Top 1763 Quality assurance managers Jobs in Cypress, Ca

Manager, Quality Management - Clinical Review - Remote (PST Work Hours)
Optum —El Segundo, CA
- $91,700 - $163,700 a year
- Full-time
- Nursing
- LVN
- RN License
Quick Apply
Health Services Manager, Senior
County of Orange —Orange County, CA
- $140,670.40 - $194,833.60 a year
- Weekends as needed
- LMFT
- Microsoft Excel
- Microsoft Outlook
Mental Health Program Manager - DMH
Alcott Center For Mental Health Services —Culver City, CA
- $80,000 - $83,000 a year
- Full-time
- LMFT
- Clean driving record
- Licensed Clinical Social Worker
- Health insurance
- Dental insurance
Quick Apply
Japanese Bilingual Customer Support & Assisting Food Quality Assurance
Kamerycah Inc. —Torrance, CA
- $40,000 - $52,000 a year
- Full-time
- English
- Office
- US work authorization
- Health insurance
- Dental insurance
Quick Apply
QA Inspector 2nd Shift (3:45pm-12:15am)
Ambrit Engineering Corp. —Santa Ana, CA
- $18 - $23 an hour
- 12 hour shift
- English
- High school diploma or GED
- Math
- Health insurance
- Dental insurance
Quick Apply
Child Psychiatrist
ChildNet Youth and Family Services —Long Beach, CA
- $210 - $230 an hour
- Part-time
- Hybrid work
- Background check
- Spanish
- Medicine
- Flexible schedule
Quick Apply
Senior Nurse Executive - Skilled Nursing Facility
Sunnyside Nursing and Post-Acute Care —Torrance, CA
- $150,000 - $160,000 a year
- Nursing
- Skilled nursing facility
- RN License
- Paid training
- Paid holidays
Quick Apply
10d
QA (Quality Assurance) Senior Manager
Barco Uniforms —Los Angeles, CA
- $110,000 - $135,000 a year
- Weekends as needed
- Microsoft Excel
- 5 years
- Computer literacy
- Wellness program
- Paid holidays
BCBA - Behavior Services Manager (Supported Living Services)
Institute for Applied Behavior Analysis —Orange, CA
- $90,000 - $120,000 a year
- Full-time
- 5 years
- HIPAA
- Office
- Continuing education credits
- Health insurance
Quick Apply
2d
Quality Control Supervisor (1st Shift and 2nd Shift)
CTC Global Corporation —Irvine, CA
- $79,623 - $106,723 a year
- Full-time
- Microsoft Word
- Background check
- Microsoft Excel
- Paid holidays
- Disability insurance
Quick Apply
Quality Control Mechanical Inspector Machined Parts
Jaco Engineering —Anaheim, CA
- From $30 an hour
- Overtime
- Microsoft Excel
- Ability to walk for extended periods
- 5 years
- Health insurance
- Dental insurance
Quick Apply
6d
Senior Restaurant Manager
King's Fish House - Orange —Orange, CA
- $80,000 - $95,000 a year
- Weekends as needed
- Sales
- 21 years or older
- Quality control
- Health savings account
- Health insurance
Quick Apply
6d
Safety & Training Manager
Confidential —Los Angeles, CA
- $90,000 - $110,000 a year
- Full-time
- CDL B
- Microsoft Word
- Classroom
- Relocation assistance
- Health insurance
Quick Apply
Senor Building Enclosure Consultant
Field Verified —Los Angeles, CA
- $75,000 - $120,000 a year
- Full-time
- Civil engineering
- Construction site
- Mid-level
- AD&D insurance
- Paid holidays
Quick Apply
12d
Construction Project Manager / Estimator (Commercial and Industrial Construction)
HV Talent Group —Long Beach, CA
- $120,000 - $140,000 a year
- Full-time
- 5 years
- Mid-level
- Bachelor's degree
- Fuel card
- 401(k) matching
Quick Apply
Quality Control/Assurance Associate
Uni-Caps LLC —Brea, CA
- Full-time
- Computer literacy
- English
- Bachelor's degree
- Dental insurance
- Vision insurance
Quick Apply
Director Of Nursing - Outpatient Surgical Services
Pedes Orange County —Irvine, CA
- Full-time
- Nursing
- Surgery
- RN License
- Paid holidays
- Health insurance
Quick Apply
Senior Restaurant Manager
Water Grill South Coast Plaza —Costa Mesa, CA
- $80,000 - $95,000 a year
- Weekends as needed
- Bar
- Sales
- 21 years or older
- Health savings account
- Health insurance
Quick Apply
9d
Clinical Supervisor (BCBA Certification Required)
Intercare Therapy —Los Angeles, CA
- $80,000 - $90,000 a year
- Full-time
- Spanish
- Customer service
- Mid-level
- Mileage reimbursement
- Health insurance
Quick Apply
Quality Assurance Supplier Quality Manager
GuruNanda LLC —Buena Park, CA
- $90,000 - $110,000 a year
- Full-time
- Bachelor's degree
- Travel
- Mentoring
- Health insurance
- Dental insurance
Quick Apply
4d

