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 requests Provide support to the team to allow for growth and development and encourage the team to think "out of the box" for solutions Identify barriers so that staff can maintain high productivity and high levels of morale Ensure coordination between other internal departments as well as external companies as appropriate Develop work plans and educational plans to best manage the day-to-day functions of multidisciplinary departments Independently manage work flows including orientation, standard work and report concerns to the director Collaborates on decisions to promote teamwork Collaboration with Sr. Medical Director and V.P. Promote LEAN work cycles for performance enhancement Provides input to leadership to enhance process flows and efficiencies while addressing initiatives, goals, and mission Other 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 equivalent Active unrestricted Nevada RN license Obtain CCM certification within 2+ years of employment Valid Nevada driver's license and maintain personal auto insurance coverage 1+ years of related professional experience in managed care environment 1+ 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 skills Proven ability to negotiate and arbitrate without difficulty Proven ability to supervise multiple levels of people Critical 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.
07/21/2026
Full time
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 requests Provide support to the team to allow for growth and development and encourage the team to think "out of the box" for solutions Identify barriers so that staff can maintain high productivity and high levels of morale Ensure coordination between other internal departments as well as external companies as appropriate Develop work plans and educational plans to best manage the day-to-day functions of multidisciplinary departments Independently manage work flows including orientation, standard work and report concerns to the director Collaborates on decisions to promote teamwork Collaboration with Sr. Medical Director and V.P. Promote LEAN work cycles for performance enhancement Provides input to leadership to enhance process flows and efficiencies while addressing initiatives, goals, and mission Other 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 equivalent Active unrestricted Nevada RN license Obtain CCM certification within 2+ years of employment Valid Nevada driver's license and maintain personal auto insurance coverage 1+ years of related professional experience in managed care environment 1+ 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 skills Proven ability to negotiate and arbitrate without difficulty Proven ability to supervise multiple levels of people Critical 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.
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 requests Provide support to the team to allow for growth and development and encourage the team to think "out of the box" for solutions Identify barriers so that staff can maintain high productivity and high levels of morale Ensure coordination between other internal departments as well as external companies as appropriate Develop work plans and educational plans to best manage the day-to-day functions of multidisciplinary departments Independently manage work flows including orientation, standard work and report concerns to the director Collaborates on decisions to promote teamwork Collaboration with Sr. Medical Director and V.P. Promote LEAN work cycles for performance enhancement Provides input to leadership to enhance process flows and efficiencies while addressing initiatives, goals, and mission Other 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 equivalent Active unrestricted Nevada RN license Obtain CCM certification within 2+ years of employment Valid Nevada driver's license and maintain personal auto insurance coverage 1+ years of related professional experience in managed care environment 1+ 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 skills Proven ability to negotiate and arbitrate without difficulty Proven ability to supervise multiple levels of people Critical 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.
07/21/2026
Full time
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 requests Provide support to the team to allow for growth and development and encourage the team to think "out of the box" for solutions Identify barriers so that staff can maintain high productivity and high levels of morale Ensure coordination between other internal departments as well as external companies as appropriate Develop work plans and educational plans to best manage the day-to-day functions of multidisciplinary departments Independently manage work flows including orientation, standard work and report concerns to the director Collaborates on decisions to promote teamwork Collaboration with Sr. Medical Director and V.P. Promote LEAN work cycles for performance enhancement Provides input to leadership to enhance process flows and efficiencies while addressing initiatives, goals, and mission Other 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 equivalent Active unrestricted Nevada RN license Obtain CCM certification within 2+ years of employment Valid Nevada driver's license and maintain personal auto insurance coverage 1+ years of related professional experience in managed care environment 1+ 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 skills Proven ability to negotiate and arbitrate without difficulty Proven ability to supervise multiple levels of people Critical 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.
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 requests Provide support to the team to allow for growth and development and encourage the team to think "out of the box" for solutions Identify barriers so that staff can maintain high productivity and high levels of morale Ensure coordination between other internal departments as well as external companies as appropriate Develop work plans and educational plans to best manage the day-to-day functions of multidisciplinary departments Independently manage work flows including orientation, standard work and report concerns to the director Collaborates on decisions to promote teamwork Collaboration with Sr. Medical Director and V.P. Promote LEAN work cycles for performance enhancement Provides input to leadership to enhance process flows and efficiencies while addressing initiatives, goals, and mission Other 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 equivalent Active unrestricted Nevada RN license Obtain CCM certification within 2+ years of employment Valid Nevada driver's license and maintain personal auto insurance coverage 1+ years of related professional experience in managed care environment 1+ 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 skills Proven ability to negotiate and arbitrate without difficulty Proven ability to supervise multiple levels of people Critical 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.
07/21/2026
Full time
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 requests Provide support to the team to allow for growth and development and encourage the team to think "out of the box" for solutions Identify barriers so that staff can maintain high productivity and high levels of morale Ensure coordination between other internal departments as well as external companies as appropriate Develop work plans and educational plans to best manage the day-to-day functions of multidisciplinary departments Independently manage work flows including orientation, standard work and report concerns to the director Collaborates on decisions to promote teamwork Collaboration with Sr. Medical Director and V.P. Promote LEAN work cycles for performance enhancement Provides input to leadership to enhance process flows and efficiencies while addressing initiatives, goals, and mission Other 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 equivalent Active unrestricted Nevada RN license Obtain CCM certification within 2+ years of employment Valid Nevada driver's license and maintain personal auto insurance coverage 1+ years of related professional experience in managed care environment 1+ 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 skills Proven ability to negotiate and arbitrate without difficulty Proven ability to supervise multiple levels of people Critical 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.
