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Inpatient Case Management Medical Director - Virtual
UnitedHealth Group • Houston, TX
Posted 16 days ago
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Inpatient Care Medical Director
You need to team up with UnitedHealth Group. You'll be right at home. We are taking on one of the biggest challenges facing our country- and we are making a difference.
UnitedHealth Group is working to create the health care system of tomorrow. We're bringing better quality health care to more people in more places. We're using information systems, data collection tools and outcomes analysis in ways that are new to our industry and the world.
Already Fortune 25, we are totally focused on innovation and change. We work and aim a little higher. We expect more from ourselves and each other. At the end of the day, we're doing pretty well… and we're doing a lot of good.
UnitedHealthcare, a UnitedHealth Group company, provides network-based health and well-being benefits and services for employers and consumers nationwide. We use our strength, diversity and innovation to improve the lives of people who use our unique products and services. And our endless pursuit for excellence in everything we do extends to your career as well. Join us today for an inspired and purposeful mix of professional growth opportunities and personal rewards.
UnitedHealthcare Clinical Services conducts inpatient bed day review for UnitedHealth Group's clients. These include local and national commercial employers, Medicare and state Medicaid plans. UnitedHealthcare’s Inpatient Care Management Medical Directors work with groups of nurses and support staff to manage inpatient care utilization at a hospital, market, regional or national level. Nurses may work telephonically (either work at home or in a large regional center) or actually go onsite at specific hospitals.
UnitedHealth Care's care management approach is very data driven, and is grounded in the use and application of evidence based medicine (EBM) such as the MCGTM Guidelines. The successful ICM medical director appreciates and understands data. In addition, he or she is a champion of and is very conversant with EBM, and uses it to teach and direct clinical staff, as well as engage practicing physicians in discussions designed to promote individual patients receiving the right care, in the right place at the right time. Through daily support of the UnitedHealthcare Clinical Services nurses, the medical director serves as a primary clinical educator and mentor, and facilitates achievement of appropriate patient care goals through guiding nurses in the job they do and conducting peer-to-peer communication with practicing physicians.
ICM Medical Director's chair periodic market oversight meetings with the outward facing Market Medical Directors, network contractors, nurse management and other internal lay managers. The goal is to use market knowledge as well as UnitedHealthcare’s robust quality and utilization data to identify and address market and hospital specific relationship issues and practice habit opportunities to better advance the practice of EBM.
Although the United Health Services ICM medical director's work is typically concentrated in a region, he or she is part of a national organization and team, and collaborates with peers, nurse managers, and non-clinical employees from across the country. In response to customer need and expectation, UnitedHealthcare is continuously modifying its programs and approaches. Although not a primary job function, medical directors with the interest in doing so often have the opportunity to be involved with change design and management.
Regardless of your role at UnitedHealthcare, the support you feel all around you will enable you to do what you do with energy, integrity, and confidence. So take the first step in what is sure to be a fast paced and highly diversified career.
-MD or DO with an active, unrestricted license in any state.
(Prefer current active license in FL, AZ, MS, NM, TX, OK, WA, SC, NC, KY)
-Board Certified in an ABMS or AOBMS specialty
(Prefer certification or recent experience in PM&R, Internal Medicine Hospitalist, Skilled Nursing CMD certification or Intensive, complex care subspecialty or experience)
-5+ years clinical practice experience -Intermediate or higher level of proficiency with managed care
-2+ years Utilization Management experience preferred
Transforming health care and millions of lives starts with the values you embrace and the passion you bring. Find out more and join us. It's an opportunity to do your life's best work.SM
Careers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 6 organization that's serving more than 85 million people already and building the industry's singular reputation for bold ideas and impeccable execution. Now, add your energy, your passion for excellence, your near-obsession with driving change for the better. Get the picture? UnitedHealthcare is serving employers and individuals, states and communities, military families and veterans where ever they're found across the globe. We bring them the resources of an industry leader and a commitment to improve their lives that's second to none. This is no small opportunity. It's where you can do your life's best work.SM
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.