The Registered Nurse is responsible for the delivery of safe patient care utilizing the nursing process of assessment, planning, implementation and evaluation. Provides direct patient care within the scope of practice. The Registered Nurse also directs and guides patient/family teaching and activities of other nursing personnel while maintaining standards of professional nursing care in Telemetry. The Registered Nurse is directly responsible and accountable for the care given to his/her patients in the Emergency Department. He / She communicates with the physician about the changes in the patient’s clinical condition including results of the diagnostic studies and symptomatology. Is capable of responding quickly and accurately to changes in the condition and/or response to treatment. Is knowledgeable about EMTALA regulations and reporting of child/adult abuse to appropriate agencies and Hospital Social Worker. Maintains patient privacy and confidentiality.

Emergency Medical Technician is responsible for the assessment and basic management of medical, trauma and environmental emergencies under the supervision of the staff nurse and / or physician. Assists with patient care based on individual patient needs within the scope of practice; Assists in maintenance of a safe environment and performs under the direction and supervision of the ED Registered Nurse or Charge Nurse.

The Unit Secretary is directly accountable to the Director of Emergency Room, and indirectly to the Charge Nurse, and / or House Supervisor. The Unit Secretary is an unlicensed person who performs indirect care in the department setting. Facilitates the communication needs of the department. Transcribes physician orders from records (in the absence of CPOE and EMR clinical documentation system) with notation and signature by nursing staff. Prepares and complies records on the Emergency Room. Orders supplies for the unit, prepares and completes each patients chart for necessary forms needed on a daily basis. Able to assist nursing staff for duties involving indirect patient care.

The Supervisor of Radiology Services provides leadership, supervision and coordinates department activities, ensuring safety to both patients and staff. Directs all human resource functions of the department with include; overseeing training and ensures staff competencies, ensures safe staffing levels. Develops and manages budget to meet department, Meets organizational and patient safety goals and ensures regulatory compliance. The Supervisor ensures ongoing monitoring of departmental indicators and PI activities, reports activities as directed. The Supervisor responds to the needs of the department by performing radiology technologist duties when needed.   #LI-CA1 #radiology #xray #radiologia #medicine #radiologist #medical #mri #radtech #xraytech #radiographer #ultrasound #radiography #anatomy #radiologiaporamor   

The Med / Surg Charge Nurse is responsible and accountable for the quality of staff and functions during their shift. Assists the Department Director in the daily operations of the unit, directing, supervising and evaluating personnel, ensuring the proper use of time, equipment and resources. Ensures the efficient functions of the department. Performs direct patient care, only as needed, within the scope of practice. Continually assesses patient care and directs staff to make necessary changes in the plan of care. Effectively communicates with physicians and staff to ensure positive patient outcomes.

Performs a variety of patient and non patient food service duties such as preparing and delivering patient trays, servicing the cafeteria, working on tray line, stocking storage areas, preparing nourishments, dishwashing and pot washing, mopping and sweeping of floors and emptying of trash as well as other related tasks.

The Environmental Service Technician is responsible for maintaining a high level of cleanliness within the hospital and adjacent buildings, which may require traveling from one facility to another without assistance. Respond to and initiate communication by phone, handheld radios, pagers etc.

The Registered Nurse is responsible for the delivery of safe patient care utilizing the nursing process of assessment, planning, implementation and evaluation. Provides direct patient care within the scope of practice. The Registered Nurse also directs and guides patient/family teaching and activities of other nursing personnel while maintaining standards of professional nursing care in Telemetry. The Registered Nurse is directly responsible and accountable for the care given to his/her patients in the Emergency Department.  He / She communicates with the physician about the changes in the patient’s clinical condition including results of the diagnostic studies and symptomatology. Is capable of responding quickly and accurately to changes in the condition and/or response to treatment. Is knowledgeable about EMTALA regulations and reporting of child/adult abuse to appropriate agencies and Hospital Social Worker. Maintains patient privacy and confidentiality.

