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.

 

We are currently offering a $10,000 sign on bonus for external candidates!

This position has accountability and oversight the NV Medical Management Command Center RN case Manager functions.   Medical Management includes observation level patients,  acute long-term level patients and the development of plans of care to for transitions of care at discharge.  This positions is responsible for the daily operations of medical management case managers in the assigned facilities.  Collection and oversight of documentation and safety of RN decisions at discharge.  Education and training is an integral part of this position to promote patient care. As a manager lead IDT meetings, participate in taskforces and ensures coverage at large volume hospitals and high risk patients. There is direct responsibility for the development and maintainence of metric performance for the assigned areas of the position.  

 

Primary responsibility for case management includes discharge planning, improved transitions of care, and utilization management of long length hospitalized health plan members.  Ensure members receive quality medical care in the most appropriate setting.  Performs the following on a daily basis; 1) assurance of staffing higher volume hospitals and focusing the case managers on the standard work of command center; 2)  Productivity of case management teams; 3) Audit standard work 4) Produce daily, weekly and monthly operational metrics for the command center and 5) refocus team members on the tactics of the command center with report progress to the Sr. Medical Director

 

Primary Responsibilities:

Ensure the team provides appropriate education, training, support and resources to all staff so that all compliance and customer service standards are met including the appropriateness of decision making, timeliness and completeness of all requestsProvide support to the team to allow for growth and development and encourage the team to think "out of the box" for solutionsIdentify barriers so that staff can maintain high productivity and high levels of moraleEnsure coordination between other internal departments as well as external companies as appropriateDevelop work plans and educational plans to best manage the day-to-day functions of multidisciplinary departmentsIndependently manage work flows including orientation, standard work and report concerns to the directorCollaborates on decisions to promote teamworkCollaboration with Sr. Medical Director and V.P.Promote LEAN work cycles for performance enhancementProvides input to leadership to enhance process flows and efficiencies while addressing initiatives, goals, and missionOther duties as assigned in medical management
 

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:

High School diploma and/or equivalentActive unrestricted Nevada RN licenseObtain CCM certification within 2+ years of employmentValid Nevada driver's license and maintain personal auto insurance coverage  1+ years of related professional experience in managed care environment1+ years related supervisory/management experience Solid knowledge of regulatory requirements, competent in case management business as well as clinical arenas Solid technology skills and excellent interpersonal skillsProven ability to negotiate and arbitrate without difficultyProven ability to supervise multiple levels of peopleCritical Thinking: Proven ability to integrate guidelines/tools to negotiate most effective plan of care

 

Preferred Qualification:

Bachelor's degree 

 

Working Conditions: 

Work completed in acute hospital and/or sub-acute and/or Inpatient Rehabilitation setting or office to promote command center management

Driving up to one hour per day.

 

Competencies for High Performers:   

Participation in departmental projects assigned by Director or Manager.Certification in Case Management (CCM) or equivalent Professional Certification (ACM).Metric measures of success: Observation rate discharge, LOS Observation Rate; Observation rate of engagement with patient's high risk patients, improved readmission rate of high risk patients (10 days) and engagement of PCP HFU rate, daily productivity 10-11 patients per day OBs note; Affordability measures 6 O'clock X matrix cost of care on engaged members.  Number of IDT completed within the week with Medical Director.
 

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 - $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.

Read Less

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.

 

The Associate Care Manager facilitates a team approach to ensure cost-effective delivery of quality care and services based on medical conditions and social determinants. Collaborates with members, providers and other resources to evaluate, plan, facilitate and monitor options and services required to meet an individual's healthcare needs.  Promotes member's goals for self-management, facilitates effective health care navigation, reduces gaps in care, and provides support and community resources as needed. Ensures compliance to contractual and service standards as identified by relevant health insurance plans.  

 

You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Must have a valid CA nursing license.

 

Primary Responsibilities:

Conducts clinical evaluation of members per regulated timelines, determining who may qualify for case management based on clinical judgment, changes in member's health or psychosocial wellness, and gaps in careConducts individual interview to obtain data for focused assessment and determines individual needs and prioritizes goalsConducts telephonic, clinic, facility, hospital or home visits as indicated for patient evaluation/engagementIdentifies barriers to care and seeks solutions with member and the care teamParticipates in the development and implementation of a case management plan in collaboration with the member, caregiver(s), provider(s), and/or other appropriate healthcare professionals to address the patient's needs and goalsPerforms activities identified on the individual needs and prioritized goals to evaluate effectiveness, and to document interventions and goal achievementMaintains member case load for regular outreach and management and closes cases per procedure.Uses motivational interviewing to evaluate, educate, support, and motivate change during member contactsMaintains a working knowledge of community resourcesAchieves productivity and audit standards per department requirementsServes as facilitator and resource for other members of the medical group or clinical teamsAttends departmental meetings and provides constructive recommendations for process improvementAbility to effectively delegate action items appropriately to clinical and non-clinical staff in accordance with their role and scope of practicePerforms other duties as assigned

 

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 Licensed Vocational Nurse programActive compact license in CA2+ years of recent clinical experience working as an LVN/LPN1+ years of care management, disease management or discharge planning experienceAccess to dedicated workspace from home or an in-home office set upReside in a location that can receive a high-speed internet connection 

Skills:

All staff members are to promote a positive and productive work environment by acting maturely and responsibly, satisfactorily performing his or her job responsibilities and conducting themselves in a professional, courteous and respectful manner toward fellow employees, physicians and patientsMust hold relationships to a high standard- respectful approach to all people and interactions, listening to understand, take emotional accountability and exemplify balance of self with all interactions, be receptive to feedback and opportunities keeping an open mind towards growthIntegrates Lean principles, practices and tools to improve operational efficiency, reduce costs and increase customer satisfactionFollows written and oral instructions and completes routine tasks independentlyCompletes annual compliance training on HIPAA/Privacy/Confidentiality/Non-Discrimination/Harassment/Integrity Statement and signed AgreementsEnsures confidentiality of patient information following HIPAA guidelines and company policiesAttends training to meet requirements of the job position and as needed or mandated by company policies and regulationsHas regular and predictable attendance

 

Professional Competencies:

Working knowledge of health care delivery systemsWorking knowledge of PC applications including MS Office SuiteAbility to use written and oral communication skillsAbility to read and interpret dataSkill in writing clear, grammatically correct, easy to use instructional documentationAbility to identify learning needs, set goals and seek educational opportunitiesAbility to analyze problems and formulate appropriate plans, solutions, and courses of actionKnowledge of age specific communication needs with the ability to listen actively and respond to internal and external customers in a timely, competent manner both verbally and nonverballyAbility to work with frequent interruptionsAbility to establish and maintain cooperative working relationships with individuals at all levels of the organization and affiliatesAbility to maintain confidentiality of patient and all related entity business matters of the organization and its partnersAbility to manage detail and work with accuracy

 

*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 hourly pay for this role will range from $20.00 to $36.00 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

 

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.

 

 

UnitedHealth Group 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.

 

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

Read Less

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.

 

We are currently offering a $10,000 sign on bonus for external candidates!

This position has accountability and oversight the NV Medical Management Command Center RN case Manager functions.   Medical Management includes observation level patients,  acute long-term level patients and the development of plans of care to for transitions of care at discharge.  This positions is responsible for the daily operations of medical management case managers in the assigned facilities.  Collection and oversight of documentation and safety of RN decisions at discharge.  Education and training is an integral part of this position to promote patient care. As a manager lead IDT meetings, participate in taskforces and ensures coverage at large volume hospitals and high risk patients. There is direct responsibility for the development and maintainence of metric performance for the assigned areas of the position.  

 

Primary responsibility for case management includes discharge planning, improved transitions of care, and utilization management of long length hospitalized health plan members.  Ensure members receive quality medical care in the most appropriate setting.  Performs the following on a daily basis; 1) assurance of staffing higher volume hospitals and focusing the case managers on the standard work of command center; 2)  Productivity of case management teams; 3) Audit standard work 4) Produce daily, weekly and monthly operational metrics for the command center and 5) refocus team members on the tactics of the command center with report progress to the Sr. Medical Director

 

Primary Responsibilities:

Ensure the team provides appropriate education, training, support and resources to all staff so that all compliance and customer service standards are met including the appropriateness of decision making, timeliness and completeness of all requestsProvide support to the team to allow for growth and development and encourage the team to think "out of the box" for solutionsIdentify barriers so that staff can maintain high productivity and high levels of moraleEnsure coordination between other internal departments as well as external companies as appropriateDevelop work plans and educational plans to best manage the day-to-day functions of multidisciplinary departmentsIndependently manage work flows including orientation, standard work and report concerns to the directorCollaborates on decisions to promote teamworkCollaboration with Sr. Medical Director and V.P.Promote LEAN work cycles for performance enhancementProvides input to leadership to enhance process flows and efficiencies while addressing initiatives, goals, and missionOther duties as assigned in medical management
 

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:

High School diploma and/or equivalentActive unrestricted Nevada RN licenseObtain CCM certification within 2+ years of employmentValid Nevada driver's license and maintain personal auto insurance coverage  1+ years of related professional experience in managed care environment1+ years related supervisory/management experience Solid knowledge of regulatory requirements, competent in case management business as well as clinical arenas Solid technology skills and excellent interpersonal skillsProven ability to negotiate and arbitrate without difficultyProven ability to supervise multiple levels of peopleCritical Thinking: Proven ability to integrate guidelines/tools to negotiate most effective plan of care

 

Preferred Qualification:

Bachelor's degree 

 

Working Conditions: 

Work completed in acute hospital and/or sub-acute and/or Inpatient Rehabilitation setting or office to promote command center management

Driving up to one hour per day.

