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Inpatient Medical Director - Remote - Florida residency and license required

UnitedHealth Group

RemoteJacksonville, AlabamaFellowshipStaff$248.5k – $373k/yr
Sign in to applyVerified 2h ago
Location
Jacksonville, Alabama
Employment
Fellowship
Work model
Remote
Level
Staff
Salary
$248.5k – $373k/yr

About this role

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. 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 state of Florida as you take on some tough challenges.

Primary Responsibilities

Participate in telephonic outreach for collaboration with treating providers. This will include discussion of evidence-based guidelines, opportunities to close clinical quality / service gaps, and care plan changes that can impact health care expenses Collaborating with operational and business partners on clinical and quality initiatives at the site and customer level to address customer expectations Is grounded in the use and application of evidence-based medicine (EBM) such as InterQual care guidelines and criteria review Occasionally, may participate in periodic market oversight meetings with the outward facing 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 Although the Optum ICM Medical Director's work is typically concentrated in a region, they are part of a national organization and team, and collaborate with peers, nurse managers, and non-clinical employees from across the country. In response to customer needs and expectations, Optum is continuously modifying its programs and approaches. Although not a primary job function, Medical Directors with the interest in doing so often can be involved with change design and management. 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.

Required Qualifications

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 Preferred Qualifications: 2+ years of managed care, Quality Management experience and/or administrative leadership experience UM experience Clinical experience within the past 2 years *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary

Listing verified 2h ago. Applications go through the company's official careers site.

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Inpatient Medical Director - Remote - Florida residency and license required at UnitedHealth Group, Jacksonville, Alabama | Yoinka