The Leave Case Manager I is the liaison between Prime employees and management. This LOA role provides support of all aspects of leave of absence while ensuring compliance with related leave and disability laws including Pregnancy Disability Leave, Family and Medical Leave, Americans with Disabilities Act, California Fair Employment and Housing Act, and other related federal and/or state regulations. Partners with other members of the HR, Benefits and Payroll teams to provide guidance and excellent customer service to employees and managers regarding the leave process. #LI-AS1

The Registered Nurse is responsible for the delivery of safe patient care utilizing the nursing process of assessment, planning, implementation and evaluation. Provides direct patient care within the scope of practice. The Registered Nurse also directs and guides patient/family teaching and activities of other nursing personnel while maintaining standards of professional nursing care in Telemetry. The Registered Nurse is directly responsible and accountable for the care given to his/her patients in the Emergency Department.  He / She communicates with the physician about the changes in the patient’s clinical condition including results of the diagnostic studies and symptomatology. Is capable of responding quickly and accurately to changes in the condition and/or response to treatment. Is knowledgeable about EMTALA regulations and reporting of child/adult abuse to appropriate agencies and Hospital Social Worker. Maintains patient privacy and confidentiality.

Inpatient -Under the supervision of the Director of Pharmacy, coordinates the activities of the pharmacy department to provide the highest quality of pharmaceutical care to all patients served by the hospital, while ensuring patient safety. Outpatient � Under the supervision of the pharmacist in charge of the outpatient pharmacy, coordinates the activities of the pharmacy department to provide the highest quality of pharmaceutical care to all patients served by the hospital or the outpatient pharmacy, while ensuring patient safety. The scope of patient care provided may include: General Medicine/Surgical, Intensive Care Services, Obstetrics & Gynecology, Pediatrics, Emergency Care, Oncology, Peri-operative, Geriatrics and Outpatient Services.

The Environmental Service Technician is responsible for maintaining a high level of cleanliness within the hospital and adjacent buildings, which may require traveling from one facility to another without assistance. Respond to and initiate communication by phone, handheld radios, pagers etc.

The Environmental Service Technician is responsible for maintaining a high level of cleanliness within the hospital and adjacent buildings, which may require traveling from one facility to another without assistance. Respond to and initiate communication by phone, handheld radios, pagers etc.

Paramedic is responsible for the assessment and basic management of medical, trauma and environmental emergencies under the supervision of the staff nurse and / or physician. Assists with patient care based on individual patient needs within the scope of practice; Assists in maintenance of a safe environment and performs under the direction and supervision of the ED Registered Nurse or Charge Nurse.     have the critical thinking skills to manage patients. They bring their expertise from caring for patients in the field to the hospital environment. Paramedics have extensive training in EKG interpretation and perform the patient EKG’s. The nurses and paramedics are trained to recognize ST elevation MI’s. With their recognition we can quickly notify the MD and cath lab to improve patient outcome and save heart muscle.

The Registered Nurse is responsible for the delivery of safe patient care utilizing the nursing process of assessment, planning, implementation and evaluation. Provides direct patient care within the scope of practice. The Registered Nurse also directs and guides patient/family teaching and activities of other nursing personnel while maintaining standards of professional nursing care in Telemetry. The Registered Nurse is directly responsible and accountable for the care given to his/her patients in the Emergency Department. He / She communicates with the physician about the changes in the patients clinical condition including results of the diagnostic studies and symptomatology. Is capable of responding quickly and accurately to changes in the condition and/or response to treatment. Is knowledgeable about EMTALA regulations and reporting of child/adult abuse to appropriate agencies and Hospital Social Worker. Maintains patient privacy and confidentiality.   #LI-CA1 #LVN 

The LVN is responsible for the delivery of safe patient care utilizing the nursing process of assessment, planning, implementation and evaluation. Provides direct patient care within the scope of practice. The Registered Nurse also directs and guides patient/family teaching and activities of other nursing personnel while maintaining standards of professional nursing care in Telemetry. The Registered Nurse is directly responsible and accountable for the care given to his/her patients in the Emergency Department. He / She communicates with the physician about the changes in the patients clinical condition including results of the diagnostic studies and symptomatology. Is capable of responding quickly and accurately to changes in the condition and/or response to treatment. Is knowledgeable about EMTALA regulations and reporting of child/adult abuse to appropriate agencies and Hospital Social Worker. Maintains patient privacy and confidentiality.   #LI-CA1 #LVN 

Under the supervision of a Registered Nurse, the observation attendant maintains constant visual observation of assigned patient. Assists in the provision of a safe and clean environment. Communicates observations of the patient’s activity and behavior on a regular basis to the assigned nurse. Communicates in a professional manner and demonstrates respect for patient, families/significant other and other health care members. Offers support to peers and staff.