 

Competencies for High Performers:   

Participation in departmental projects assigned by Director or Manager.Certification in Case Management (CCM) or equivalent Professional Certification (ACM).Metric measures of success: Observation rate discharge, LOS Observation Rate; Observation rate of engagement with patient's high risk patients, improved readmission rate of high risk patients (10 days) and engagement of PCP HFU rate, daily productivity 10-11 patients per day OBs note; Affordability measures 6 O'clock X matrix cost of care on engaged members.  Number of IDT completed within the week with Medical Director.
 

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 - $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.

Read Less

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.

 

We are currently offering a $10,000 sign on bonus for external candidates!

This position has accountability and oversight the NV Medical Management Command Center RN case Manager functions.   Medical Management includes observation level patients,  acute long-term level patients and the development of plans of care to for transitions of care at discharge.  This positions is responsible for the daily operations of medical management case managers in the assigned facilities.  Collection and oversight of documentation and safety of RN decisions at discharge.  Education and training is an integral part of this position to promote patient care. As a manager lead IDT meetings, participate in taskforces and ensures coverage at large volume hospitals and high risk patients. There is direct responsibility for the development and maintainence of metric performance for the assigned areas of the position.  

 

Primary responsibility for case management includes discharge planning, improved transitions of care, and utilization management of long length hospitalized health plan members.  Ensure members receive quality medical care in the most appropriate setting.  Performs the following on a daily basis; 1) assurance of staffing higher volume hospitals and focusing the case managers on the standard work of command center; 2)  Productivity of case management teams; 3) Audit standard work 4) Produce daily, weekly and monthly operational metrics for the command center and 5) refocus team members on the tactics of the command center with report progress to the Sr. Medical Director

 

Primary Responsibilities:

Ensure the team provides appropriate education, training, support and resources to all staff so that all compliance and customer service standards are met including the appropriateness of decision making, timeliness and completeness of all requestsProvide support to the team to allow for growth and development and encourage the team to think "out of the box" for solutionsIdentify barriers so that staff can maintain high productivity and high levels of moraleEnsure coordination between other internal departments as well as external companies as appropriateDevelop work plans and educational plans to best manage the day-to-day functions of multidisciplinary departmentsIndependently manage work flows including orientation, standard work and report concerns to the directorCollaborates on decisions to promote teamworkCollaboration with Sr. Medical Director and V.P.Promote LEAN work cycles for performance enhancementProvides input to leadership to enhance process flows and efficiencies while addressing initiatives, goals, and missionOther duties as assigned in medical management
 

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:

High School diploma and/or equivalentActive unrestricted Nevada RN licenseObtain CCM certification within 2+ years of employmentValid Nevada driver's license and maintain personal auto insurance coverage  1+ years of related professional experience in managed care environment1+ years related supervisory/management experience Solid knowledge of regulatory requirements, competent in case management business as well as clinical arenas Solid technology skills and excellent interpersonal skillsProven ability to negotiate and arbitrate without difficultyProven ability to supervise multiple levels of peopleCritical Thinking: Proven ability to integrate guidelines/tools to negotiate most effective plan of care

 

Preferred Qualification:

Bachelor's degree 

 

Working Conditions: 

Work completed in acute hospital and/or sub-acute and/or Inpatient Rehabilitation setting or office to promote command center management

Driving up to one hour per day.

 

Competencies for High Performers:   

Participation in departmental projects assigned by Director or Manager.Certification in Case Management (CCM) or equivalent Professional Certification (ACM).Metric measures of success: Observation rate discharge, LOS Observation Rate; Observation rate of engagement with patient's high risk patients, improved readmission rate of high risk patients (10 days) and engagement of PCP HFU rate, daily productivity 10-11 patients per day OBs note; Affordability measures 6 O'clock X matrix cost of care on engaged members.  Number of IDT completed within the week with Medical Director.
 

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 - $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.

Read Less

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.

 

We are currently offering a $10,000 sign on bonus for external candidates!

This position has accountability and oversight the NV Medical Management Command Center RN case Manager functions.   Medical Management includes observation level patients,  acute long-term level patients and the development of plans of care to for transitions of care at discharge.  This positions is responsible for the daily operations of medical management case managers in the assigned facilities.  Collection and oversight of documentation and safety of RN decisions at discharge.  Education and training is an integral part of this position to promote patient care. As a manager lead IDT meetings, participate in taskforces and ensures coverage at large volume hospitals and high risk patients. There is direct responsibility for the development and maintainence of metric performance for the assigned areas of the position.  

 

Primary responsibility for case management includes discharge planning, improved transitions of care, and utilization management of long length hospitalized health plan members.  Ensure members receive quality medical care in the most appropriate setting.  Performs the following on a daily basis; 1) assurance of staffing higher volume hospitals and focusing the case managers on the standard work of command center; 2)  Productivity of case management teams; 3) Audit standard work 4) Produce daily, weekly and monthly operational metrics for the command center and 5) refocus team members on the tactics of the command center with report progress to the Sr. Medical Director

 

Primary Responsibilities:

Ensure the team provides appropriate education, training, support and resources to all staff so that all compliance and customer service standards are met including the appropriateness of decision making, timeliness and completeness of all requestsProvide support to the team to allow for growth and development and encourage the team to think "out of the box" for solutionsIdentify barriers so that staff can maintain high productivity and high levels of moraleEnsure coordination between other internal departments as well as external companies as appropriateDevelop work plans and educational plans to best manage the day-to-day functions of multidisciplinary departmentsIndependently manage work flows including orientation, standard work and report concerns to the directorCollaborates on decisions to promote teamworkCollaboration with Sr. Medical Director and V.P.Promote LEAN work cycles for performance enhancementProvides input to leadership to enhance process flows and efficiencies while addressing initiatives, goals, and missionOther duties as assigned in medical management
 

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:

High School diploma and/or equivalentActive unrestricted Nevada RN licenseObtain CCM certification within 2+ years of employmentValid Nevada driver's license and maintain personal auto insurance coverage  1+ years of related professional experience in managed care environment1+ years related supervisory/management experience Solid knowledge of regulatory requirements, competent in case management business as well as clinical arenas Solid technology skills and excellent interpersonal skillsProven ability to negotiate and arbitrate without difficultyProven ability to supervise multiple levels of peopleCritical Thinking: Proven ability to integrate guidelines/tools to negotiate most effective plan of care

 

Preferred Qualification:

Bachelor's degree 

 

Working Conditions: 

Work completed in acute hospital and/or sub-acute and/or Inpatient Rehabilitation setting or office to promote command center management

Driving up to one hour per day.

 

Competencies for High Performers:   

Participation in departmental projects assigned by Director or Manager.Certification in Case Management (CCM) or equivalent Professional Certification (ACM).Metric measures of success: Observation rate discharge, LOS Observation Rate; Observation rate of engagement with patient's high risk patients, improved readmission rate of high risk patients (10 days) and engagement of PCP HFU rate, daily productivity 10-11 patients per day OBs note; Affordability measures 6 O'clock X matrix cost of care on engaged members.  Number of IDT completed within the week with Medical Director.
 

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 - $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.

Read Less

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.

 

We are currently offering a $10,000 sign on bonus for external candidates!

This position has accountability and oversight the NV Medical Management Command Center RN case Manager functions.   Medical Management includes observation level patients,  acute long-term level patients and the development of plans of care to for transitions of care at discharge.  This positions is responsible for the daily operations of medical management case managers in the assigned facilities.  Collection and oversight of documentation and safety of RN decisions at discharge.  Education and training is an integral part of this position to promote patient care. As a manager lead IDT meetings, participate in taskforces and ensures coverage at large volume hospitals and high risk patients. There is direct responsibility for the development and maintainence of metric performance for the assigned areas of the position.  

 

Primary responsibility for case management includes discharge planning, improved transitions of care, and utilization management of long length hospitalized health plan members.  Ensure members receive quality medical care in the most appropriate setting.  Performs the following on a daily basis; 1) assurance of staffing higher volume hospitals and focusing the case managers on the standard work of command center; 2)  Productivity of case management teams; 3) Audit standard work 4) Produce daily, weekly and monthly operational metrics for the command center and 5) refocus team members on the tactics of the command center with report progress to the Sr. Medical Director

 

Primary Responsibilities:

Ensure the team provides appropriate education, training, support and resources to all staff so that all compliance and customer service standards are met including the appropriateness of decision making, timeliness and completeness of all requestsProvide support to the team to allow for growth and development and encourage the team to think "out of the box" for solutionsIdentify barriers so that staff can maintain high productivity and high levels of moraleEnsure coordination between other internal departments as well as external companies as appropriateDevelop work plans and educational plans to best manage the day-to-day functions of multidisciplinary departmentsIndependently manage work flows including orientation, standard work and report concerns to the directorCollaborates on decisions to promote teamworkCollaboration with Sr. Medical Director and V.P.Promote LEAN work cycles for performance enhancementProvides input to leadership to enhance process flows and efficiencies while addressing initiatives, goals, and missionOther duties as assigned in medical management
 

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:

High School diploma and/or equivalentActive unrestricted Nevada RN licenseObtain CCM certification within 2+ years of employmentValid Nevada driver's license and maintain personal auto insurance coverage  1+ years of related professional experience in managed care environment1+ years related supervisory/management experience Solid knowledge of regulatory requirements, competent in case management business as well as clinical arenas Solid technology skills and excellent interpersonal skillsProven ability to negotiate and arbitrate without difficultyProven ability to supervise multiple levels of peopleCritical Thinking: Proven ability to integrate guidelines/tools to negotiate most effective plan of care

 

Preferred Qualification:

Bachelor's degree 

 

Working Conditions: 

Work completed in acute hospital and/or sub-acute and/or Inpatient Rehabilitation setting or office to promote command center management

Driving up to one hour per day.

