Title: Utilization Management RN (MNA) Atrius Health Location: Auburndale United States Job Description: Explore opportunities with Atrius Health, part of the Optum family of businesses. We're an innovative health care leader and multi-specialty group practice, delivering an effective, connected system of care for adult and pediatric patients at 28 practice locations in eastern Massachusetts. Our entire team of providers (physicians, PA/NPs and ancillary clinicians) works collaboratively with a value-based philosophy within our group practice as well as with hospitals, rehab and nursing facilities. Be part of our vision to transform care and improve lives by building trust, understanding and shared decision-making with every patient. Join us and discover the meaning behind Caring. Connecting. Growing together. Position in this function is responsible for providing on-site transitional care coordination to ensure safe transitions of care and optimal communication between treating facility, Patient/Family and Atrius Health. Responsible for coordinating patient transitions from Hospital to home or other care settings, ensuring a smooth discharge process and continuity of care Position Details: - Location: Remote (MA residents only) - Department: Utilization Management - Schedule: 40HRS Weekly M-F 8:00am- 4:30pm If you are MA licensed RN, you will have the flexibility to work remotely* as you take on some tough challenges. Primary Responsibilities: - Provides direct referral source servicing at identified facility, building and enriching relationships, identifying needs, problem solving and meeting or exceeding expectations of external customers - Serves as an extension of the Atrius Health practice site, connecting with Atrius Health patients and/or families to bridge the Atrius Health practice to the patient - Conducts review of the medical record for Atrius Health adult medical or surgical hospitalized patients - Conducts initial assessment of patient within 24 - 48 hours (business days of admission) - Subsequent review/progress note at least every 7 days or accompanying a change in condition/plan - May provide educational and/or program material to the site facility staff in compliance with Atrius Health clinical initiatives, services and specialty programs - Performs needs assessments of patients/families for services including but not limited to primary care, specialty care visits, skilled homecare, palliative care, hospice care (including hospice residence), and/or skilled nursing facility, to ensure appropriateness of services and expedite transitions of care - Educates Atrius Health patients/families regarding provider relationships serviced through preferred homecare/SNF organizations - Assesses adult medical/surgical Atrius Health patients for risk of readmission, and communicates identified risks with transition of care, outpatient case manager and/or primary care team - Facilitates real-time review of contributing factors to readmission of patients and explores opportunities for acute care hospitalization (ACH) reduction - Accesses Atrius Health patient's Epic medical record to determine current program enrollment for continuation of care - Assesses patients admitted with Heart Failure (HF) or Chronic Obstructive Pulmonary Disease (COPD) for HTM/RPM and initiates referral to the appropriate program - Initiates a referral to the Atrius health heart failure program when appropriate - Collaborates with hospital-based case manager to facilitate advance care planning documents such as health care proxy or MOLST form - Facilitates communication between patient's hospital-based care team and practice based primary care team when needed or requested - Collaborates with transition of care team and hospital-based case manager to ensure post-hospital follow up visit is scheduled - Provides supportive patient/family education for targeted diagnoses including heart failure, diabetes, COPD to ensure optimal preparation for home discharge - Coordinates with the hospital-based case manager to facilitate regarding Atrius Health preferred provider networks - Seeks opportunities to improve communication and collaboration amongst all clinical partners in patient care treating facility and internal/external partners or provider - Collaborates and communicates with Manager and Atrius Health Case Manager to identify and address any issues or concerns - Documentation: Maintains accurate records of the discharge planning process in the patient's medical record for legal, regulatory, and billing purposes - Participates in service recovery as needed - Promotes problem identification, resolution to barriers in care delivery, efficiency, productivity and customer satisfaction - Builds relationships with physicians, referral sources, managed care and assigned facility(ies) - Provides information, resource materials and education to all providers and case managers and solicits feedback - Promotes Atrius Health specialty programs designed to meet the needs of patients, providers, and partners - Assists with other referral source account coverage as needed - Performs other duties as requested 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: - Graduate of a State-approved school of nursing - Current, unrestricted, license to practice professional nursing in the Commonwealth of Massachusetts - American Heart Association Basic Life Support (BLS) - Electronic medical record (EMR) experience and/or aptitude to master the EMR based on other technology experience - Demonstrated proficiency using multiple software applications, including MS Office, EXCEL, Cloud based platforms and EPIC reporting