[Hiring] Per diem ICM Medical Director @UnitedHealth Group

Role Description

We are currently seeking a per diem 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, including discussion of evidence-based guidelines, opportunities to close clinical quality/service gaps, and care plan changes that can impact health care expenses.
• Collaborate with operational and business partners on clinical and quality initiatives at the site and customer level to address customer expectations.
• Grounded in the use and application of 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.
• Complete all required training within 30 days from start date.
• Collaborate with peers, nurse managers, and non-clinical employees from across the country.
• Involved with change design and management, if interested.

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.

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.
• Ability to complete all required training within 30 days from start date.
• Ability to work a minimum of 10 hours per week.

Requirements

• 2+ years of managed care, quality management experience and/or administrative leadership experience (preferred).
• UM experience (preferred).
• Clinical experience within the past 2 years (preferred).
• All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy.

Benefits

• Compensation generally ranges from $119.47 - $179.33 per hour.
• Total cash compensation includes base pay and bonus based on several factors including local labor markets, education, work experience, and may increase over time based on productivity and performance.
• Comprehensive benefits package.
• Incentive and recognition programs.
• Equity stock purchase and 401k contribution (subject to eligibility requirements).
• 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.