 

Competencies for High Performers:   

Participation in departmental projects assigned by Director or Manager.Certification in Case Management (CCM) or equivalent Professional Certification (ACM).Metric measures of success: Observation rate discharge, LOS Observation Rate; Observation rate of engagement with patient's high risk patients, improved readmission rate of high risk patients (10 days) and engagement of PCP HFU rate, daily productivity 10-11 patients per day OBs note; Affordability measures 6 O'clock X matrix cost of care on engaged members.  Number of IDT completed within the week with Medical Director.
 

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 - $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.

Read Less

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.

 

We are currently offering a $10,000 sign on bonus for external candidates!

This position has accountability and oversight the NV Medical Management Command Center RN case Manager functions.   Medical Management includes observation level patients,  acute long-term level patients and the development of plans of care to for transitions of care at discharge.  This positions is responsible for the daily operations of medical management case managers in the assigned facilities.  Collection and oversight of documentation and safety of RN decisions at discharge.  Education and training is an integral part of this position to promote patient care. As a manager lead IDT meetings, participate in taskforces and ensures coverage at large volume hospitals and high risk patients. There is direct responsibility for the development and maintainence of metric performance for the assigned areas of the position.  

 

Primary responsibility for case management includes discharge planning, improved transitions of care, and utilization management of long length hospitalized health plan members.  Ensure members receive quality medical care in the most appropriate setting.  Performs the following on a daily basis; 1) assurance of staffing higher volume hospitals and focusing the case managers on the standard work of command center; 2)  Productivity of case management teams; 3) Audit standard work 4) Produce daily, weekly and monthly operational metrics for the command center and 5) refocus team members on the tactics of the command center with report progress to the Sr. Medical Director

 

Primary Responsibilities:

Ensure the team provides appropriate education, training, support and resources to all staff so that all compliance and customer service standards are met including the appropriateness of decision making, timeliness and completeness of all requestsProvide support to the team to allow for growth and development and encourage the team to think "out of the box" for solutionsIdentify barriers so that staff can maintain high productivity and high levels of moraleEnsure coordination between other internal departments as well as external companies as appropriateDevelop work plans and educational plans to best manage the day-to-day functions of multidisciplinary departmentsIndependently manage work flows including orientation, standard work and report concerns to the directorCollaborates on decisions to promote teamworkCollaboration with Sr. Medical Director and V.P.Promote LEAN work cycles for performance enhancementProvides input to leadership to enhance process flows and efficiencies while addressing initiatives, goals, and missionOther duties as assigned in medical management
 

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:

High School diploma and/or equivalentActive unrestricted Nevada RN licenseObtain CCM certification within 2+ years of employmentValid Nevada driver's license and maintain personal auto insurance coverage  1+ years of related professional experience in managed care environment1+ years related supervisory/management experience Solid knowledge of regulatory requirements, competent in case management business as well as clinical arenas Solid technology skills and excellent interpersonal skillsProven ability to negotiate and arbitrate without difficultyProven ability to supervise multiple levels of peopleCritical Thinking: Proven ability to integrate guidelines/tools to negotiate most effective plan of care

 

Preferred Qualification:

Bachelor's degree 

 

Working Conditions: 

Work completed in acute hospital and/or sub-acute and/or Inpatient Rehabilitation setting or office to promote command center management

Driving up to one hour per day.

 

Competencies for High Performers:   

Participation in departmental projects assigned by Director or Manager.Certification in Case Management (CCM) or equivalent Professional Certification (ACM).Metric measures of success: Observation rate discharge, LOS Observation Rate; Observation rate of engagement with patient's high risk patients, improved readmission rate of high risk patients (10 days) and engagement of PCP HFU rate, daily productivity 10-11 patients per day OBs note; Affordability measures 6 O'clock X matrix cost of care on engaged members.  Number of IDT completed within the week with Medical Director.
 

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 - $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.

Read Less

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.

 

The Associate Care Manager facilitates a team approach to ensure cost-effective delivery of quality care and services based on medical conditions and social determinants. Collaborates with members, providers and other resources to evaluate, plan, facilitate and monitor options and services required to meet an individual's healthcare needs.  Promotes member's goals for self-management, facilitates effective health care navigation, reduces gaps in care, and provides support and community resources as needed. Ensures compliance to contractual and service standards as identified by relevant health insurance plans.  

 

You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Must have a valid CA nursing license.

 

Primary Responsibilities:

Conducts clinical evaluation of members per regulated timelines, determining who may qualify for case management based on clinical judgment, changes in member's health or psychosocial wellness, and gaps in careConducts individual interview to obtain data for focused assessment and determines individual needs and prioritizes goalsConducts telephonic, clinic, facility, hospital or home visits as indicated for patient evaluation/engagementIdentifies barriers to care and seeks solutions with member and the care teamParticipates in the development and implementation of a case management plan in collaboration with the member, caregiver(s), provider(s), and/or other appropriate healthcare professionals to address the patient's needs and goalsPerforms activities identified on the individual needs and prioritized goals to evaluate effectiveness, and to document interventions and goal achievementMaintains member case load for regular outreach and management and closes cases per procedure.Uses motivational interviewing to evaluate, educate, support, and motivate change during member contactsMaintains a working knowledge of community resourcesAchieves productivity and audit standards per department requirementsServes as facilitator and resource for other members of the medical group or clinical teamsAttends departmental meetings and provides constructive recommendations for process improvementAbility to effectively delegate action items appropriately to clinical and non-clinical staff in accordance with their role and scope of practicePerforms other duties as assigned

 

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 Licensed Vocational Nurse programActive compact license in CA2+ years of recent clinical experience working as an LVN/LPN1+ years of care management, disease management or discharge planning experienceAccess to dedicated workspace from home or an in-home office set upReside in a location that can receive a high-speed internet connection 

Skills:

All staff members are to promote a positive and productive work environment by acting maturely and responsibly, satisfactorily performing his or her job responsibilities and conducting themselves in a professional, courteous and respectful manner toward fellow employees, physicians and patientsMust hold relationships to a high standard- respectful approach to all people and interactions, listening to understand, take emotional accountability and exemplify balance of self with all interactions, be receptive to feedback and opportunities keeping an open mind towards growthIntegrates Lean principles, practices and tools to improve operational efficiency, reduce costs and increase customer satisfactionFollows written and oral instructions and completes routine tasks independentlyCompletes annual compliance training on HIPAA/Privacy/Confidentiality/Non-Discrimination/Harassment/Integrity Statement and signed AgreementsEnsures confidentiality of patient information following HIPAA guidelines and company policiesAttends training to meet requirements of the job position and as needed or mandated by company policies and regulationsHas regular and predictable attendance

 

Professional Competencies:

Working knowledge of health care delivery systemsWorking knowledge of PC applications including MS Office SuiteAbility to use written and oral communication skillsAbility to read and interpret dataSkill in writing clear, grammatically correct, easy to use instructional documentationAbility to identify learning needs, set goals and seek educational opportunitiesAbility to analyze problems and formulate appropriate plans, solutions, and courses of actionKnowledge of age specific communication needs with the ability to listen actively and respond to internal and external customers in a timely, competent manner both verbally and nonverballyAbility to work with frequent interruptionsAbility to establish and maintain cooperative working relationships with individuals at all levels of the organization and affiliatesAbility to maintain confidentiality of patient and all related entity business matters of the organization and its partnersAbility to manage detail and work with accuracy

 

*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 hourly pay for this role will range from $20.00 to $36.00 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

 

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.

 

 

UnitedHealth Group 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.

 

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

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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.

As the Palliative Care Manager, you provide expert palliative care support to patients and families while strengthening primary palliative care capabilities across clinical teams. You improve quality of life for patients with serious illness by leading advanced communication and goals-of-care discussions, supporting symptom management, coordinating care, and collaborating across interdisciplinary teams. You partner across care settings to ensure compassionate, patient-centered, and goal-concordant care throughout the disease trajectory.

