Talent.com
serp_jobs.error_messages.no_longer_accepting
Inpatient Care Management Medical Director - Remote

Inpatient Care Management Medical Director - Remote

OptumOmaha, NE, United States
job_description.job_card.30_days_ago
serp_jobs.job_preview.job_type
  • serp_jobs.job_card.full_time
  • serp_jobs.filters.remote
job_description.job_card.job_description

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together .

We are currently seeking an 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.

Youll 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. 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
  • Responsible to collaborate with operational and business partners on clinical and quality initiatives at the site and customer level to address customer expectations
  • Is grounded in the use and application of evidence-based medicine (EBM) such as InterQual care guidelines and criteria review
  • Occasionally, may participate in periodic market oversight meetings with the outward facing Chief Medical Officers, network contractors, nurse management and other internal managers
  • Maintain proficiency in all required software and platforms
  • Although the Optum ICM Medical Director's work is typically concentrated in a region, they are part of a national organization and team, and collaborate with peers, nurse managers, and non-clinical employees from across the country. In response to customer needs and expectations, Optum is continuously modifying its programs and approaches. Although not a primary job function, Medical Directors with the interest in doing so often can be involved with change design and management.

    Youll 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 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
  • Participate in rotational holiday and call coverage
  • Preferred Qualifications :

  • 2+ years of managed care, Quality Management experience and / or administrative leadership experience
  • Clinical experience in the past 2 years
  • Utilization Management experience
  • All employees working remotely will be required to adhere to UnitedHealth Groups Telecommuter Policy.
  • Compensation for this specialty generally ranges from $238,000 to $357,500. Total cash compensation includes base pay and bonus and is based on several factors including but not limited to local labor markets, education, work experience and may increase over time based on productivity and performance in the role. We comply with all minimum wage laws as applicable. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, youll find 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.

    At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyoneof every race, gender, sexuality, age, location and incomedeserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes an enterprise priority reflected in our mission.

    UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

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

    Required

    Preferred

    Job Industries

  • Healthcare
  • serp_jobs.job_alerts.create_a_job

    Director Care Management • Omaha, NE, United States

    Job_description.internal_linking.related_jobs
    • serp_jobs.job_card.promoted
    • serp_jobs.job_card.new
    Travel Nurse RN - Med Surg / Telemetry - $2,236 per week

    Travel Nurse RN - Med Surg / Telemetry - $2,236 per week

    Ardor Health SolutionsLittle Sioux, IA, United States
    serp_jobs.job_card.full_time
    Ardor Health Solutions is seeking a travel nurse RN Med Surg / Telemetry for a travel nursing job in Sioux, Iowa.Job Description & Requirements. Ardor Health Solutions is looking for a Medical Surgi...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
    • serp_jobs.job_card.promoted
    Travel MRI Tech - $2,903 to $3,082 per week in Omaha, NE

    Travel MRI Tech - $2,903 to $3,082 per week in Omaha, NE

    AlliedTravelCareersBellevue, Nebraska, US
    serp_jobs.job_card.full_time
    AlliedTravelCareers is working with Host Healthcare to find a qualified MRI Tech in Omaha, Nebraska, 68105!.Host Healthcare is an award-winning travel healthcare company with an immediate opening f...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Associate Clinical Director

    Associate Clinical Director

    Heartland Family ServiceOmaha, NE, US
    serp_jobs.job_card.full_time
    At Heartland Family Service, we are committed to building a culture that is trauma informed and values and celebrates diversity and inclusion. We believe this allows for better service delivery and ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
    • serp_jobs.job_card.promoted
    Clinic Director

    Clinic Director

    Universal Health ServicesOmaha, NE, US
    serp_jobs.job_card.full_time
    Horizon Health is seeking a Program Director for our brand new outpatient mental health clinic called Thousand Branches Wellness in Omaha, NE. This position will include but is not limited to assess...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Travel MRI Tech - $2,039 to $2,260 per week in Lincoln, NE

    Travel MRI Tech - $2,039 to $2,260 per week in Lincoln, NE

    AlliedTravelCareersBellevue, Nebraska, US
    serp_jobs.job_card.full_time
    AlliedTravelCareers is working with LRS Healthcare to find a qualified MRI Tech in Lincoln, Nebraska, 68510!.Ready to start your next travel adventure? LRS Healthcare offers a full benefits package...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
    • serp_jobs.job_card.promoted
    Director Nursing Regional Float

    Director Nursing Regional Float

    Common Spirit HealthMissouri Valley, IA, US
    serp_jobs.job_card.full_time
    Director Nursing Regional Float.The Director of Nursing maintains direct operational responsibility for specific departments and programs on an assigned campus : additional direct management and / or ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Director of Nursing (DON) / Director of Health and Wellness

    Director of Nursing (DON) / Director of Health and Wellness

    Chapters Living of Council BluffsCouncil Bluffs, IA, US
    serp_jobs.job_card.full_time
    Oversee the implementation and evaluation of care plans to ensure the provision of comprehensive and person-centered care. Monitor residents' health conditions, medication administration, and co...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Interim Director of Nursing

