Physician Advisor - Remote

UnitedHealth Group•Newtown Township, PA

18d•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. Full-time Remote Physician Advisor Coverage spans from 6 pm - 3 am EST M-Fr One Weekday off per 4-week cycle replaced by SA or SU 6 pm-3 am with set schedules based on business needs to provide adequate staffing of all shifts. There is a shared responsibility for weekend and Holiday coverage by all Physician Advisors. You’ll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges. 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.

Requirements

MD or DO
Board Certified
Current, unrestricted medical license
3+ years of experience in a hospital-based practice setting
Solid clinical knowledge base
Demonstrated computer proficiency
Proven ability to have meaningful and informed conversations with Case Managers and Attending Physicians
Proven solid organization and communication skills
Proven problem solving
Proven to have a team player mentality
Proven superior documentation skills
Ability to work remotely between the hours of 6 pm- 3 am EST, M-F with weekend rotation

Nice To Haves

Proven ability to work independently
Proven self-motivated
Dedicated remote workspace
Work the designated schedule required per business needs

Responsibilities

Promote efficient and effective clinical care of hospitalized patients delivered in a timely, appropriate and cost-effective fashion as guided by evidenced based medicine and regulatory requirements via review of clinical documentation, collaborative telephonic communication and other interactions with hospital client Case Managers and Attending Physicians
Promote payor and provider adherence to all applicable regulatory standards and CMS policy regarding inpatient admissions, observation/outpatient status, and the appropriate status for continued hospital stays
Provide in-depth clinical expertise in the management of specific patient populations to effectively manage length of stay for hospital clients by discussing documented concern and plan of care with treating physicians as it relates to utilization review
Meet performance and quality metrics while incorporating feedback from quality improvement reports and providing exceptional customer service
Function as a vital aspect of a team consisting of other Physician Advisors, Nurses, Administrative Assistants, Clinical Relationship Managers, and Team Leaders with prompt responses to requests for assistance from any members of that team
Performing all applicable administrative tasks, staying abreast of internal policies/procedures, regulatory changes and updates within the business segment, and completing mandatory UHG and Optum Physician Advisor Solutions Learn Source and education modules
Make engagement an area of focus and priority with commitment to the organization, colleagues and team members, as well as our clients