Primary Responsibilities:

Conducts home dyad visitsConducts telephonic nursing follow upAssess patient and family understanding, values, and preferences to guide care decisionsDevelop, implement, and adjust individualized palliative care plans aligned with clinical status and patient goalsCoordinate care across settings (primary care, specialty care, inpatient, SNF, hospice, home health, community partners)Support advance care planning, including POLST, advance directives, and DPOA documentationDocument complex cases, care plans, and transitions clearly and in a timely mannerManage competing priorities independently while adhering to organizational policies and regulatory requirementsEducate and coach staff on serious illness communication, symptom management, and palliative care principlesPromote interdisciplinary collaboration and patient-centered care practicesParticipate in case reviews and team meetingsEngage in ongoing professional development in palliative care best practicesFoster a collaborative, respectful, and patient-centered work environmentMaintain strong relationships with patients, families, providers, and community partnersDemonstrate professionalism, adaptability, and emotional intelligenceSupport organizational mission, values, and continuous improvement initiatives
 

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:

Current, active RN licensure in the State of WashingtonCurrent BLS certification or ability to obtain certification within 30 days of employment hire date3+ years of experience in a physician's office, clinical, hospice or hospital settingValid driver's license within the state of workReliable transportation for daily travel to various locations as assigned

Preferred Qualifications:

BSNCertification or specialized training in palliative careExperience in palliative care, hospice, geriatrics, complex case management, or serious illness careExperience working with geriatric populationsExperience providing staff education, coaching, or clinical training

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 $91,500 - $137, 300 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. 

Read Less

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.

 

The Associate Care Manager facilitates a team approach to ensure cost-effective delivery of quality care and services based on medical conditions and social determinants. Collaborates with members, providers and other resources to evaluate, plan, facilitate and monitor options and services required to meet an individual's healthcare needs.  Promotes member's goals for self-management, facilitates effective health care navigation, reduces gaps in care, and provides support and community resources as needed. Ensures compliance to contractual and service standards as identified by relevant health insurance plans.  

 

You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Must have a valid CA nursing license.

 

Primary Responsibilities:

Conducts clinical evaluation of members per regulated timelines, determining who may qualify for case management based on clinical judgment, changes in member's health or psychosocial wellness, and gaps in careConducts individual interview to obtain data for focused assessment and determines individual needs and prioritizes goalsConducts telephonic, clinic, facility, hospital or home visits as indicated for patient evaluation/engagementIdentifies barriers to care and seeks solutions with member and the care teamParticipates in the development and implementation of a case management plan in collaboration with the member, caregiver(s), provider(s), and/or other appropriate healthcare professionals to address the patient's needs and goalsPerforms activities identified on the individual needs and prioritized goals to evaluate effectiveness, and to document interventions and goal achievementMaintains member case load for regular outreach and management and closes cases per procedure.Uses motivational interviewing to evaluate, educate, support, and motivate change during member contactsMaintains a working knowledge of community resourcesAchieves productivity and audit standards per department requirementsServes as facilitator and resource for other members of the medical group or clinical teamsAttends departmental meetings and provides constructive recommendations for process improvementAbility to effectively delegate action items appropriately to clinical and non-clinical staff in accordance with their role and scope of practicePerforms other duties as assigned

 

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 Licensed Vocational Nurse programActive compact license in CA2+ years of recent clinical experience working as an LVN/LPN1+ years of care management, disease management or discharge planning experienceAccess to dedicated workspace from home or an in-home office set upReside in a location that can receive a high-speed internet connection 

Skills:

All staff members are to promote a positive and productive work environment by acting maturely and responsibly, satisfactorily performing his or her job responsibilities and conducting themselves in a professional, courteous and respectful manner toward fellow employees, physicians and patientsMust hold relationships to a high standard- respectful approach to all people and interactions, listening to understand, take emotional accountability and exemplify balance of self with all interactions, be receptive to feedback and opportunities keeping an open mind towards growthIntegrates Lean principles, practices and tools to improve operational efficiency, reduce costs and increase customer satisfactionFollows written and oral instructions and completes routine tasks independentlyCompletes annual compliance training on HIPAA/Privacy/Confidentiality/Non-Discrimination/Harassment/Integrity Statement and signed AgreementsEnsures confidentiality of patient information following HIPAA guidelines and company policiesAttends training to meet requirements of the job position and as needed or mandated by company policies and regulationsHas regular and predictable attendance

 

Professional Competencies:

Working knowledge of health care delivery systemsWorking knowledge of PC applications including MS Office SuiteAbility to use written and oral communication skillsAbility to read and interpret dataSkill in writing clear, grammatically correct, easy to use instructional documentationAbility to identify learning needs, set goals and seek educational opportunitiesAbility to analyze problems and formulate appropriate plans, solutions, and courses of actionKnowledge of age specific communication needs with the ability to listen actively and respond to internal and external customers in a timely, competent manner both verbally and nonverballyAbility to work with frequent interruptionsAbility to establish and maintain cooperative working relationships with individuals at all levels of the organization and affiliatesAbility to maintain confidentiality of patient and all related entity business matters of the organization and its partnersAbility to manage detail and work with accuracy

 

*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 hourly pay for this role will range from $20.00 to $36.00 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

 

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.

 

 

UnitedHealth Group 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.

 

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

Read Less

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.

 

We are currently offering a $10,000 sign on bonus for external candidates!

This position has accountability and oversight the NV Medical Management Command Center RN case Manager functions.   Medical Management includes observation level patients,  acute long-term level patients and the development of plans of care to for transitions of care at discharge.  This positions is responsible for the daily operations of medical management case managers in the assigned facilities.  Collection and oversight of documentation and safety of RN decisions at discharge.  Education and training is an integral part of this position to promote patient care. As a manager lead IDT meetings, participate in taskforces and ensures coverage at large volume hospitals and high risk patients. There is direct responsibility for the development and maintainence of metric performance for the assigned areas of the position.  

 

Primary responsibility for case management includes discharge planning, improved transitions of care, and utilization management of long length hospitalized health plan members.  Ensure members receive quality medical care in the most appropriate setting.  Performs the following on a daily basis; 1) assurance of staffing higher volume hospitals and focusing the case managers on the standard work of command center; 2)  Productivity of case management teams; 3) Audit standard work 4) Produce daily, weekly and monthly operational metrics for the command center and 5) refocus team members on the tactics of the command center with report progress to the Sr. Medical Director

 

Primary Responsibilities:

Ensure the team provides appropriate education, training, support and resources to all staff so that all compliance and customer service standards are met including the appropriateness of decision making, timeliness and completeness of all requestsProvide support to the team to allow for growth and development and encourage the team to think "out of the box" for solutionsIdentify barriers so that staff can maintain high productivity and high levels of moraleEnsure coordination between other internal departments as well as external companies as appropriateDevelop work plans and educational plans to best manage the day-to-day functions of multidisciplinary departmentsIndependently manage work flows including orientation, standard work and report concerns to the directorCollaborates on decisions to promote teamworkCollaboration with Sr. Medical Director and V.P.Promote LEAN work cycles for performance enhancementProvides input to leadership to enhance process flows and efficiencies while addressing initiatives, goals, and missionOther duties as assigned in medical management
 

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:

High School diploma and/or equivalentActive unrestricted Nevada RN licenseObtain CCM certification within 2+ years of employmentValid Nevada driver's license and maintain personal auto insurance coverage  1+ years of related professional experience in managed care environment1+ years related supervisory/management experience Solid knowledge of regulatory requirements, competent in case management business as well as clinical arenas Solid technology skills and excellent interpersonal skillsProven ability to negotiate and arbitrate without difficultyProven ability to supervise multiple levels of peopleCritical Thinking: Proven ability to integrate guidelines/tools to negotiate most effective plan of care

 

Preferred Qualification:

Bachelor's degree 

 

Working Conditions: 

Work completed in acute hospital and/or sub-acute and/or Inpatient Rehabilitation setting or office to promote command center management

Driving up to one hour per day.

 

Competencies for High Performers:   

Participation in departmental projects assigned by Director or Manager.Certification in Case Management (CCM) or equivalent Professional Certification (ACM).Metric measures of success: Observation rate discharge, LOS Observation Rate; Observation rate of engagement with patient's high risk patients, improved readmission rate of high risk patients (10 days) and engagement of PCP HFU rate, daily productivity 10-11 patients per day OBs note; Affordability measures 6 O'clock X matrix cost of care on engaged members.  Number of IDT completed within the week with Medical Director.
 

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 - $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.

Read Less

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.

 

The Associate Care Manager facilitates a team approach to ensure cost-effective delivery of quality care and services based on medical conditions and social determinants. Collaborates with members, providers and other resources to evaluate, plan, facilitate and monitor options and services required to meet an individual's healthcare needs.  Promotes member's goals for self-management, facilitates effective health care navigation, reduces gaps in care, and provides support and community resources as needed. Ensures compliance to contractual and service standards as identified by relevant health insurance plans.  

 

You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Must have a valid CA nursing license.