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 requests Provide support to the team to allow for growth and development and encourage the team to think "out of the box" for solutions Identify barriers so that staff can maintain high productivity and high levels of morale Ensure coordination between other internal departments as well as external companies as appropriate Develop work plans and educational plans to best manage the day-to-day functions of multidisciplinary departments Independently manage work flows including orientation, standard work and report concerns to the director Collaborates on decisions to promote teamwork Collaboration with Sr. Medical Director and V.P. Promote LEAN work cycles for performance enhancement Provides input to leadership to enhance process flows and efficiencies while addressing initiatives, goals, and mission Other 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 equivalent Active unrestricted Nevada RN license Obtain CCM certification within 2+ years of employment Valid Nevada driver's license and maintain personal auto insurance coverage 1+ years of related professional experience in managed care environment 1+ 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 skills Proven ability to negotiate and arbitrate without difficulty Proven ability to supervise multiple levels of people Critical 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.
07/21/2026
Full time
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 requests Provide support to the team to allow for growth and development and encourage the team to think "out of the box" for solutions Identify barriers so that staff can maintain high productivity and high levels of morale Ensure coordination between other internal departments as well as external companies as appropriate Develop work plans and educational plans to best manage the day-to-day functions of multidisciplinary departments Independently manage work flows including orientation, standard work and report concerns to the director Collaborates on decisions to promote teamwork Collaboration with Sr. Medical Director and V.P. Promote LEAN work cycles for performance enhancement Provides input to leadership to enhance process flows and efficiencies while addressing initiatives, goals, and mission Other 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 equivalent Active unrestricted Nevada RN license Obtain CCM certification within 2+ years of employment Valid Nevada driver's license and maintain personal auto insurance coverage 1+ years of related professional experience in managed care environment 1+ 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 skills Proven ability to negotiate and arbitrate without difficulty Proven ability to supervise multiple levels of people Critical 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.
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 requests Provide support to the team to allow for growth and development and encourage the team to think "out of the box" for solutions Identify barriers so that staff can maintain high productivity and high levels of morale Ensure coordination between other internal departments as well as external companies as appropriate Develop work plans and educational plans to best manage the day-to-day functions of multidisciplinary departments Independently manage work flows including orientation, standard work and report concerns to the director Collaborates on decisions to promote teamwork Collaboration with Sr. Medical Director and V.P. Promote LEAN work cycles for performance enhancement Provides input to leadership to enhance process flows and efficiencies while addressing initiatives, goals, and mission Other 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 equivalent Active unrestricted Nevada RN license Obtain CCM certification within 2+ years of employment Valid Nevada driver's license and maintain personal auto insurance coverage 1+ years of related professional experience in managed care environment 1+ 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 skills Proven ability to negotiate and arbitrate without difficulty Proven ability to supervise multiple levels of people Critical 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.
07/21/2026
Full time
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 requests Provide support to the team to allow for growth and development and encourage the team to think "out of the box" for solutions Identify barriers so that staff can maintain high productivity and high levels of morale Ensure coordination between other internal departments as well as external companies as appropriate Develop work plans and educational plans to best manage the day-to-day functions of multidisciplinary departments Independently manage work flows including orientation, standard work and report concerns to the director Collaborates on decisions to promote teamwork Collaboration with Sr. Medical Director and V.P. Promote LEAN work cycles for performance enhancement Provides input to leadership to enhance process flows and efficiencies while addressing initiatives, goals, and mission Other 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 equivalent Active unrestricted Nevada RN license Obtain CCM certification within 2+ years of employment Valid Nevada driver's license and maintain personal auto insurance coverage 1+ years of related professional experience in managed care environment 1+ 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 skills Proven ability to negotiate and arbitrate without difficulty Proven ability to supervise multiple levels of people Critical 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.
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 requests Provide support to the team to allow for growth and development and encourage the team to think "out of the box" for solutions Identify barriers so that staff can maintain high productivity and high levels of morale Ensure coordination between other internal departments as well as external companies as appropriate Develop work plans and educational plans to best manage the day-to-day functions of multidisciplinary departments Independently manage work flows including orientation, standard work and report concerns to the director Collaborates on decisions to promote teamwork Collaboration with Sr. Medical Director and V.P. Promote LEAN work cycles for performance enhancement Provides input to leadership to enhance process flows and efficiencies while addressing initiatives, goals, and mission Other 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 equivalent Active unrestricted Nevada RN license Obtain CCM certification within 2+ years of employment Valid Nevada driver's license and maintain personal auto insurance coverage 1+ years of related professional experience in managed care environment 1+ 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 skills Proven ability to negotiate and arbitrate without difficulty Proven ability to supervise multiple levels of people Critical 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.
07/21/2026
Full time
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 requests Provide support to the team to allow for growth and development and encourage the team to think "out of the box" for solutions Identify barriers so that staff can maintain high productivity and high levels of morale Ensure coordination between other internal departments as well as external companies as appropriate Develop work plans and educational plans to best manage the day-to-day functions of multidisciplinary departments Independently manage work flows including orientation, standard work and report concerns to the director Collaborates on decisions to promote teamwork Collaboration with Sr. Medical Director and V.P. Promote LEAN work cycles for performance enhancement Provides input to leadership to enhance process flows and efficiencies while addressing initiatives, goals, and mission Other 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 equivalent Active unrestricted Nevada RN license Obtain CCM certification within 2+ years of employment Valid Nevada driver's license and maintain personal auto insurance coverage 1+ years of related professional experience in managed care environment 1+ 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 skills Proven ability to negotiate and arbitrate without difficulty Proven ability to supervise multiple levels of people Critical 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.
