Behavioral Medical Director, North Carolina - Telecommute
Company: UnitedHealth Group
Location: Winston Salem
Posted on: November 23, 2022
Job Description:
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) The Behavioral Medical Director position is responsible
for providing oversight to and direction of the Utilization
Management Program and performing peer reviews as necessary. This
individual will interact directly with Psychiatrists, Behavioral
Health Providers, and other clinical professionals who consult on
various processes and programs. The Behavioral Medical Director is
part of a leadership team that manages development and
implementation of evidence-based treatments and medical expense
initiatives and will also advise leadership on health care system
improvement opportunities. They are responsible for maintaining the
clinical integrity of the program, including timely peer reviews,
appeals and consultations with providers and other community based
clinicians, including general practitioners and will work
collaboratively with the Health Plan Medical Director, Clinical,
Network and Quality staff. At Optum, our clinical vision drives the
team to improve the quality of care our consumers receive. If you
are located in North Carolina, you will have the flexibility to
telecommute* as you take on some tough challenges. Primary
Responsibilities:
Ensuring delivery of cost effective
quality care that incorporates recovery, resiliency and
person-centered servicesResponsible for Level of Care guidelines
and utilization management protocolsResponsible for oversight and
management, along with the Clinical Director and Clinical Program
Director, utilization review, management and care coordination
activitiesProvide clinical oversight to the clinical staff, oversee
the management of services at all levels of care in the benefit
planKeep current regarding Evidence Based Practices and treatment
philosophies including those that address Recovery and Resilience
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:
Doctor of Medicine or
OsteopathyCurrent license to practice as a physician without
restrictions in the state of North CarolinaBoard certified in
PsychiatryDemonstrated understanding of the clinical application of
the principles of engagement, empowerment, rehabilitation and
recoveryKnowledge of post-acute care planning such as home care,
discharge planning, case management, and disease managementComputer
and typing proficiency, data analysis and organizational skills
necessaryCurrently reside in the state of North CarolinaMinimal
travel as needed for meetingsFull COVID-19 vaccination is an
essential job function of this role. Candidates located in states
that mandate COVID-19 booster doses must also comply with those
state requirements. UnitedHealth Group will adhere to all federal,
state and local regulations as well as all client requirements and
will obtain necessary proof of vaccination, and boosters when
applicable, prior to employment to ensure compliance. Candidates
must be able to perform all essential job functions with or without
reasonable accommodation. Preferred Qualifications:
3+ years of experience as a
practicing psychiatrist post residency Managed care experience a
plusExperience in public sector delivery systems and experience in
state specific public sector services Experience working with
community based programs and resources designed to aid the State
Medicaid population To protect the health and safety of our
workforce, patients and communities we serve, UnitedHealth Group
and its affiliate companies require all employees to disclose
COVID-19 vaccination status prior to beginning employment. In
addition, some roles and locations require full COVID-19
vaccination, including boosters, as an essential job function.
UnitedHealth Group adheres to all federal, state and local COVID-19
vaccination regulations as well as all client COVID-19 vaccination
requirements and will obtain the necessary information from
candidates prior to employment to ensure compliance. Candidates
must be able to perform all essential job functions with or without
reasonable accommodation. Failure to meet the vaccination
requirement may result in rescission of an employment offer or
termination of employment 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.
Keywords: UnitedHealth Group, Winston-Salem , Behavioral Medical Director, North Carolina - Telecommute, Executive , Winston Salem, North Carolina
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