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

Optum

Montebello, CA
1 day ago
$286,104 - $397,743

Job Description

Join Optum as a Medical Director to lead transformative care transitions for patients, enhancing their health journey from hospital to home. This role offers the opportunity to make a significant impact on patient care while working remotely.

Key Responsibilities

  • Provide daily utilization oversight and external communication with network physicians and hospitals
  • Conduct daily UM reviews and authorizations
  • Conduct peer-to-peer conversations for clinical case reviews
  • Communicate effectively with providers regarding care transitions
  • Respond to clinical inquiries and serve as a medical contact point
  • Collaborate with Client Services Team for coordinated care delivery
  • Contribute to the development of action plans and programs
  • Interact with network and community physicians and hospital leaders
  • Provide leadership and guidance for cost management
  • Participate on the Medical Advisory Board

Required Qualifications

  • Board certification as an MD, DO, MBBS
  • Current unrestricted medical license
  • 3+ years of post-residency patient care experience

Preferred Qualifications

  • Licensure in multiple states
  • Understanding of population-based medicine
  • Demonstrated ability to work within a team environment

Benefits & Perks

Comprehensive benefits packageIncentive and recognition programsEquity stock purchase401k contribution