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 requests Provide support to the team to allow for growth and development and encourage the team to think "out of the box" for solutions Identify barriers so that staff can maintain high productivity and high levels of morale Ensure coordination between other internal departments as well as external companies as appropriate Develop work plans and educational plans to best manage the day-to-day functions of multidisciplinary departments Independently manage work flows including orientation, standard work and report concerns to the director Collaborates on decisions to promote teamwork Collaboration with Sr. Medical Director and V.P. Promote LEAN work cycles for performance enhancement Provides input to leadership to enhance process flows and efficiencies while addressing initiatives, goals, and mission Other 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 equivalent Active unrestricted Nevada RN license Obtain CCM certification within 2+ years of employment Valid Nevada driver's license and maintain personal auto insurance coverage 1+ years of related professional experience in managed care environment 1+ 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 skills Proven ability to negotiate and arbitrate without difficulty Proven ability to supervise multiple levels of people Critical 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.
07/21/2026
Full time
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 requests Provide support to the team to allow for growth and development and encourage the team to think "out of the box" for solutions Identify barriers so that staff can maintain high productivity and high levels of morale Ensure coordination between other internal departments as well as external companies as appropriate Develop work plans and educational plans to best manage the day-to-day functions of multidisciplinary departments Independently manage work flows including orientation, standard work and report concerns to the director Collaborates on decisions to promote teamwork Collaboration with Sr. Medical Director and V.P. Promote LEAN work cycles for performance enhancement Provides input to leadership to enhance process flows and efficiencies while addressing initiatives, goals, and mission Other 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 equivalent Active unrestricted Nevada RN license Obtain CCM certification within 2+ years of employment Valid Nevada driver's license and maintain personal auto insurance coverage 1+ years of related professional experience in managed care environment 1+ 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 skills Proven ability to negotiate and arbitrate without difficulty Proven ability to supervise multiple levels of people Critical 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.
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 requests Provide support to the team to allow for growth and development and encourage the team to think "out of the box" for solutions Identify barriers so that staff can maintain high productivity and high levels of morale Ensure coordination between other internal departments as well as external companies as appropriate Develop work plans and educational plans to best manage the day-to-day functions of multidisciplinary departments Independently manage work flows including orientation, standard work and report concerns to the director Collaborates on decisions to promote teamwork Collaboration with Sr. Medical Director and V.P. Promote LEAN work cycles for performance enhancement Provides input to leadership to enhance process flows and efficiencies while addressing initiatives, goals, and mission Other 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 equivalent Active unrestricted Nevada RN license Obtain CCM certification within 2+ years of employment Valid Nevada driver's license and maintain personal auto insurance coverage 1+ years of related professional experience in managed care environment 1+ 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 skills Proven ability to negotiate and arbitrate without difficulty Proven ability to supervise multiple levels of people Critical 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.
07/21/2026
Full time
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 requests Provide support to the team to allow for growth and development and encourage the team to think "out of the box" for solutions Identify barriers so that staff can maintain high productivity and high levels of morale Ensure coordination between other internal departments as well as external companies as appropriate Develop work plans and educational plans to best manage the day-to-day functions of multidisciplinary departments Independently manage work flows including orientation, standard work and report concerns to the director Collaborates on decisions to promote teamwork Collaboration with Sr. Medical Director and V.P. Promote LEAN work cycles for performance enhancement Provides input to leadership to enhance process flows and efficiencies while addressing initiatives, goals, and mission Other 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 equivalent Active unrestricted Nevada RN license Obtain CCM certification within 2+ years of employment Valid Nevada driver's license and maintain personal auto insurance coverage 1+ years of related professional experience in managed care environment 1+ 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 skills Proven ability to negotiate and arbitrate without difficulty Proven ability to supervise multiple levels of people Critical 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.
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 requests Provide support to the team to allow for growth and development and encourage the team to think "out of the box" for solutions Identify barriers so that staff can maintain high productivity and high levels of morale Ensure coordination between other internal departments as well as external companies as appropriate Develop work plans and educational plans to best manage the day-to-day functions of multidisciplinary departments Independently manage work flows including orientation, standard work and report concerns to the director Collaborates on decisions to promote teamwork Collaboration with Sr. Medical Director and V.P. Promote LEAN work cycles for performance enhancement Provides input to leadership to enhance process flows and efficiencies while addressing initiatives, goals, and mission Other 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 equivalent Active unrestricted Nevada RN license Obtain CCM certification within 2+ years of employment Valid Nevada driver's license and maintain personal auto insurance coverage 1+ years of related professional experience in managed care environment 1+ 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 skills Proven ability to negotiate and arbitrate without difficulty Proven ability to supervise multiple levels of people Critical 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.
07/21/2026
Full time
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 requests Provide support to the team to allow for growth and development and encourage the team to think "out of the box" for solutions Identify barriers so that staff can maintain high productivity and high levels of morale Ensure coordination between other internal departments as well as external companies as appropriate Develop work plans and educational plans to best manage the day-to-day functions of multidisciplinary departments Independently manage work flows including orientation, standard work and report concerns to the director Collaborates on decisions to promote teamwork Collaboration with Sr. Medical Director and V.P. Promote LEAN work cycles for performance enhancement Provides input to leadership to enhance process flows and efficiencies while addressing initiatives, goals, and mission Other 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 equivalent Active unrestricted Nevada RN license Obtain CCM certification within 2+ years of employment Valid Nevada driver's license and maintain personal auto insurance coverage 1+ years of related professional experience in managed care environment 1+ 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 skills Proven ability to negotiate and arbitrate without difficulty Proven ability to supervise multiple levels of people Critical 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.
