Medical Director Case Management Telecommute

Employer
UnitedHealth Group
Location
Grosse Pointe, Michigan
Posted
Apr 02, 2021
Closes
Apr 10, 2021
Ref
ec76b3e8d8e7
Organization Type
Corporate
Medical Director careers at UnitedHealth Group are anything but ordinary. We push ourselves and each other to find smarter solutions. The result is a culture of performance that's driving the health care industry forward. Instead of seeing one patient at a time, you have the opportunity to impact health care trend across the population with data driven information and tools to drive evidence based care. Join us. And start doing your life's best work.(sm)

You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:


  • Support case and disease management teams to achieve optimal clinical outcomes for high risk populations

  • Proficient in evidence based clinical guidelines and lead clinical discussions with nursing teams

  • Primary functions include RN case manager support and consultation about high risk members and assisting in account management team presentations

  • Be involved 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

  • Serve to develop, improve, and evaluate the critical thinking skills of the nurses, to achieve the highest quality and efficiency outcomes.

  • Provide leadership, training, and coaching for nurses in: Clinical opportunity identification, intervention, and care plan development

  • Responsible to collaborate with operational and business partners on clinical and quality initiatives at the site and customer level to address customer expectations

  • Effectively engage and articulate the Optum and UHC value story to our external constituents such as physicians and our customers

  • There may also be opportunities to engage medical and specialty societies, hospitals and hospital associations, and state regulators

  • Deliver the clinical value proposition focused on quality, affordability and service, in support of the sales and growth activities including conducting Broker / Client presentations and participating in customer consultations

  • By providing 70 million Americans with information, tools and solutions, we are helping to guide them through the health care system, financing their health care needs, and enabling them to achieve their personal health and well - being goals

  • At Optum, you will perform within an innovative culture that's focused on transformational change in the health care system. You will leverage your skills across a diverse and multi-faceted business. And you will make contributions that will have an impact that's greater than you've ever imagined



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 AOBMS specialty

  • 5+ years clinical practice experience

  • Excellent written and oral communication skills

  • Solid data analysis and interpretation skills; Ability to focus on key metrics

  • Proficiency with Microsoft Office applications

  • If you need to enter a work site for any reason, you will be required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or a similar UnitedHealth Group-approved symptom screener. Employees must comply with any state and local masking orders. In addition, when in a UnitedHealth Group building, employees are expected to wear a mask in areas where physical distancing cannot be attained



Preferred Qualifications:


  • 2+ years managed care, including Quality Management experience and / or administrative leadership experience



Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm)

Colorado Residents Only: The salary range for Colorado residents is $169,500 to $322,500. Pay is based on several factors including but not limited to education, work experience, certifications, etc. As of the date of this posting, In addition to your salary, UHG offers the following benefits for this position, subject to applicable eligibility requirements: Health, dental, and vision plans; wellness program; flexible spending accounts; paid parking or public transportation costs; 401(k) retirement plan; employee stock purchase plan; life insurance, short-term disability insurance, and long-term disability insurance; business travel accident insurance; Employee Assistance Program; PTO; and employee-paid critical illness and accident insurance.

*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

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

Job Keywords: Medical Director , Telecommute, Telecommuter, Telecommuting, Work at Home, Work from Home, Remote