Inpatient Care Management Medical Director - Remote - 2275290

Primary Care Plus; Minneapolis (MN); 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 providers. This remote role offers flexibility and requires strong clinical and leadership skills. Join a mission-driven team focused on improving health outcomes.

Benefits

Comprehensive benefits packages

Incentive programs

Stock purchase options

401k contributions

Qualifications

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

Responsibilities

• Conduct acute level of care and length of stay reviews for medical necessity.
• Collaborate with operational and business partners on clinical initiatives.
• Participate in telephonic outreach to discuss evidence-based guidelines.

Skills

Proficiency in computer software and systems

Education

MD or DO with an active, unrestricted medical license

Current Board Certification in an ABMS or AOA specialty

Job description

Inpatient Care Management Medical Director - Remote - 2275290

Join to apply for the Inpatient Care Management Medical Director - Remote - 2275290 role at Primary Care Plus.

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. Our culture is guided by diversity and inclusion, with talented peers, comprehensive benefits, and career development opportunities. Join us to make an impact on communities and advance health equity globally. Caring. Connecting. Growing together.

We are seeking an Inpatient Care Management Medical Director to join our Optum team. This role involves conducting acute level of care and length of stay reviews for medical necessity for our members within the continuum of care. Our clients include local and national commercial employers, Medicare, and Medicaid plans. The Medical Directors collaborate with nurses and support staff to manage inpatient care utilization at various levels—hospital, market, regional, or national.

You’ll enjoy the flexibility to work remotely from anywhere within the U.S. while tackling meaningful challenges.

Primary Responsibilities

1. Participate in telephonic outreach to collaborate with treating providers, discussing evidence-based guidelines, closing clinical quality gaps, and adjusting care plans to impact healthcare expenses.
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 review.
4. Occasionally participate in market oversight meetings with Chief Medical Officers, network contractors, nurse management, and internal managers.
5. Maintain proficiency in all required software and platforms.

While the work is often regional, Medical Directors are part of a national team, collaborating with peers across the country. They may also be involved in change management and program modifications based on customer needs.

You will be rewarded and recognized for your performance in an environment that offers clear success criteria and development opportunities.

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 post-residency
• Proficiency in computer software and systems
• Home office with high-speed Internet access
• Participation in rotational holiday and call coverage

Preferred Qualifications

• 2+ years of managed care, Quality Management, or administrative leadership experience
• Previous Utilization Management (UM) experience
• Clinical practice within the past 2 years
• Adherence to UnitedHealth Group’s Telecommuter Policy for remote employees

The salary range is $238,000 to $357,500 annually, based on full-time employment, experience, and performance metrics. Benefits include comprehensive packages, incentive programs, stock purchase options, and 401k contributions. Benefits are subject to eligibility.

Application deadline: This posting remains open for at least 2 business days or until a sufficient candidate pool is achieved. Early removal is possible due to volume of applicants.

At UnitedHealth Group, our mission is to help people live healthier lives and improve the health system for everyone. We are committed to addressing health disparities and promoting health equity. We are an Equal Employment Opportunity employer and a drug-free workplace, requiring candidates to pass a drug test before employment.