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 requests Provide support to the team to allow for growth and development and encourage the team to think "out of the box" for solutions Identify barriers so that staff can maintain high productivity and high levels of morale Ensure coordination between other internal departments as well as external companies as appropriate Develop work plans and educational plans to best manage the day-to-day functions of multidisciplinary departments Independently manage work flows including orientation, standard work and report concerns to the director Collaborates on decisions to promote teamwork Collaboration with Sr. Medical Director and V.P. Promote LEAN work cycles for performance enhancement Provides input to leadership to enhance process flows and efficiencies while addressing initiatives, goals, and mission Other 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 equivalent Active unrestricted Nevada RN license Obtain CCM certification within 2+ years of employment Valid Nevada driver's license and maintain personal auto insurance coverage 1+ years of related professional experience in managed care environment 1+ 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 skills Proven ability to negotiate and arbitrate without difficulty Proven ability to supervise multiple levels of people Critical 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.
07/20/2026
Full time
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 requests Provide support to the team to allow for growth and development and encourage the team to think "out of the box" for solutions Identify barriers so that staff can maintain high productivity and high levels of morale Ensure coordination between other internal departments as well as external companies as appropriate Develop work plans and educational plans to best manage the day-to-day functions of multidisciplinary departments Independently manage work flows including orientation, standard work and report concerns to the director Collaborates on decisions to promote teamwork Collaboration with Sr. Medical Director and V.P. Promote LEAN work cycles for performance enhancement Provides input to leadership to enhance process flows and efficiencies while addressing initiatives, goals, and mission Other 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 equivalent Active unrestricted Nevada RN license Obtain CCM certification within 2+ years of employment Valid Nevada driver's license and maintain personal auto insurance coverage 1+ years of related professional experience in managed care environment 1+ 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 skills Proven ability to negotiate and arbitrate without difficulty Proven ability to supervise multiple levels of people Critical 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.
Lead the Transformation. Build a Culture of Excellence. Deliver Results That Last. The Director of Quality Assurance & Continuous Improvement provides strategic leadership for the company's quality and continuous improvement functions, ensuring products, processes, and services consistently meet the highest standards of quality, reliability, and customer satisfaction. This role is responsible for developing, implementing, and continuously improving the Quality Management System (QMS) while driving a culture of operational excellence across the organization. Leading enterprise-wide Lean initiatives, Kaizen events, root cause analysis, and structured continuous improvement programs, this position delivers measurable improvements in quality, productivity, cost, and operational performance. Working closely with executive leadership and cross-functional teams, the Director establishes quality strategies, drives compliance with customer and regulatory requirements, and champions sustainable improvements that support the company's strategic growth objectives. What Success looks Like Lead the development, implementation, and continuous improvement of the company's Quality Management System (QMS), ensuring compliance with customer, regulatory, and industry standards, including ISO certifications. Establish enterprise-wide quality strategies, policies, and governance while serving as the executive leader for quality-related decisions impacting customers, operations, and suppliers. Drive a culture of operational excellence by leading Lean, Six Sigma, Kaizen, and structured continuous improvement initiatives across all business functions. Develop and execute strategic cost reduction initiatives that improve productivity, eliminate waste, reduce the Cost of Poor Quality (COPQ), and enhance overall operational performance. Partner cross-functionally with Operations, Engineering, Supply Chain, Finance, Sales, and executive leadership to identify, prioritize, and deliver sustainable business improvements. Champion the voice of the customer by leveraging customer feedback, warranty data, and field performance to improve product quality, reliability, and customer satisfaction. Lead enterprise-wide root cause analysis and corrective action processes to resolve quality issues, prevent recurrence, and strengthen operational performance. Oversee internal and external audit programs, ensuring compliance with quality, safety, environmental, and regulatory requirements while proactively managing organizational risk. Build, mentor, and develop a high-performing Quality and Continuous Improvement organization while coaching leaders throughout the business to embed a culture of accountability and continuous improvement. Establish, monitor, and report key performance indicators (KPIs) that measure quality, delivery, cost savings, productivity, customer satisfaction, and continuous improvement performance. Translate strategic business objectives into measurable quality and operational improvement initiatives that deliver sustainable financial and operational results. Build trusted relationships across the organization and with external stakeholders, influencing decision-making and driving alignment to achieve the company's strategic objectives. Qualifications That Shine Bachelor's degree in Engineering, Business Administration, or a related field required; Master's degree or other advanced degree preferred. 15+ years of progressive quality leadership experience, including 10+ years leading people and 5+ years leading corporate or multi-site quality organizations. Proven success developing and leading Quality Management Systems (QMS) within a manufacturing environment, including ISO implementation, certification, and ongoing compliance. Professional certifications such as ASQ Certified Manager of Quality/Organizational Excellence (CMQ/OE), Six Sigma Green Belt or Black Belt, and Lean certification are strongly preferred. Demonstrated success leading Lean transformation, Kaizen events, and enterprise-wide continuous improvement initiatives that deliver measurable business results. Strong knowledge of quality systems, root cause analysis, corrective and preventive actions (CAPA), statistical process control (SPC), and continuous improvement methodologies. Proven ability to influence executive leadership and build collaborative partnerships across operations, engineering, supply chain, finance, and commercial teams. Exceptional communication, presentation, and organizational skills with the ability to translate strategy into execution and drive organizational change. Strategic, data-driven leader with a track record of improving quality, operational performance, customer satisfaction, and