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
Remote Data Entry Operator Full & Part Time
Posted on: 22-10-2024 05:28
Remote QuickBooks Part-time Bookkeeper | Flexible WFH
Posted on: 16-11-2024 19:13
Disney Chat Support Jobs, Disney Careers Remote, Disney Remote Part Time Jobs
Posted on: 26-08-2024 00:00
Chat Operator Jobs | Join Our Remote Team | Earn $25-$35/hr
Posted on: 16-11-2024 19:14
Remote Chat Operator ? Text Only / No Calling
Posted on: 09-12-2024 18:32
Insurance Contract Transcriptionist
Posted on: 23-08-2024 00:00
Local Fuel Delivery Driver
Posted on: 01-10-2024 00:00
Manager, Customer Solutions Architect - Capital One Software - (Remote)
Posted on: 05-12-2024 05:16
Services Project Coordinator
Posted on: 27-11-2024 06:07
Scheduling Operations Associate (Part-Time Contract) (Remote)
Posted on: 24-01-2025 04:51