Per diem ICM Medical Director - Weekends - Remote

UnitedHealth Group•Tampa, FL

20h•Remote

About The Position

Optum is seeking a per diem Inpatient Care Management Medical Director to join their team. This role focuses on conducting acute level of care and length of stay reviews for medical necessity for members within the continuum of care. The clients include local and national commercial employer, Medicare, and state Medicaid plans. Medical Directors collaborate with nurses and support staff to manage inpatient care utilization at various levels (hospital, market, regional, or national). The position offers the flexibility to work remotely from anywhere within the U.S. and involves challenges that directly improve health outcomes by connecting people with the care, pharmacy benefits, data, and resources they need. The company culture is guided by inclusion, talented peers, comprehensive benefits, and career development opportunities, aiming to advance health optimization on a global scale.

Requirements

MD or DO with an active, unrestricted medical license.
Current Board Certification in an ABMS or AOA specialty.
3+ years of clinical practice experience post residency.
Technical proficiency in computer software and systems.
Private home office and access to high-speed Internet.
Ability to complete all required training within 30 days from start date.
Ability to work a minimum of 10 hours per week.

Nice To Haves

2+ years of managed care, quality management experience and/or administrative leadership experience.
UM experience.
Clinical experience within the past 2 years.

Responsibilities

Participate in telephonic outreach for collaboration with treating providers, discussing evidence-based guidelines, opportunities to close clinical quality/service gaps, and care plan changes impacting healthcare 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.
Participate in rotational holiday and call coverage.
Maintain proficiency in all required software and platforms.
Complete all required training within 30 days from the start date.