Medical Director - Post-Acute Care Management - Care Transitions - Remote anywhere in US
Optum
Seattle, WA
1 day ago
$238,000 - $357,500
Job Description
Join Optum as a Medical Director in Post-Acute Care Management to lead transformative healthcare delivery for patients transitioning from hospital to home. This role offers the flexibility to work remotely while making a significant impact on patient care.
Key Responsibilities
Provide daily utilization oversight and external communication with network physicians and hospitals
Conduct daily UM reviews - authorizations and denial reviews
Conduct peer to peer conversations for clinical case reviews as needed
Conduct provider telephonic review and discussion regarding cost-effective healthcare delivery and quality of care
Communicate effectively with network and non-network providers to ensure successful service administration
Respond to clinical inquiries and serve as a non-promotional medical contact point
Represent Care Transitions on appropriate external levels and establish relationships with thought leaders
Collaborate with Client Services Team for coordinated approach to delivery system providers
Contribute to action plans and programs for strategic initiatives
Interact and collaborate with network and community physicians and hospital leaders
Provide leadership to maximize cost management through coordination with network and provider contracting
Regularly meet with leadership to review care coordination issues and develop intervention plans
Provide input on local needs for Analytics Team and Client Services Team
Manage local queries regarding patient case management
Participate on the Medical Advisory Board
Provide intermittent, scheduled weekend and evening coverage
Perform other duties as required
Required Qualifications
Board certification as an MD, DO, MBBS with a current unrestricted license to practice
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
Benefits & Perks
Comprehensive benefits packageIncentive and recognition programsEquity stock purchase401k contribution