The Behavioral Health Charge Nurse is responsible and accountable to the Department Director for the quality of nursing staff and the delivery of patient care during his/her shift and assists the Director in the daily operation of the respective unit(s)/department. He/she provides direct communication with the Director and/or House Supervisor of unanticipated patient care events and/or risk management activities within patient care unit(s); Utilizes nursing personnel effectively, assisting with required scheduling, staffing and assignments; Provides direction, supervision and evaluation of staff and/or staff education as necessary; Assists with performance evaluations, progressive discipline of staff and other related HR activities as needed; Assesses supplies and equipment availability, ensures their proper use and functionality and assists in the daily maintenance of par levels; Collaborates with other department managers/supervisors to ensure smooth coordination of services to patients; enhanced patient flow within the facility and efficient admission/discharge/transfer processes; Assesses patient care delivery and quality of care/documentation on a consistent basis; directs staff members to make immediate changes in the plan of care, as appropriate to ensure patient safety and adherence to regulatory guidelines, hospital policies, procedures, protocols and/or clinical pathways and notifies Department Director, House Supervisor and/or Medical Staff as appropriate utilizing the chain of command. Interviews patients/families on admission and during rounds to enhance positive patient experiences, provide comprehensive orientation to the patient care unit and increase patient/family awareness on how to access services and/or the charge nurse, if necessary. The Charge Nurse may perform direct patient care within scope of practice and clinical competency to ensure patient safety and patient/nurse ratios; he/she shall be temporarily relieved of Charge Nurse duties during such times by Director/designee and shall document details of same on patient care assignment record.

The Patient Care Assistant assists patients with activities of daily living, provides basic nursing care to all patients and assists in maintenance of a safe environment under the direction and supervision of the Registered Nurse in charge of the team and/or unit.

The Patient Care Assistant assists patients with activities of daily living, provides basic nursing care to all patients and assists in maintenance of a safe environment under the direction and supervision of the Registered Nurse in charge of the team and/or unit.

The Administrative Assistant works with the Hospital Administrator/CEO, Administrative team members and department heads to ensure compliance with goals and objectives established by the hospital corporation. Communicate effectively, in writing, verbally, and via telephone, with all levels of personnel and visitors. Input and retrieve computerized data.

Under the direction and authorization of the medical director and cardiopulmonary director/manager, the RCP I is responsible for performing respiratory therapeutic and pulmonary diagnostic procedures as ordered by the physician. Emphasis will be toward the assessment, planning, implementation and documentation of care, with consideration of age and population specific needs and requirements of the patient. In the absence of a supervisor, may be assigned/identified as Lead RCP, having responsibility for the section or department during their shift.

The Registered Nurse is responsible for the delivery of safe patient care utilizing the nursing process of assessment, planning, implementation and evaluation. Provides direct patient care within the scope of practice. The Registered Nurse also directs and guides patient/family teaching and activities of other nursing personnel while maintaining standards of care in the ICU. The Registered Nurse is directly responsible and accountable for the care given to his/her assigned patients; He/She communicates with the physician about changes in the patient�s clinical condition including hemodynamic monitoring, results of diagnostic studies and abnormal results and symptomatology. Is able to respond quickly and accurately to changes in condition and/or response to treatment. Maintains patient privacy and confidentiality.

Conducts a therapeutic recreation program within the hospital to facilitate rehabilitation of the physically and mentally disabled. The Activity Therapist directs patient participation in selected activities such as games, social activities, sports or music to create an atmosphere of sociability, to provide a means of creative expression and to facilitate the learning skills for recreating during hospitalization and after discharge in the community. Creates an environment that allows the patient to explore his/her own potential, cultivate positive morale and minimize distress of illness.

In collaboration with the manager/director of Performance Improvement, the coordinator is responsible for assisting in the coordination, integration, and implementation of the organization wide performance improvement activities to ensure compliance with company policies and state/federal regulatory and accreditation standards. Activities include but are not limited to chart reviews, data abstraction for CMS Core Measures and other quality outcomes studies, and staff education regarding core measures and updates regarding new and enhance indicators.

