills
- Microsoft Office
- Analysis skills
Associate Process Engineer
Motiva Enterprises, LLC —Port Arthur, TX
- Full-time
- Mid-level
- Bachelor's degree
- US work authorization
Surveyor Party Chief
Thompson Engineering —Beaumont, TX
- Full-time
- Construction site
- 5 years
- Pass drug screening
Quick Apply
GC Technical Lab Supervisor
Intertek —Port Arthur, TX
- Weekends as needed
- Customer service
- Pass drug screening
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Pharmacy Manager
Walmart —Port Arthur, TX
- $112,000 - $197,000 a year
- Management
- High school
- Merchandising
- Paid jury duty
- Disability insurance
Production Engineer
Monument Chemical —Port Arthur, TX
- Full-time
- Mid-level
- 3 years
- Bachelor's degree
Quick Apply
3d
Quality Assurance Engineer V (Quality Programs Developer / SME) Golden Pass LNG
Tarpon Specialty Services —Port Arthur, TX
- Construction site
- Engineering
- English
Quality System Engineer
Great Lakes Dredge & Dock —Sabine Pass, TX
- Full-time
- Construction site
- Mid-level
- Microsoft Office
- Profit sharing
- Disability insurance
Leadman - Insulation
The Brock Group —Orange, TX
- Full-time
- Construction site
- Mid-level
- Office
Quick Apply
5d
District Support Pharmacist - PT
CVS Health —Nederland, TX
- $60 - $76 an hour
- Part-time
- Bachelor of Science
- Mid-level
- Bachelor's degree
- Dental insurance
- Vision insurance
11d
Valve Shop Manager
Iron Horse Rail —Beaumont, TX
- $75,000 - $90,000 a year
- Full-time
- High school diploma or GED
- Assembly
- Mentoring
Quick Apply
4d
Leadman - Scaffold
The Brock Group —Orange, TX
- Full-time
- Construction site
- Mid-level
- Office
Quick Apply
11d
Offshore Paramedic
International SOS —Beaumont, TX
- BLS Certification
- English
- ACLS Certification
- Paid holidays
- Disability insurance

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quality assurance lead jobs near port arthur tx

Physician Advisor

Christus Health -
Beaumont, TX

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Job Details

Full-time

Benefits

Relocation assistance

Qualifications

Utilization management
Resource utilization in healthcare
Medical License

Full Job Description

Description

Recruiter Contact Information:

Keely Peirce

[email protected]

CHRISTUS Health St. Elizabeth is seeking a full time, in-person Physician Advisor to join the team in Beaumont, TX!

Roles and Responsibilities Overview

The Physician Advisor is an administrative physician role serving CHRISTUS St. Elizabeth hospital and its affiliates through teaching, consulting, and advising both the Care Management Department and the medical staff on matters regarding physician practice patterns, documentation, over- and under-utilization of resources, medical necessity, compliance rules and regulations, collaboration and relationships with payers, and the community. The PA also ensures physician support and execution for the Care Management and CDI Departments' initiatives by promoting effective and efficient physician documentation to support the patient's Level of Care (LOC), billing status, and appropriateness of Medicare Severity-Diagnosis Related Group (MS-DRG)/DRG assignment. The PA will submit monthly time records documenting time actually spent in the provision of the responsibilities outlined below. M-F, no call responsibilities!

Location: On Site - Beaumont, TX

Reporting Relationship
The PA reports directly to the Chief Medical Officer of CHRISTUS St. Elizabeth hospital.

Professional Qualifications
The Physician Advisor-Care Management and Clinical Documentation Improvement role should be staffed by a physician with the following qualifications:

5 years of clinical experience

Licensed physician in state of residence

Board certified in a clinical specialty

Certified by the American Board of Quality Assurance and Utilization Review Physicians, Inc (ABQUARP) - preferred

Experienced in clinical practice with an understanding of utilization review

Served on or chaired a Utilization Management Committee

Demonstrated cost-efficient practice

Physician Advisor - Care Management & CDI Duties and Responsibilities

Utilization Management Plan: 20%

In collaboration with the Director of CM, lead the Utilization Review Committee

Conduct secondary status reviews for appropriate level of care determination

Conduct peer-to-peer consults with the payor medical directors for the denied cases, to resolve medical necessity issues prior to claims submission.

In collaboration with the CMO and Director of CM, monitor key metrics for UM and participate in action steps to achieve targets. Metrics include (but not limited to):

Denial trends, appeals & recoveries

Length of stay- inpatient and observation

Condition Code 44

Physician & Staff Education: 15%

Provide education to physicians and other clinicians related to regulatory requirements, appropriate billing status and utilization of alternate levels of care, community resources, and end of life care.

Work with physicians to facilitate referrals to the continuum of care

Facilitate, mentor, and educate other physicians regarding payer requirements

Provide mentoring/coaching to UR Case Managers to increase knowledge in care progression

Educate physicians on the benefits and importance of a clinical documentation program and how to work with CDI specialists

Care Management: 50%

Participate in daily IDRs takes action to expedite testing and treatment to promote efficient patient care and appropriate LOC

Provides guidance/assistance to the Emergency Department Physicians and CM staff to ensure correct LOC designation at intake

Act as a liaison with payers to facilitate approvals and prevent denials or carved-out days when appropriate

Participate in review of long-stay patients escalated from Care Management to facilitate the use of the most appropriate LOC

Review cases that indicate a need for issuance of a hospital notice of non-coverage determination. Discuss the case with the attending physician and if additional clinical information is not available, discuss the process for issuance and appeal with the physician.

Document patient care reviews, decisions, and other pertinent information per hospital policy

Possess foundational knowledge of InterQual and MCG criteria

Participate in Care Management Leadership & staff meetings to help identify and progress toward departmental goals

Notify the Care Manager of any conflict of interest in reviewing a particular patient record. Assist with identifying a physician to review such record.

Clinical Documentation Integrity 15%

CDI query facilitation as needed

Partner with CDI leadership to provide staff education on CDI and appropriate documentation

Provide feedback to physicians in each service on clinical documentation using specific case examples

Highlights/ Benefits:

Balanced professional and personal lifestyle

Competitive compensation and benefits

No state income tax

Relocation assistance

Community Description:

Easy drive to Houston

Enjoy the lush green countryside, pine tree-covered hills and lakes.

Year-round outdoor activities include golfing, hunting, fishing, camping, hiking, and boating.

Excellent public and private schools

EEO is the law - click below for more information:

https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12ScreenRdr.pdf

We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact us at (844) 257-6925.

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Refine Your Search

quality assurance lead jobs in port arthur tx

Physician Advisor

Project Manager

Electrical & Mechanical Project Manager - per diem

Coding Quality Auditor

Quality Assurance Engineer IV – Golden Pass LNG | Sabine Pass / Port Arthur, TX

QA Lead Coordinator

Database Administrator

Capital Vegetation Field Coordinator

Associate Process Engineer

Surveyor Party Chief

GC Technical Lab Supervisor

Pharmacy Manager

Production Engineer

Quality Assurance Engineer V (Quality Programs Developer / SME) Golden Pass LNG

Quality System Engineer

Leadman - Insulation

District Support Pharmacist - PT

Valve Shop Manager

Leadman - Scaffold

Offshore Paramedic

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