Inpatient Care Management Medical Director - Remote

Lensa; Austin (TX); Remote; USD 238,000 - 358,000; Full time

Job summary

A leading healthcare organization is seeking an Inpatient Care Management Medical Director to oversee acute care reviews and collaborate with clinical teams. This remote role offers flexibility and involves working with national clients to improve healthcare outcomes. Candidates must hold an MD or DO, with significant clinical experience and proficiency in evidence-based medicine. Comprehensive benefits and a competitive salary range are offered.

Benefits

Comprehensive Health Coverage

Incentive Programs

Stock Purchase Options

401(k)

Qualifications

• At least 3 years of post-residency clinical practice experience.
• Participation in holiday and call rotations.

Responsibilities

• Oversee acute care and length of stay reviews for medical necessity.
• Participate in telephonic outreach with treating providers.
• Collaborate on clinical and quality initiatives.

Skills

Clinical Practice

Evidence-Based Medicine

Collaboration

Utilization Management

Education

MD or DO with active medical license

Board Certification

Tools

Computer Systems

Job description

Inpatient Care Management Medical Director - Remote

We are seeking an Inpatient Care Management Medical Director to join our Optum team. This role involves overseeing acute care and length of stay reviews for medical necessity for members managed within the continuum of care. Our clients include commercial, Medicare, and Medicaid plans at local and national levels. The Medical Director collaborates with nurses and support staff to manage inpatient care utilization at various organizational levels.

Primary Responsibilities:

1. Participate in telephonic outreach with treating providers to discuss evidence-based guidelines, close clinical gaps, and update care plans to impact healthcare expenses.
2. Collaborate with operational and business partners on clinical and quality initiatives to meet customer expectations.
3. Utilize evidence-based medicine (EBM) such as InterQual care guidelines and criteria review.
4. Participate in market oversight meetings with senior leadership and external partners as needed.
5. Maintain proficiency in all relevant software and platforms.

This role offers the flexibility to work remotely from anywhere in the U.S. and involves working with a national team, with opportunities for involvement in change management initiatives.

Required Qualifications:

• MD or DO with active, unrestricted medical license
• Board Certification in an ABMS or AOA specialty
• At least 3 years of post-residency clinical practice experience
• Proficiency in computer systems and software
• High-speed internet and a private home office
• Participation in holiday and call rotations

Preferred Qualifications:

• Over 2 years of managed care, quality management, or administrative leadership experience
• Previous utilization management experience
• Recent clinical experience within the last 2 years

The salary range for this position is $238,000 to $357,500 annually, based on full-time employment and experience. Benefits include comprehensive health coverage, incentive programs, stock purchase options, and 401(k). The application deadline is typically a minimum of 2 business days or until a sufficient candidate pool is reached.

UnitedHealth Group is committed to diversity, equity, and inclusion, and promotes health equity and environmental responsibility. We are an Equal Opportunity Employer and a drug-free workplace.