workbench and dashboards - Demonstrated solid critical thinking, problem solving, interpersonal and patient interviewing skills - Demonstrated excellence in practice, documentation, and cost-effective care utilization Maintains high patient satisfaction - Demonstrated ability to interpret clinical information, assess the implication of treatment and develop and implement a plan of care - Demonstrated ability to interpret clinical information, apply UM criteria and health plan guidelines for decision making - Demonstrated ability to work effectively in a faced paced team environment Preferred Qualifications: - Bachelor of Science in Nursing (BSN) - Certification in Case Management (CCM) or CCM eligible preferred - 3+ years in utilization management or case management - 3+ years clinical experience with home health care experience or strong knowledge base in home health and hospice care Other Requirements: - Able to use all electronic tools and applications relevant to the performance of the duties of the position, including but not limited to phone, keyboard, computer and computer applications - Able to work in multiple locations and cover multiple primary care practices as needed - Performs all job functions in compliance with applicable federal, state, local and company policies and procedures Accesses only the minimum necessary protected health information (PHI) for the performance of job duties Actively protects the confidentiality and privacy of all protected health information they access in all its forms (written, verbal, and electronic, etc) taking reasonable precautions to prohibit unauthorized access Complies with all Atrius Health and departmental privacy policies, procedures and protocols Follows HIPAA privacy guidelines without deviation when handling protected health information Working Conditions / Physical Demands - Busy clinical environment with frequent deadlines and interruptions - May require some weekend or holiday coverage - All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $40.21 to $74.74 per hour 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.

• Ensure the evolution and continuous improvement of the company's technologies through the development, maintenance and enhancement of automated tests. • Integrate Artificial Intelligence tools to optimize the delivery cycle. • Execute functional, regression and exploratory testing on web applications, ensuring validation of complex business rules. • Perform manual testing of REST APIs (GET, POST, PUT, DELETE) using Postman and Swagger, validating contracts, status codes and payloads. • Develop and maintain end-to-end automation scripts for web using Cypress and Robot Framework. • Design and evolve API automation suites and contract tests (Postman/Swagger). • Implement tests for AI/LLM-based applications, ensuring accuracy, mitigation of hallucinations and consistency of model responses. • Optimize test case writing and generation of automation code. • Manage the defect lifecycle (logging, tracking and retesting), collaborating with product teams in agile rituals (Scrum/Kanban). • Integrate automated tests into CI/CD pipelines (Azure DevOps or GitHub Actions). • Run queries on SQL databases (MySQL) to validate data integrity.

Job Description This position seeks a Senior quality assurance lead responsible for managing the full testing lifecycle, from requirements gathering and test plan design to the production of critical hazard analysis documentation for system deployment. This role requires a seasoned professional with at least six years of experience in application testing and test case development, utilizing expertise in the SDLC, SQL, and automated testing frameworks such as Selenium. The ideal candidate will provide technical leadership to staff and contractors while ensuring system integrity through rigorous quality control, application performance testing, and adherence to Section 508 accessibility and browser compatibility standards. In addition to the minimum qualifications below, desirable experience includes: experience in multiple test and production environments; the use of version control software; and experience with standard information technology products and environments. Key Responsibilities: - Gathers requirements information from users, designs potential solutions, develops specifications, defines and/or defines testing requirements and recommends software/hardware component changes as required. - Participates as needed in development phases with emphasis on the analysis/design, documentation and/or testing, integration, and presentation phases. - Works closely with Requirements Analysts/Business Analyst and developers to ensure proper implementation and/or testing of program and system specifications. - Coordinates the planning for testing efforts and the design of multiple test plans, including developing data-driven test cases. - Responsible for quality assurance, quality control, and system integrity (through testing). - Prepares and delivers presentations on system concepts and/or testing efforts. - Develops work plans and monitors them for adherence to user requirements and work schedules. - Conforms to standards and quality control procedures for requirements definition, design, development, and/or testing and Implementation. - Provides technical guidance to lower staff. - Act as test manager to ensure that all testing is done according to test plans and testing standards. - Must produce hazard analysis documentation to determine whether the system is deployable. Required Education, Experience, & Skills Education: Associates Degree - or high school diploma and at least 6 