Inpatient Care Management Medical Director - Remote
Company: Optum
Location: Chicago
Posted on: May 12, 2025
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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. -
You'll 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. -
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 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
Prior UM experience
Clinical experience within the past 2 years
*All employees working remotely will be required to adhere to
UnitedHealth Group's Telecommuter Policy. -
The salary range for this role is $238,000 to $357,500 annually
based on full-time employment. Salary Range is defined as total
cash compensation at target. The actual range and pay mix of base
and bonus is variable based upon experience and metric achievement
Pay is based on several factors including but not limited to local
labor markets, education, work experience, certifications, etc.
UnitedHealth Group complies with all minimum wage laws as
applicable. In addition to your salary, UnitedHealth Group offers
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 UnitedHealth Group, you'll
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 everyone-of every race, gender, sexuality, age, location
and income-deserves 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. -
Keywords: Optum, Orland Park , Inpatient Care Management Medical Director - Remote, Healthcare , Chicago, Illinois
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