 

Primary Responsibilities:

Conducts clinical evaluation of members per regulated timelines, determining who may qualify for case management based on clinical judgment, changes in member's health or psychosocial wellness, and gaps in careConducts individual interview to obtain data for focused assessment and determines individual needs and prioritizes goalsConducts telephonic, clinic, facility, hospital or home visits as indicated for patient evaluation/engagementIdentifies barriers to care and seeks solutions with member and the care teamParticipates in the development and implementation of a case management plan in collaboration with the member, caregiver(s), provider(s), and/or other appropriate healthcare professionals to address the patient's needs and goalsPerforms activities identified on the individual needs and prioritized goals to evaluate effectiveness, and to document interventions and goal achievementMaintains member case load for regular outreach and management and closes cases per procedure.Uses motivational interviewing to evaluate, educate, support, and motivate change during member contactsMaintains a working knowledge of community resourcesAchieves productivity and audit standards per department requirementsServes as facilitator and resource for other members of the medical group or clinical teamsAttends departmental meetings and provides constructive recommendations for process improvementAbility to effectively delegate action items appropriately to clinical and non-clinical staff in accordance with their role and scope of practicePerforms other duties as assigned

 

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 Licensed Vocational Nurse programActive compact license in CA2+ years of recent clinical experience working as an LVN/LPN1+ years of care management, disease management or discharge planning experienceAccess to dedicated workspace from home or an in-home office set upReside in a location that can receive a high-speed internet connection 

Skills:

All staff members are to promote a positive and productive work environment by acting maturely and responsibly, satisfactorily performing his or her job responsibilities and conducting themselves in a professional, courteous and respectful manner toward fellow employees, physicians and patientsMust hold relationships to a high standard- respectful approach to all people and interactions, listening to understand, take emotional accountability and exemplify balance of self with all interactions, be receptive to feedback and opportunities keeping an open mind towards growthIntegrates Lean principles, practices and tools to improve operational efficiency, reduce costs and increase customer satisfactionFollows written and oral instructions and completes routine tasks independentlyCompletes annual compliance training on HIPAA/Privacy/Confidentiality/Non-Discrimination/Harassment/Integrity Statement and signed AgreementsEnsures confidentiality of patient information following HIPAA guidelines and company policiesAttends training to meet requirements of the job position and as needed or mandated by company policies and regulationsHas regular and predictable attendance

 

Professional Competencies:

Working knowledge of health care delivery systemsWorking knowledge of PC applications including MS Office SuiteAbility to use written and oral communication skillsAbility to read and interpret dataSkill in writing clear, grammatically correct, easy to use instructional documentationAbility to identify learning needs, set goals and seek educational opportunitiesAbility to analyze problems and formulate appropriate plans, solutions, and courses of actionKnowledge of age specific communication needs with the ability to listen actively and respond to internal and external customers in a timely, competent manner both verbally and nonverballyAbility to work with frequent interruptionsAbility to establish and maintain cooperative working relationships with individuals at all levels of the organization and affiliatesAbility to maintain confidentiality of patient and all related entity business matters of the organization and its partnersAbility to manage detail and work with accuracy

 

*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 hourly pay for this role will range from $20.00 to $36.00 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

 

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.

 

 

UnitedHealth Group 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.

 

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

Read Less

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.  

 

The Care Manager - Registered Nurse provides ongoing support and expertise through comprehensive assessment, planning, implementation, and overall evaluation of individual member needs.  The goal of this position is to enhance the quality of member management and satisfaction, to promote continuity of care and cost effectiveness through the integration and functions of care management and discharge planning.  It is the purpose of the Care Manager - Registered Nurse to ensure that the psychosocial and educational needs of the members are met. This position assists members and their families/significant others in making appropriate choices regarding the use of health care services. Care management services may be provided telephonically, in a provider office, or at the members' home.  

 

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

 

Primary Responsibilities:

Develop a comprehensive care management plan that will address members' individual needs which include specific objectives, goals, and actionsPrioritizes member care needs upon initial interaction/assessment and address emerging issuesAssist members in the management of illness and treatment, monitor adherence, and proactively investigate and address problems that may contribute to non-adherence with the members and other members of the multidisciplinary teamAssesses reports, data, and other health plan information to identify potential members in need of care management interventionDecrease healthcare costs of members by working collaboratively to assist members in managing visits to primary care, to decrease ER Utilization, number of inpatient hospitalizations, readmits to hospital, admissions to skilled nursing facilities and home healthMonitor the effectiveness of the care management plan and short/long term goals and adjust per member needAssesses and prioritizes care referrals to assure program requirements for outreach and engagement are within expected time framesProvides member and family education, support, and encouragement, especially to enhance adherence to treatment regimen and follow up careDevelops communication protocols with physicians in the network, clinic, and community so that early notification and intervention by the care management team occurs for membersIndependently keeps current on areas of care management, quality management, utilization management, member education and preventive health guidelinesProvides recommendations in the development of policies and procedures that meet the requirements of NCQA, HEDIS, and State and Federal guidelinesActs as liaison and members advocate with other care providers and programsParticipate in team meetings, multi-disciplinary meetings, care conferences and other collaboration via appropriate communication methods (teleconference, video conference, in-person conference)Integrates, coordinates and advocates for complex mental and physical health care services from a variety of health care providers and settings, within the framework of planned health outcomesDevelop an effective support system within the family and community to manage emergency situations and to provide support and safety for the membersActs to prevent suicide and homicide in accordance with state licensure requirementsSupports collection of information and other statistical data relevant to care loads, productivity and health care trends within member populationPotential for RN oversight of LNP/LVN. Provide clinical supervision and direction to LPN/LVN staff in accordance with state scope of practice and organizational policiesMaintain overall accountability for member care outcomes delivered by LPN/LVNReview and validate care plans developed or supported by LPN/LVN staffProvide real-time guidance, coaching and clinical support to LPN/LVN staffPerforms additional duties as assigned

 

Professional Competencies:

Working knowledge of health care delivery systemsWorking knowledge of PC applications including MS Office Suite and other supportive technologyAbility to use written and oral communication skillsAbility to read and interpret dataSkill in writing clear, grammatically correct, easy to use instructional documentationAbility to identify learning needs, set goals and seek educational opportunitiesAbility to analyze problems and formulate appropriate plans, solutions, and courses of actionKnowledge of age specific communication needs with the ability to listen actively and respond to internal and external customers in a timely, competent manner both verbally and nonverballyAbility to work with frequent interruptionsAbility to establish and maintain cooperative working relationships with individuals at all levels of the organization and affiliatesAbility to maintain confidentiality of patient and all related entity business matters of the organization and its partnersAbility to manage detail and work with accuracyAbility to recognize and act appropriately in situations where patient care needs exceed scope of practiceSkill in working with a team and the ability to collaborate on projects with colleaguesSkill in working effectively under deadlines and changing prioritiesAbility to effectively delegate action items appropriately to clinical and non-clinical staff in accordance with their role and scope of practice

 

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:

Degree in Nursing from an accredited school of nursingUnrestricted RN licensureCA licenseCCM Certification within three years of employment

 

Preferred Qualifications:

Bachelor's Degree2+ years of clinical experience in a health care setting, care management for a health insurer

 

Skills:

All staff members are to promote a positive and productive work environment by acting maturely and responsibly, satisfactorily performing his or her job responsibilities and conducting themselves in a professional, courteous, and respectful manner toward fellow employees, physicians, and patientsMust hold relationships to a high standard- respectful approach to all people and interactions, listen to understand, take emotional accountability and exemplify balance of self with all interactions, be receptive to feedback and opportunities keeping an open mind towards growthIntegrates Lean principles, practices, and tools to improve operational efficiency, reduce costs and increase customer satisfactionFollows written and oral instructions, completes routine tasks independentlyCompletes annual compliance training on HIPAA/Privacy/Confidentiality/Non-Discrimination/Harassment/Integrity Statement and signs AgreementsEnsures confidentiality of patient information following HIPAA guidelines and company policiesAttends training to meet the requirements of the job position and as needed or mandated by company policies and regulationsHas regular and predictable attendance

 

*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 $60,200 - $107,400 annually based on full-time employment. We comply with all minimum wage laws as applicable.

 

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

 

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.    

 

 

UnitedHealth Group 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.

 

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

Read Less

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.  

 

The Care Manager - Registered Nurse provides ongoing support and expertise through comprehensive assessment, planning, implementation, and overall evaluation of individual member needs.  The goal of this position is to enhance the quality of member management and satisfaction, to promote continuity of care and cost effectiveness through the integration and functions of care management and discharge planning.  It is the purpose of the Care Manager - Registered Nurse to ensure that the psychosocial and educational needs of the members are met. This position assists members and their families/significant others in making appropriate choices regarding the use of health care services. Care management services may be provided telephonically, in a provider office, or at the members' home.  

 

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

 

Primary Responsibilities:

Develop a comprehensive care management plan that will address members' individual needs which include specific objectives, goals, and actionsPrioritizes member care needs upon initial interaction/assessment and address emerging issuesAssist members in the management of illness and treatment, monitor adherence, and proactively investigate and address problems that may contribute to non-adherence with the members and other members of the multidisciplinary teamAssesses reports, data, and other health plan information to identify potential members in need of care management interventionDecrease healthcare costs of members by working collaboratively to assist members in managing visits to primary care, to decrease ER Utilization, number of inpatient hospitalizations, readmits to hospital, admissions to skilled nursing facilities and home healthMonitor the effectiveness of the care management plan and short/long term goals and adjust per member needAssesses and prioritizes care referrals to assure program requirements for outreach and engagement are within expected time framesProvides member and family education, support, and encouragement, especially to enhance adherence to treatment regimen and follow up careDevelops communication protocols with physicians in the network, clinic, and community so that early notification and intervention by the care management team occurs for membersIndependently keeps current on areas of care management, quality management, utilization management, member education and preventive health guidelinesProvides recommendations in the development of policies and procedures that meet the requirements of NCQA, HEDIS, and State and Federal guidelinesActs as liaison and members advocate with other care providers and programsParticipate in team meetings, multi-disciplinary meetings, care conferences and other collaboration via appropriate communication methods (teleconference, video conference, in-person conference)Integrates, coordinates and advocates for complex mental and physical health care services from a variety of health care providers and settings, within the framework of planned health outcomesDevelop an effective support system within the family and community to manage emergency situations and to provide support and safety for the membersActs to prevent suicide and homicide in accordance with state licensure requirementsSupports collection of information and other statistical data relevant to care loads, productivity and health care trends within member populationPotential for RN oversight of LNP/LVN. Provide clinical supervision and direction to LPN/LVN staff in accordance with state scope of practice and organizational policiesMaintain overall accountability for member care outcomes delivered by LPN/LVNReview and validate care plans developed or supported by LPN/LVN staffProvide real-time guidance, coaching and clinical support to LPN/LVN staffPerforms additional duties as assigned

