Physical Therapist - Case Management - Eden Prairie, MN or Kingston, NY - Full-time / Part-time

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us and help people live healthier lives while doing your life's best work.(sm)
This Case Management Physical Therapist position is located in our Eden Prairie, MN OR Kingston, NY officeSchedule:  Monday through Friday - Core business hours
As a member of this dynamic team, you will manage a caseload of physical therapy treatment plans for consumers though healthcare providers. Primary Responsibilities:

Make determinations of medical necessity/clinical appropriateness of treatment
Assist in the development and implementation of clinical policy, guidelines and applications
Regularly contact providers whose treatment determinations indicate a trend that varies with their peers and community
Be knowledgeable on and apply all necessary regulatory requirements for assigned regions
Responsible for appropriate utilization management (prospective, concurrent and retrospective) and implementation of healthcare affordability initiatives in all the UnitedHealthcare regions
Take initiative to control utilization trends without losing sight of quality and outcomes for health care consumers
Implement specific strategies that improve the quality and outcomes of care for consumers
Support many types of health plan structures (Fully Insured, Medicare, Medicaid, Workers Compensation and Auto liability)

Required Qualifications:

Unrestricted license to practice Physical Therapy
Minimum of five years of experience as a physical therapist
Minimum of five years of clinical experience in either neurodevelopment pediatrics or outpatient orthopedics
Strong knowledge of practice guidelines, including office procedures, current research and scope of practice
Ability to interpret guidelines, research, etc. in the context of traditional Physical Therapy practice
A high level understanding of proficiency in managed care
Strong negotiation skills with excellent written and oral communication skills
Proficiency in MSOffice with thorough working knowledge of various software applications in order to perform the requirements of the position
Ability to be consultative with others including supervisory, clinical and non-clinical professionals
Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make the health system 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
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: Orthopedic, Physical Therapist, Case Manager, Utilization Management, Physical Therapy, Eden Prairie, Minnesota, MN, Kingston, NY, New York, Optum, UHG
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