Top 1042 Quality assurance managers Jobs in Mesquite, Tx

Sr. Quality of Care Review Nurse
Oscar Health —Dallas, TX
- $83,628.00 - $109,761.75 a year
- Remote
- Spanish
- Nursing
- RN License
- Paid parental leave
- Paid holidays
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QA Manager
Pioneer Frozen Foods —Dallas, TX
- $89,026 - $163,399 a year
- Full-time
- Bilingual
- Word processing
- Pass drug screening
- Paid holidays
- Disability insurance
Director of Residential Services
Health & Human Services Comm —Terrell, TX
- $6,377.50 - $10,785.83 a month
- Extended hours
- 18 years or older
- Writing skills
- Pass drug screening
- Health insurance
- Opportunities for advancement
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Director of Custodial Services
HHS Education Services, LLC (USA) —Dallas, TX
- $85,000 - $100,000 a year
- Full-time
- School experience
- Customer service
- Military
- Health insurance
- Dental insurance
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Lead Quality Control, 3rd Shift
Fanatics Collectibles —Sunnyvale, TX
- Extended hours
- Spanish
- Mid-level
- High school diploma or GED
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Receptionist/ Office Coordinator - Mon - Fri 8am-5pm
Williams Lea —Dallas, TX
- $23.75 - $25.00 an hour
- Full-time
- Computer literacy
- Mid-level
- Office
- Commuter assistance
- Paid parental leave
Divisional Quality Control Manager
Smyrna Ready Mix, LLC —Dallas, TX
- Overnight shift
- Residential
- Analysis skills
- Travel
- Paid holidays
- Disability insurance
Lead Installer
Expo Home Improvement —Farmers Branch, TX
- Weekends as needed
- Clean driving record
- Construction site
- 5 years
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Traveling Superintendent
Mission Critical Interior Solutions, Inc —Lancaster, TX
- $75,000 - $95,000 a year
- Full-time
- Background check
- Construction site
- English
- Health insurance
- Dental insurance
Quick Apply
Civil Engineer Design-Build Leader – Vice President / Principal-in-Charge
Huitt-Zollars —Dallas, TX
- Full-time
- Office
- Bachelor's degree
- Travel
- Commuter assistance
- AD&D insurance
Quick Apply
Facility Administrator / Nurse Manager
TotalCare —Garland, TX
- Full-time
- CPR Certification
- Nursing
- RN License
- Health insurance
- Dental insurance
Quick Apply
Full Time CT/Radiology Tech $2500 Bonus
Surepoint Medical Centers —Rowlett, TX
- Weekends as needed
- Background check
- Vital signs
- Computer literacy
Quick Apply
Rehab Program Manager Physical Therapist (PT)
Healthpro Heritage, LLC —Dallas, TX
- Full-time
- Physical & Rehabilitation Medicine
- Mid-level
- 3 years
- Flexible schedule
3d
PRN CT/Raidology Tech
Surepoint Medical Centers —Mesquite, TX
- Weekends as needed
- Background check
- Vital signs
- Computer literacy
Quick Apply
Production Supervisor
Rudolph Foods Co Inc —Dallas, TX
- $65,000 - $85,000 a year
- Full-time
- Spanish
- English
- Mid-level
Facility Administrator / Nurse Manager
TotalCare —Carrollton, TX
- Full-time
- CPR Certification
- Nursing
- RN License
- Health insurance
- Dental insurance
Quick Apply
Electrical Superintendent
CS Erickson —Dallas, TX
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Construction site
Quick Apply
Corporate Quality Assurance Manager
Winholt Equipment —Grand Prairie, TX
- $100,000 - $115,000 a year
- Full-time
- 7 years
- Engineering
- ERP systems
- AD&D insurance
- Health insurance
Quick Apply
Lead Sales Associate
Operation Enterprises Services, LLC —Dallas, TX
- $36,000 - $56,000 a year
- Full-time
- Background check
- Spanish
- English
- Paid training
- Paid time off
Quick Apply
Drainage Engineer
Kisinger Campo & Associates, Corp. (KCA) —Plano, TX
- Full-time
- Background check
- Civil engineering
- 5 years
Quick Apply

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quality assurance managers jobs near mesquite, tx

Sr. Quality of Care Review Nurse

Oscar Health -
Dallas, TX

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Job Details

$83,628.00 - $109,761.75 a year

Benefits

Paid parental leave
Paid holidays
Disability insurance
Health insurance
Dental insurance
Parental leave
Vision insurance
Paid sick time

Qualifications

RN License
Patient care

Full Job Description

Hi, we're Oscar. We're hiring a Sr. Quality of Care Review Nurse to join our Quality team.

Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family.

About the role:

Clinical Quality programs are designed to enhance clinical outcomes and concierge-level service to our members, through review of services provided to members from network healthcare providers, facilities and Oscar employees. The Senior Quality of Care Nurse analyzes clinical data, tracks core measures, reviews patient records, and implements evidence-based strategies to improve overall provider and facility standard of care. As well as, optimizing clinical experience into clear detailed medical reviews while upholding department standards for quality and productivity. The Quality of Care Nurse Reviewer evaluates and refines healthcare processes to optimize patient safety, clinical outcomes, and regulatory compliance.

You will report into the Nurse Manager, Quality of Care.

Work Location: This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; or Texas. While your daily work will be completed from your home office, occasional travel may be required for team meetings and company events. #LI-Remote

Pay Transparency: The base pay for this role is: $83,628 - $109,761.75 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.

Responsibilities:

Reviewing member complaints that need to be escalated immediately and resolved within 60 calendar days of receipt through review of services provided to members from network healthcare providers, facilities and Oscar employees.
Perform quality of care review to determine whether records or commentary from the provider/facility will be needed in order to accurately determine whether a quality issue did occur.
Conduct root cause analyses for adverse events, sentinel events, or potential quality issues to prevent future occurrences.
Investigate provider and facility quality of care concerns, identifying and escalating negative performance trends for corrective action when appropriate.
Perform annual medical record reviews for selected states.
Consult with internal stakeholders to ensure that quality of care needs or members are met while adhering to accreditation and regulatory requirements.
Present quality and performance trend data to organizational stakeholders, delegates and quality subcommittees as applicable; Collaborate on corrective action plans to address identified gaps.
Compliance with all applicable laws and regulations
Other duties as assigned

Requirements:

Licensed Registered Nurse with active, unrestricted license in state of residence and willingness to obtain additional licenses as needed for Oscar's growth (with Oscar's support)
2+ years of experience as a Registered Nurse
2+ years experience working in a clinical care setting

Bonus points:

Health plan utilization management experience or case management experience.
Experience in healthcare quality assurance, including experience auditing medical records and evaluating clinical information and internal documentation to determine the quality of care and service provided to members.
Experience in health plan case management.
Bilingual - fluent in Spanish to audit Spanish-language verbal and written interactions.
Bachelor's Degree from an accredited university, BSN Preferred.
A working knowledge of health insurance/benefit concepts - Medicare and Individual Marketplace insurance experience a plus.
Experience with NCQA accreditation standards for utilization management, case management or population health, HEDIS measures and other regulatory requirements.
CCM or MCG certification.
Experience analyzing performance and other forms of data.
Proficiency using Google applications like Sheets, Docs, Slides and Meets.
Comfortable using Google Meets and other platforms to communicate with internal/external partners.

This is an authentic Oscar Health job opportunity. Learn more about how you can safeguard yourself from recruitment fraud here.

At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care - an experience made whole by our unique backgrounds and perspectives.

Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements.

Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts.

Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant's disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team ([email protected]) to make the need for an accommodation known.

California Residents: For information about our collection, use, and disclosure of applicants' personal information as well as applicants' rights over their personal information, please see our Privacy Policy.

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Refine Your Search

quality assurance managers jobs in mesquite, tx

Sr. Quality of Care Review Nurse

QA Manager

Director of Residential Services

Director of Custodial Services

Lead Quality Control, 3rd Shift

Receptionist/ Office Coordinator - Mon - Fri 8am-5pm

Divisional Quality Control Manager

Lead Installer

Traveling Superintendent

Civil Engineer Design-Build Leader – Vice President / Principal-in-Charge

Facility Administrator / Nurse Manager

Full Time CT/Radiology Tech $2500 Bonus

Rehab Program Manager Physical Therapist (PT)

PRN CT/Raidology Tech

Production Supervisor

Facility Administrator / Nurse Manager

Electrical Superintendent

Corporate Quality Assurance Manager

Lead Sales Associate

Drainage Engineer

I want to receive the latest job alert for quality assurance managers in mesquite, tx

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