Inpatient -Under the supervision of the Director of Pharmacy, coordinates the activities of the pharmacy department to provide the highest quality of pharmaceutical care to all patients served by the hospital, while ensuring patient safety. Outpatient � Under the supervision of the pharmacist in charge of the outpatient pharmacy, coordinates the activities of the pharmacy department to provide the highest quality of pharmaceutical care to all patients served by the hospital or the outpatient pharmacy, while ensuring patient safety. The scope of patient care provided may include: General Medicine/Surgical, Intensive Care Services, Obstetrics & Gynecology, Pediatrics, Emergency Care, Oncology, Peri-operative, Geriatrics and Outpatient Services.

Under the direction and authorization of the medical director and cardiopulmonary director, the RCP II is responsible for performing respiratory therapeutic and pulmonary diagnostic procedures as ordered by the physician. Emphasis will be toward the assessment, planning, implementation and documentation of care, with consideration of age and population specific needs and requirements of the patient. In the absence of a supervisor, may be assigned/identified as Lead RCP, having responsibility for the section or department during their shift.

Performs a variety of housekeeping, laundry and linen task, requiring strong supervisory skills. Effectively supervise a staff of 25 or more employees. Provide leadership, direction and equity for and in dealing with all employees. Creates an effective and cohesive working relationship with department employees, Department Heads, all hospital staff, and the public. Ensures regulatory compliance for sanitation, for patients, guests, and employees. Ensures that public areas are appropriately sanitized, to project a strong, positive image. Generates pertinent policy & procedure to ensure compliance to infection control and sanitation standards. Coordinates rental linen and uniform efforts. Provides multi-disciplinary support services. Participates in employee awareness and education.

Emergency Medical Technician is responsible for the assessment and basic management of medical, trauma and environmental emergencies under the supervision of the staff nurse and / or physician. Assists with patient care based on individual patient needs within the scope of practice; Assists in maintenance of a safe environment and performs under the direction and supervision of the ED Registered Nurse or Charge Nurse.

In collaboration with the manager/director of Performance Improvement, the coordinator is responsible for assisting in the coordination, integration, and implementation of the organization wide performance improvement activities to ensure compliance with company policies and state/federal regulatory and accreditation standards. Activities include but are not limited to chart reviews, data abstraction for CMS Core Measures and other quality outcomes studies, and staff education regarding core measures and updates regarding new and enhance indicators.

The Registered Nurse is responsible for the delivery of safe patient care utilizing the nursing process of assessment, planning, implementation and evaluation. Provides direct patient care within the scope of practice. The Registered Nurse also directs and guides patient/family teaching and activities of other nursing personnel while maintaining standards of care within the Medical/Surgical Unit. The Registered Nurse is directly responsible and accountable for the care given to his/her assigned patients. He / She communicates with physician about changes in the patient’s clinical condition including cardiac monitoring, results of diagnostic studies and symptomatology. Is able to respond quickly and accurately to changes in condition and/or response to treatment.

Pampa Regional Medical Center is looking for an exceptional full time, day shift Licensed Vocational Nurse (LVN) to join our Med Surg team.  Our LVN duties include, but are not limited to: - provide direct and indirect patient care services which requires technical and manual skills, within the scope of practice, that meet the psychosocial, physical and general aspects of care - meets the communication needs of the patient and family - performs under the direction and supervision of a Registered Nurse

The Registered Nurse is responsible for the delivery of safe patient care utilizing the nursing process of assessment, planning, implementation and evaluation. Provides direct patient care within the scope of practice. The Registered Nurse also directs and guides patient/family teaching and activities of other nursing personnel while maintaining standards of care within the Medical/Surgical Unit. The Registered Nurse is directly responsible and accountable for the care given to his/her assigned patients. He / She communicates with physician about changes in the patient’s clinical condition including cardiac monitoring, results of diagnostic studies and symptomatology. Is able to respond quickly and accurately to changes in condition and/or response to treatment.  

Performs one-on-one for patients requiring observation to ensure patient safety.  

Serves as the on-site coordinator for daily business operations. Provides administrative services to the Wound Care and Hyperbaric Center providers and staff in order to achieve comprehensive, personal, and efficient patient care by completing a variety of clerical and business related assignments. Assures smooth functioning in the office.

