Inpatient Care Management Medical Director - Remote

Lensa; Dallas (TX); Remote; USD 286,000 - 398,000; Full time

Job summary

A leading healthcare company is seeking an Inpatient Care Management Medical Director to oversee acute care reviews and collaborate with teams nationwide. This remote position requires an MD or DO with board certification and several years of clinical experience. The role offers a competitive salary and comprehensive benefits, emphasizing diversity and inclusion in the workplace.

Benefits

Comprehensive benefits package

Incentives

Stock purchase options

401k

Qualifications

• 3+ years of clinical practice post-residency.
• Home office with high-speed internet.
• Proficiency in relevant software and systems.

Responsibilities

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

Skills

Collaboration

Evidence-based medicine

Clinical leadership

Education

MD or DO with an active, unrestricted medical license

Board Certification in an ABMS or AOBMS specialty

Tools

Relevant software and 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 conducting acute care and length of stay reviews for medical necessity across various client plans, including local and national commercial, Medicare, and Medicaid. The Medical Director collaborates with nurses and support staff to manage inpatient care utilization at multiple levels, from hospital to national.

The position offers the flexibility to work remotely from anywhere in the U.S.

Primary Responsibilities

1. Participate in telephonic outreach with treating providers to discuss evidence-based guidelines, close clinical gaps, and adjust care plans to impact healthcare costs.
2. Collaborate with operational and business partners on clinical and quality initiatives to meet customer expectations.
3. Apply evidence-based medicine (EBM) principles, such as InterQual care guidelines.
4. Attend periodic market oversight meetings with senior leaders and internal teams.
5. Maintain proficiency in required software and platforms.

The role involves collaboration within a national organization, with opportunities to participate in change management and program development.

Minimum Qualifications

• MD or DO with an active, unrestricted medical license
• Board Certification in an ABMS or AOBMS specialty
• 3+ years of clinical practice post-residency
• Home office with high-speed internet
• Proficiency in relevant software and systems

Preferred Qualifications

• Licensure in HI, AK, OR, ID, WA, UT
• 2+ years in managed care, quality management, or administrative leadership
• Prior utilization management experience
• Clinical experience within the past 2 years

Salary ranges from $286,104 to $397,743 annually for residents of certain states, with benefits including comprehensive packages, incentives, stock purchase, and 401k.

Application deadlines are typically 2 business days or until a sufficient candidate pool is reached.

UnitedHealth Group is committed to diversity, equity, and inclusion, and provides equal employment opportunities. Employment is contingent on passing a drug test.