Houston, TX, 77007, USA
14 days ago
Behavioral Medical Director Care Coordination and Engagement - Remote
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start **Caring. Connecting. Growing together.** Medical Director careers at UnitedHealth Group are anything but ordinary. We push ourselves and each other to find smarter solutions. The result is a culture of performance that's driving the health care industry forward. Instead of seeing a handful of patients each day, your work may affect millions for years to come. The Behavioral Medical Director works with a group of Psychiatrists offering clinical oversight and direction to Optum’s Care Engagement team. As a team member, the Behavioral Health Medical Director will also collaborate cross-functionally with other Optum and UHG partners to design, build and test clinical models to drive better outcomes and affordability for members with complex needs including those with substance use disorders, behavioral and medical health conditions, and unmet social determinants of health needs, to improve member engagement in clinically, cost-effective care. The Behavioral Medical Director is responsible for providing clinical oversight to medically-behaviorally integrated (MBI) multidisciplinary teams working to engage members in their recovery. It also interprets data and performance metrics to determine interventions, stratification and impact, cost, provider performance, and helps develop value creation. This individual will interact directly with and offer clinical, procedural, or administrative recommendations to psychiatrists and other behavioral health providers, medical physicians and nurses, clinical professionals, and/or state agencies who care for members, or consult on various processes and programs. The Behavioral Medical Director is part of a leadership team managing development and implementation of affordable, evidence-based treatments and regional action planning, and advises leadership on health care system improvement opportunities. Case Management activities include case consultation, participation in MBI activities, care engagement-clinical rounds, collaboration with Utilization Management, and participation in the development of case management innovation and evolution. The Behavioral Medical Director participates in quality activities to measure value and promote best practices, including reviewing procedures affecting the quality of care for our members. The Behavioral Medical Director will also participate in MBI activities with the Optum National Care Coordination and Engagement Team (CCE). The Behavioral Medical Director reports directly to the Senior Medical Director for CCE. You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. **Primary Responsibilities:** + Ensuring delivery of cost-effective quality care that incorporates evidence-based practices, recovery, resiliency, and person-centered services + Coordination with multiple medical specialties including behavioral, community-based clinicians, specialists, general practitioners, state agencies, and other stakeholders involved in the implementation of a longitudinal care plan + Works as part of an integrated medical-behavioral team that helps coordinate care engagement, care coordination and MBI activities + Provide clinical supervision to the clinical staff, oversee the management of services at all levels of care in the benefit plan + Keep current regarding Evidence Based Practices and treatment philosophies including those that address MBI, equity, trauma-informed care, recovery, and resilience + Maintaining the clinical integrity of the program, including timely peer reviews, documentation, and consultations + Work collaboratively with the Health Plan Medical Director, Clinical, Network, Quality staff, and leadership 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 Osteopathy + Current medical license to practice as a physician without restrictions + Board certified in Psychiatry with integrated care experience + Demonstrated understanding of the clinical application of the principles of engagement, empowerment, rehabilitation, and recovery + Knowledge of post-acute care planning such as home care, discharge planning, case management, disease management, and population health + Computer and typing proficient, data analysis and solid organizational skills **Preferred Qualifications:** + 3+ years of experience as a practicing physician post residency + Primary Care experience such as Family Medicine, Pediatrics, or medical specialty + Experience in public sector delivery systems and experience in state specific public sector services + Transdisciplinary care team experiences + Experience in Consultation-Liaison Psychiatry + Population/Public health experience or credentials + Experience in Care Management BH organization *All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy **California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Rhode Island, Washington, or Washington, D.C. Residents Only:** The salary range for this role is $285,179 to $359,250 annually. Salary Range is defined as total cash compensation at target. The actual range and pay mix of base and bonus is variable based upon experience and metric achievement. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives. **Application Deadline:** This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. _At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission._ _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._
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