 

Professional Competencies:

Working knowledge of health care delivery systemsWorking knowledge of PC applications including MS Office Suite and other supportive technologyAbility to use written and oral communication skillsAbility to read and interpret dataSkill in writing clear, grammatically correct, easy to use instructional documentationAbility to identify learning needs, set goals and seek educational opportunitiesAbility to analyze problems and formulate appropriate plans, solutions, and courses of actionKnowledge of age specific communication needs with the ability to listen actively and respond to internal and external customers in a timely, competent manner both verbally and nonverballyAbility to work with frequent interruptionsAbility to establish and maintain cooperative working relationships with individuals at all levels of the organization and affiliatesAbility to maintain confidentiality of patient and all related entity business matters of the organization and its partnersAbility to manage detail and work with accuracyAbility to recognize and act appropriately in situations where patient care needs exceed scope of practiceSkill in working with a team and the ability to collaborate on projects with colleaguesSkill in working effectively under deadlines and changing prioritiesAbility to effectively delegate action items appropriately to clinical and non-clinical staff in accordance with their role and scope of practice

 

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:

Degree in Nursing from an accredited school of nursingUnrestricted RN licensureCA licenseCCM Certification within three years of employment

 

Preferred Qualifications:

Bachelor's Degree2+ years of clinical experience in a health care setting, care management for a health insurer

 

Skills:

All staff members are to promote a positive and productive work environment by acting maturely and responsibly, satisfactorily performing his or her job responsibilities and conducting themselves in a professional, courteous, and respectful manner toward fellow employees, physicians, and patientsMust hold relationships to a high standard- respectful approach to all people and interactions, listen to understand, take emotional accountability and exemplify balance of self with all interactions, be receptive to feedback and opportunities keeping an open mind towards growthIntegrates Lean principles, practices, and tools to improve operational efficiency, reduce costs and increase customer satisfactionFollows written and oral instructions, completes routine tasks independentlyCompletes annual compliance training on HIPAA/Privacy/Confidentiality/Non-Discrimination/Harassment/Integrity Statement and signs AgreementsEnsures confidentiality of patient information following HIPAA guidelines and company policiesAttends training to meet the requirements of the job position and as needed or mandated by company policies and regulationsHas regular and predictable attendance

 

*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 $60,200 - $107,400 annually based on full-time employment. We comply with all minimum wage laws as applicable.

 

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

 

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.    

 

 

UnitedHealth Group 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.

 

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

Read Less

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.  

 

The Care Manager - Registered Nurse provides ongoing support and expertise through comprehensive assessment, planning, implementation, and overall evaluation of individual member needs.  The goal of this position is to enhance the quality of member management and satisfaction, to promote continuity of care and cost effectiveness through the integration and functions of care management and discharge planning.  It is the purpose of the Care Manager - Registered Nurse to ensure that the psychosocial and educational needs of the members are met. This position assists members and their families/significant others in making appropriate choices regarding the use of health care services. Care management services may be provided telephonically, in a provider office, or at the members' home.  

 

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

 

Primary Responsibilities:

Develop a comprehensive care management plan that will address members' individual needs which include specific objectives, goals, and actionsPrioritizes member care needs upon initial interaction/assessment and address emerging issuesAssist members in the management of illness and treatment, monitor adherence, and proactively investigate and address problems that may contribute to non-adherence with the members and other members of the multidisciplinary teamAssesses reports, data, and other health plan information to identify potential members in need of care management interventionDecrease healthcare costs of members by working collaboratively to assist members in managing visits to primary care, to decrease ER Utilization, number of inpatient hospitalizations, readmits to hospital, admissions to skilled nursing facilities and home healthMonitor the effectiveness of the care management plan and short/long term goals and adjust per member needAssesses and prioritizes care referrals to assure program requirements for outreach and engagement are within expected time framesProvides member and family education, support, and encouragement, especially to enhance adherence to treatment regimen and follow up careDevelops communication protocols with physicians in the network, clinic, and community so that early notification and intervention by the care management team occurs for membersIndependently keeps current on areas of care management, quality management, utilization management, member education and preventive health guidelinesProvides recommendations in the development of policies and procedures that meet the requirements of NCQA, HEDIS, and State and Federal guidelinesActs as liaison and members advocate with other care providers and programsParticipate in team meetings, multi-disciplinary meetings, care conferences and other collaboration via appropriate communication methods (teleconference, video conference, in-person conference)Integrates, coordinates and advocates for complex mental and physical health care services from a variety of health care providers and settings, within the framework of planned health outcomesDevelop an effective support system within the family and community to manage emergency situations and to provide support and safety for the membersActs to prevent suicide and homicide in accordance with state licensure requirementsSupports collection of information and other statistical data relevant to care loads, productivity and health care trends within member populationPotential for RN oversight of LNP/LVN. Provide clinical supervision and direction to LPN/LVN staff in accordance with state scope of practice and organizational policiesMaintain overall accountability for member care outcomes delivered by LPN/LVNReview and validate care plans developed or supported by LPN/LVN staffProvide real-time guidance, coaching and clinical support to LPN/LVN staffPerforms additional duties as assigned

 

Professional Competencies:

Working knowledge of health care delivery systemsWorking knowledge of PC applications including MS Office Suite and other supportive technologyAbility to use written and oral communication skillsAbility to read and interpret dataSkill in writing clear, grammatically correct, easy to use instructional documentationAbility to identify learning needs, set goals and seek educational opportunitiesAbility to analyze problems and formulate appropriate plans, solutions, and courses of actionKnowledge of age specific communication needs with the ability to listen actively and respond to internal and external customers in a timely, competent manner both verbally and nonverballyAbility to work with frequent interruptionsAbility to establish and maintain cooperative working relationships with individuals at all levels of the organization and affiliatesAbility to maintain confidentiality of patient and all related entity business matters of the organization and its partnersAbility to manage detail and work with accuracyAbility to recognize and act appropriately in situations where patient care needs exceed scope of practiceSkill in working with a team and the ability to collaborate on projects with colleaguesSkill in working effectively under deadlines and changing prioritiesAbility to effectively delegate action items appropriately to clinical and non-clinical staff in accordance with their role and scope of practice

 

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:

Degree in Nursing from an accredited school of nursingUnrestricted RN licensureCA licenseCCM Certification within three years of employment

 

Preferred Qualifications:

Bachelor's Degree2+ years of clinical experience in a health care setting, care management for a health insurer

 

Skills:

All staff members are to promote a positive and productive work environment by acting maturely and responsibly, satisfactorily performing his or her job responsibilities and conducting themselves in a professional, courteous, and respectful manner toward fellow employees, physicians, and patientsMust hold relationships to a high standard- respectful approach to all people and interactions, listen to understand, take emotional accountability and exemplify balance of self with all interactions, be receptive to feedback and opportunities keeping an open mind towards growthIntegrates Lean principles, practices, and tools to improve operational efficiency, reduce costs and increase customer satisfactionFollows written and oral instructions, completes routine tasks independentlyCompletes annual compliance training on HIPAA/Privacy/Confidentiality/Non-Discrimination/Harassment/Integrity Statement and signs AgreementsEnsures confidentiality of patient information following HIPAA guidelines and company policiesAttends training to meet the requirements of the job position and as needed or mandated by company policies and regulationsHas regular and predictable attendance

 

*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 $60,200 - $107,400 annually based on full-time employment. We comply with all minimum wage laws as applicable.

 

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

 

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.    

 

 

UnitedHealth Group 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.

 

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

Read Less

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.  

 

The Care Manager - Registered Nurse provides ongoing support and expertise through comprehensive assessment, planning, implementation, and overall evaluation of individual member needs.  The goal of this position is to enhance the quality of member management and satisfaction, to promote continuity of care and cost effectiveness through the integration and functions of care management and discharge planning.  It is the purpose of the Care Manager - Registered Nurse to ensure that the psychosocial and educational needs of the members are met. This position assists members and their families/significant others in making appropriate choices regarding the use of health care services. Care management services may be provided telephonically, in a provider office, or at the members' home.  