years of work experience. Minimum Qualifications: - At least six years' experience in design, development, and/or testing of applications. - At least six years' experience creating test data, cases, and scenarios from written requirements. - At least six years' experience in creating, gathering, analyzing, planning, documenting, and/or defining and coordinating test plans and requirements - At least five years' experience with standards and quality control procedures for testing implementation. - At least five years' experience using Use Cases or user stories to create test cases. - At least five years' experience in the system development life cycle, DBMS concepts, and/or design techniques. - At least five years' experience implementing and using automated testing techniques, if required. - At least five years' experience implementing and using continuous integration techniques, if required. - At least three years' experience writing SQL to retrieve and update test data. - Experience with developing test scenarios for use in automated testing frameworks and tools (e.g. Selenium). - Experience with Accessibility (Section 508 compliance) and browsers compatibility testing. - Experience with application performance testing. - Experience as a technical leader of contractor staff. Skills: - Proficiency in creating data-driven test cases, scenarios, and comprehensive test plans derived from written requirements, use cases, or user stories - Ability to write SQL queries to retrieve and update test data and a strong understanding of DBMS concepts. - Deep familiarity with the System Development Life Cycle (SDLC) and various design techniques. - Experience implementing automated testing techniques and continuous integration (CI) workflows. - Expertise in applying quality control procedures and standards to ensure system integrity - Ability to gather information from users, develop technical specifications, and recommend hardware or software changes - Skill in developing work plans, monitoring schedules for adherence, and coordinating multiple testing efforts simultaneously. - Proficiency in documenting test requirements and system concepts - Experience managing and providing guidance to junior staff - Ability to act as a Test Manager, ensuring all activities align with established testing standards. - Ability to prepare and deliver professional presentations on system concepts and testing outcomes - Ability to work cross-functionally with Business Analysts, Requirements Analysts, and developers to ensure proper implementation. Preferred Education, Experience, & Skills In addition to the minimum qualifications, desirable experience includes: experience in multiple test and production environments; the use of version control software; and experience with standard information technology products and environments. Pay Information Full-Time Salary Range: $64926 - $110374 Please note: This range is based on our market pay structures. However, individual salaries are determined by a variety of factors including, but not limited to: business considerations, local market conditions, and internal equity, as well as candidate qualifications, such as skills, education, and experience. Employee Benefits: At BAE Systems, we support our employees in all aspects of their life, including their health and financial well-being. Regular employees scheduled to work 20+ hours per week are offered: health, dental, and vision insurance; health savings accounts; a 401(k) savings plan; disability coverage; and life and accident insurance. We also have an employee assistance program, a legal plan, and other perks including discounts on things like home, auto, and pet insurance. Our leave programs include paid time off, paid holidays, as well as other types of leave, including paid parental, military, bereavement, and any applicable federal and state sick leave. Employees may participate in the company recognition program to receive monetary or non-monetary recognition awards. Other incentives may be available based on position level and/or job specifics. About BAE Systems Intelligence & Security BAE Systems, Inc. is the U.S. subsidiary of BAE Systems plc, an international defense, aerospace and security company which delivers a full range of products and services for air, land and naval forces, as well as advanced electronics, security, information technology solutions and customer support services. Improving the future and protecting lives is an ambitious mission, but it's what we do at BAE Systems. Working here means using your passion and ingenuity where it counts - defending national security with breakthrough technology, superior products, and intelligence solutions. As you develop the latest technology and defend national security, you will continually hone your skills on a team-making a big impact on a global scale. At BAE Systems, you'll find a rewarding career that truly makes a difference. Intelligence & Security (I&S), based in McLean, Virginia, designs and delivers advanced defense, intelligence, and security solutions that support the important missions of our customers. Our pride and dedication shows in everything we do-from intelligence analysis, cyber operations and IT expertise to systems development, systems integration, and operations and maintenance services. Knowing that our work enables the U.S. military and government to recognize, manage and defeat threats inspires us to push ourselves and our technologies to new levels. This position will be posted for at least 5 calendar days. The posting will remain active until the position is filled, or a qualified pool of candidates is identified.

