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Case Management Medical Director - Telecommute

Company: UnitedHealth Group
Location: Eden Prairie
Posted on: January 15, 2022

Job Description:

Medical Director careers at UnitedHealth Group are anything but ordinary. We push ourselves and each other to find smarter solutions. The result is a culture of performance that's driving the health care industry forward. Instead of seeing one patient at a time, you have the opportunity to impact health care trend across the population with data driven information and tools to drive evidence based care. Join us. And start doing your life's best work.(sm)You'll enjoy the flexibility to telecommute* from anywhere within United States as you take on some tough challenges.Primary Responsibilities:

  • Support case and disease management teams to achieve optimal clinical outcomes for high risk populations
  • Primary functions include RN case manager support and consultation about high risk members and assisting in account management team presentations
  • Be involved in telephonic outreach for collaboration with treating providers. This will include discussion of evidence - based guidelines, opportunities to close clinical quality / service gaps, and care plan changes that can impact health care expenses
  • Responsible to collaborate with operational and business partners on clinical and quality initiatives at the site and customer level to address customer expectations
  • Effectively engage and articulate the Optum and UHC value story to our external constituents such as physicians and our customers. -There may also be opportunities to engage medical and specialty societies, hospitals and hospital associations: and state regulators
  • Deliver the clinical value proposition focused on quality, affordability and service, in support of the sales and growth activities including conducting Broker / Client presentations and participating in customer consultationsYou'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.Required Qualifications:
    • MD or DO with an active, unrestricted medical license
    • Current Board Certification in an ABMS or AOBMS specialty
    • 5+ years of clinical practice experience
    • 2+ years of managed care, Quality Management experience and / or administrative leadership experience
    • Excellent written and oral communication skillsTo protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies now require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles require full COVID-19 vaccination as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment.Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm)*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.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.Job Keywords: Case Management Medical Director, Medical Director, Case Management, utilization review, clinical, Telecommute, Telecommuting, Telecommuter, Work From Home, Remote, WFH

Keywords: UnitedHealth Group, Eden Prairie , Case Management Medical Director - Telecommute, Healthcare , Eden Prairie, Minnesota

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