Inpatient Medical Director - Remote - Florida residency and license required

UnitedHealth Group•Tampa, FL

3d•$248,500 - $373,000•Remote

About The Position

Optum is seeking an 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. The Medical Directors collaborate with nurses and support staff to manage inpatient care utilization at various levels (hospital, market, regional, or national). The position offers remote work flexibility within the state of Florida.

Requirements

MD or DO with an active, unrestricted medical license in the state of Florida
Currently reside in the state of Florida
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 participate in rotational holidays and call coverage
Pass a drug test before beginning employment

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.
Collaborate with peers, nurse managers, and non-clinical employees from across the country.
Potentially be involved with change design and management in response to customer needs and expectations.