Inpatient Care Management Medical Director - Telecommute in FL

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Careers at UnitedHealth Group

We're creating opportunities in every corner of the health care marketplace to improve lives while we're building careers. At UnitedHealth Group, we support you with the latest tools, advanced training and the combined strength of high caliber co-workers who share your passion, your energy and your commitment to quality. Join us and start doing your life's best work. SM

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Compassion. It's the starting point for health care providers like you and it's what drives us every day as we put our exceptional skills together with a real feeling of caring for others. This is a place where your impact goes beyond providing care one patient at a time. Because here, every day, you're also providing leadership and contributing in ways that can affect millions for years to come. Ready for a new path? Learn more, and start doing your life's best work. SM

Our teams are helping people from around the world. We can bring out your best as you put your listening, analytical and problem solving skills to work in a setting that is geared to helping improve lives and enhance health care for millions. Here, you'll discover a wealth of pathways for professional growth within Customer Service, Billing, Claims, Enrollment & Eligibility and across our global economy. Join us and find out why this is the place to do your life's best work. SM

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work.(sm)

We are currently seeking an Inpatient Care Management Medical Director to join our Enterprise Clinical Services (ECS) team. This team is responsible for conducting inpatient bed day reviews for UnitedHealth Group's clients; to include local and national commercial employer, Medicare and state Medicaid plans. The ECS Medical Directors work with groups of nurses and support staff to manage inpatient care utilization at a hospital, market, regional or national level.

If you are located in Florida, you will have the flexibility to telecommute* as you take on some tough challenges.

Primary Responsibilities:
  • Participate 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
  • Is grounded in the use and application of evidence-based medicine (EBM) such as the Milliman Care Guidelines
  • Chair periodic market oversight meetings with the outward facing Chief Medical Officers, network contractors, nurse management and other internal managers
  • Maintain proficiency in all required software and platforms


Although the United Health Services ICM medical director's work is typically concentrated in a region, he or she is part of a national organization and team, and collaborates with peers, nurse managers, and non-clinical employees from across the country. In response to customer need and expectations, Optum is continuously modifying its programs and approaches. Although not a primary job function, medical directors with the interest in doing so often have the opportunity to be involved with change design and management.

Regardless of your role at Optum, the support you feel all around you will enable you to do what you do with energy, integrity, and confidence. So take the first step in what is sure to be a fast paced and highly diversified career.

You'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 clinical practice experience
  • Technical proficiency in computer software and systems


Preferred Qualifications:
  • Current licensure in the state of Florida
  • 2+ years managed care, Quality Management experience and/or administrative leadership experience
  • Clinical experience within the past 2 years
  • Excellent written and oral communication skills


If the hired individual resides in Florida (office based or telecommuting) this position requires the AHCA Level II background check (fingerprinting) by the State of Florida for all clinicians that have direct face to face contact with members OR employees who will have access to confidential patient data and will require renewal every five years.

UnitedHealth Group requires all new hires and employees to report their COVID-19 vaccination status.

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: Inpatient Care Management Medical Director, Inpatient, Medical Director, Physician, MD, Managed Care, Case Review, Telecommute, Telecommuter, Telecommuting, Work at Home, Work from Home, Remote, FL, Florida

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