Job Description BAE Systems is seeking a highly skilled Test Engineer with extensive experience in automated testing, continuous integration, and system integrity to support a U.S. Government Civilian contract. This role is centered on translating user stories and use cases into robust test plans and hazard analysis documentation to ensure seamless system deployment. The successful candidate will possess a strong technical foundation in DBMS concepts, knowledge of automated testing tools such as Selenium and understanding of Section 508 compliance, coupled with the leadership experience necessary to manage comprehensive testing phases. In addition to the minimum qualifications below, desirable experience includes experience in multiple test and production environments; the use of version control software; and experience with standard information technology products and environments. Key Responsibilities: - Gathers requirements information from users, designs potential solutions, and/or defines and coordinates test requirements. - Participate as needed in development phases with emphasis on documentation and testing phases. - Works closely with Requirements Analysts/Business Analyst and developers to ensure proper implementation and/or testing of program and system specifications. - Conducts planning for testing efforts and the design of multiple test plans, including developing data-driven test cases. - May be responsible for quality assurance, quality control, and system integrity (through testing). - Provides technical guidance to lower staff. - May act as test manager to ensure that all testing is done according to test plans and testing standards. - May produce hazard analysis documentation to determine whether the system is deployable. Required Education, Experience, & Skills Minimum Qualifications: - At least four years' experience in design, development, and/or testing of applications. - At least four years' experience creating test data, cases/scripts, and scenarios from written requirements. - At least four years' experience in creating, gathering, analyzing, planning, documenting, defining and coordinating test plans and requirements - At least four years' experience with standards and quality control procedures for testing implementation. - At least four years' experience using Use Cases or user stories to create test cases. - At least three years' experience in the system development life cycle, DBMS concepts, and/or design techniques. - At least three years' experience implementing and using automated testing techniques, if required. - At least three years' experience implementing and using continuous integration techniques, if required. - Experience writing SQL queries to retrieve and update test data. - Experience with developing test scenarios for use in automated testing frameworks and tools (e.g. Selenium). - Experience with Accessibility (Section 508 compliance) and browsers compatibility testing. - Experience with application performance testing. - Experience as a technical leader of contractor staff. Skills: - Expertly gathering requirements, designing data-driven test plans, and coordinating the full testing process from design to deployment. - Proficiency in automated testing frameworks (e.g., Selenium) and the implementation of continuous integration techniques. - Experience providing technical guidance to junior staff and managing contractor teams to ensure quality standards are met. - Strong ability to use SQL queries and DBMS concepts to manage and retrieve test data. - Expertise in QA/QC procedures, including application performance testing and Section 508 accessibility compliance. - Ability to translate User Stories and Use Cases into actionable, comprehensive test scenarios. Preferred Education, Experience, & Skills Desirable experience includes experience in multiple test and production environments; the use of version control software; and experience with standard information technology products and environments. Pay Information Full-Time Salary Range: $79365 - $134921 Please note: This range is based on our market pay structures. However, individual salaries are determined by a variety of factors including, but not limited to: business considerations, local market conditions, and internal equity, as well as candidate qualifications, such as skills, education, and experience. Employee Benefits: At BAE Systems, we support our employees in all aspects of their life, including their health and financial well-being. Regular employees scheduled to work 20+ hours per week are offered: health, dental, and vision insurance; health savings accounts; a 401(k) savings plan; disability coverage; and life and accident insurance. We also have an employee assistance program, a legal plan, and other perks including discounts on things like home, auto, and pet insurance. Our leave programs include paid time off, paid holidays, as well as other types of leave, including paid parental, military, bereavement, and any applicable federal and state sick leave. Employees may participate in the company recognition program to receive monetary or non-monetary recognition awards. Other incentives may be available based on position level and/or job specifics. About BAE Systems Intelligence & Security BAE Systems, Inc. is the U.S. subsidiary of BAE Systems plc, an international defense, aerospace and security company which delivers a full range of products and services for air, land and naval forces, as well as advanced electronics, security, information technology solutions and customer support services. Improving the future and protecting lives is an ambitious mission, but it's what we do at BAE Systems. Working here means using your passion and ingenuity where it counts - defending national security with breakthrough technology, superior products, and intelligence solutions. As you develop the latest technology and defend national security, you will continually hone your skills on a team-making a big impact on a global scale. At BAE Systems, you'll find a rewarding career that truly makes a difference. Intelligence & Security (I&S), based in McLean, Virginia, designs and delivers advanced defense, intelligence, and security solutions that support the important missions of our customers. Our pride and dedication shows in everything we do-from intelligence analysis, cyber operations and IT expertise to systems development, systems integration, and operations and maintenance services. Knowing that our work enables the U.S. military and government to recognize, manage and defeat threats inspires us to push ourselves and our technologies to new levels. This position will be posted for at least 5 calendar days. The posting will remain active until the position is filled, or a qualified pool of candidates is identified.