The PACU RN is accountable directly to the OR Charge Nurse and the Director of Surgical Services, and indirectly to the House Supervisor. The Registered Nurse is responsible for the delivery of patient care through the nursing process of assessment, planning, implementation, and evaluation for all patients within the PACU scope of services. The Registered Nurse also coordinates the post-operative care of the patient with the surgeon and anesthesiologist, directs and guides other personnel while maintaining standards of care in the PACU. He/She communicates with the physician about changes in the patient's clinical condition including hemodynamic monitoring, results of diagnostic studies and abnormal results and symptomatology. Works with other departments and co-workers to provide quality patient care across the continuum, efficient patient flow and unit maintenance and organization. Responsible for adherence to regulations, standards and hospital or unit policies and procedures. Responsible for participation in Performance Improvement activities, unit meetings and in-services. Acts as a resource for other personnel as appropriate.

Under the direction of the dietitian, performs the necessary clinical support functions related to approving therapeutic menu selections and ensuring accuracy as well as appropriate temperatures of patient trays.

Performs a variety of patient and non patient food service duties such as preparing and delivering patient trays, servicing the cafeteria, working on tray line, stocking storage areas, preparing nourishments, dishwashing and pot washing, mopping and sweeping of floors and emptying of trash as well as other related tasks.

The Registered Nurse is responsible for the delivery of safe patient care utilizing the nursing process of assessment, planning, implementation and evaluation. Provides direct patient care within the scope of practice. The Registered Nurse also directs and guides patient/family teaching and activities of other nursing personnel while maintaining standards of professional nursing care in Telemetry. The Registered Nurse is directly responsible and accountable for the care given to his/her patients in the Emergency Department. He / She communicates with the physician about the changes in the patient’s clinical condition including results of the diagnostic studies and symptomatology. Is capable of responding quickly and accurately to changes in the condition and/or response to treatment. Is knowledgeable about EMTALA regulations and reporting of child/adult abuse to appropriate agencies and Hospital Social Worker. Maintains patient privacy and confidentiality.

Responsible for assisting physicians with patient care, clerical, environmental and organization tasks. Responsible for appointment scheduling and chart management. Provides Information to patients so they may fully utilize and benefit from the clinic services. Conveys a positive image of organization.

The Patient Account Registrar interviews the patient or his/her representative to obtain patient demographics. This position also secures insurance information, eligibility, benefits and authorizations as applicable. Works closely with all facets of the Admitting department including PBX operator function and reception areas. Must be able to operate a computer to input and retrieve data. Ability to communicate with the population served, utilizing age specific techniques from neonatal, pediatrics, adolescents, young adults, middle adult to geriatrics. Maintain proficiency in medical terminology. Special projects or other assignments may be given with expectations to be completed in a specified timeframe

The Unit Secretary Float is directly accountable to the Nursing Manager, and indirectly to the Charge Nurse, and / or House Supervisor and is assigned to any nursing unit based on need. The Unit Secretary is an unlicensed person who performs indirect care in the nursing departments setting. Facilitates the communication needs of the departments. Transcribes physician orders from records (in the absence of CPOE and EMR clinical documentation system) with notation and signature by nursing staff. Prepares and complies records on the various nursing units such as Emergency Room and Med Surg. Orders supplies for the unit, prepares and completes each patients chart for necessary forms needed on a daily basis. Able to assist nursing staff for duties involving indirect patient care.

Performs Diagnostic Radiographic Procedures according to department protocols, HFAP/TJC/local regulatory/CMS, State and FederalRegulations. Functions as the first line interface with customers and is successful in the accomplishment of their imaging needs. Participatesin PI/QC activities. Responsible for processing and transmission of images to PACS.

The Registered Nurse is directly responsible and accountable for the care given to his/her assigned patients. He / She communicates with physician about changes in the patient?s clinical condition including cardiac monitoring, results of diagnostic studies and symptomatology. Is able to respond quickly and accurately to changes in condition and/or response to treatment.

