Talent.com
Medical Director - Post-Acute Care Management - Care Transitions - Remote
Medical Director - Post-Acute Care Management - Care Transitions - RemoteUnitedHealth Group • Baltimore, Maryland, United States
No se aceptan más aplicaciones
Medical Director - Post-Acute Care Management - Care Transitions - Remote

Medical Director - Post-Acute Care Management - Care Transitions - Remote

UnitedHealth Group • Baltimore, Maryland, United States
Hace 23 horas
Tipo de contrato
  • A tiempo completo
  • Teletrabajo
Descripción del trabajo

Optum Home & Community Care, part of the UnitedHealth Group family of businesses, is creating something new in health care. We are uniting industry-leading solutions to build an integrated care model that holistically addresses an individual's physical, mental and social needs - helping patients access and navigate care anytime and anywhere.

As a team member of our naviHealth product, we help change the way health care is delivered from hospital to home supporting patients transitioning across care settings. This life-changing work helps give older adults more days at home.

We're connecting care to create a seamless health journey for patients across care settings. Join us to start

  • Caring. Connecting. Growing together.
  • Why naviHealth?

At naviHealth, our mission is to work with extraordinarily talented people who are committed to making a positive and powerful impact on society by transforming health care. naviHealth is the result of almost two decades of dedicated visionary leaders and innovative organizations challenging the status quo for care transition solutions. We do health care differently and we are changing health care one patient at a time. Moreover, have a genuine passion and energy to grow within an aggressive and fun environment, using the latest technologies in alignment with the company's technical vision and strategy.

You'll enjoy the flexibility to work remotely

  • from anywhere within the U.S. as you take on some tough challenges. We are currently looking for Medical Directors that can work daytime in any of the continental time zones in the US.
  • Primary Responsibilities :
  • Provide daily utilization oversight and external communication with network physicians and hospitals
  • Daily UM reviews - authorizations and denial reviews
  • Conduct peer to peer conversations for the clinical case reviews, as needed
  • Conduct provider telephonic review and discussion and share tools, information, and guidelines as they relate to cost-effective healthcare delivery and quality of care
  • Communicate effectively with network and non-network providers to ensure the successful administering of Care Transitions' services
  • Respond to clinical inquiries and serve as a non-promotional medical contact point for various healthcare providers
  • Represent Care Transitions on appropriate external levels identifying, engaging and establishing / maintaining relationships with other thought leaders
  • Collaborate with Client Services Team to ensure a coordinated approach to delivery system providers
  • Contribute to the development of action plans and programs to implement strategic initiatives and tactics to address areas of concern and monitor progress toward goals
  • Interact, communicate, and collaborate with network and community physicians, hospital leaders and other vendors regarding care and services for enrollees
  • Provide leadership and guidance to maximize cost management through close coordination with all network and provider contracting
  • Regularly meet with Care Transitions' leadership to review care coordination issues, develop collaborative intervention plans, and share ideas about network management issues
  • Provide input on local needs for Analytics Team and Client Services Team to better enhance Care Transitions' products and services
  • Ensure appropriate management / resolution of local queries regarding patient case management either by responding directly or routing these inquiries to the appropriate SME
  • Participate on the Medical Advisory Board
  • Providing intermittent, scheduled weekend and evening coverage
  • Perform other duties and responsibilities as required, assigned, or requested
  • 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 :
  • Board certification as an MD, DO, MBBS with a current unrestricted license to practice and maintain necessary credentials to retain the position
  • Current, unrestricted medical license and the ability to obtain licensure in multiple states
  • 3+ years of post-residency patient care, preferably in inpatient or post-acute setting
  • Preferred Qualifications :
  • Licensure in multiple states
  • Willing to obtain additional state licenses, with Optum's support
  • Understanding of population-based medicine, preferably with knowledge of CMS criteria for post-acute care
  • Demonstrated ability to work within a team environment while completing multiple tasks simultaneously
  • Demonstrated ability to complete assignments with reasonable oversight, direction, and supervision
  • Demonstrated ability to positively interact with other clinicians, management, and all levels of medical and non-medical professionals
  • Demonstrated competence in use of electronic health records as well as associated technology and applications
  • Proven excellent organizational, analytical, verbal and written communication skills
  • Proven solid interpersonal skills with ability to communicate and build positive relationships with colleagues
  • Proven highest level of ethics and integrity
  • Proven highly motivated, flexible and adaptable to working in a fast-paced, dynamic environment
  • All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
  • California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Rhode Island, Washington
  • or
  • Washington, D.C. Residents Only :
  • The salary range for this role is $286,104 to $397,743 annually. Salary Range is defined as total cash compensation at target. The actual range and pay mix of base and bonus is variable based upon experience and metric achievement. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives.