financial results through operational excellence initiatives. Why You'll Love Working Here You'll Be Empowered - You'll have autonomy in your role, supported by a team that trusts your judgment You'll Grow With Us - We invest in your training, development, and long-term career path You'll Be Rewarded - Competitive pay, performance incentives, 401(k) with profit sharing, and great benefits You'll Make a Real Impact - Your work supports businesses across North America and shapes the future of finishing technology You'll Join a Great Team - We're growing fast, we value collaboration, and are committed to your success Transparent Rewards At GFS, we recognize the dedication behind every role and ensure that our compensation reflects both your impact and our shared success. Pay Range: $124,518 - $156,746 per year, based on your experience, skills, and qualifications. Bonus Eligibility: This position is eligible for an annual individual incentive based on company performance. Maximum bonus amounts may vary depending on role. Benefits: Eligible for standard company benefits, including health, dental, and vision insurance, 401(k) retirement plan with company match, paid time off, and other employee programs. More detailed information is available at 2026 GFS Benefits . Actual compensation will be determined by factors including experience, education, certifications, skill level, and market conditions. For remote or hybrid positions, the listed pay range applies to applicants in the specified location. About GFS Global Finishing Solutions is the leading manufacturer of paint booths and finishing systems serving automotive, aerospace, industrial manufacturing, marine, military, rail, trucking, and wood finishing markets. We specialize in building custom solutions that meet each customer's unique needs-and we do it with a team that thrives on collaboration and innovation because we're different. What makes us different is our unwavering commitment to our core values of family, respect, partnership, improvement, and integrity. We are a family-oriented organization that still values the little things, creating a workplace where you can thrive, fairness guides every decision, and collaboration drives shared success. Small town in spirit but big-hearted in impact, here you're not just joining a company-you're joining a team that grows together, celebrates together, and builds lasting value together. That's the difference. Join us. Apply now at About GFS Watch Us in Action Connect on LinkedIn Equal Opportunity Employer GFS is proud to provide equal employment opportunities to all applicants . We welcome candidates of all backgrounds and do not discriminate based on race, religion, color, sex, age, national origin, disability, sexual orientation, gender identity, veteran status, or any other status protected by law. Employment offers are subject to successful completion of pre-employment drug screening and physicals, consistent with applicable laws. Note to recruiters: GFS only works with agencies that have signed a contract with our HR team. Resumes sent directly to hiring managers without a prior agreement are considered unsolicited and the property of GFS. Placement fees will not be paid without a formal contract. Compensation details: 46 Yearly Salary PI8f279256d23e-3173
07/15/2026
Full time
Lead the Transformation. Build a Culture of Excellence. Deliver Results That Last. The Director of Quality Assurance & Continuous Improvement provides strategic leadership for the company's quality and continuous improvement functions, ensuring products, processes, and services consistently meet the highest standards of quality, reliability, and customer satisfaction. This role is responsible for developing, implementing, and continuously improving the Quality Management System (QMS) while driving a culture of operational excellence across the organization. Leading enterprise-wide Lean initiatives, Kaizen events, root cause analysis, and structured continuous improvement programs, this position delivers measurable improvements in quality, productivity, cost, and operational performance. Working closely with executive leadership and cross-functional teams, the Director establishes quality strategies, drives compliance with customer and regulatory requirements, and champions sustainable improvements that support the company's strategic growth objectives. What Success looks Like Lead the development, implementation, and continuous improvement of the company's Quality Management System (QMS), ensuring compliance with customer, regulatory, and industry standards, including ISO certifications. Establish enterprise-wide quality strategies, policies, and governance while serving as the executive leader for quality-related decisions impacting customers, operations, and suppliers. Drive a culture of operational excellence by leading Lean, Six Sigma, Kaizen, and structured continuous improvement initiatives across all business functions. Develop and execute strategic cost reduction initiatives that improve productivity, eliminate waste, reduce the Cost of Poor Quality (COPQ), and enhance overall operational performance. Partner cross-functionally with Operations, Engineering, Supply Chain, Finance, Sales, and executive leadership to identify, prioritize, and deliver sustainable business improvements. Champion the voice of the customer by leveraging customer feedback, warranty data, and field performance to improve product quality, reliability, and customer satisfaction. Lead enterprise-wide root cause analysis and corrective action processes to resolve quality issues, prevent recurrence, and strengthen operational performance. Oversee internal and external audit programs, ensuring compliance with quality, safety, environmental, and regulatory requirements while proactively managing organizational risk. Build, mentor, and develop a high-performing Quality and Continuous Improvement organization while coaching leaders throughout the business to embed a culture of accountability and continuous improvement. Establish, monitor, and report key performance indicators (KPIs) that measure quality, delivery, cost savings, productivity, customer satisfaction, and continuous improvement performance. Translate strategic business objectives into measurable quality and operational improvement initiatives that deliver sustainable financial and operational results. Build trusted relationships across the organization and with external stakeholders, influencing decision-making and driving alignment to achieve the company's strategic objectives. Qualifications That Shine Bachelor's degree in Engineering, Business Administration, or a related field required; Master's degree or other advanced degree preferred. 