 

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

 

Primary Responsibilities:

Develop a comprehensive care management plan that will address members' individual needs which include specific objectives, goals, and actionsPrioritizes member care needs upon initial interaction/assessment and address emerging issuesAssist members in the management of illness and treatment, monitor adherence, and proactively investigate and address problems that may contribute to non-adherence with the members and other members of the multidisciplinary teamAssesses reports, data, and other health plan information to identify potential members in need of care management interventionDecrease healthcare costs of members by working collaboratively to assist members in managing visits to primary care, to decrease ER Utilization, number of inpatient hospitalizations, readmits to hospital, admissions to skilled nursing facilities and home healthMonitor the effectiveness of the care management plan and short/long term goals and adjust per member needAssesses and prioritizes care referrals to assure program requirements for outreach and engagement are within expected time framesProvides member and family education, support, and encouragement, especially to enhance adherence to treatment regimen and follow up careDevelops communication protocols with physicians in the network, clinic, and community so that early notification and intervention by the care management team occurs for membersIndependently keeps current on areas of care management, quality management, utilization management, member education and preventive health guidelinesProvides recommendations in the development of policies and procedures that meet the requirements of NCQA, HEDIS, and State and Federal guidelinesActs as liaison and members advocate with other care providers and programsParticipate in team meetings, multi-disciplinary meetings, care conferences and other collaboration via appropriate communication methods (teleconference, video conference, in-person conference)Integrates, coordinates and advocates for complex mental and physical health care services from a variety of health care providers and settings, within the framework of planned health outcomesDevelop an effective support system within the family and community to manage emergency situations and to provide support and safety for the membersActs to prevent suicide and homicide in accordance with state licensure requirementsSupports collection of information and other statistical data relevant to care loads, productivity and health care trends within member populationPotential for RN oversight of LNP/LVN. Provide clinical supervision and direction to LPN/LVN staff in accordance with state scope of practice and organizational policiesMaintain overall accountability for member care outcomes delivered by LPN/LVNReview and validate care plans developed or supported by LPN/LVN staffProvide real-time guidance, coaching and clinical support to LPN/LVN staffPerforms additional duties as assigned

 

Professional Competencies:

Working knowledge of health care delivery systemsWorking knowledge of PC applications including MS Office Suite and other supportive technologyAbility to use written and oral communication skillsAbility to read and interpret dataSkill in writing clear, grammatically correct, easy to use instructional documentationAbility to identify learning needs, set goals and seek educational opportunitiesAbility to analyze problems and formulate appropriate plans, solutions, and courses of actionKnowledge of age specific communication needs with the ability to listen actively and respond to internal and external customers in a timely, competent manner both verbally and nonverballyAbility to work with frequent interruptionsAbility to establish and maintain cooperative working relationships with individuals at all levels of the organization and affiliatesAbility to maintain confidentiality of patient and all related entity business matters of the organization and its partnersAbility to manage detail and work with accuracyAbility to recognize and act appropriately in situations where patient care needs exceed scope of practiceSkill in working with a team and the ability to collaborate on projects with colleaguesSkill in working effectively under deadlines and changing prioritiesAbility to effectively delegate action items appropriately to clinical and non-clinical staff in accordance with their role and scope of practice

 

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:

Degree in Nursing from an accredited school of nursingUnrestricted RN licensureCA licenseCCM Certification within three years of employment

 

Preferred Qualifications:

Bachelor's Degree2+ years of clinical experience in a health care setting, care management for a health insurer

 

Skills:

All staff members are to promote a positive and productive work environment by acting maturely and responsibly, satisfactorily performing his or her job responsibilities and conducting themselves in a professional, courteous, and respectful manner toward fellow employees, physicians, and patientsMust hold relationships to a high standard- respectful approach to all people and interactions, listen to understand, take emotional accountability and exemplify balance of self with all interactions, be receptive to feedback and opportunities keeping an open mind towards growthIntegrates Lean principles, practices, and tools to improve operational efficiency, reduce costs and increase customer satisfactionFollows written and oral instructions, completes routine tasks independentlyCompletes annual compliance training on HIPAA/Privacy/Confidentiality/Non-Discrimination/Harassment/Integrity Statement and signs AgreementsEnsures confidentiality of patient information following HIPAA guidelines and company policiesAttends training to meet the requirements of the job position and as needed or mandated by company policies and regulationsHas regular and predictable attendance

 

*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 $60,200 - $107,400 annually based on full-time employment. We comply with all minimum wage laws as applicable.

 

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

 

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.    

 

 

UnitedHealth Group 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.

 

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

Read Less

JOB DESCRIPTION Job Summary

Provides support for care management/care coordination activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum. Strives to ensure member progress toward desired outcomes and contributes to overarching strategy to provide quality and cost-effective member care. 

 

Essential Job Duties

• Completes comprehensive behavioral health assessments of members per regulated timelines and determines who may qualify for care coordination/case management based on clinical judgment, changes in member health or psychosocial wellness and triggers identified in assessments. 
• Develops and implements care plan in collaboration with member, caregiver, physician and/or other appropriate healthcare professionals and member support network to address member needs and goals. 
• Conducts telephonic, face-to-face or home visits as required. 
• Performs ongoing monitoring of care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly. 
• Maintains ongoing member caseload for regular outreach and management. 
• Promotes integration of services for members including behavioral health, long-term services and supports (LTSS), and home and community resources to enhance continuity of care. 
• Facilitates interdisciplinary care team meetings and informal ICT collaboration. 
• Uses motivational interviewing and Molina clinical guideposts to educate, support and motivate change during member contacts. 
• Assesses for barriers to care, provides care coordination and assistance to member to address concerns. 
• May provide consultation, resources and recommendations to peers as needed. 
• 25-40% estimated local travel may be required (based upon state/contractual requirements).

 

Required Qualifications

• At least 2 years health care experience, preferably in behavioral health, or equivalent combination of relevant education and experience. 
• Licensed behavioral health clinician to include: Licensed Clinical Social Worker (LCSW), Licensed Master Social Worker (LMSW), Advanced Practice Social Worker (APSW), Certified Health Education Specialist (CHES), Licensed Professional Counselor (LPC), Licensed Professional Clinical Counselor (LPCC), Licensed Marriage and Family Therapist (LMFT, Doctor of Psychology (PhD or PsyD) or equivalency based on state contract, regulation, or state board licensing mandate. If licensed, license must be active and unrestricted in state of practice. 
• Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements, unless otherwise required by law. 
• Experience with working with persons with severe and persistent mental health concerns and serious emotional disturbances, to include substance use disorder and foster care. 
• Knowledge and experience related to whole person care principles, chronic health conditions, and discharge planning coordination. 
• Data entry skills and previous experience utilizing a clinical platform. 
• Excellent verbal and written communication skills. 
• Microsoft Office suite/applicable software program(s) proficiency. 

 

Preferred Qualifications

• Certified Case Manager (CCM). 
• Experience in behavioral health care management. 
• Field-based care management or home health experience.

 

#PJHS

#LI-AC1

To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. 

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

Pay Range: $26 - $42 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Read Less

JOB DESCRIPTION Job Summary

Provides support for care management/care coordination activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum. Strives to ensure member progress toward desired outcomes and contributes to overarching strategy to provide quality and cost-effective member care. 

 

Essential Job Duties

• Completes comprehensive behavioral health assessments of members per regulated timelines and determines who may qualify for care coordination/case management based on clinical judgment, changes in member health or psychosocial wellness and triggers identified in assessments. 
• Develops and implements care plan in collaboration with member, caregiver, physician and/or other appropriate healthcare professionals and member support network to address member needs and goals. 
• Conducts telephonic, face-to-face or home visits as required. 
• Performs ongoing monitoring of care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly. 
• Maintains ongoing member caseload for regular outreach and management. 
• Promotes integration of services for members including behavioral health, long-term services and supports (LTSS), and home and community resources to enhance continuity of care. 
• Facilitates interdisciplinary care team meetings and informal ICT collaboration. 
• Uses motivational interviewing and Molina clinical guideposts to educate, support and motivate change during member contacts. 
• Assesses for barriers to care, provides care coordination and assistance to member to address concerns. 
• May provide consultation, resources and recommendations to peers as needed. 
• 25-40% estimated local travel may be required (based upon state/contractual requirements).

 

Required Qualifications

• At least 2 years health care experience, preferably in behavioral health, or equivalent combination of relevant education and experience. 
• Licensed behavioral health clinician to include: Licensed Clinical Social Worker (LCSW), Licensed Master Social Worker (LMSW), Advanced Practice Social Worker (APSW), Certified Health Education Specialist (CHES), Licensed Professional Counselor (LPC), Licensed Professional Clinical Counselor (LPCC), Licensed Marriage and Family Therapist (LMFT, Doctor of Psychology (PhD or PsyD) or equivalency based on state contract, regulation, or state board licensing mandate. If licensed, license must be active and unrestricted in state of practice. 
• Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements, unless otherwise required by law. 
• Experience with working with persons with severe and persistent mental health concerns and serious emotional disturbances, to include substance use disorder and foster care. 
• Knowledge and experience related to whole person care principles, chronic health conditions, and discharge planning coordination. 
• Data entry skills and previous experience utilizing a clinical platform. 
• Excellent verbal and written communication skills. 
• Microsoft Office suite/applicable software program(s) proficiency. 

 

Preferred Qualifications

• Certified Case Manager (CCM). 
• Experience in behavioral health care management. 
• Field-based care management or home health experience.

 

#PJHS

#LI-AC1

To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. 

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

Pay Range: $26 - $42 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

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Engineering Services Manager- Attractions Maintenance -3rd Shift will lead a maintenance team performing corrective and preventative maintenance on one of our world-renowned attractions and assets. You will oversee both mechanical and electrical trades, and you will need knowledge of both disciplines to lead up to 20-25 craft workers, but more importantly, you must know how to instill a can-do mindset in your team.