Each individual performs only those waived, moderate, or highly complex tests authorized by CLIA, Bus. & Prof. Code Section 1204, and must possess a degree of skill commensurate with individual's education, training or experience and technical abilities. Each individual performing the above procedures must: 1) adhere to the laboratory's procedures for the collection, processing, analysis, and reporting of patient test results. 2) follow the laboratory's established quality control policies and procedures in documenting all corrective actions taken when test systems deviate from the laboratory's established performance specifications. 3) be capable of identifying problems that may adversely affect test performance and either correct the problem or immediately notify your immediate supervisor, Director, or Medical Director, 4) perform a wide variety of laboratory procedures requiring independent judgment using both manual and automated methods in Hematology, Blood Bank, Chemistry, Urinalysis, Coagulation, Microbiology, Immunology, and any other discipline as introduced into the laboratory, 5) perform and document maintenance; daily, weekly, monthly, or as needed on instruments and equipment as appropriate, 6) review the accuracy of patient results prior to releasing or reporting, 7) recognize age specific differences in expected results for newborns to geriatrics, 8) ensure that the testing of proficiency testing samples are tested in the same manner as patient samples and that collaboration with other laboratories is prohibited prior to the reporting of proficiency testing results to the appropriate agencies, 9) may be required to perform venipuncture or capillary puncture on various age groups from newborn to geriatrics, 10) assist in the development and maintenance of laboratory policies and procedures, 11) adheres to all department and hospital policies and procedures related to safety, infection control, emergency preparedness, and human resources, 12) in the absence of a supervisor, may be assigned/identified as Lead Tech, having responsibility for the section or department during their shift, 13) may be assigned responsibilities related to LIS and/or POC. 14) other tasks or responsibilities may be assigned by the department manager/director.

Emergency Medical Technician is responsible for the assessment and basic management of medical, trauma and environmental emergencies under the supervision of the staff nurse and / or physician. Assists with patient care based on individual patient needs within the scope of practice; Assists in maintenance of a safe environment and performs under the direction and supervision of the ED Registered Nurse or Charge Nurse.

The Account Representative is responsible for posting all incoming payments to correct patient accounts on a daily basis.  Inputs and retrieves data from computer systems.  Reconciles accounts daily. Applies payments to patient accounts accurately and efficiently. Distribution of all billing to appropriate personnel.  Reviews and performs follow-up on all authorizations, and specialty referrals. Maintains a current knowledge of contracts and state Worker’s Compensation fee schedules.  Responsible for the handling of incoming and outgoing mail pertaining to the hospital.  Needs to have ability to recognize and correct mailing errors immediately.  Always uses proper tact and discretion in handling inquiries from patients and their families. The Account Representative is responsible for accurate and timely payment analysis of managed care contracts to determine that appropriate reimbursement is received.  Utilizing many complex and varying regulations, guidelines and systems, analyzes payments received from insurance companies to assure maximum and correct reimbursement of Hospital’s receivables.  Proactively works with payers and in-house resources to identify and resolve issues that hinder optimal and correct account payment.  Utilizes and applies the appropriate state and federal regulations in order to assure compliance in payment practices. Responsible for posting all incoming payments to correct patient accounts on a daily basis.  Inputs and retrieves data from computer systems.  Reconciles accounts daily. Applies payments to patient accounts accurately and efficiently. Applies contractual adjustments to patient AR balances as needed. Manage and forward underpayments /denials to the appropriate departments for follow-up and further revenue collection as needed.   #LI-CG5

Southern Regional Medical Center is looking for a Chief Financial Officer. We are looking for someone with at least 3 to 5 years of Acute Care Hospital experience. Someone with a solid understanding of Revenue Cycle Management and expense control. Sound intriguing, then you should also know you will be joining a leadership team focused on the continued improvement and expansion of SRGA. We offer a competitive compensation package including great benefits. 

The Registered Nurse is responsible for the delivery of safe patient care utilizing the nursing process of assessment, planning, implementation and evaluation. Provides direct patient care within the scope of practice. The Registered Nurse also directs and guides patient/family teaching and activities of other nursing personnel while maintaining standards of care within the Medical/Surgical Unit. The Registered Nurse is directly responsible and accountable for the care given to his/her assigned patients. He / She communicates with physician about changes in the patient?s clinical condition including cardiac monitoring, results of diagnostic studies and symptomatology. Is able to respond quickly and accurately to changes in condition and/or response to treatment. #LI-AG1

The Director of Case Management is responsible for the development of staff and systems to effectively operate a comprehensive Case Management Program. Provides leadership and supervision to case managers, social workers and case management coordinators/discharge planners, utilization review coordinators and utilization technicians. Assesses needs and plans, communicates and designs services that are appropriate to the hospital mission and patient/family needs. Integrates and coordinates services using continuous quality improvement tools.