15+ years of progressive quality leadership experience, including 10+ years leading people and 5+ years leading corporate or multi-site quality organizations. Proven success developing and leading Quality Management Systems (QMS) within a manufacturing environment, including ISO implementation, certification, and ongoing compliance. Professional certifications such as ASQ Certified Manager of Quality/Organizational Excellence (CMQ/OE), Six Sigma Green Belt or Black Belt, and Lean certification are strongly preferred. Demonstrated success leading Lean transformation, Kaizen events, and enterprise-wide continuous improvement initiatives that deliver measurable business results. Strong knowledge of quality systems, root cause analysis, corrective and preventive actions (CAPA), statistical process control (SPC), and continuous improvement methodologies. Proven ability to influence executive leadership and build collaborative partnerships across operations, engineering, supply chain, finance, and commercial teams. Exceptional communication, presentation, and organizational skills with the ability to translate strategy into execution and drive organizational change. Strategic, data-driven leader with a track record of improving quality, operational performance, customer satisfaction, and financial results through operational excellence initiatives. Why You'll Love Working Here You'll Be Empowered - You'll have autonomy in your role, supported by a team that trusts your judgment You'll Grow With Us - We invest in your training, development, and long-term career path You'll Be Rewarded - Competitive pay, performance incentives, 401(k) with profit sharing, and great benefits You'll Make a Real Impact - Your work supports businesses across North America and shapes the future of finishing technology You'll Join a Great Team - We're growing fast, we value collaboration, and are committed to your success Transparent Rewards At GFS, we recognize the dedication behind every role and ensure that our compensation reflects both your impact and our shared success. Pay Range: $124,518 - $156,746 per year, based on your experience, skills, and qualifications. Bonus Eligibility: This position is eligible for an annual individual incentive based on company performance. Maximum bonus amounts may vary depending on role. Benefits: Eligible for standard company benefits, including health, dental, and vision insurance, 401(k) retirement plan with company match, paid time off, and other employee programs. More detailed information is available at 2026 GFS Benefits . Actual compensation will be determined by factors including experience, education, certifications, skill level, and market conditions. For remote or hybrid positions, the listed pay range applies to applicants in the specified location. About GFS Global Finishing Solutions is the leading manufacturer of paint booths and finishing systems serving automotive, aerospace, industrial manufacturing, marine, military, rail, trucking, and wood finishing markets. We specialize in building custom solutions that meet each customer's unique needs-and we do it with a team that thrives on collaboration and innovation because we're different. What makes us different is our unwavering commitment to our core values of family, respect, partnership, improvement, and integrity. We are a family-oriented organization that still values the little things, creating a workplace where you can thrive, fairness guides every decision, and collaboration drives shared success. Small town in spirit but big-hearted in impact, here you're not just joining a company-you're joining a team that grows together, celebrates together, and builds lasting value together. That's the difference. Join us. Apply now at About GFS Watch Us in Action Connect on LinkedIn Equal Opportunity Employer GFS is proud to provide equal employment opportunities to all applicants . We welcome candidates of all backgrounds and do not discriminate based on race, religion, color, sex, age, national origin, disability, sexual orientation, gender identity, veteran status, or any other status protected by law. Employment offers are subject to successful completion of pre-employment drug screening and physicals, consistent with applicable laws. Note to recruiters: GFS only works with agencies that have signed a contract with our HR team. Resumes sent directly to hiring managers without a prior agreement are considered unsolicited and the property of GFS. Placement fees will not be paid without a formal contract. Compensation details: 46 Yearly Salary PI8f279256d23e-3173
WHAT IS THE OPPORTUNITY? Reporting directly to the CNB Chief Auditor, the Deputy Chief Audit Executive, for CNB will assist in the oversight of a comprehensive program of internal audit activities and provide independent and objective evaluation of the adequacy and effectiveness of risk management practices, internal control and corporate governance processes for CNB. This role will support the CNB Chief Auditor, CNB Audit Committee and Chair with effective planning, reporting and issue remediation and also support the RBC US Intermediate Holding Company (IHC) on control matters of importance relating to CNB. They will provide independent and objective evaluation of the adequacy and effectiveness of internal controls, risk management practices, corporate governance processes, and fraud prevention and detection for the platform. In addition, the Deputy Chief Auditor will be accountable for ensuring continuous improvement focused on audit practices and deployment of digital tools as applicable. The Deputy Chief Audit Executive has the responsibility for developing the risk ratings for the banking and operations auditable entities and developing a detailed audit and execution plan for the portfolio. This leader will promote effective internal control awareness in the respective business lines through positive and collaborative relations with business executives, regular reporting on the business control environment, and structured interactions with key business leaders and President of the banking platform to discuss critical audit outputs, risks assessment, status of issue remediation, provide and solicit feedback. As it relates to the CNB Credit Risk Review (CRR) team, works with the Head of CNB CRR to provide the CNB Risk Committee with an objective and timely assessment of the overall quality and trends within the CNB credit portfolio; monitors compliance with applicable US laws and regulations; assesses the adequacy of internal credit risk policies and procedures. WHAT WILL YOU DO? Provides independent assurance to key stakeholders on the effectiveness and adequacy of risk management practices, governance processes and the system of internal controls across CNB through core assurance work and continuous risk monitoring. Develops and maintains a dynamic and flexible internal audit function that considers the changing environment and emerging risks. Implements adequate audit coverage of activities, allowing the issuance of overall opinions on risk management practices, governance processes, and the system of internal controls to CNB senior management and to the CNB Audit Committee for their review and discussion. Leads/manages a team of internal audit professionals for selected CNB audit teams (to be determined as appropriate based on candidate experience). Accountable to ensure there are sufficient resources with appropriate level of subject matter expertise to develop and execute annual audit plan. Manages large, highly complex or strategic projects (thematic audits) that impact CNB and RBC USA as required. Ensure the Global Internal Audit Standards' principles of Ethics and Professionalism are embedded in the Internal Audit culture and function. Ensure the internal audit function remains objective and free of all conditions that threaten that objectivity. Support the CNB CAE in managing the Internal Audit Function by: Ensuring that audit standards satisfy industry and best practices for efficient and effective audits. Using a risk-based audit approach in determining the nature, extent and frequency of audit engagements included in the CNB audit plan. Ensuring the audit plan utilizes a risk-based cycle approach aligned with the RBC/CNB Risk Pyramid, CNB and RBC (as applicable) Coverage Strategies and is adjusted as required to address