Top 59 Quality assurance managers Jobs in Texarkana, Tx

Onsite Physician Advisor - Texarkana
Christus Health —Texarkana, TX
- Full-time
- Hospital
- 5 years
- BC/BE
- Relocation assistance
5d
Inspections Manager
Summit Fire & Security —Texarkana, TX
- $20 - $25 an hour
- Full-time
- Background check
- Clean driving record
- English
LVN
SignatureCare ER —Texarkana, TX
- $25 - $29 an hour
- Part-time
- Nursing
- LVN
- PALS Certification
Quick Apply
Inspector Quality Control Field
Texstar Enterprises, LLC —Texarkana, TX
- On call
- 18 years or older
- Clean driving record
- Management
- Employee stock purchase plan
- Paid holidays
Quick Apply
Pharmacy Manager
Walmart —Wake Village, TX
- $112,000 - $197,000 a year
- Management
- High school
- Merchandising
- Paid jury duty
- Disability insurance
BREAKFAST ATTENDANT
Holiday Inn Express- Texarkana —Texarkana, TX
- $13.00 - $13.50 an hour
- Part-time
- English
- Hotel
- Communication skills
Quick Apply
1d
Respiratory Sales Representative
Viemed —Texarkana, AR
- Full-time
- Nursing
- Clean driving record
- RN License
- Dental insurance
- 401(k)
Quick Apply
Pharmacist Manager
Sam's Club —Texarkana, TX
- $112,000 - $197,000 a year
- Management
- High school
- Sales
- Paid jury duty
- Disability insurance
Grad Pharmacist
CVS Health —Texarkana, TX
- $19.75 - $42.00 an hour
- Part-time
- Microsoft Excel
- Microsoft Outlook
- Patient monitoring
- Dental insurance
- Vision insurance
Provisioning & Video Review Manager
Confidential —United States
- $80,000 - $90,000 a year
- Full-time
- Google Workspace
- 5 years
- Analysis skills
- Health savings account
- Health insurance
Quick Apply
2d
Alteryx Workflow Developer
Vytwo —United States
- Full-time
- Remote
- Engineering
- 3 years
- Java
Quick Apply
Meteorologist Senior/Antarctica
Amentum —United States
- $2,192.40 a week
- Contract
- Background check
- Management
- Heavy lifting
- Health insurance
- Dental insurance
9d
Clinical Donation Coordinator I - PeeDee Region
WE ARE SHARING HOPE SC —United States
- On call
- Mid-level
- Operating room
- 2 years
National Account Manager - Foodservice
Schweid & Sons —United States
- $140,000 - $175,000 a year
- Remote
- Microsoft Word
- 5 years
- Continuous improvement
- Paid holidays
- Health insurance
CIBMTR Program Manager
Registry Partners —United States
- From $35 an hour
- Weekends as needed
- Remote
- 5 years
- Supervising experience
- Senior level
- Health insurance
- Dental insurance
Quick Apply
Refrigeration Technician needed in Antarctica!
Amentum —United States
- $1,948.80 a week
- Full-time
- Background check
- Heavy lifting
- Mechanic experience
10d
Project Manager - Air Quality
SWCA Environmental Consultants —United States
- $102,047.40 - $134,152.20 a year
- Online Application
- Remote
- 7 years
- Bachelor of Science
- Engineering
- Profit sharing
- Health insurance
Construction Quality Control Manager- USACE
Thalle Construction Company —United States
- Full-time
- Construction site
- Senior level
- Leadership
- Paid holidays
- Disability insurance
Quick Apply
10d
Quality Control Manager- Dam Project
Thalle Construction Company —United States
- Full-time
- Construction site
- Senior level
- Professional Engineer
- Paid holidays
- Disability insurance
Quick Apply
5d
Electrical Project Manager - Heavy Industrial Construction
Crowder Industrial Construction LLC —United States
- $100,000 - $180,000 a year
- Full-time
- Background check
- Construction site
- System design
- Profit sharing
- Wellness program
Quick Apply
2d

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quality assurance managers jobs near texarkana, tx

Onsite Physician Advisor - Texarkana

Christus Health -
Texarkana, TX

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Job Details

Full-time
5 days ago

Benefits

Relocation assistance

Qualifications

Utilization management
Resource utilization in healthcare
Medical License

Full Job Description

Description

Roles and Responsibilities Overview
The Physician Advisor is a full-time administrative physician role serving CHRISTUS St. Michael 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!

Reporting Relationship
The PA reports directly to the Chief Medical Officer of St. Michael hospital- Texarkana

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 an 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%

Provide feedback to physicians in each service on clinical documentation using specific case examples/3M

Highlights/ Benefits:

Balanced professional and personal lifestyle

Competitive compensation and benefits

No state income tax

Relocation assistance

Community Description:

Easy drive to Dallas

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

Recruiter Contact Information:

Liz Flippo

Email:

[email protected]

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 managers jobs in texarkana, tx

Onsite Physician Advisor - Texarkana

Inspections Manager

LVN

Inspector Quality Control Field

Pharmacy Manager

BREAKFAST ATTENDANT

Respiratory Sales Representative

Pharmacist Manager

Grad Pharmacist

Provisioning & Video Review Manager

Alteryx Workflow Developer

Meteorologist Senior/Antarctica

Clinical Donation Coordinator I - PeeDee Region

National Account Manager - Foodservice

CIBMTR Program Manager

Refrigeration Technician needed in Antarctica!

Project Manager - Air Quality

Construction Quality Control Manager- USACE

Quality Control Manager- Dam Project

Electrical Project Manager - Heavy Industrial Construction

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