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Manager, Quality Management - Clinical Review - Remote (PST Work Hours)

Optum -
El Segundo, CA

Quick Apply

Job Details

Full-time
$91,700 - $163,700 a year

Qualifications

Nursing
Regulatory compliance
Nursing

Full Job Description

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together.

This position is responsible for the day-to-day management of the clinical staff (QI Nurses) within the Grievance/ Peer Review Lane of the Optum CA Quality Improvement Department. The role reports directly to Quality Improvement Leadership and collaborates with QI Ops Manager and clinical staff (QI Nurses) to manage health plan grievance and potential quality issue case productivity, turn-around-times and quality.

You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

Monitors grievance database open and closed case reporting and productivity to ensure that all potential quality issues are investigated in a timely manner
Runs and monitors trend reports by provider, by issue and by level of severity of confirmed problems
Facilitates team meetings and open case review touchpoints as needed to monitor productivity and process, support team and provide updates
Identifies Quality of Care PQIs for QI investigation and coding/leveling through the PRC process.
Implements quality assurance processes (ex. chart audits) to monitor quality of documentation and case review
Manages PRC Minutes with attention to regulatory captures
In concert with Sr. Clinical Quality Program Administrator identifies outside MD specialty reviewers as needed for cases
Provide coverage plans for staff absences and adjust the clinical assignments to maintain compliance with turn-around-times (TATs)
Serve as the first point of clinical contact for complex clinical cases or complex escalations
Lead and coordinate the peer review process for nursing and interdisciplinary cases: case selection, reviewer assignment, agendas, materials, and scheduling

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

Graduation from an accredited school of nursing
Active Registered Nurse (RN) or Licensed Vocational Nurse (LVN) license through the State of California
2+ years of experience in grievance, quality, or clinical operations role.
2+ years of experience managing work inventory to compliance metrics
2+ years of direct supervisor experience in managing or coordinating teams
Ability to work PST work hours

Preferred Qualifications:

Demonstrated experience in developing and implementing workflows and processes, especially in transitioning to new systems, such as grievance databases
Experience with Case Management, Inpatient or Ambulatory care settings
Knowledge of health plan turnaround times and commitment to meeting or exceeding performance metrics
Proficient in learning, adapting to, and implementing new systems and technologies
Proficiency in Excel
Proven comfortable with using databases, tracking tools, and other relevant software for quality improvement and grievance management
Proven skilled in creating and optimizing workflows to enhance team productivity and effectiveness
Reside in CA

All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $91,700 to $163,700 annually based on full-time employment. We comply with all minimum wage laws as applicable.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment

Quick Apply

Refine Your Search

quality assurance managers jobs in cypress, ca

Manager, Quality Management - Clinical Review - Remote (PST Work Hours)

Health Services Manager, Senior

Mental Health Program Manager - DMH

Japanese Bilingual Customer Support & Assisting Food Quality Assurance

QA Inspector 2nd Shift (3:45pm-12:15am)

Child Psychiatrist

Senior Nurse Executive - Skilled Nursing Facility

QA (Quality Assurance) Senior Manager

BCBA - Behavior Services Manager (Supported Living Services)

Quality Control Supervisor (1st Shift and 2nd Shift)

Quality Control Mechanical Inspector Machined Parts

Senior Restaurant Manager

Safety & Training Manager

Senor Building Enclosure Consultant

Construction Project Manager / Estimator (Commercial and Industrial Construction)

Quality Control/Assurance Associate

Director Of Nursing - Outpatient Surgical Services

Senior Restaurant Manager

Clinical Supervisor (BCBA Certification Required)

Quality Assurance Supplier Quality Manager

I want to receive the latest job alert for quality assurance managers in cypress, ca

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