changes in CNB activities/risk profile, emerging risks, external environment changes or to conduct special reviews of significant events based on risk and financial importance as well as considers the input of the CNB Audit Committee and CNB senior management. Ensuring the internal audit function collectively possesses or obtains the required knowledge, skills and competencies to fulfill the internal audit mandate, and communicating any resource risks as applicable. Audit activities include the application of accounting standards and the evaluation of Internal Controls over Financial Reporting for Disclosure Control purposes. Utilizes effective data analytics, automated testing and continuous monitoring processes. Initiates improvements by challenging management and overseeing the development of appropriate management action plans to address identified control deficiencies and other corrective actions to effectively address the issues and root cause. Recommends restricting business activity, if warranted. Communicates trends in risk and control issues to key stakeholders and provides advice to the CNB CAE, CNB Senior Management on results of ongoing reviews of business and corporate support activities at CNB and RBC. In conjunction with senior IA leadership, effectively manage and monitor all aspects of audit work on an ongoing basis, including any audit work that is outsourced. Provides independent and objective assessment of the adequacy and effectiveness of (i) risk management practices and processes, (ii) systems of internal control and (iii) corporate governance processes for all responsible areas of CNB. Stays abreast of current developments, including industry and regulatory matters; responsible for compliance of internal audit's policies, procedures, and processes with applicable regulatory and industry guidance and maintenance to reflect changes to internal and external risk factors, emerging risks, and improvements in industry practices. Encourages a management culture of open dialogue on processes, internal controls and potential issues. Demonstrates value-added services by: Participating in significant change management initiatives through the evaluation of business and control processes. Providing proactive, constructive, and timely expertise on mitigating business risks. Recommends changes in processes and policies to gain efficiencies where appropriate. Competently providing assurance on the effectiveness of risk management practices, internal control and corporate governance processes through regular audits, thematic reviews and continuous monitoring. Ensuring shareholders' auditors and regulators to achieve maximum value from our audit work. Participating in Quarterly Assurance Reviews. Participating as an active, non-voting member in critical governance committees within the organization. Providing periodic reporting on changes in audit practices as well as results of benchmarking activities. Responsible for successful and timely remediation of assigned risk issues that pertain to Internal Audit to meet effective risk management expectations across CNB: Demonstrates understanding of the full spectrum of regulatory actions, including examinations and other supervisory engagement and processes. Oversees, establishes and leads the execution of effective action plans to satisfactorily resolve outstanding regulatory and risk management issues that pertain to Internal Audit. Oversees the completion of all assigned remediation tasks on time and meet or exceed expected quality levels. Responsible for timely escalation to appropriate parties when tasks or milestones are moving off schedule and identify solutions to remediate. Collaborates with partners in remediation activities where needed. Manages interactions and relationships with appropriate regulatory bodies and/or examiners, as applicable. Oversees all reports by setting clear expectations and objectives targets for all and holding them accountable to the outcomes they produce. Seeks inputs from the CAE of RBC, CAE of RBC US, and Senior Management, including Management Committees for CNB, on strategic direction or priorities, provides them with timely and transparent updates on relevant outcomes, risks and issues, and follows appropriate resolution or escalation paths if a misalignment arises. As the US manager to the Senior Director, CNB Credit Risk Review: Provides leadership and day-to-day direction, as needed, to the team for every aspect of their work, provides input into decisions related to annual goal setting, performance evaluations and year-end compensation, as well as hiring, succession and termination in partnership with the CNB CAE. Accountable for the inclusion of employee in appropriate management routines. Talent Management: Drive a strong focus on talent management to ensure key successors are in place for all critical positions; providing candid leadership coaching, mentoring; and assess and build team capabilities to enhance audit and technical expertise and leadership as well as enable trusted advisor relationships (ie business centric, forward thinking, insightful driven). In addition, invest in the growth of talent across IA. WHAT DO YOU NEED TO SUCCEED? Required Qualifications Bachelor's Degree or equivalent 15 or more years' experience in auditing or accounting 7 years in a management role. Additional Qualifications The ability to set clear and challenging goals while committing CNB to improved performance, tenacious and accountable in driving results. Comfortable with ambiguity and uncertainty; ability to adapt nimbly/lead others through complex situations. . click apply for full job details
06/30/2026
Full time
WHAT IS THE OPPORTUNITY? Reporting directly to the CNB Chief Auditor, the Deputy Chief Audit Executive, for CNB will assist in the oversight of a comprehensive program of internal audit activities and provide independent and objective evaluation of the adequacy and effectiveness of risk management practices, internal control and corporate governance processes for CNB. This role will support the CNB Chief Auditor, CNB Audit Committee and Chair with effective planning, reporting and issue remediation and also support the RBC US Intermediate Holding Company (IHC) on control matters of importance relating to CNB. They will provide independent and objective evaluation of the adequacy and effectiveness of internal controls, risk management practices, corporate governance processes, and fraud prevention and detection for the platform. In addition, the Deputy Chief Auditor will be accountable for ensuring continuous improvement focused on audit practices and deployment of digital tools as applicable. The Deputy Chief Audit Executive has the responsibility for developing the risk ratings for the banking and operations auditable entities and developing a detailed audit and execution plan for the portfolio. This leader will promote effective internal control awareness in the respective business lines through positive and collaborative relations with business executives, regular reporting on the business control environment, and structured interactions with key business leaders and President of the banking platform to discuss critical audit outputs, risks assessment, status of issue remediation, provide and solicit feedback. As it relates to the CNB Credit Risk Review (CRR) team, works with the Head of CNB CRR to provide the CNB Risk Committee with an objective and timely assessment of the overall quality and trends within the CNB credit portfolio; monitors compliance with