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.
You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.Primary Responsibilities:
- Ensuring delivery of cost effective quality care that incorporates recovery, resiliency and person-centered services
- Responsible for Level of Care guidelines and utilization management protocols
- Responsible for oversight and management, along with the Clinical Director and Clinical Program Director, utilization review, management and care coordination activities
- Provide clinical oversight 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 Recovery and Resilience.
- Doctor of Medicine or Osteopathy
- Current license to practice as a physician without restrictions
- Board certified in Psychiatry
- 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, and disease management
- Computer and typing proficiency, data analysis and strong organizational skills necessary
- Minimum of 3 years of experience as a practicing psychiatrist post residency strongly preferred
- Sub specialty in Child & Adolescent or Addiction Psychiatry a plus
- Prior Managed care experience a plus
- Experience 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
*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. Job Keywords: psychiatry, post-acute care planning, clinical application, data analysis, telecommute