Behavioral Medical Director - Remote

UnitedHealth Group Inc.•New York, NY

63d•$258,000 - $423,000•Remote

About The Position

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. The Behavioral Medical Director is responsible for overseeing and guiding the Utilization Management team. This individual will interact directly with Psychiatrists, Behavioral Health Providers, and other clinical professionals, such as Psychiatric Nurses, who consult on various complex clinical scenarios, processes and programs. The Behavioral Medical Director is part of a team that manages development and implementation of evidence-based treatments and medical expense initiatives and will also advise leadership on system improvement opportunities. They are responsible for timely peer reviews, appeals and consultations with providers and other community-based clinicians, including general practitioners, and will work collaboratively with utilization management, care management, quality, account management, and operations teams. You'll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week.

Requirements

Doctor of Medicine or Osteopathy
Current license to practice as a physician without restrictions and willing to maintain necessary credentials to retain the position
Board certified in Psychiatry and willing to maintain credentials
Experience working in a multidisciplinary clinical team
Knowledge of post-discharge care planning such as home care, discharge planning, care management, and disease management
Computer and typing proficiency, data analysis, and organizational skills
Demonstrated ability to positively interact with other clinicians, management, and all levels of medical and non-medical professionals
Demonstrated understanding of the clinical application of the principles of engagement, empowerment, rehabilitation, and recovery
Demonstrated competence in use of electronic health records as well as associated technology and applications
Proven solid interpersonal skills with ability to communicate and build positive relationships with colleagues
Participate in rotational holiday and call coverage

Nice To Haves

Board certification in Child and Adolescent Psychiatry or Addiction Medicine
3+ years of experience as a practicing psychiatrist post residency
Managed care experience to include familiarity with Utilization Management guidelines
Familiar with behavioral services within the NY, NJ, CT Tri-State area; to include active licensure
Understanding of Medical Behavioral Integration and Whole Person Care concepts and application
Willing to obtain additional state licensure, with support
All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy

Responsibilities

Ensuring delivery of cost-effective quality care that incorporates recovery, resiliency, and person-centered services
Implementation of Level of Care guidelines and Utilization Management protocols
Provide clinical oversight and support to the clinical staff, oversee the management of services at all levels of care in the benefit plan
Keep current regarding Evidence Based Practices and treatment philosophies including those that address Recovery and Resilience
Clinical review and oversight of behavioral health cases in collaboration with multidisciplinary team members
Peer-to-peer consultations
Compliance with state regulations and licensure
Quality assurance and audit readiness for accreditation