applicable US laws and regulations; assesses the adequacy of internal credit risk policies and procedures. WHAT WILL YOU DO? Provides independent assurance to key stakeholders on the effectiveness and adequacy of risk management practices, governance processes and the system of internal controls across CNB through core assurance work and continuous risk monitoring. Develops and maintains a dynamic and flexible internal audit function that considers the changing environment and emerging risks. Implements adequate audit coverage of activities, allowing the issuance of overall opinions on risk management practices, governance processes, and the system of internal controls to CNB senior management and to the CNB Audit Committee for their review and discussion. Leads/manages a team of internal audit professionals for selected CNB audit teams (to be determined as appropriate based on candidate experience). Accountable to ensure there are sufficient resources with appropriate level of subject matter expertise to develop and execute annual audit plan. Manages large, highly complex or strategic projects (thematic audits) that impact CNB and RBC USA as required. Ensure the Global Internal Audit Standards' principles of Ethics and Professionalism are embedded in the Internal Audit culture and function. Ensure the internal audit function remains objective and free of all conditions that threaten that objectivity. Support the CNB CAE in managing the Internal Audit Function by: Ensuring that audit standards satisfy industry and best practices for efficient and effective audits. Using a risk-based audit approach in determining the nature, extent and frequency of audit engagements included in the CNB audit plan. Ensuring the audit plan utilizes a risk-based cycle approach aligned with the RBC/CNB Risk Pyramid, CNB and RBC (as applicable) Coverage Strategies and is adjusted as required to address changes in CNB activities/risk profile, emerging risks, external environment changes or to conduct special reviews of significant events based on risk and financial importance as well as considers the input of the CNB Audit Committee and CNB senior management. Ensuring the internal audit function collectively possesses or obtains the required knowledge, skills and competencies to fulfill the internal audit mandate, and communicating any resource risks as applicable. Audit activities include the application of accounting standards and the evaluation of Internal Controls over Financial Reporting for Disclosure Control purposes. Utilizes effective data analytics, automated testing and continuous monitoring processes. Initiates improvements by challenging management and overseeing the development of appropriate management action plans to address identified control deficiencies and other corrective actions to effectively address the issues and root cause. Recommends restricting business activity, if warranted. Communicates trends in risk and control issues to key stakeholders and provides advice to the CNB CAE, CNB Senior Management on results of ongoing reviews of business and corporate support activities at CNB and RBC. In conjunction with senior IA leadership, effectively manage and monitor all aspects of audit work on an ongoing basis, including any audit work that is outsourced. Provides independent and objective assessment of the adequacy and effectiveness of (i) risk management practices and processes, (ii) systems of internal control and (iii) corporate governance processes for all responsible areas of CNB. Stays abreast of current developments, including industry and regulatory matters; responsible for compliance of internal audit's policies, procedures, and processes with applicable regulatory and industry guidance and maintenance to reflect changes to internal and external risk factors, emerging risks, and improvements in industry practices. Encourages a management culture of open dialogue on processes, internal controls and potential issues. Demonstrates value-added services by: Participating in significant change management initiatives through the evaluation of business and control processes. Providing proactive, constructive, and timely expertise on mitigating business risks. Recommends changes in processes and policies to gain efficiencies where appropriate. Competently providing assurance on the effectiveness of risk management practices, internal control and corporate governance processes through regular audits, thematic reviews and continuous monitoring. Ensuring shareholders' auditors and regulators to achieve maximum value from our audit work. Participating in Quarterly Assurance Reviews. Participating as an active, non-voting member in critical governance committees within the organization. Providing periodic reporting on changes in audit practices as well as results of benchmarking activities. Responsible for successful and timely remediation of assigned risk issues that pertain to Internal Audit to meet effective risk management expectations across CNB: Demonstrates understanding of the full spectrum of regulatory actions, including examinations and other supervisory engagement and processes. Oversees, establishes and leads the execution of effective action plans to satisfactorily resolve outstanding regulatory and risk management issues that pertain to Internal Audit. Oversees the completion of all assigned remediation tasks on time and meet or exceed expected quality levels. Responsible for timely escalation to appropriate parties when tasks or milestones are moving off schedule and identify solutions to remediate. Collaborates with partners in remediation activities where needed. Manages interactions and relationships with appropriate regulatory bodies and/or examiners, as applicable. Oversees all reports by setting clear expectations and objectives targets for all and holding them accountable to the outcomes they produce. Seeks inputs from the CAE of RBC, CAE of RBC US, and Senior Management, including Management Committees for CNB, on strategic direction or priorities, provides them with timely and transparent updates on relevant outcomes, risks and issues, and follows appropriate resolution or escalation paths if a misalignment arises. As the US manager to the Senior Director, CNB Credit Risk Review: Provides leadership and day-to-day direction, as needed, to the team for every aspect of their work, provides input into decisions related to annual goal setting, performance evaluations and year-end compensation, as well as hiring, succession and termination in partnership with the CNB CAE. Accountable for the inclusion of employee in appropriate management routines. Talent Management: Drive a strong focus on talent management to ensure key successors are in place for all critical positions; providing candid leadership coaching, mentoring; and assess and build team capabilities to enhance audit and technical expertise and leadership as well as enable trusted advisor relationships (ie business centric, forward thinking, insightful driven). In addition, invest in the growth of talent across IA. WHAT DO YOU NEED TO SUCCEED? Required Qualifications Bachelor's Degree or equivalent 15 or more years' experience in auditing or accounting 7 years in a management role. Additional Qualifications The ability to set clear and challenging goals while committing CNB to improved performance, tenacious and accountable in driving results. Comfortable with ambiguity and uncertainty; ability to adapt nimbly/lead others through complex situations. . click apply for full job details
