UnitedHealthcare Hiring for Division of UnitedHealth Group Remote
Senior Medical Director Landmark Health
Full Time Telecommuter – Residing in one of the following states: Missouri, Illinois, Michigan, Ohio, Kentucky, Kansas, Arkansas, Iowa, Tennessee, Wisconsin, Minnesota, Georgia, Alabama, Mississippi
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)
Landmark Health was created to transform how healthcare is delivered to the most medically vulnerable members in our community. Our medical group provides home-based medical care to chronically ill patients, many of whom are ill-equipped to navigate our overwhelming healthcare system. Landmark Intro Dr. John Broderick
Because many of our patients are frail and elderly, we deliver care primarily in the comfort of their home. Our Program is also offered to eligible patients at no incremental financial cost to them. We are not a fee-for- service practice; we benefit economically only if we deliver high-quality patient outcomes and satisfaction. As a result, our clinical teams can spend quality-time caring for a smaller number of patients, giving all patients the space, respect, compassion and care they deserve.
At Landmark, our interdisciplinary teams collaboratively manage our complex patient panels. These teams are led by Physicians, Nurse Practitioners, and Physician Assistants, with supporting care provided by RN Nurse Care Managers, Social Workers, Pharmacists, Behavioral Health, and other employed team members.
Join Landmark to be part of a growing company full of purpose-driven, action-oriented, and compassionate team members working to dramatically transform healthcare for our communities
Objective:
The Senior Medical Officer, Behavioral Health will serve as a key member of the Behavioral Health Leadership team. He/she will directly to the Chief Behavioral Health Officer. He/she will work closely with the Landmark regional and divisional leadership team, having primary responsibility as behavioral health clinical lead for their region and division in order to ensure high quality behavioral health patient care.
If you are located in Missouri, Illinois, Michigan, Ohio, Kentucky, Kansas, Arkansas, Iowa, Tennessee, Wisconsin, Minnesota, Georgia, Alabama, Mississippi, you will have the flexibility to work remotely* as you take on some tough challenges.
Summary:
- Support advanced level practitioners with in-person or telephonic clinical consultations, conduct regular individual meetings, proactively provide performance feedback, review and mentorship and oversee provider education
- Act as a consultative psychiatrist focused on stabilizing clinically complex behavioral health patients
- Serve as psychiatric representative for health plans in assigned division / region and nationally as appropriate
- Implement HEDIS measure campaigns and other behavioral health quality initiatives as directed by Chief Behavioral Health Officer or Regional Medical Director to ensure the highest standards of care and to promote the improvement of care management and delivery
- Complete and sign all required documentation regarding supervision and collaboration for behavioral health advanced level practitioners within required timeframes
- Provide approval for continued ongoing care beyond standard for behavioral health patients and / or provide recommended transition plan to community-based providers
- Assist with psychiatric crises by providing consultative services in assigned division / region, making recommendations for medication and / or hospitalization accordingly
- Work closely with behavioral health advanced level practitioners, social workers, medical providers, nurse care managers and other interdisciplinary team members to inform clinical treatment plans
- As needed, participate in clinical case rounds for psychiatrically complex patients – virtual
- As needed conduct virtual psychiatric evaluations and / or make medication recommendations
- Attend and participate in meetings as requested by the Chief Behavioral Health Officer: Quarterly Business Review, contracted health plan Joint Operating Committee and selective Joint Executive Committee and Market and Regional Leadership Teams
- Inform and participate / facilitate in national behavioral health meetings
- Demonstrate appropriate medical judgment and appropriate use of resources with regards to care plans, diagnostic testing and referrals
- Participate in targeted, virtual ride alongs with behavioral health advanced level practitioners as well as targeted comprehensive chart reviews in order to audit and coach selected practitioners
- Keep current on relevant medical, behavioral research, technology, and related issues by attending continuing education courses, professional meetings and completing journal reviews
- Demonstrate appropriate medical judgment and appropriate use of resources with regards to care plans, diagnostic testing and referrals
- Collaborate with Chief Behavioral Health Officer and Vice President of Social Care on special projects and company wide initiatives related to behavioral health
- Cross cover for Chief Behavioral Health Officer and other Senior Medical Officers as warranted
- Participate actively in all Peer Review activities
- Perform related duties as necessary and other duties as assigned
Supervisory:
s directly to the Chief Behavioral Health Officer.
Competency:
To perform the job successfully, an individual should demonstrate the following competencies:
Problem Solving – Identifies and resolves problems in a timely manner; gathers and analyzes information skillfully; develops alternative solutions; works well in group problem solving situations; uses reason even when dealing with emotional topics
Technical Skills – Assesses own strengths and weaknesses; pursues training and development opportunities; strives to continuously build knowledge and skills; shares expertise with others
Customer Service – Manages difficult or emotional customer situations; responds promptly to customer needs; solicits customer feedback to improve service; responds to requests for service and assistance; meets commitments
Interpersonal Skills – Focuses on solving conflict; maintains confidentiality; listens to others; keeps emotions under control and overcomes resistance when necessary; remains open to new ideas
Oral Communication – Speaks clearly and persuasively in positive or negative situations; listens and seeks clarification; responds openly to questions. Must be able to deal with frequent change, delays, or unexpected events
Attendance/Punctuality – Is consistently at work and on time; ensures work responsibilities are covered when absent; arrives at meetings and appointments on time
Dependability – Follows instructions, responds to management direction; takes responsibility for own actions; keeps commitments; commits to long hours of work when necessary to reach goals; completes tasks on time or notifies appropriate person with an alternate plan
Initiative – Volunteers readily; undertakes self-development activities; seeks increased responsibilities; takes independent actions and calculated risks; looks for and takes advantage of opportunities; asks for and offers help when needed; generates suggestions for improving work and workflow
Required Qualifications:
- Must possess in depth knowledge and experience working within and / or in partnership with community health plans
- Experience developing and managing clinical programs, focused on the chronically ill and managing medical expense
- Board Certified in Psychiatry
- Board Certified in Addiction Medicine, Geriatrics sub-specialty preferred
- Extensive experience in providing psychiatric care to a wide range of patients including geriatrics
- Familiarity with Medicare Guidelines
- Familiarity with HCC and ICD-10 codes as related to billing practices
- 5+ years practicing as a psychiatrist
- 5+ years of successful leadership and people management experience
- Significant experience in managing the medical and clinical practice of physicians and multi-disciplinary staff in behavioral health treatment settings
Physical Demands:
Below are the physical requirements which are representative of those that must be met by the employee to successfully perform the essential functions of the job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
- Regular requirement to sit; use hands to touch, handle or feel
- Regular requirement to talk and listen
- Occasional requirement to stand; walk and reach with hands and arms
- Occasional requirement to lift and/or move up to 10 pounds
- Vision abilities include close vision, peripheral vision, depth perception and ability to adjust focus
Work Environment:
Below is a description of the work environment that the employee will encounter while performing the essential functions of the job.
- Noise level is usually moderate
About OptumCare:
At OptumCare, we’ve found that putting clinicians at the center of care is the best way to improve lives. Our physician-led organization is one of the most dynamic and progressive health care organizations in the world, serving over 17 million people through more than 45,000 aligned physicians and 9,000 advanced practice clinicians. You will find our team working in local clinics, surgery centers and urgent care centers, within care models focused on managing risk, higher quality outcomes and driving change through collaboration and innovation. Learn more at www.workatoptum.com.
- All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
Diversity creates a healthier atmosphere: OptumCare is an Equal Employment Opportunity/Affirmative Action employers 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.
OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.