Clinical Quality Manager, Grievance & Peer Review
IntelliResume
IntelliResume is seeking a Clinical Supervisor to manage the clinical staff within the Grievance/Peer Review Lane of the Quality Improvement Department. This role is essential in overseeing health plan grievance and quality issue management, ensuring productivity and compliance. The ideal candidate will have experience in grievance and clinical operations, provide first-point contact for complex cases, and lead the peer review processes. Must possess an active RN or LVN license in California. #J-18808-Ljbffr IntelliResume
$135k - $150k
...Clinical Services Supervisor LCSW LMFT LPCC Sierra Health and Wellness... ...) Job Summary The Clinical Manager oversees the clinical team,... ...development, and ensures high‑quality client care. This role provides... ...resource and support staff. Review charts for quality,...SuggestedFull timeShift work$93k - $97k
...is dedicated to enhancing the quality of life for individuals and... ...artistry – which combines the best clinical practice of traditional... ...Position Summary The ACES Clinical Manager, Treatment Initiation (TM) is... ...with on-going trainings Reviews treatment overview, processes...SuggestedWork from homeWorldwideRelocation package$90k
...Los Angeles neighborhoods. Summary The Clinical Manager will be responsible for the ongoing management... ...in evidence-based and data-driven quality improvement efforts. The Clinical... ...administrative interdisciplinary team meetings and reviews. Participate in weekly supervision and...SuggestedFull timeContract workWork at officeLocal area- ...Job Title/Position: Clinical Manager Reports To: Clinical Director / Director of Patient Care... ...RESPONSIBILITIES Receives case referrals. Reviews available patient information related... ...effective performance and delivery of quality home care services; and is available at...SuggestedImmediate start
- ...The Quality Control Supervisor reports to the Chief Chemist and carries out duties related to wet chemical and instrument analysis, including... ...Directly supervises a team of hourly Laboratory Technicians Reviews QC data daily and reports discrepancies to the Chief Chemist in...SuggestedHourly payFull timeWork at officeLong distance
$120k - $150k
Overview Element has a current opening for a Quality Manager to join our growing team in Concord, CA. The Quality Manager aims to ensure that... ...standards are adhered to. Prepares company quality systems review and ensures that the Quality System is continuously improving...For contractors- ...Orange, CA 928652705, USA SA Recycling is looking for an Air Quality Manager who oversees and ensures compliance with EPA and local air... ...facilities to ensure operation and permitting compliance Regularly review and update guidance documents/work instructions Work with...Contract workWork at officeLocal area
- ...regards to healthcare plan quality improvement by continuous measuring... ...rate Responsible for chart review and peer review following the... ...review 5 charts per week per clinic. Responsible for conducting... ...out on scheduled vacation Manages the day-to-day operations and...Full time
$186.2k - $363.09k
...overarching strategy to provide quality and cost-effective... ...health oversight and clinical leadership for health... ...specific utilization management and care management... ...regional medical necessity reviews and cross coverage.... ...clinical reviews, peer reviews and appeals....Work experience placementWork at officeLocal area$174.07k - $374.92k
...prioritize safety and quality in everything we do. Join... ...physicians for their clinical quality and effective use... ...SIU Investigators, Managers, and Directors as appropriate... ...for clinical and legal review. Documents all... ...Legal. Is responsible for Peer-to-Peer Reviews of SIU...Hourly payFull timeTemporary workLocal areaRemote workWork from home$137.07k - $205.61k
Overview Job Details Level: Management Job Location: Primary... ...develop, implement and review existing behavioral... ...programming; plan and implement quality assurance measures.... ...and organize direct peer review. Evaluate... ...and three (3) years of clinical experience, plus state...Full time- ...experienced QA Lead with solid skills for quality assurance and testing of Cloud based... ...selected candidate in this role will also review designs and participate in productive collaboration... ...to resolve complex customer problems Manage and maintain work backlog; be able to re-...
- ...health, our company, and your career**About This Role:**The Quality Control Manager is responsible for leading Quality Control execution across... ...and receiving.* Support and participate in Material Review Board (MRB) activities, ensuring accurate disposition execution...
