Remote Medical Director, Inpatient Care Management - Indiana
We are currently seeking an Inpatient Care Management Medical Director to join our Optum team in Indiana (working remotely from their home office within the State.) This team is responsible for conducting acute level of care and length of stay reviews for medical necessity for our members being managed within the continuum of care. Our clients include local and national commercial employer, Medicare, and state Medicaid plans. The Medical Directors work with groups of nurses and support staff to manage inpatient care utilization at a hospital, market, regional or national level.
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 InterQual care guidelines
Required Qualifications: ? MD or DO with an active, unrestricted medical license in Indiana (must reside within the state) ? Current Board Certification and maintenance in an ABMS or AOBMS specialty ? 5 years clinical practice experience ? Private home office and access to high-speed Internet ? Technical proficiency in computer software and systems
Similar Remote Jobs
Remote Medical Director, Inpatient Care Management - Indiana
Posted on: 08-01-2025 08:06
Full Time Overnight Staff ( 8p to 8a)
Posted on: 08-01-2025 08:06
Professional Virtual Assistant for Corporate Scheduling and Communications
Posted on: 08-01-2025 08:06
Jetblue Airlines Hiring: Data Entry Remote Jobs (Part-Time)
Posted on: 08-01-2025 08:06
Data Entry Clerk, Help Desk [Work At Home]
Posted on: 08-01-2025 08:06
Jr. Data Entry Operator / Part Time (Remote)
Posted on: 08-01-2025 08:06
Customer Service Reps - Live Chat FULLY REMOTE
Posted on: 08-01-2025 08:06
Amazon Virtual Customer Service Rep - Part Time
Posted on: 08-01-2025 08:06
2025 Remote Teaching Opportunity in Kentucky TVI Role!
Posted on: 08-01-2025 08:06
[ONLINE TEACHING] Teach English Online to Korean Students!
Posted on: 08-01-2025 08:06
Executive Administrative Assistant to Vice Presidents
Posted on: 23-10-2024 04:42
Walmart Data Entry Remote Jobs (Part ? Time) $26/H ? US
Posted on: 26-08-2024 00:00
High Paying Part Time Writing Jobs Remote: Online Remote Position: Content Writer with up to $280 Daily Pay - No Experience Needed - Matrix Recruiters
Posted on: 31-01-2025 10:02
Product Testing Engineer
Posted on: 25-09-2024 00:00
Remote Collector - Base Pay + Commission
Posted on: 03-10-2024 00:00
Business Analyst/ Project Coordinator
Posted on: 01-11-2024 07:54
SR COMM TECHNOLOGIES ENGINEER
Posted on: 16-01-2025 19:15
Retail Store Associates and Stockers - 4623
Posted on: 28-01-2025 06:22
CALL CENTER AGENT (REMOTE) - Restaurant
Posted on: 22-07-2024 03:03
Agents for Web Chat Support
Posted on: 05-01-2025 17:57