Inpatient Care Management Medical Director - Remote

UnitedHealth Group • Phoenix, AZ

90d • $286,104 - $397,743 • 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 diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. We are currently seeking an Inpatient Care Management Medical Director to join our Optum team. This team is responsible for conducting acute level of care and length of stay reviews for medical necessity for our members being managed within the continuum of care. Our clients include local and national commercial employer, Medicare, and state Medicaid plans. The Medical Directors work with groups of nurses and support staff to manage inpatient care utilization at a hospital, market, regional or national level. You'll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges.

Requirements

• MD or DO with an active, unrestricted medical license.
• Current Board Certification in an ABMS or AOBMS specialty.
• 3+ years of clinical practice experience post residency.
• Private home office and access to high-speed Internet.
• Technical proficiency in computer software and systems.

Nice To Haves

• Licensure in either HI, AK, OR, ID, WA, UT a plus.
• 2+ years of managed care, Quality Management experience and/or administrative leadership experience.
• Prior UM experience.
• Clinical experience within the past 2 years.

Responsibilities

• Participate in telephonic outreach for collaboration with treating providers.
• Discuss evidence-based guidelines, opportunities to close clinical quality/service gaps, and care plan changes that can impact health care expenses.
• Collaborate with operational and business partners on clinical and quality initiatives at the site and customer level to address customer expectations.
• Utilize and apply evidence-based medicine (EBM) such as InterQual care guidelines and criteria review.
• Occasionally participate in periodic market oversight meetings with Chief Medical Officers, network contractors, nurse management and other internal managers.
• Maintain proficiency in all required software and platforms.
• Collaborate with peers, nurse managers, and non-clinical employees from across the country.

Benefits

• Comprehensive benefits package.
• Incentive and recognition programs.
• Equity stock purchase.
• 401k contribution.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Industry: Insurance Carriers and Related Activities
• Education Level: No Education Listed