$100k - $166k
## Quality Control ManagerApplylocations: Californiatime type: Full timeposted on: Posted... ...required for STEM OPT.**The **Quality Control Manager** leads the QC laboratory team in... ...effective laboratory operations.* Develop, review, revise, or approve standard operating procedures...Hourly payContract workLocal areaWork from home- ...Irvine, visit The UCI Center for Clinical Research (CCR) is driven to... ...(CCR), the Clinical Research Manager (CRM) is responsible for all... ...such as the Institutional Review Board (IRB), Food and Drug Administration... ..., Radiology, etc.) managing quality assurance and quality...Work at officeLocal areaRemote work
$186.2k - $363.09k
...appropriateness and necessity of services provided to members, enhancing quality and efficiency. The ideal candidate has an MD or DO license... ...standards. Responsibilities include evaluating utilization management practices, developing medical policies, and effectively...$140k - $160k
Overview Airbus Commercial is looking for a Supply Chain Quality Manager-Propulsion to join our team in San Diego, California . This role... ...Quality Assurance Plan, compliance matrix, and Business Quality Review process. Support internal and external audits: lead...Temporary workFlexible hours$71k - $166k
## Dialysis Clinical Manager Registered Nurse - RNApplyremote type: Onsitelocations... ...Care, you will ensure that quality patient care is delivered... ...discussion, activities, and peer support. Our diverse... ...and questions including the review of patient satisfaction surveys...Temporary workWork experience placementWork at office- ...the Associate Director of Quality carries out the day to day management and operations of the... ...of care complaints and grievances including timely processing... ...projects and clinical programs designed to make... ...certification as the Facility Site Review Nurse. Prepares...Work experience placementWork at office
$80k - $90k
Quality Assurance Supervisor opportunity at Glanbia! Join this dynamic team focused on delivering... ...Oversee the site Food Safety Management System, including document control, change... ...programs, including documentation, annual reviews, SOP updates, inspections, and...Flexible hours$46k - $76k
...industry. Consumer-driven innovation, high quality products and a promising portfolio, all... ...II is responsible for tracking, reviewing, and evaluating all processing documents... ...work overtime hours will be determined by management, based on customer and business necessity...Hourly payWork at officeLocal areaWork from home- Reporting to the Safety, Quality and Logistics Manager the Quality Assurance Coordinator is responsible for maintaining CORE Linepipe’s quality management... ...-line inspection Pre-shipment inspection Raw Materials review, vendor data Incoming material inspection review Vendor...Contract work
$85k - $125k
Vanguard Clinical, Inc. is a Contract Research Organization (CRO) headquartered... ...a focus on Clinical Trial Management, CRO/Vendor Oversight, Trial... ..., Clinical Monitoring, Quality Assurance, Data Management... ...Management System (QMS). Develops, reviews, and maintains SOPs and...Contract workWork at officeLocal areaFlexible hours$85 - $95 per hour
...Senior Clinical Program Manager, Clinical Operations Base pay range $85.00/hr - $95.00/hr Salary Range... ...query resolution and data listings review process to meet objectives in a timely... ...operational data, contribute with a mind on quality, timeliness and fiscal responsibility,...Contract workTemporary workWork at office$21 - $22 per hour
...psychiatric clinicians, ensuring quality customer service to in- person... ...needs, and being prepared to manage potentially difficult or... ...situations.* Communicate with peers, clinicians, and patients in ways... ...email address as they will not be reviewed or responded to.** To apply...Full timeTemporary workWork at officeLocal areaImmediate startRemote workFlexible hours$120k - $130k
...Capio Group is looking for an experienced Quality Assurance and Test Lead! Full-time... ...will establish and oversee the quality management framework, including development of test... ...quality frameworks, methods, and practices. Review the System Integrator test plans, scenarios...Full timeRemote workFlexible hours$110k - $150k
Job Description QA & Regulatory Manager - Valencia & Burbank, CA Company Benefits 100% employer... ...& Ziegler Isotope Products seeks a Quality Assurance & Regulatory Manager to join... ...conduct these activities. Conducts regulatory reviews and submits product registrations for NRC...Work at office- ...combines real‑time, multimodal clinical data with deep clinician... ...a traditional eCRF‑only Data Manager role. We are hiring a leader... ...EDC automation, and own data quality through data lock - while performing... ...in San Francisco, please review the San Francisco Fair Chance...Full timeWork at officeLocal areaImmediate startRemote workFlexible hours
- ...provider productivity to standards set by management. This will include counseling staff and... ...) programs as appropriate based on peer reviews. Reports to Chief of Medicine at medical... ...Responsible for the supervision of overall clinic administration. Regional Director The...Day shift
- ...looking for a remote Python(Machine learning) Quality Assurance Lead to oversee quality and... ...AI training projects. The role includes reviewing AI-generated Python code and evaluating... ...communication skills, and experience managing quality in remote environments. If selected...Remote job
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