Talent.com
Inpatient Care Management Medical Director - Remote
Inpatient Care Management Medical Director - RemoteUnitedHealth Group • Indianapolis, IN, US
Inpatient Care Management Medical Director - Remote

Inpatient Care Management Medical Director - Remote

UnitedHealth Group • Indianapolis, IN, US
30+ days ago
Job type
  • Full-time
  • Remote
Job description

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 diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity 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 U.S. 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
  • Responsible to collaborate 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
  • 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
  • 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
  • Participate in rotational holiday and call coverage
  • Preferred Qualifications :

  • 2+ years of managed care, Quality Management experience and / or administrative leadership experience
  • 2+ years of clinical experience
  • Utilization Management experience
  • All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy.
  • Compensation for this specialty generally ranges from $, to $,. Total cash compensation includes base pay and bonus and is based on several factors including but not limited to local labor markets, education, work experience and may increase over time based on productivity and performance in the role. We comply with all minimum wage laws as applicable. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and k 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.

    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.

    UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

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

    Create a job alert for this search

    Director Care Management • Indianapolis, IN, US

    Related jobs
    MD Appeals Medical Director

    MD Appeals Medical Director

    VirtualVocations • Southport, Indiana, United States
    Full-time
    A company is looking for an Appeals M.Member Appeals to perform clinical reviews and adjudications of appeals and grievances cases. Key Responsibilities Conduct individual case reviews for appeals...Show more
    Last updated: 3 days ago • Promoted
    State Licensed Medical Director

    State Licensed Medical Director

    VirtualVocations • Indianapolis, Indiana, United States
    Full-time
    A company is looking for a Medical Director / Physician Reviewer.Key Responsibilities Review hospital medical records for DRG Clinical Validation and other review activities Develop and update cli...Show more
    Last updated: 30+ days ago • Promoted
    Medical Director

    Medical Director

    Theoria Medical • Columbus, IN, US
    Full-time
    Leading the charge in healthcare innovation, Theoria Medical offers a unique blend of medical excellence and technological advancement, primarily serving the post-acute and primary care sectors.Our...Show more
    Last updated: 30+ days ago • Promoted
    Medical Director (MD or DO)- Indianapolis, IN- Base Salary up to $275K / Year

    Medical Director (MD or DO)- Indianapolis, IN- Base Salary up to $275K / Year

    Nova Medical Centers. • Indianapolis, IN, US
    Full-time
    NOVA MEDICAL CENTERS successfully operates outpatient acute injury care clinics in an Occupational Medicine setting.Services include minor work injury care, NO chronic pain management!Fully integra...Show more
    Last updated: 30+ days ago • Promoted
    Memory Care Director

    Memory Care Director

    American Senior Communities • Indianapolis, IN, US
    Full-time +1
    Clinical and Human Services knowledge : .Understanding social work principles, psychosocial assessments and interventions. Strong understanding of Person-Centered Approach to resident care.Experience ...Show more
    Last updated: 30+ days ago • Promoted
    Medical Director - MN Licensed

    Medical Director - MN Licensed

    VirtualVocations • Southport, Indiana, United States
    Full-time
    A company is looking for a Medical Director for Medical Claims Review, working remotely.Key Responsibilities Conduct coverage reviews based on individual member plan benefits and national policie...Show more
    Last updated: 1 day ago • Promoted
    State Licensed Associate Medical Director

    State Licensed Associate Medical Director

    VirtualVocations • Southport, Indiana, United States
    Full-time
    A company is looking for an Associate Medical Director - PRN (Remote U.Key Responsibilities Oversee clinical decision-making aspects of the Utilization Management program Collaborate with Region...Show more
    Last updated: 30+ days ago • Promoted
    Physician / Cardiology / Indiana / Permanent / Associate Medical Director - Cardiology - 100% Remote

    Physician / Cardiology / Indiana / Permanent / Associate Medical Director - Cardiology - 100% Remote

    eviCore healthcare • Indianapolis, IN, US
    Remote
    Part-time
    Provides timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria while located in a state or territory of the United Sta...Show more
    Last updated: 30+ days ago • Promoted
    Director - LEM

    Director - LEM

    Eli Lilly • Indianapolis, IN, US
    Full-time
    At Lilly, we unite caring with discovery to make life better for people around the world.We are a global healthcare leader headquartered in Indianapolis, Indiana. Our employees around the world work...Show more
    Last updated: 30+ days ago
    Physician / Oncology / Indiana / Permanent / Associate Medical Director - Oncology - 100% Remote

