Inpatient Care Management Medical Director - Remote

Lensa; Wichita (KS); Remote; USD 238,000 - 358,000; Full time

Job summary

A leading healthcare organization seeks an Inpatient Care Management Medical Director to oversee acute care reviews and collaborate with medical staff. This remote role requires an MD or DO with significant clinical experience and offers competitive compensation and benefits.

Benefits

Comprehensive healthcare

Incentive programs

Stock purchase options

401(k)

Qualifications

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

Responsibilities

• Conduct acute care and length of stay reviews for medical necessity.
• Collaborate with treating providers and operational partners on clinical initiatives.

Skills

Collaboration

Evidence-Based Medicine

Education

MD or DO with active medical license

Board certification in ABMS or AOA 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 for our members across various insurance plans, including commercial, Medicare, and Medicaid. The Medical Director will collaborate with nurses and support staff to manage inpatient care utilization at different levels—hospital, regional, or national.

This position offers the flexibility to work remotely from anywhere within the U.S.

Primary Responsibilities

1. Participate in telephonic outreach to collaborate with treating providers, discussing evidence-based guidelines, closing clinical quality gaps, and care plan modifications.
2. Collaborate with operational and business partners on clinical and quality initiatives to meet customer expectations.
3. Apply evidence-based medicine (EBM) principles, including InterQual care guidelines and criteria reviews.
4. Occasionally participate in market oversight meetings with senior leadership and external partners.
5. Maintain proficiency in all required software and platforms.

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

Required Qualifications

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

Preferred Qualifications

• Over 2 years of managed care, quality management, or administrative leadership experience
• Prior utilization management experience
• Recent clinical practice within the past 2 years

The salary range is $238,000 to $357,500 annually, based on full-time employment and experience. Benefits include comprehensive healthcare, incentive programs, stock purchase options, and 401(k).

Application deadline: Minimum of 2 business days, subject to change based on applicant volume.

UnitedHealth Group is committed to diversity, equity, and inclusion, and provides equal employment opportunities. We also prioritize environmental sustainability and health equity initiatives.