    Interim Director of Nursing

    Bravo Recruiting Solutions CorpOmaha, NE, US
    serp_jobs.job_card.full_time +1
    Job Title : Interim Director of Nursing.Bravo Recruiting Solutions Corp.Interim Director of Nursing to lead our nursing department during a transitional period. The ideal candidate will have strong c...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Travel MRI Tech - $1,919 to $2,206 per week in Lincoln, NE

    Travel MRI Tech - $1,919 to $2,206 per week in Lincoln, NE

    AlliedTravelCareersBellevue, Nebraska, US
    serp_jobs.job_card.full_time
    AlliedTravelCareers is working with Fusion Medical Staffing to find a qualified MRI Tech in Lincoln, Nebraska, 68510!.Fusion Medical Staffing is seeking a skilled MRI Tech for a 13-week travel assi...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
    • serp_jobs.job_card.promoted
    Travel MRI Tech - $2,234 per week in Lincoln, NE

    Travel MRI Tech - $2,234 per week in Lincoln, NE

    AlliedTravelCareersBellevue, Nebraska, US
    serp_jobs.job_card.full_time
    AlliedTravelCareers is working with Triage Staffing LLC to find a qualified MRI Tech in Lincoln, Nebraska, 68501!.Travel Radiology : MRI Tech Lincoln, NE. Shift Details : 8H Days (12 : 00 AM-12 : 00 PM)...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
    • serp_jobs.job_card.promoted
    Director, Provider Data Management - Inventory Management - Remote

    Director, Provider Data Management - Inventory Management - Remote

    Veterans StaffingOmaha, NE, US
    serp_jobs.filters.remote
    serp_jobs.job_card.full_time
    Responsible for accurate and timely maintenance of critical provider information on all claims and provider databases.Maintains critical provider information on all claims and provider databases.Sy...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Patient Access Director II

    Patient Access Director II

    Tenet HealthcareOmaha, NE, US
    serp_jobs.job_card.full_time
    Focus on the core content of the job post, removing all extra metadata, navigation mentions, and redundant headers.Keep the formatting beautiful and high signal to noise ratio.serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Director Inpatient Nursing

    Director Inpatient Nursing

    Common Spirit HealthOmaha, NE, US
    serp_jobs.job_card.full_time
    The Director of Nursing maintains direct operational responsibility for specific departments and programs on an assigned campus : additional direct management and / or consultative responsibilities ma...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Gastroenterology leadership opportunity with the University of Nebraska Medical Center

    Gastroenterology leadership opportunity with the University of Nebraska Medical Center

    Nebraska Medical CenterOmaha, NE, United States
    serp_jobs.job_card.full_time
    The Division of Gastroenterology and Hepatology at the University of Nebraska Medical Center in Omaha, NE is recruiting a Director for the multidisciplinary Frederick F. Paustian Inflammatory Bowel ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Travel MRI Tech - $2,320 per week in Lincoln, NE

    Travel MRI Tech - $2,320 per week in Lincoln, NE

    AlliedTravelCareersBellevue, Nebraska, US
    serp_jobs.job_card.full_time
    AlliedTravelCareers is working with Cross Country Allied to find a qualified MRI Tech in Lincoln, Nebraska, 68510!.As an MRI technologist, you will take medical images of patients for diagnostic pu...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
    • serp_jobs.job_card.promoted
    Travel MRI Tech - $3,174 per week in Omaha, NE

    Travel MRI Tech - $3,174 per week in Omaha, NE

    AlliedTravelCareersBellevue, Nebraska, US
    serp_jobs.job_card.full_time
    AlliedTravelCareers is working with Care Career to find a qualified MRI Tech in Omaha, Nebraska, 68198!.MRI technologists operate magnetic resonance imaging machines in the healthcare sector.They c...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Travel MRI Tech in Omaha, NE

    Travel MRI Tech in Omaha, NE

    AlliedTravelCareersBellevue, Nebraska, US
    serp_jobs.job_card.full_time
    AlliedTravelCareers is working with Titan Medical Group to find a qualified MRI Tech in Omaha, Nebraska, 68147!.ARRT(MR) / BCLS / BLS - American Heart Association. Titan Medical is looking for travelers...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Palliative Medicine Chief

    Palliative Medicine Chief

    CommonSpirit HealthOmaha, NE, US
    serp_jobs.job_card.permanent
    Job Summary and Responsibilities.Diagnose and treat various medical conditions.Develop and implement comprehensive treatment plans. Conduct thorough medical examinations and histories.Communicate ef...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Medical Director - Omaha, NE

    Medical Director - Omaha, NE

    Veterinary Emergency Group (VEG)Omaha, NE, US
    serp_jobs.job_card.full_time
    VEG is a rapidly growing emergency company with hospital locations across the United States.Our mission is helping people and their pets when they need it most. We are revolutionizing emergency medi...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Director Nursing

    Director Nursing

    USA JobsOmaha, NE, US
    serp_jobs.job_card.full_time
    Location : Creighton-Bergan Medical Center.The Director of Nursing maintains direct operational responsibility for specific departments and programs on an assigned campus : additional direct manageme...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day