Inpatient Care Medical Director - Community and State - Texas - Full-time / Part-time

Inpatient Care Medical Director

You need to team up with UnitedHealth Group. You'll be right at home. Because we're taking on one of the biggest challenges facing our country. And we're making a difference.
UnitedHealth Group is working to create the health care system of tomorrow. We're bringing better quality health care to more people in more places. We're using information systems, data collection tools and outcomes analysis in ways that are new to our industry and the world.

Already Fortune 25, we are totally focused on innovation and change, we work a little harder; we aim a little higher. We expect more from ourselves and each other. At the end of the day, we're doing pretty well and we're doing a lot of good.

UnitedHealthcare, a UnitedHealth Group company, provides network-based health and well-being benefits and services for employers and consumers nationwide. We use our strength, diversity, and innovation to improve the lives of the more than 18 million people who receive our unique products and services. And our endless pursuit for excellence in everything we do extends to your career as well. Join us today for an inspired and purposeful mix of professional growth opportunities and personal rewards.

UnitedHealthcare Clinical Services conducts inpatient bed day review for UnitedHealth Group's clients. UnitedHealthcare Clinical Services nurses, and Inpatient Care Management (ICM) Medical Directors with supporting clerical staff, are concentrated in large regional centers, (although some nurses accountable to a location may work from home or onsite at network hospitals). Typically, 1-4 ICM medical directors support all nurses at a location.

UnitedHealth Care's care management approach is very data driven, and is grounded in the use and application of evidence based medicine (EBM) and Milliman Care Guidelines. The successful ICM medical director appreciates and understands data, is a champion of and is very conversant with EBM, and uses it both to teach and direct clinical staff, as well as engage the practicing physicians in discussions designed to result in individual patients receiving the right care, in the right place at the right time. Through daily support of the UnitedHealthcare Clinical Services nurses, the medical director serves as a primary clinical educator and mentor, and facilitates achievement of appropriate patient care goals through guiding nurses and conducting peer-to-peer communication with practicing physicians.

ICM Medical Director's chair a weekly market oversight meeting with the Community and State Plan Chief Medical Director, network lead, and nursing director where the market's bed day management, market data, and hospital specific issues are reviewed.

Although the United Clinical Services ICM medical director's work is typically concentrated in a region, he or she is part of a national organization and team, and will collaborate with United Health Services peers and nurse managers, market medical directors and others from across the country. In response to customer need and expectation, UnitedHealthcare 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 UnitedHealthcare, 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.

Requirements:
-MD or DO with an active, unrestricted license
-Board Certified in an ABMS or AOBMS specialty
-5+ years clinical practice experience -Intermediate or higher level of proficiency with managed care
-2+ years Quality Management experience

Careers at UnitedHealthcare Community & State. Challenge brings out the best in us. It also attracts the best. That's why you'll find some of the most amazingly talented people in health care here. We serve the health care needs of low income adults and children with debilitating illnesses such as cardiovascular disease, diabetes, HIV/AIDS and high-risk pregnancy. Our holistic, outcomes-based approach considers social, behavioral, economic, physical and environmental factors. Join us. Work with proactive health care, community and government partners to heal health care and create positive change for those who need it most. This is the place to do your life's best work.SM

Diversity creates a healthier atmosphere: All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, protected veteran status, or disability status.




UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.