Top 227 Quality manager Jobs in Wilmington, 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
Program Manager Performance Improvement: Quality Management
Hoag Health System —Newport Beach, CA
- Full-time
- Microsoft Excel
- 5 years
- Analysis skills
Senior Quality Program Manager
Collectors —Santa Ana, CA
- $139,641 - $183,176 a year
- Email
- 7 years
- Engineering
- Office
- Commuter assistance
- Paid holidays
Quality Manager
Taurus Engineering —Long Beach, CA
- $120,000 - $145,000 a year
- Full-time
- 5 years
- Engineering
- Analysis skills
- AD&D insurance
- Paid holidays
Quick Apply
Program Manager Quality Improvement
HUCKEYE HEALTH SERVICES LLC —Newport Beach, CA
- $90 - $100 an hour
- Online Application
- Hospital
- Mid-level
- Master's degree
Quick Apply
Senior Quality Manager
Saint Gobain —Garden Grove, CA
- $111,000 - $203,550 a year
- Remote
- Engineering
- 3 years
- Military encouraged
- Wellness program
- Paid parental leave
Quick Apply
Quality Manager
Vast —Long Beach, CA
- $102,000 - $186,000 a year
- Weekends as needed
- Background check
- Engineering
- 3 years
- Paid parental leave
- Disability insurance
Quality Improvement & Data Analytics Manager
Family Health Matters —Anaheim, CA
- $72,000 - $80,000 a year
- Full-time
- Background check
- Mid-level
- Bachelor's degree
- Health insurance
- Dental insurance
Quick Apply
Quality Assurance Manager
Arkham Technology Ltd. —Irvine, CA
- $110,000 - $150,000 a year
- Full-time
- Background check
- Computer science
- Computer Science
- Health savings account
- Health insurance
Quick Apply
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
QA Manager
Mac Incorporated —Norwalk, CA
- $117,500 - $127,000 a year
- Weekends as needed
- Spanish
- Bachelor of Science
- English
Quick Apply
7d
Quality Manager
Coneybeare —Gardena, CA
- $130,000 - $150,000 a year
- Full-time
- Background check
- Engineering
- Analysis skills
- Paid parental leave
- Disability insurance
Quick Apply
Director of Quality Assurance
LeFiell Manufacturing Company —Santa Fe Springs, CA
- $135,000 - $145,000 a year
- Full-time
- Background check
- Bachelor of Science
- Bachelor's degree
- Health insurance
- Dental insurance
Quick Apply
6d
Quality Manager
Local Aerospace Manufacturer —Los Angeles, CA
- $120,000 - $135,000 a year
- Full-time
- Management
- Word processing
- Bachelor of Science
- Health insurance
- Dental insurance
Quick Apply
7d
Manager, Quality Control
VACCO Industries —South El Monte, CA
- $92,262 - $127,995 a year
- Full-time
- Management
- Writing skills
- Microsoft Office
- Health savings account
- Health insurance
Quick Apply
Quality Manager – Aerospace & Defense Manufacturing
Gear Manufacturing Inc. —Anaheim, CA
- From $90,000 a year
- Full-time
- Background check
- Management
- 5 years
- Paid holidays
- Health insurance
Quick Apply
Software Quality Assurance Manager 2
Northrop Grumman —Los Angeles, CA
- $146,600 - $219,800 a year
- Overtime
- Computer Science
- 3 years
- Master's degree
- Paid holidays
- Disability insurance
11d
Sr. Regional Operations Manager - Southern California
OPENLANE —Los Angeles, CA
- $95,000 - $100,000 a year
- Full-time
- Remote
- Customer service
- Driver's License
- Travel
- Paid parental leave
- Health savings account
Quick Apply
4d
Operations Quality & Performance Lead
GOAT Group —Los Angeles, CA
- $28 an hour
- Monday to Friday
- Mid-level
- Bachelor's degree
- Travel
Quick Apply
Quality Manager
Birmingham Fastener & Supply —Santa Fe Springs, CA
- Full-time
- Management
- Ability to walk for extended periods
- 5 years

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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 manager jobs in wilmington, ca

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

Program Manager Performance Improvement: Quality Management

Senior Quality Program Manager

Quality Manager

Program Manager Quality Improvement

Senior Quality Manager

Quality Manager

Quality Improvement & Data Analytics Manager

Quality Assurance Manager

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

QA Manager

Quality Manager

Director of Quality Assurance

Quality Manager

Manager, Quality Control

Quality Manager – Aerospace & Defense Manufacturing

Software Quality Assurance Manager 2

Sr. Regional Operations Manager - Southern California

Operations Quality & Performance Lead

Quality Manager

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