    Physician / Oncology / Indiana / Permanent / Associate Medical Director - Oncology - 100% Remote

    eviCore healthcare • Indianapolis, IN, US
    Remote
    Part-time
    Provides timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria while located in a state or territory of the United Sta...Show more
    Last updated: 30+ days ago • Promoted
    Divisional Director of MDS / Assessment Reimbursement

    Divisional Director of MDS / Assessment Reimbursement

    CommuniCare Corporate • Indianapolis, IN, US
    Full-time
    Divisional Director Of MDS / Assessment Reimbursement.Communicare Health Services is now recruiting to fill the key position of Divisional Director of MDS / Assessment Reimbursement.We are looking ...Show more
    Last updated: 2 days ago • Promoted
    Travel Medical-Surgical RN (Telemetry)

    Travel Medical-Surgical RN (Telemetry)

    ADEX Healthcare Staffing LLC • Lebanon, IN, US
    Full-time
    ADEX Healthcare Staffing LLC is seeking a travel nurse RN Med Surg for a travel nursing job in Lebanon, Indiana.Job Description & Requirements. Pay package is based on 12 hour shifts and 36 hour...Show more
    Last updated: 11 days ago • Promoted
    Director of Enhanced Care Management

    Director of Enhanced Care Management

    VirtualVocations • Southport, Indiana, United States
    Full-time
    A company is looking for a Director of Enhanced Care Management.Key Responsibilities Direct and oversee operations of the enhanced care management program Supervise Clinical Managers, Clinical C...Show more
    Last updated: 3 days ago • Promoted
    Florida Licensed Medical Director

    Florida Licensed Medical Director

    VirtualVocations • Southport, Indiana, United States
    Full-time
    A company is looking for a Medical Director - Licensed and Residency in Florida - Remote.Key Responsibilities Conduct coverage reviews and render coverage determinations based on member plan bene...Show more
    Last updated: 30+ days ago • Promoted
    Associate Medical Director, Metabolic Health

    Associate Medical Director, Metabolic Health

    VirtualVocations • Southport, Indiana, United States
    Full-time
    A company is looking for an Associate Medical Director, Metabolic Health.Key Responsibilities Provide medical leadership for the metabolic health prescribing program and supervise advanced practi...Show more
    Last updated: 2 days ago • Promoted
    State Licensed Patient Care Director

    State Licensed Patient Care Director

    VirtualVocations • Indianapolis, Indiana, United States
    Full-time
    A company is looking for a Director, Patient Care to lead and evolve their Care Navigation and Clinical teams.Key Responsibilities Lead and develop a high-performing Patient Care organization Es...Show more
    Last updated: 2 days ago • Promoted
    Senior Medical Director - Psychiatrist - Remote Based

    Senior Medical Director - Psychiatrist - Remote Based

    Syneos Health / inVentiv Health Commercial LLC • Indianapolis, IN, United States
    Remote
    Full-time
    Senior Medical Director - Psychiatrist - Remote Based.Syneos Health is a leading fully integrated biopharmaceutical solutions organization built to accelerate customer success.We translate unique c...Show more
    Last updated: 11 days ago • Promoted
    US Licensed Associate Medical Director

    US Licensed Associate Medical Director

    VirtualVocations • Indianapolis, Indiana, United States
    Full-time
    A company is looking for an Associate Medical Director to drive medical strategy and oversight across its clinical trial portfolio. Key Responsibilities Provide medical monitoring and safety overs...Show more
    Last updated: 4 days ago • Promoted
    Director Sterility Assurance

    Director Sterility Assurance

    Eli Lilly • Indianapolis, IN, US
    Full-time
    Sterility Assurance Technical Leader.At Lilly, we unite caring with discovery to make life better for people around the world. We are a global healthcare leader headquartered in Indianapolis, Indian...Show more
    Last updated: 30+ days ago • Promoted
    Director, Clinical Account Management

    Director, Clinical Account Management

    Apex Benefits Group • Indianapolis, IN, United States
    Remote
    Full-time
    Quick Apply
    Are you interested in joining a successfully growing organization that has been recognized for over a decade as a Best Place to Work, recipient of Healthiest Workplace awards, and The Platinum Bell...Show more
    Last updated: 4 days ago