Medical Director - Post-Acute Care Management - Care Transitions - Remote anywhere in US
Optum
Paradise Valley, AZ
1 day ago
$238,000 - $357,500
Job Description
Join Optum as a Medical Director to lead transformative care transitions, ensuring seamless healthcare delivery from hospital to home. Make a significant impact on patient lives while enjoying the flexibility of remote work.
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
Communicate effectively with network and non-network providers
Respond to clinical inquiries and serve as a non-promotional medical contact point
Represent Care Transitions on appropriate external levels
Collaborate with Client Services Team for coordinated care delivery
Contribute to the development of action plans and programs for strategic initiatives
Interact and collaborate with network and community physicians, hospital leaders, and vendors
Provide leadership and guidance for cost management
Regularly meet with Care Transitions’ leadership to review care coordination issues
Provide input on local needs for Analytics Team and Client Services Team
Ensure appropriate management/resolution of local queries regarding patient case management
Participate on the Medical Advisory Board
Provide intermittent, scheduled weekend and evening coverage
Perform other duties and responsibilities 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