You must be willing to work evenings, holidays, weekends, and 3rd shift (11PM- 8AM) and working extended hours to complete time-sensitive tasks.

This is a 100% onsite position supporting the Disneyland Resort in Anaheim, CA.

You will report to Senior Manager-Engineering Services.

Responsibilities/You Will:

Provide leadership to attraction engineering services response teams; establish work schedules, shift assignments, and work prioritization.

Ensure customer service and communication to operations teams and other partners, providing accurate information, with status updates.

Complete projects that achieve client's goals and provide creative solutions to maximize value while finding delivery efficiencies for us.

Promote sound troubleshooting processes of multiple ride systems (including ride mechanical, ride control, show systems, building maintenance, and electrical systems), and use available resources to find a solution.

Ensure compliance with corporate, governmental, and regulatory agency policies and regulations, maintain appropriate records, and generate required reports.

Ensure Cast Members are trained in, and comply with, all applicable laws, regulations, and policies.

Be active in the field in an attractions environment.

Work from ladders, elevated platforms, and confined spaces at various times; work outdoors in various weather conditions.

Work evenings, holidays, weekends, and varying shifts including 3rd shift and working extended hours to complete time-sensitive tasks.

Basic Qualifications/You Will Have:

Experience establishing a vision for your team that fosters innovation, along with continuous improvement.

Experience successful team building.

Experience understanding and conveying written and verbal data and analysis to partners at all levels.

Understanding of diagnostic and evaluation skills with the ability to remove obstacles.

Understanding of how to consolidate multiple sources of information/analyses into a cohesive story and recommendation.

Well-developed tactics to balance time.

Demonstrated experience leading a team.

Experience in process control & mechanical systems.

3+ years of experience with Computerized Maintenance management system.

Proficiency in standard office software programs and mobile electronic devices.

Preferred Qualifications:

Experience with budget and scheduling management skills.

Demonstrated proficiency with MAXIMO.

Experience working in a Maintenance / Technical environment.

Background in maintenance management.

Required Education:

Bachelor's degree or equivalent and relevant technical experience.

Preferred Education:

Engineering degree.

Additional Information

Benefits and Perks: Disney offers a rewards package to help you live your best life. This includes health and savings benefits, educational opportunities, and special extras that only Disney can provide. Learn more about our benefits and perks at https://jobs.disneycareers.com/benefits.

#DXMedia

#DXFOS 

#LI-AH3

The hiring range for this position in Anaheim, CA is $115,300.00 to $140,900.00 per year. The base pay actually offered will take into account internal equity and also may vary depending on the candidate’s geographic region, job-related knowledge, skills, and experience among other factors. A bonus and/or long-term incentive units may be provided as part of the compensation package, in addition to the full range of medical, financial, and/or other benefits, dependent on the level and position offered. Read Less

L3Harris is dedicated to recruiting and developing high-performing talent who are passionate about what they do. Our employees are unified in a shared dedication to our customers’ mission and quest for professional growth. L3Harris provides an inclusive, engaging environment designed to empower employees and promote work-life success. Fundamental to our culture is an unwavering focus on values, dedication to our communities, and commitment to excellence in everything we do.

L3Harris is the Trusted Disruptor in defense tech. With customers’ mission-critical needs always in mind, our employees deliver end-to-end technology solutions connecting the space, air, land, sea and cyber domains in the interest of national security.

Job Title: Technical Manager – Software Engineering
Job Code: 36510
Job Location: Rochester, New York
Job Schedule: 9/80 (Every Other Friday Off!)
 
Job Description:  
The Technical Manager - Software Engineering leads and directs a team 15-25 software engineers of various levels of experience to develop complex engineering solutions. Must possess extensive knowledge of Software Engineering and associated principles of Software Development and Software Test.  Provides technical guidance and leadership to subordinate engineers. Maintains proper staffing levels and expertise to meet business objectives. Develops and conducts programs in accordance with company's policies, priorities and budget constraints. Contributes directly to program performance leveraging technical expertise and experience to software solution architecture, design, implementation, test, integration and sustainment. Leads root cause corrective action investigations, provides independent review team perspectives, participates in non-advocate reviews. Manages and/or develops budgets for assigned function or department, including operating requirements, training, equipment and material purchases. Provides technical oversight and assistance to other departments as required.

Makes significant improvements in processes, systems, or products. Manages the implementation of the Software technical strategy and establishes short-term operational plans with measurable contribution to function/area results. Meets functional requirements of staffing, training, talent development, engagement, retention and overall management of the department. Responsible for the technical execution, staffing, and oversight of all programs/projects assigned to the organizational unit. Acts as an advisor to subordinate staff members to meet schedules, resolve technical or operational problems.

Exerts influence in the development of overall objectives and short-term operational plans of the organization. Frequently contacts with equivalent level managers, customer representatives concerning projects, operational decisions, scheduling requirements, contractual clarifications, and talent development. Works to influence others to accept job function’s views or practices and agree/accept new concepts, practices, and approaches. Requires ability to communicate with executive leadership regarding matters of significant importance to the organization.

Works with Business Development, Program Management, and Business Leadership to provide input for Strategic Planning, Research and Development Planning, and Inter-Corporation Resource Sharing. Stays abreast of state-of-the-art technology; identifies disruptive or emerging technology trends for inclusion in Internal Research and Development or pursuit/program engineering change proposal opportunities. Ability to enable teams to resolve issues across programs, drive innovative solutions, solve execution and technical challenges on time and within budget.

Essential Functions:  
•    Lead an embedded software team to meet customer requirements within allocated cost/scope/schedule commitments.
•    Participate in architecture, design, and code reviews.
•    Collaborate with other engineers to develop reliable solutions.
•    Observe Agile software development and engineering processes.
•    Provide software support for units under test to on-orbit assets.
•    Communicate with leadership on status, issues, milestones, and successes.
•    Strong technical skillset, able to contribute to requirements analysis, design, code and unit test, integration and test, and requirements sell-off.
•    These positions requires you to obtain a DOD Secret Clearance, which requires US Citizenship.
•    Experience leading/managing technical programs

Qualifications: 
•    Bachelor’s Degree and minimum 9 years prior related experience, including substantial embedded software background.. Graduate Degree with a minimum of 7 years of prior related experience. In lieu of a degree, minimum of 13 years of prior related experience.
•    3 years of experience with management and leadership background with experience leading full software lifecycle development, including: executing performance appraisals, managing staffing allocation, software process leadership (CMMI), and career development.
•    5 years of experience with Software Development methodologies like Agile/Scrum, Agile/SAFe, Waterfall, and TDD
•    5 years of experience with DevOps and a proven track record leading teams to leverage CI/CD pipeline
•    8 years of experience leading Software Development through various phases (Design, Coding, Integration, Deployment, Sustainment)
•    Ability to acquire Secret Clearance

Preferred Additional Skills: 
•    Experience as a Lead SW Engineer or Subject Matter Expert on a product development effort
•    Minimum of 8 years of software development experience with OOD, UML, C/C++, Java, and Web Development
•    Experience developing or leading Enterprise Software Systems with high availability requirements
•    Experience with Cloud development and related technologies, like Containers and Cloud Services, and understanding of Cloud Service Models like IaaS, SaaS and PaaS
•    Experience with ground based command, control, and communications for space based systems.
•    Ability to clearly and succinctly convey information and ideas, including strong executive communication and presentation skills
•    High expectations for continuous improvement and sustained excellence for self and team members – Lean Six Sigma, data-based decision making, SW performance metrics.
•    Knowledge of EVMS, prior experience with Control Account Management (CAM)
•    Certified SCRUM Master, Product Owner, Release Train Engineer or Coach

 

In compliance with pay transparency requirements, the salary range for this role in New York is $117,000 - $218,000.  This is not a guarantee of compensation or salary, as final offer amount may vary based on factors including but not limited to experience and geographic location. L3Harris also offers a variety of benefits, including health and disability insurance, 401(k) match, flexible spending accounts, EAP, education assistance, parental leave, paid time off, and company-paid holidays. The specific programs and options available to an employee may vary depending on date of hire, schedule type, and the applicability of collective bargaining agreements.

L3Harris Technologies is proud to be an Equal Opportunity Employer. L3Harris is committed to treating all employees and applicants for employment with respect and dignity and maintaining a workplace that is free from unlawful discrimination. All applicants will be considered for employment without regard to race, color, religion, age, national origin, ancestry, ethnicity, gender (including pregnancy, childbirth, breastfeeding or other related medical conditions), gender identity, gender expression, sexual orientation, marital status, veteran status, disability, genetic information, citizenship status, characteristic or membership in any other group protected by federal, state or local laws. L3Harris maintains a drug-free workplace and performs pre-employment substance abuse testing and background checks, where permitted by law.

Please be aware many of our positions require the ability to obtain a security clearance. Security clearances may only be granted to U.S. citizens. In addition, applicants who accept a conditional offer of employment may be subject to government security investigation(s) and must meet eligibility requirements for access to classified information.

By submitting your resume for this position, you understand and agree that L3Harris Technologies may share your resume, as well as any other related personal information or documentation you provide, with its subsidiaries and affiliated companies for the purpose of considering you for other available positions.

L3Harris Technologies is an E-Verify Employer. Please click here for the E-Verify Poster in English or Spanish. For information regarding your Right To Work, please click here for English or Spanish.

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