  • Application Deadline :
  • This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

    _At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._

    _Diversity creates a healthier atmosphere : UnitedHealth Group is an Equal Employment Opportunity / Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law._

    _UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment._

    Crear una alerta de empleo para esta búsqueda

    Director Care Management • Baltimore, Maryland, United States

    Ofertas relacionadas
    Medicare Medical Director (MD)

    Medicare Medical Director (MD)

    The Alliance • MD, United States
    A tiempo completo +1
    Medicare Medical Director (MD).This is a hybrid position with the expectation to work in our service area(s) 1-2 days per week. The Alliance service area includes Santa Cruz, Monterey, Merced, San B...Mostrar más
    Última actualización: hace 15 días • Oferta promocionada
    Field Medical Director, Oncology, Malignant Hematology, Mid-Atlantic (non-MD)

    Field Medical Director, Oncology, Malignant Hematology, Mid-Atlantic (non-MD)

    Pfizer • MD, United States
    A tiempo completo
    Why Patients Need You The Oncology Field Medical, Director is responsible for providing therapeutic area / product expertise for the malignant hematology therapeutic area across a broad range of Med...Mostrar más
    Última actualización: hace 13 días • Oferta promocionada
    Medical Director

    Medical Director

    Corebridge Financial • MD, United States
    A tiempo completo
    Be among the first 25 applicants.At Corebridge Financial, we believe action is everything.That’s why every day we partner with financial professionals and institutions to make it possible for more ...Mostrar más
    Última actualización: hace más de 30 días • Oferta promocionada
    MPRC Medical Director

    MPRC Medical Director

    University of Maryland, Baltimore • Baltimore, MD, United States
    A tiempo completo +1
    The Department of Psychiatry at the University of Maryland School of Medicine is recruiting for a full-time Medical Director at the Maryland Psychiatric Research Center (MPRC) to provide clinical c...Mostrar más
    Última actualización: hace más de 30 días • Oferta promocionada
    Medical Director - MD / DO

    Medical Director - MD / DO

    Wellpath / Correct Care Solutions • MD, United States
    A tiempo completo
    We're on a path to better healthcare.Make a difference every day in the lives of the underserved.Join a mission driven organization with a people first culture. Excellent career growth opportunities...Mostrar más
    Última actualización: hace más de 30 días • Oferta promocionada
    Medical Director / Sr. Medical Director, Clinical Development Remote - United States

    Medical Director / Sr. Medical Director, Clinical Development Remote - United States

    BridgeBio Pharma • MD, United States
    Teletrabajo
    Temporal
    When was the last time you achieved the impossible? If that thought feels overwhelming, you might want to pause here, but if it sparks excitement…read on. In 2015, we pioneered a “moneyball for biot...Mostrar más
    Última actualización: hace 15 días • Oferta promocionada
    Medical Director (Hybrid)

    Medical Director (Hybrid)

    CareFirst, Inc. • Baltimore, MD, United States
    A tiempo completo
    The Medical Director oversees all activities of utilization review, care management and quality to determine the medical effectiveness of proposed treatments and approve care management plans.The c...Mostrar más
    Última actualización: hace 4 días • Oferta promocionada
    Medical Director Bloomfield, PA

    Medical Director Bloomfield, PA

    Staatliche Hochschule für Musik und Darstellende Kunst Mannheim • MD, United States
    A tiempo completo
    C is a nationwide network of advanced practice providers and specialty clinicians committed to delivering high-quality, proactive care directly to residents in skilled nursing and long-term care fa...Mostrar más
    Última actualización: hace más de 30 días • Oferta promocionada
    Medical Director Vermont, United States

    Medical Director Vermont, United States

    Side Hamburg • MD, United States
    A tiempo completo
    C is a nationwide network of advanced practice providers and specialty clinicians committed to delivering high-quality, proactive care directly to residents in skilled nursing and long-term care fa...Mostrar más
    Última actualización: hace más de 30 días • Oferta promocionada
    Director, Division of Pediatric Cardiology

    Director, Division of Pediatric Cardiology

    Johns Hopkins University • Baltimore, MD, United States
    A tiempo completo
    The Johns Hopkins University School of Medicine is seeking qualified candidates with a strong history of academic medical leadership, clinical expertise and scholarship to lead the Division of Pedi...Mostrar más
    Última actualización: hace 6 horas • Oferta promocionada • Nueva oferta
    Director, Medical Laboratories

    Director, Medical Laboratories

    UVA Health • Baltimore, MD, United States
    A tiempo completo
    RELOCATE TO VIRGINIA OPPORTUNITY.Join our esteemed team of healthcare professionals committed to advancing healthcare through cutting-edge research, comprehensive training, and compassionate care.U...Mostrar más
    Última actualización: hace 5 días • Oferta promocionada
    Medical Director

    Medical Director

    Blue Cross of Idaho • MD, United States
    A tiempo completo
    Medical Director page is loaded## Medical Directorlocations : Meridian - Maintime type : Full timeposted on : Posted 5 Days Agojob requisition id : R3176Blue Cross of Idaho is looking for a Med...Mostrar más
    Última actualización: hace 15 días • Oferta promocionada
    Medical Director

    Medical Director

    Nucs AI, Inc. • MD, United States
    A tiempo completo
    Nucs AI is a pioneering MedTech startup focused on transforming prostate cancer care through advanced AI-driven software solutions. Our mission is to deliver personalized treatment options that enha...Mostrar más
    Última actualización: hace más de 30 días • Oferta promocionada
    Medical Director / Sr. Medical Director, Clinical Development Remote - United States

    Medical Director / Sr. Medical Director, Clinical Development Remote - United States

    BridgeBio Inc. • MD, United States
    Teletrabajo
    Temporal
    Medical Director, Clinical Development.When was the last time you achieved the impossible? If that thought feels overwhelming, you might want to pause here, but if it sparks excitement.In 2015, we ...Mostrar más
    Última actualización: hace 15 días • Oferta promocionada
    Medical Director Barre, VT

    Medical Director Barre, VT

    OptiRoi Media • MD, United States
    A tiempo completo
    Our partnership with MedElite Healthcare Management Group empowers us to focus on what matters most : providing compassionate, personalized care that meets the unique needs of each resident.Together...Mostrar más
    Última actualización: hace más de 30 días • Oferta promocionada
    Medical Director - Epilepsy Program

    Medical Director - Epilepsy Program

    Capital Health • MD, United States
    A tiempo completo +1
    Medical Director - Epilepsy Program page is loaded## Medical Director - Epilepsy Programlocations : Cap Inst Neuro Lawrencetime type : Full timeposted on : Posted Todayjob requisition id : JR10...Mostrar más
    Última actualización: hace 13 días • Oferta promocionada
    Hospitalist Medical Director

    Hospitalist Medical Director

    US Acute Care Solutions • Randallstown, MD, US
    A tiempo completo
    As a Hospitalist Medical Director with USACS, you'll be responsible for managing hospitalist medicine services by collaborating with the hospital and nursing leadership while offering support to yo...Mostrar más
    Última actualización: hace 1 día • Oferta promocionada
    Medical Director

    Medical Director

    Dr. Mehta's Hospitals • MD, United States
    A tiempo completo
    Career at Dr Mehta's Hospital | Full Time.Education : MBBS or equivalent medical degree from a recognized institution.Certifications : Basic Life Support (BLS) and Advanced Cardiac Life Support (ACLS...Mostrar más
    Última actualización: hace más de 30 días • Oferta promocionada